Random inspection report
Care homes for adults (18-65 years)
Name: Address: 1 Cauldon Place 1 Caledonia Road Shelton Stoke-on-Trent Staffordshire ST4 2DG two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Wendy Jones Date: 1 7 0 7 2 0 0 9 Information about the care home
Name of care home: Address: 1 Cauldon Place 1 Caledonia Road Shelton Stoke-on-Trent Staffordshire ST4 2DG 01782275770 01782275777 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Shelton Care Limited care home 25 Number of places (if applicable): Under 65 Over 65 0 0 learning disability mental disorder, excluding learning disability or dementia Conditions of registration: 25 25 The maximum number of service users who can be accommodated is: 25 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 25 Mental disorder, excluding learning disability or dementia (MD) 25 The service may admit up to (2) young people between the ages of 16-18. Date of last inspection Brief description of the care home Cauldon Place is registered to care for younger adults with learning disabilities and mental health needs. The home is part of the Richmond Care Group, which operates two other homes and a day college in the Hanley area. The home is situated on a main
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home bus route from Stoke to Hanley town centre and is adjacent to Stoke-on-Trent college. The accommodation was formerly used as student accommodation and is in keeping with the neighbouring student facilities. A large car park is available to the rear of the home. The accommodation is organised into small self- contained flats for one person or groups of up to six. Fees are assessed on an individual basis, and will be reviewed annually. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
We visited the service in response to the outcome of a safeguarding meeting. The safeguarding alert referred allegations that a member of staff had roughly handled and inappropriately restrained a person living at Cauldon Place, these allegations had been made by member of staff. The referral had been made by Kay Trow, the registered manager of Cauldon Place. There were additional concerns about the delay in reporting the original allegations and also that the alleged perpetrator had been dismissed from the service while the allegations were being investigated. We have visited the Human Resources office prior to this visit, to look at how the organisation ensures that proper checks are carried out for new staff and to talk about some of the concerns mentioned above. We asked to see training records to ensure that staff have received training in safeguarding vulnerable people and the training requirements of the last key inspection visit have been met. We talked to the care manager and senior staff about the frequency of staff supervision and the content of it. We looked at the care records of the individual identified in the safeguarding meeting and the flat he lived in. What the care home does well:
We saw that the Human resources manager has now introduced a check list for each new member of staff, to ensure that she knows when pre employment checks have been sent for and when they are received. We saw from the training records that Autism training has taken place since the last key inspection visit and further training is planned, we hope to see that before the next key inspection visit that all staff have attended this training. We also saw that staff have received Safeguarding and Abuse training and training in the management of challenging behaviour. We saw that staff appraisals have been carried out and have been told that staff have received individual supervision sessions. We saw that staff meetings are carried out regularly. We saw that care records clearly identify the the needs of individuals. We saw that risk assessments have been carried out and behaviour management plans are in place. We looked at how the service collects information on the use and frequency of restraint or challenging behaviour.
Care Homes for Adults (18-65 years) Page 4 of 9 What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 5 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 6 of 9 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 34 17 The organisation must sustain the improved recruitment practise. To be sure that staff are properly recruited and people using the service are safeguarded. 17/08/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 7 The support plans and assessments for the individual we discussed during this visit should include information about how his autism affects him. So we can be confident that all staff have the information they need to provide him with the support necessary. The organisation should reintroduce a Values based training session at induction and for existing staff. So that people using the service can be sure that staff are adequately trained. Senior meetings should include an agenda item relating to the incidents of restraint. Individual supervision sessions should include discussion about any incidents of restraint or NVCI the individual has
Page 7 of 9 2 31 3 4 31 36 Care Homes for Adults (18-65 years) Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations been involved in. 5 39 Quality audits of the monthly restraint incident statistics should be undertaken and an action plan devised to evidence how the service can improve in this area. Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 9 of 9 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
