Random inspection report
Care homes for adults (18-65 years)
Name: Address: 164 Coleshill Road 164 Coleshill Road Atherstone Warwickshire CV9 2AF three star excellent 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: Patricia Flanaghan Date: 0 6 0 4 2 0 1 0 Information about the care home
Name of care home: Address: 164 Coleshill Road 164 Coleshill Road Atherstone Warwickshire CV9 2AF 01827718528 F/P01827718528 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Anne Fretwell Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Anne Fretwell care home 7 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: Date of last inspection Brief description of the care home 7 164 Coleshill Road is a registered care home providing 24-hour personal care for up to seven adults with varying levels of dementia. The home is a two-storey house and accommodation for the seven residents is provided over two floors. Two of the single bedrooms are on the ground floor and two separate accessible bathrooms. A main lounge, which is extended by the addition of a conservatory, and a kitchen and dining room are provided on the ground floor. There is a stair lift to the first floor, where there are five single bedrooms, and a small office. There is sufficient garden space at the rear of the house. The rear garden is enclosed, and has been specially designed for the needs of people with dementia. A small
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home parking area is available at the back of the home and on-street parking is available outside the home. The home is in a residential area, a short walk away from Atherstone town centre. There is a bus stop just outside the home. In Atherstone, there are facilities such as post office, banks, shops, cafes, pubs etc. There is also a small post office a very short distance from the home. Up to date information relating to the fees charged for the service is available on request from the home. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
The quality rating for this service is three stars. This means the people who use this service experience excellent quality outcomes. This was a random inspection visit undertaken by one inspector and was unannounced, which means the service was not told in advance of our visit. Before the visit we looked at information we received since our last inspection of the home. This includes how the service dealt with any complaints, the views of people who use the service and the managers views of how well they care for people. The service sent us their annual quality assurance assessment (AQAA) within the required timescales. The information in the AQAA was clear and provided us with all of the information we asked for. During the visit we spoke with people who live at the home, the staff on duty and the manager. We looked at information about people who use the service and medication records. We checked that staff had the knowledge, skills and training to meet the needs of the people they care for and we looked around the building to make sure it was clean, safe and comfortable. The home was clean and tidy during our visit and provided people with a comfortable and homely place to live. The outside grounds were very neat and tidy. There is an attractive garden with seating areas and people were seen to wander freely around the home and garden. We saw that people receive a good standard of care from a caring and committed staff team, who have a good understanding of their needs. People are encouraged to make their own choices and this gives them control over their lives. Each person living at the home has a person centred plan, care plans and risk assessments in place. We looked at the care records for one of the people living there. Care plans outlined the persons care and support needs, their preferences, wishes and aspirations and help staff to provide the support people want and need. During our visit we chatted with all the people living at the home who told us that they were well looked after. A person commented, I receive 110 support from the staff. Records showed that people had seen GPs, specialist nurses, chiropodists and opticians on a regular basis. A person told us how the home had immediately contacted the GP when they had recently felt unwell. They also said a member of staff had stayed with them all day when they had to visit the local hospital, commenting it was above and beyond the call of duty. The home has in place safe systems for the storage and administration of medication. Medication is provided through a local pharmacist in a monitored dosage (blister pack) system. We saw people relaxing in the lounge reading newspapers, watching television or chatting with staff. They appeared to be enjoying themselves and there was a good rapport between them and staff. Some people had been shopping for clothes that morning with a
Care Homes for Adults (18-65 years) Page 4 of 9 carer and showed us the new tops they had bought. People using the service continue to be encouraged to play an active role and take responsibility for household tasks. We saw some people helping with the serving of the midday meal. People told us they can make choices and decisions about what food is served. There are a range of activities on offer for people, so that they are able to pursue their leisure and social interests. For example, one person enjoys gardening and the home have recently acquired an allotment so they can grow vegetables with the help of staff. An official complaints policy and procedure is in place to ensure the concerns of people living in the home are taken seriously and feedback from those we spoke to indicated they were very clear about what to do if they had any complaints. All seven people who returned a survey told us there was someone they could speak to if they were unhappy and that they knew how to make a complaint if they needed to. We have not received any concerns about the home and information in the AQAA told us the home had not received any complaints in the previous twelve months. Staff have received training on safeguarding adults and the staff we spoke with said that abusive practice would not be tolerated in the home. We saw that staffing levels were appropriate for meeting the needs of people currently living in the home. There was a good atmosphere throughout the home with friendly and warm relationships existing between staff and people who use the service. Staff were observed to be cheerful and to enjoy doing their jobs and demonstrated a positive regard for the people in their care. Staff we spoke with were committed and motivated to doing their jobs and discussion with them indicated they had a good understanding of the needs of people and values of the home. Staff also told us that they had received good, regular training. They said that the home was well managed, they felt listened to and able to contribute to the development of the service. A staff member commented, I love working here, it doesnt feel like a job. The AQAA informed us that 97 of staff have achieved a minimum of level two in the National Vocational Qualification in care. This is commendable and means that staff should have the necessary skills and knowledge to provide a good standard of support to the people who live there. The service tells us that they follow their recruitment procedures in seeking references and completing safety checks to make sure that suitable staff are employed. Staff also confirmed this process during discussion. We were told in the AQAA how the service ensures that equality and diversity is promoted within the service. For example, staff receive regular training on equality and diversity and care packages are tailored to meet individual needs, with the persons involvement. Staff confirmed that they had received recent training on equality and diversity and that this topic is also raised at their supervisions. We were told that the service is also arranging training for staff on sexuality and dementia. The organisation has also appointed a dementia champion, part of whose remit will be to ensure people are aware of their rights and are included in all aspects of running the home. What the care home does well:
Care Homes for Adults (18-65 years) Page 5 of 9 The home continues to provide a very homely and friendly environment for the people who use the service The staff and people living in the home have very good relationships with each other and the atmosphere between them is positive and relaxed. This means people are very settled and feel they can rely on the staff for support they may need. People continue to be consulted and involved in the management of the service and participate in the way it is run. The wishes and feelings of people living in the home are taken seriously and they are treated with dignity and respect. People are actively supported to make decisions about their lives on a daily basis. Consideration is given to a persons interests, hobbies and leisure pursuits when planning activities. The involvement of relatives, families and friends is encouraged by the home. 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 6 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 7 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 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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!
