Random inspection report
Care homes for adults (18-65 years)
Name: Address: 30 Brook Street 30 Brook Street Wordsley Stourbridge West Midlands DY8 5YW 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: Gerard Hammond Date: 2 8 0 5 2 0 1 0 Information about the care home
Name of care home: Address: 30 Brook Street 30 Brook Street Wordsley Stourbridge West Midlands DY8 5YW 01384480770 01384860507 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Karen Lesley Barr Type of registration: Number of places registered: Conditions of registration: Category(ies) : Wordsley Housing Society care home 22 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 22 The maximum number of service users who can be accommodated is: 22 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: Mental disorder, excluding learning disability or dementia (MD) 22 Date of last inspection Brief description of the care home 30 Brook St. provides accommodation and support for up 18 adults with mental health support needs, run byWordsley Housing Society. Accommodation is on the ground and first floors of the main house and in 2 adjoining properties (6 and 9 Sutton St.)
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home In the main house there are communal lounges on both floors. Some upstairs rooms have an adjoining kitchenette and bathrooms/toilets. These are designed to promote independence skills where possible. The ground floor has a range of toilets and bathrooms including one walk in shower, plus a small conservatory that is used by residents for growing flowers and plants. The dining room, laundry, kitchen and an office are also on this floor. Attached to the home is an activities room with kitchenette and Managers office. The home also provides 1 respite bed, funded by the Local Authority. There are patio areas for seating to the front and the rear and an ornamental fishpond at the front. Car parking is at the front of the property. 6 & 9 Sutton Street are next to the main house. These are 2 bed-roomed properties with lounge/dining room and kitchen with a garden to the rear. These are used for people who wish to be more independent but also still require some level of support. People living here are able to access facilities in the main complex and participate in activities arranged by staff, should they wish to do so. All properties are leased to the society by C.H.A.D.D. (Church Housing Association Dudley District). The service should be contacted directly for current information about fees and charges. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
This services last key inspection was on 30 May 2007, when its quality rating was 3 stars. This means that people using the service experienced excellent outcomes. The purpose of this inspection was to monitor compliance of essential standards of quality and safety against current National Minimum Standards. The Manager sent us an Annual Quality Assurance Assessment. We made a visit to the home and met people who use the service, and members of staff. The Manager was away on leave at this time. We also received written responses to questionnaires we sent to people who use the service, and staff at the home. We looked at records including personal files, care plans, staff records, previous inspection reports, safety records, and other documents. We saw that the home has a Statement of Purpose and Service Users Guide as required. We looked at the personal records of one individual who has come to live at the home recently. We saw that these included a detailed assessment of his support needs, with specific references to his mental health. We looked at another persons records and saw that these also contained a detailed assessment of needs, and evidence that these had been kept under review. This ensures that important information is kept up to date. We looked at peoples personal records to see how their care and support is planned and managed. We were able to see that work is currently ongoing to develop care plans, so that staff have clear guidance about how to give them the support they need. Plans are kept under regular review to make sure that information is up to date. We also saw that care plans were supported with risk assessments as necessary. This ensures that people get the support they need to stay safe. We recommended that the good work already done to develop care plans be continued. We spoke to people about the opportunities they have to do the things they want. Several attend local day centres regularly during the week. Staff told us that in house activities centre on supporting people with their independence skills, (e.g.shopping, cleaning , laundry, budgetting etc.) but that this should be encouraged more. People told us they were looking forward to going away on holiday soon. Staff also told us that day trips were arranged to Black Country Museum, Zoo, and Cosford Air show. We saw the activity planner for that week, which included pool games, ladies night, current affairs, exercise class, board games and a canal walk. One person was away on a night fishing trip, another visiting relatives in Pakistan. Personal records provide evidence of regular family contacts, both at Brook Lane and at relatives homes. One person we spoke to was on his way out to visit a new day care facility. He returned later on, very enthusiastic about attending. Other people we spoke to confirmed that they are able to do the things they want and make positive choices about this. Menus are planned on a 4 week cycle, in consultation with residents. The service places a high premium on good quality food and recognises the importance of good nutrition in promoting mental health / recovery. We saw that food stocks were ample and included fresh produce. People told us the food is fantastic, absolutely wonderful and the food is very good, they try new things. Its marvellous, I have the things I like. We were able to directly observe interactions between residents and staff: we saw that support was given in a respectful, warm and friendly manner. People we spoke to told us
Care Homes for Adults (18-65 years) Page 4 of 10 staff are really helpful - theyll do anything for you and staff are really nice and they help with our needs and understand how to help us. Records we looked at showed appointments with other professionals (e.g. GP, optician, dentist, podiatrist, smoking cessation nurse, consultant psychiatrist, social workers etc.) care programme approach reviews and referral for advice, support and treatment as required. We saw records of weight monitoring and nutritional assessment tools. The service demonstrates a positive attitude towards encouraging people to exercise and diet healthily, though this is not without its challenges. We looked at medication records and saw that where possible, people are encouraged and supported to take responsibility for self-medication, subject to appropriate risk assessment. We saw that arrangements are in place to ensure that people get their medication at the right times and in the right doses. We recommended that protocols for PRN (as required) medication be developed, to ensure that staff have clear guidance about the circumstances when such medication should be given. Appropriate policies and procedures covering complaints and safeguarding are in place as required. In the Annual Quality Assurance Assessment the Manager told us that no complaints had been received or safeguarding referrals made in the past twelve months. We received an anonymous complaint about the service since then, and passed it to the Registered Provider. Positive action has been taken within the organisation to address this. An independent body has been commissioned to provide opportunities for people using the service and working in it to raise any concerns they may have anonymously and in confidence. Work on this was ongoing at the time of the inspection visit. All of the residents we spoke to told us that they know how to raise concerns, and could say how they would do this. We looked at staff records and saw that important checks had been carried out with the Criminal Records Bureau before people started work at the home. Also that available information showed that staff have done training in the protection of vulnerable adults from abuse. We looked around the home. We saw that peoples rooms are individual and contain personal possessions, ornaments, photographs, books, pictures , TV and music players. Shared spaces include a comfortable lounge and separate designated smoking area, and pleasant outside spaces. The standard of accommodation provided remains very high. We saw that the staff make clear efforts to ensure that the home is kept clean, tidy and fresh, so that people enjoy living in a comfortable and homely environment. We looked at staff files to see how recruitment and selection are managed. Files we saw contained completed application forms showing full employment history, proof of identity, terms and conditions of employment, 2 written references, and clear checks with the Criminal Records Bureau as reported above. We also saw that good use is made of read and sign sheets for key policies and guidance. Low staff turnover in the service promotes continuity of care and we received positive feedback from residents about the staff team. Staff we interviewed were generally positive about their team, and the support they got from each other. We saw evidence that staff receive regular training opportunities. All staff responding to surveys told us that they received training that is relevant to the roles they perform and helps them to understand and meet individuals needs. Also that their training keeps them up to date with new ways of working and gives them the knowledge they need about health care and medication. Most people replying to surveys said their induction covered what they needed to know to do their jobs when they started very well. Two thirds told us that their manager gave them enough support and met with them to discuss how they are working regularly: the other third said often. Answering a question do the ways you share information about the people you support or care for
Care Homes for Adults (18-65 years) Page 5 of 10 (with other carers and the home manager) work well? two thirds told us that they usually work well, and the other third said they always work well. In the Annual Quality Assurance Assessment the Manager told us that 83 of staff are qualified at NVQ level 2 or above. Unfortunately, it was not possible to meet with the Manager when we visited the home, as she was away on annual leave. Previous reports show that she is appropriately qualified and experienced to manage the service. The people using the service that we spoke to said that they were comfortable approaching her if they had any isues they wanted to discuss. One told us The Manager is very nice. We saw that the organisations trustees are actively involved with the service and that reports required under Regulation 26 (Care Homes Regulations 2001) have been completed regularly. A system is in place for monitoring and assurance of service quality. We saw a copy of last years report: this years should be due in the near future. We sample checked records relating to health and safety in the home. We saw that important equipment has been routinely serviced and checked regularly as required. What the care home does well:
Information is available to help people decide if the service provides what they are looking for. They have opportunities to try things out for themselves before making their minds up. Peoples needs are thoroughly assessed so that their care and support can be planned properly. Good work is going on to develop and improve peoples care plans. This helps to ensure that they get their support in ways that suit them best. Plans are reviewed regularly, so that important information is kept up to date. Plans are supported with risk assessments to ensure people get the support they need to stay safe. People get the support they need to do things they value, go to places they like and keep in touch with the people who are important to them. The home provides good quality food that people like, so that they have a nourishing diet and enjoy their meals. Peoples personal and healthcare needs are generally well met. They get the support they need from staff and a range of other professionals to help them stay healthy and well. The service has demonstrated clearly that it takes complaints seriously, and takes positive action to address peoples concerns. People using the service are protected from abuse, neglect and self-harm. Staff work hard to ensure that people enjoy the benefits of living in an environment that is comfortable, homely, safe and clean. The service provides sufficient staff to ensure that people get the support they need. Recruitment and selection procedures are robust, to ensure that people are fit for their jobs. Staff are generally well trained and supervised to ensure that they have the knowledge and skills and get the support they need to do their jobs well.
Care Homes for Adults (18-65 years) Page 6 of 10 The home is generally well run for the benefit of people using the service. Peoples opinions are actively sought, so they can be confident their views are listened to and taken seriously. Regular maintenance and checking of important equipment helps to ensure that people living and working at the home stay safe. 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 7 of 10 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 8 of 10 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 1 6 Develop care plans, including the use of person-centred approaches, and agreeing goals with outcomes that can be more clearly measured. This will help to ensure that people get the support they need to achieve the things they say are important to them. Develop the written protocols for all PRN as required medication to ensure that staff have clear guidance about the circumstances in which such medicines should be administered. It is recommended that these be signed by the prescribing doctor and a copy kept with the Medication Adminitration Record. 2 20 Care Homes for Adults (18-65 years) Page 9 of 10 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 10 of 10 - 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!
