This is the latest available inspection report for this service, carried out on 20th April 2010.
CQC found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
Random inspection report
Care homes for adults (18-65 years)
Name: Address: 69 Hoarestone Avenue 69 Hoarestone Avenue Whitestone Nuneaton Warwickshire CV11 4TH 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: Sandra Wade Date: 2 0 0 4 2 0 1 0 Information about the care home
Name of care home: Address: 69 Hoarestone Avenue 69 Hoarestone Avenue Whitestone Nuneaton Warwickshire CV11 4TH 02476327078 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Hazel Lucas Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Hazel Lucas care home 3 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Conditions of registration: 3 3 The maximum number of service users who can be accommodated is: 3 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) 3 Physical disability (PD) 3 Date of last inspection Brief description of the care home Hoarestone Avenue is a family house situated in a quiet residential area of Nuneaton. It is close to all local amenities. The service provides a family home for two young
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home people. The house is a two storey domestic dwelling which has been suitably adapted for the two people living there. It offers ample private and communal space and is furnished and maintained to high standards. Each person has their own single bedroom, one is on the ground floor and one on the first floor. Both bedrooms have en suite shower facilities. A main lounge, kitchen and dining room are provided on the ground floor. Access to the first floor is by a stairway. There is sufficient garden space at the rear of the house which is enclosed. The garden is also paved and landscaped to provide easy access for a wheelchair. There is level access to the front of the house via a ramped area. The owners do not plan to provide a service to any additional people, fees therefore were not confirmed during this inspection but can be made available by contacting the service direct. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
This was a random inspection visit undertaken by one inspector and was unannounced, meaning the service was not aware of when we would visit. Before the inspection visit we looked at all the information about the home that is held on file by us such as notifications of accidents and complaints. We also sent an Annual Quality Assurance assessment (AQAA) to the owner to complete. The AQAA was returned to us and included all of the information we asked for. Questionnaires were sent to people living at the home to seek their independent views about their care. Completed questionnaires were received and where appropriate this information has been reflected within this report. The care of the people living in the home was closely examined by reading their care files, risk assessments, health records and other relevant information. We also spoke to the two people living at the home. This is part of the process known as case tracking, where evidence of the care provided is matched to outcomes for the people using the service. We looked around the building to make sure it was clean, safe and comfortable. Information in the two care plans read was person centered in that they contained information on each individuals needs, capabilities and wishes in regards to how they would like their care needs met. Discussions with the providers demonstrated they were fully aware of each persons needs and how each person wanted to be supported. Entries in health records showed that the two people were being assisted to attend health care appointments to monitor and treat their diagnosed health needs. One person explained that they no longer had to attend further outpatient appointments for a medical condition. Discussions with the two people living at the home confirmed they were happy, one person said that was nothing they would change about the care and support they receive. Both people referred to the providers as mum and dad and during conversations stated we have such a good mum and dad. We established that one person had a sight impairment. The AQAA received from the service stated X who is visually impaired has been supported in their role of chairperson at the local youth club. This has involved keeping correspondence up to date and giving verbal prompts when needed during meetings. X is enjoying the experience . A conversation with this person confirmed this to be the case, they stated they were being well supported both with their health care needs and socially. They explained that they were able to take part in a range of social activities. The second person living in the home told us we explain everything to X when we go out. The AQAA also detailed information about other social events. This stated: During the last year the people living in the home have spent a number of weeks on holiday in the Lake District. Sightseeing trips to Gloucester Dry Docks, and a number of days out
Care Homes for Adults (18-65 years) Page 4 of 9 including a visit to Ragley Hall. A number of family birthdays and other events such as a wedding have been enjoyed. They both continue to enjoy meeting up with friends to go bowling and also enjoy the cinema. Photo records are kept on the PC of many of the events they have attended, for future enjoyment. We saw photographs of these events and both people confirmed these social events had taken place. We were told about all the social outings and activities they had enjoyed and about the holiday they were looking forward to later in the year. The providers stated We decide as a family what they need to do each day for leisure and helping around the house. Suitable systems were in place for the storage and administration of medicines. Medicines were being obtained from a local pharmacist and the provider advised she takes lead responsibility for these. One person was able to manage their own medicine and this had been transferred into a dosset box so it was clear what medicines needed to be taken each day. Records seen showed these were being managed appropriately. The home was clean, spacious and comfortable for people with good quality furniture and soft furnishings. Both people living in the home had their own bedrooms and both allowed the inspector to view their rooms. One bedroom was on the first floor and the other on the ground floor for ease of access. Each room had been decorated to each individuals taste and contained personal items that they had chosen for entertainment such as games and DVDs. We saw that specialist equipment such as a low level shower, washhand basin and hand rails had been fitted in the home. The providers told us that since the last inspection they had also installed extra lighting around the home including on the stairs to further improve the safety of the home at night. Outside of the home there were ramps to aid easy access to the attractive gardens. Information in the AQAA tells us that providers recognise the diverse needs of the people living in the home and the complex issues that arise due to their disabilities. During conversations with the providers and people who use the service it was clear that any issues that arise are addressed promptly. The AQAA states: Informal discussions take place regularly to ensure that the views and wishes of both people living in the home are listened to and joint agreements are made about what they would like to change. An internal audit of their views of the home takes place annually. One person wishes to walk one way to their place of work, but requests that they be collected after work. This is working well. We ensure that Policies and Procedures are followed, maintained and reviewed to ensure the safety and well being of both people. A quality audit is undertaken yearly to enable them both the opportunity to make reference to the level of service and facilities provided. The people living in the home were able to describe their daily lives and it was confirmed that one person sometimes walks to work. Copies of the quality audit were viewed and these showed that both people using the service felt the care and support they are receiving is very good Quality questionnaires received by us included comments I am looked after well by mum
Care Homes for Adults (18-65 years) Page 5 of 9 and dad, I am very happy here and If I have any problems they always help. A complaints policy and process was in place which both people living in the home had access to. Each had an independent person they could contact if they should have a concern. No concerns were raised by them during this inspection. What the care home does well: 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!
