Inspection on 17/08/09 for 8 Turketel Road
Also see our care home review for 8 Turketel Road for more information
Due to difficulties updating our database, this is probably NOT the latest inspection report for this service. Please check the CQC website instead. We hope to resume regular updates of BestCareHome soon.
The following inspection below was carried out on 17th August 2009.
CQC found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
People have free access to the garden so can get fresh air when they want to. People have the support they need to access the community and stay in touch with family and friends. We found detailed guidelines for staff on how to get people out and about so they do not get anxious. For example what hand to hold to support a person getting out of the car. This means that people are supported in the way they prefer. Staff are getting to know service users. We observed some patient positive support. We observed people looking relaxed with staff. We observed that one staff noticed there could be a problem and distracted the person so they did not become stressed. People have support to go food shopping to encourage them to choose and try different foods.
What has improved since the last inspection?
The AQAA says they are planning to train staff in how to use a communication system used by one resident. This means that staff will know how to use the system and therefore communicate more effectively with people.
What the care home could do better:
There have been several incidents over the past four months since the home opened. These have been mostly due to problem behavior. Staff and service users have been hurt during some incidents. Staff need training and specialist support for incidents to reduce and to keep people safe. The manager plans to address this. There has been an incident of a person climbing out of a first floor window onto the roof. Things have also been thrown from windows. The manager must ensure that the home, including windows and fittings, is safe for everyone but also ensure ventilation is sufficient. Currently medication is stored on the first floor at the end of a corridor. This means that staff have to transport medication around the home. There is no safe transportation provided for the medication so staff are carrying bottles, tablets, pots and syringes. Due to some peoples problem behaviors there is potential for an accident. The manager said he will look into safe transportation or a more suitable storage site. We found a gap on a medication administration record. We found that staff had administered medication but had not signed the record to say the drug had been given. This had not been picked up even though three more doses had been administered. This is not good practice and could place service users at risk of being given medication twice. The daily audit of medication practice needs to improve. The manager said he will look into this. Some people need medication on a when needed basis. Due to communication and behavioral needs, clear guidelines are needed so staff know when to give this extra medication. We found one set of guidelines do not have enough detail for staff and are out of date as some medication dosage has been changed recently. The manager agreed to update and improve these guidelines. We found that no staff meetings have been held and of three staff sampled two have had no supervision. This means that staff have not had the opportunity to meet either as a group or on a one to one basis to get support, mentoring and coaching. This is especially important due to the amount of incidents staff have been managing. We found that communication guidelines for some people are not very detailed. For example one service user plan did not mention that a person uses Makaton, a sign language when they do. Not all of the staff have had training in Makaton. The manager said he hopes to improve communication but realises he needs support from specialists like speech and language therapy services.