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Inspection on 30/04/10 for Cartref Residential Care Home

Also see our care home review for Cartref Residential Care Home for more information

This is the latest available inspection report for this service, carried out on 30th April 2010.

CQC found this care home to be providing an Adequate 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.

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

To make sure the service can meet peoples personal care needs these are assessed before coming to live in the home. A sample of peoples records show they are placed in the home by the local authority who provide an assessment of peoples personal and health care needs. The Registered Manager said that since the previous inspection visit the care plans have been reviewed and more detail added showing staff what they should to to meet peoples care needs. A sample of peoples care plans show they now contain more details telling staff what they need to do when meeting peoples care needs. A letter from Wakefield Social Services shows the home are working closely with the Local Authority Contract Monitoring Officers to improve peoples care plans. The Registered Manager said they have reviewed peoples risk assessments and added more detail to show staff what they must do to keep people safe in the pursuit of living an ordinary lifestyle. A sample of peoples risk assessments show they have improved since more detail has been added showing staff what they must do to minimise risks to people living in the home. Again the Registered Manager states they are working alongside the Local Authority Contract Monitoring Officers to improve the risk assessments further. The Registered Manager said that contracts with the local authority are currently suspended pending the improvements to the care planning and risk assessment documentation. The Action Plan sent to us shows the practice of plating up meals to be taken to the Day Center has ceased and the Registered Manager confirmed this.To make sure there are enough staff available to meet peoples personal care and support needs the Registered Manager said the home has now employed more staff. The staff rotas show there are enough staff planned to be on duty to meet peoples care needs. People are now protected by the way staff are recruited and selected as a sample of staff records show references, police and POVA (Protection of Vulnerable Adults List) checks are taken up before they are employed. People are protected from any kind of abuse as there is a Safeguarding Policy and Procedure for staff to follow that includes the Wakefield Local Authority Protocols on reporting any allegations of abuse. To further protect people living in the home records show staff have Safeguarding training in how to recognise abuse and what to do if any allegations of abuse are made. The registered Manager says the Local Authority are currently looking into the care and support provided for two people they previously placed in the home. The Action Plan sent in by the service providers shows the records pertaining to service users finances have been reviewed and improved and now give a more detailed and accurate record of peoples financial transactions. A sample of peoples records show there is now a more accurate and up to date record of their finances. To keep people living in the home safe the Registered Manager said that since the previous inspection they have liaised with the local Fire Safety Officer and there are now appropriate fire door closures fitted. It was noted that `Doorguard` closures have now been fitted to the fire doors. The four returned staff surveys show they feel they have enough information in peoples care plans to meet their personal and health care needs. All staff say they have the induction training and ongoing training to give them the skills to meet peoples care needs. All staff said they are supported by the manager and know how to make a complaint if they needed to. All returned staff surveys with the exception of one , who indicated `sometimes` felt there was enough staff available to meet peoples care and support needs. The Two returned service user surveys show they are happy with the care and support provided by the home. They also show people are happy with their rooms and the staff supporting them.

What the care home could do better:

For the benefit and safety of people living in the home peoples care plans and risk assessments should continue to be looked at regularly and amended if needed to reflect and show peoples changing personal and health care needs. The home should continue to work closely with the Local Authority Contracts Monitoring Department Officers in the development of the care plans and risk assessments.The daily records should contain more descriptive words to reflect and show peoples choices and preferences and any decisions they make about how they live their daily lives. The Registered Manager should continue to monitor the staffing levels in the home to make sure that peoples care and support needs can be met. Peoples financial records should continue to be looked at regularly to make sure they are correct and up to date. For the benefit of people living in the home the Registered Manager should continue to maintain positive links with Specialist Social Workers and Community Learning Disability Team Nurses and Contract Monitoring Officers when improving the care management systems in the home.

Random inspection report Care homes for adults (18-65 years) Name: Address: Cartref Residential Care Home 1a Church Mount South Kirkby Pontefract West Yorks WF9 3QT one star adequate service 08/09/2009 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: Tony Railton Date: 3 0 0 4 2 0 1 0 Information about the care home Name of care home: Address: Cartref Residential Care Home 1a Church Mount South Kirkby Pontefract West Yorks WF9 3QT 01977643592 01977643592 david.h.hall@dsl.pipex.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Joyce F Hall Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Hall,Mrs Hall care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 6 0 8 0 9 2 0 0 9 Cartref is a residential care home providing personal care and accommodation for six younger adults with learning disabilities. The home has five people who live at the home on a permanent basis with one place for short stay care. The enterprise is privately owned and the owners live on the premises. The accommodation is an adapted detached house situated in a residential area of South Kirkby, near Pontefract. People at the home have a single bedroom and there is a large living room and a dining kitchen. The building is in the process of being extended and there is a car park to the front of the building and a sitting area and garden to the rear. Information about the home is in the form of a statement of purpose and service user guide. This Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home information along with the most recent inspection report is kept in the office and is available upon request. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: This Random unannounced visit started at 09:30 and ended at 12:30. The purpose of the visit was to look at the homes compliance with the Requirements made following the previous inspection report. During this visit there was the opportunity to speak to the Registered Manager and owner, one person living in the home and one carer. Some peoples records were seen an included, assessments, care plans, risk assessments , reviews, medical, financial and daily records. Some staff records were also seen and include application forms, references, police and POVA (Protection of Vulnerable Adults List) checks and training records. Other information considered include information sent to us before the visit and in particular the Annual Quality Assurance Assessment and Action Plan from the service provider, the previous inspection report and CQC service history. Six returned Have Your Say surveys, four from carers and two from people using the service were also considered. What the care home does well: To make sure the service can meet peoples personal care needs these are assessed before coming to live in the home. A sample of peoples records show they are placed in the home by the local authority who provide an assessment of peoples personal and health care needs. The Registered Manager said that since the previous inspection visit the care plans have been reviewed and more detail added showing staff what they should to to meet peoples care needs. A sample of peoples care plans show they now contain more details telling staff what they need to do when meeting peoples care needs. A letter from Wakefield Social Services shows the home are working closely with the Local Authority Contract Monitoring Officers to improve peoples care plans. The Registered Manager said they have reviewed peoples risk assessments and added more detail to show staff what they must do to keep people safe in the pursuit of living an ordinary lifestyle. A sample of peoples risk assessments show they have improved since more detail has been added showing staff what they must do to minimise risks to people living in the home. Again the Registered Manager states they are working alongside the Local Authority Contract Monitoring Officers to improve the risk assessments further. The Registered Manager said that contracts with the local authority are currently suspended pending the improvements to the care planning and risk assessment documentation. The Action Plan sent to us shows the practice of plating up meals to be taken to the Day Center has ceased and the Registered Manager confirmed this. Care Homes for Adults (18-65 years) Page 4 of 9 To make sure there are enough staff available to meet peoples personal care and support needs the Registered Manager said the home has now employed more staff. The staff rotas show there are enough staff planned to be on duty to meet peoples care needs. People are now protected by the way staff are recruited and selected as a sample of staff records show references, police and POVA (Protection of Vulnerable Adults List) checks are taken up before they are employed. People are protected from any kind of abuse as there is a Safeguarding Policy and Procedure for staff to follow that includes the Wakefield Local Authority Protocols on reporting any allegations of abuse. To further protect people living in the home records show staff have Safeguarding training in how to recognise abuse and what to do if any allegations of abuse are made. The registered Manager says the Local Authority are currently looking into the care and support provided for two people they previously placed in the home. The Action Plan sent in by the service providers shows the records pertaining to service users finances have been reviewed and improved and now give a more detailed and accurate record of peoples financial transactions. A sample of peoples records show there is now a more accurate and up to date record of their finances. To keep people living in the home safe the Registered Manager said that since the previous inspection they have liaised with the local Fire Safety Officer and there are now appropriate fire door closures fitted. It was noted that Doorguard closures have now been fitted to the fire doors. The four returned staff surveys show they feel they have enough information in peoples care plans to meet their personal and health care needs. All staff say they have the induction training and ongoing training to give them the skills to meet peoples care needs. All staff said they are supported by the manager and know how to make a complaint if they needed to. All returned staff surveys with the exception of one , who indicated sometimes felt there was enough staff available to meet peoples care and support needs. The Two returned service user surveys show they are happy with the care and support provided by the home. They also show people are happy with their rooms and the staff supporting them. What they could do better: For the benefit and safety of people living in the home peoples care plans and risk assessments should continue to be looked at regularly and amended if needed to reflect and show peoples changing personal and health care needs. The home should continue to work closely with the Local Authority Contracts Monitoring Department Officers in the development of the care plans and risk assessments. Care Homes for Adults (18-65 years) Page 5 of 9 The daily records should contain more descriptive words to reflect and show peoples choices and preferences and any decisions they make about how they live their daily lives. The Registered Manager should continue to monitor the staffing levels in the home to make sure that peoples care and support needs can be met. Peoples financial records should continue to be looked at regularly to make sure they are correct and up to date. For the benefit of people living in the home the Registered Manager should continue to maintain positive links with Specialist Social Workers and Community Learning Disability Team Nurses and Contract Monitoring Officers when improving the care management systems in the home. 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. 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