Random inspection report
Care homes for adults (18-65 years)
Name: Address: Mokattam Altwood Bailey Maidenhead Berkshire SL6 4PQ 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: Helen Dickens Date: 2 0 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Mokattam Altwood Bailey Maidenhead Berkshire SL6 4PQ 01628626070 Telephone number: Fax number: Email address: Provider web address: www.turnstone.org.uk Name of registered provider(s): Name of registered manager (if applicable) Miss Susan Pamela James Type of registration: Number of places registered: Conditions of registration: Category(ies) : Turnstone Support Ltd care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 6 The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category of service only: Care home only - PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Learning Disability - LD Date of last inspection Brief description of the care home Turnstone Support Ltd, an independent agency, is registered to provide personal care, support and accommodation in Mokattam for up to six younger adults who have learning disabilities. Mokattam is a large detached property situated in a quiet residential road on the
Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home outskirts of Maidenhead. There are local shops and facilities within walking distance and a large range of leisure and recreational centres in the local area. The house has a secluded rear garden that has seating, shade and room for leisure activities, including a new vegetable patch. There is limited off road car parking available at the front of the house where the residents transport vehicle is kept. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This unannounced Random Inspection was made to Mokattam as they have not had a visit from the Commission for three years; this is because they have been rated as excellent since 2007. The inspection lasted for three hours and the shift leader, and Mrs. Susan James the new Registered Manager, represented the establishment. Evidence and observations relating to the following were noted: personal and health care needs of residents; the safe administration of medication; complaints and safeguarding; management; and health and safety. These covered the areas the Commission deems to be most important to the safety of residents. What the care home does well:
Care plans were set out in a person centred way, with easy to read language and images, including photographs of residents engaged in the activities under discussion, for example their favourite pastimes. All relevant areas were covered and there were very detailed guidelines for staff about how people who live at Mokattam like to be supported with their personal care. Support plans clearly identified each persons likes and dislikes and how individual residents would demonstrate dissatisfaction or concern. Activities plans are in place and goals are noted and reviewed monthly. There were good records of family and friendship links. Support plans were reviewed in 2009 and the manager said they are now due to be reviewed again. Evidence was seen during the inspection which corroborated that support plans are being followed including daily diaries, monthly activity reviews and the observation of staff and resident interaction. Staff were seen to communicate well with residents, respect their privacy and dignity, and anticipate their needs. The manager stated that all but one resident has a Health Action Plan, and the last one is waiting to be signed off with the family and care manager. Health needs are clearly recorded and appointments and specialist interventions are noted, with outcomes documented. The home has recently started its own vegetable garden and residents and staff were very involved and had had some considerable success in growing vegetables from seeds and beans, and which were being planted out into a newly created vegetable patch. This gave residents a new hobby and activity, encouraged them to be out in the fresh air, and they will eventually benefit by eating their own home grown vegetables. Medication arrangements are satisfactory though the manager was asked to follow up with the local pharmacist about carrying out an advisory visit to the home. The day after the inspection, the manager confirmed by e-mail that she was now waiting for confirmation of a date for the visit from the local pharmacist. The home has a complaints procedure in place with a user friendly format available for residents. Residents can highlight any concerns to their friends or family, to their
Care Homes for Adults (18-65 years) Page 4 of 8 keyworker, or to the manager. There are also monthly visits on behalf of the provider which gives a further opportunity for residents or their families to raise issues. There have been no complaints to the service and none to CQC in the last 12 months A safeguarding adults procedure is in place and staff files that were sampled showed that staff had been trained on this issue. Staff recruitment files contained the information required by Regulation, and no staff start work at this home without having the full CRB check returned, including the POVAfirst (now ISA) checks being in place. No safeguarding adults issues have been made in regard to this home in the last 12 months. The new manager is now registered with CQC and has been in post for 8 months. She has nine years experience as a manager and was a registered manager at a similar service prior to moving to Mokattam. There is a relaxed and friendly atmosphere within the home and staff were seen to get on well with eachother, and with service users. Five staff surveys were returned to the Commission and all five said they had good support and supervision from their manager. Records seen during the inspection showed staff had had regular supervision sessions, and any issues identified, for example the need for refresher training, was then actioned by the manager. There is a continuous improvement plan in place to monitor the home and this is regularly updated.There are various monitoring and auditing systems to ensure the quality of the service provided, for example on medication, health and safety, and by ensuring staff are trained for the work they are asked to do. The home promotes good health and safety practices in a number of ways including carrying out risk assessments for residents, for example in relation to their behaviour, their mobility and their health needs. Health and safety checks are carried out on a regular basis by the homes staff, and a more general annual check is carried out by the company. Some good practises were noted including residents files had risk assessments for fire safety, with fire instructions in a user friendly format. All these fire risk assessments had been reviewed within the previous month. One shortfall on the day of the inspection, relating to a broken window restrictor, was dealt with by the manager and further details about how this was resolved were sent to CQC on the day after the inspection. Two Requirements, made at the last inspection, relating to staff rosters, and accident records, have now been met. 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 5 of 8 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 6 of 8 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 7 of 8 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 8 of 8 - 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!
