Random inspection report
Care homes for adults (18-65 years)
Name: Address: Polesworth Group 68 Long Street 68 Long Street Dordon Warwickshire B78 1SL 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: Patricia Flanaghan Date: 1 9 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Polesworth Group 68 Long Street 68 Long Street Dordon Warwickshire B78 1SL 01827899508 01827892500 stewartharrison2@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Stewart Harrison Type of registration: Number of places registered: Conditions of registration: Category(ies) : Polesworth Group Homes Limited care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 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 Date of last inspection Brief description of the care home 68 Long Street, also known as The Terrace, is part of Polesworth Group Homes, which was established as a Limited Company in June 1991, with the aim of providing accommodation and support services to adults with learning disabilities. Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home The home is one of three care homes, housed in adjoining terraced properties owned by the company on Long Street. 68 Long Street accommodates three service users. There is a light modern kitchen with a utility at the rear, a cosy dining room with a feature fireplace, and lounge with open plan staircase leading to the first floor. The first floor has one double bedroom, one single bedroom and a light modern bathroom. Externally there is a small rear garden with lawn, flower-beds and shrubs. The home is situated in a residential area of Dordon near to shops and other local facilities including a public house, a library and a health centre. As the current residents are able to safely maintain many aspects of their independence, 68 Long Street is only staffed for parts of the day. Staff are available 24 hours a day at 64-66 Long Street and the residents from 68 Long Street can call upon these staff should any need arise. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
We, the Care Quality Commission (CQC) undertook this random inspection visit to monitor standards of care at the home, which was rated as excellent at the last key inspection on 23 June 2007. This random inspection was unannounced, which meant the home was not given notice of our visit. We wanted to gain an assessment of peoples experience within the home. This was to make sure that the standards highlighted within our previous report continue to be maintained. Before the visit we looked at information we received since our last inspection of the home. This includes how the service dealt with any complaints, the views of people who use the service and the managers views of how well they care for people. The service sent us their annual quality assurance assessment (AQAA) within the required timescales. The information in the AQAA was clear and provided us with all of the information we asked for. During the visit we spoke with the three people who live at the home and staff on duty. We looked at information about people who use the service and medication records. We checked that staff had the knowledge, skills and training to meet the needs of the people they care for and we looked around the building to make sure it was clean, safe and comfortable. We saw that the home, known as The Terrace, is a very pleasant place in which to live. The home was clean and tidy throughout. The decor in communal areas is good and lighting is domestic in style. We saw that people receive a good standard of care from a caring and committed staff team, who have a good understanding of their needs. People are encouraged to make their own choices and this gives them control over their lives. Each person living at the home has a person centred plan. We looked at the care records for a person who had come to live at the home since our last visit, and found that all of the documents that are required to deliver good standards of care were in place. We saw from care planning and other documentation that people who live at the home make choices about their lives and daily routines. Detailed personal care plans provide staff with very clear information about the individual including their lifestyle preferences, strengths and needs. Entries in the persons health records show that they are being supported to attend health care appointments to monitor and treat diagnosed health needs. There are safe systems for the storage and administration of medication. Medication is provided through a local pharmacist in a monitored dosage (blister pack) system. We looked at a sample of the medication held at the home. The medication system was well organised and safe systems were in place. We saw that the registered manager regularly audits the medication to ensure staff are administering it as prescribed by the GP. People using the service continue to be encouraged to play an active role and take
Care Homes for Adults (18-65 years) Page 4 of 9 responsibility for household tasks. We saw that people are involved in various activities, for example, on the day of our visit, two people had been out for lunch at a nearby pub and the third person attended a day centre. The care plans detail which social and leisure activities people enjoy. We were told about the forthcoming holiday to a seaside resort, which people were looking forward to. A complaints policy and process was in place which people living in the home have access to. People told us in their surveys that there was someone they could speak to if they were unhappy and that they knew how to make a complaint if they needed to. Required policies and procedures are provided to promote peoples welfare and protect them which include multi agency procedures for the protection of vulnerable adults (POVA) recognising abuse and whistle blowing. Staff spoken with demonstrated a good understanding of the types of abuse they might encounter and to whom they should report any concerns. There was a good atmosphere throughout the home with friendly and warm relationships existing between staff and people who use the service. Staff told us in surveys that they felt well supported in their jobs and that they have the training they need. During the visit a member of staff told us that they enjoyed their job and that they have positive relationships with the people who live there. The AQAA informed us that 100 of staff have achieved a minimum of level two in the National Vocational Qualification in care. This is commendable and means that staff should have the necessary skills and knowledge to provide a good standard of support to the people who live there. The service tells us that they follow their recruitment procedures in seeking references and completing safety checks to make sure that suitable staff are employed. This was also confirmed by a member of staff we spoke with. We were told in the AQAA how the service ensures that equality and diversity is promoted within the service. - From a company perspective, all of our policies and procedures promote equality and diversity. The policy on Equal Opportunities states that individuals are selected purely according to their relevant merits and abilities and that the same principles apply when the company works with service users, their families and workers from other agencies. The home is provided with its own copy of the policies and procedures. - Any new staff undertake extensive induction training and complete the Learning Disability Qualification units, which incorporate these subjects, before undertaking NVQ 2 in Care. - All staff are familiar with the employees handbook and sign to confirm they have read and understood any new or revised policies. The AQAA confirms all necessary checks and servicing are undertaken, including the fire safety system, equipment electrical appliances, heating and other equipment. Accident and incident records are kept and notified appropriately to us and relevant other agencies. Throughout our visit, staff were seen to interact with people in a warm, positive and
Care Homes for Adults (18-65 years) Page 5 of 9 individual manner. 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!