Random inspection report
Care homes for adults (18-65 years)
Name: Address: Robleaze 537-539 Bath Road Brislington Bristol BS4 3LB two star good 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 Jones Date: 2 2 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Robleaze 537-539 Bath Road Brislington Bristol BS4 3LB 01179720813 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Claire Louise Luton Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Susan Mary Robinson care home 10 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 10 May accommodate up to 10 persons aged 18 - 64 years Date of last inspection Brief description of the care home Robleaze is a care home operated by Sue Robinson and managed by Claire Luton. It is registered to accommodate up to ten adults of both sexes with learning disabilities. The property is situated on a busy main road close to shops, parks, amenities and bus routes. Two houses were converted to accommodate the registered numbers and maintain its appearance of a domestic dwelling, which blends with its local environment. The fees at the home range from #327.00-#481.50 per week
Care Homes for Adults (18-65 years) Page 2 of 9 What we found:
We conducted a random visit on 22/06/2010 to check on the requirements of the previous inspection. We looked at the records; spoke to staff and people at the home to establish that action was taken. The main focus of the visit was to look at the care planning process, look around the premises and discuss training with the manager and staff. We spoke with the manager about care planning and we were told that review meetings are taking place and following reviews care plans will be amended by the key worker. Review meetings are convened by the manager twice yearly with the person, where appropriate relatives and home staff. Following the meetings care plans are updated, they are then monitored monthly by the staff and three monthly with the staff and person. Care plans are written in the first person and say the persons ability and action plans describe the way staff are to meet the need. It is evident that on a three monthly basis the progress made on the care plan is discussed with the person. It shows that staff negotiate with the person and whether the person supports the staffs comments on the progress. Learning and employment opportunities were part of the discussion with the manager. We were told that since the closure of the day centres, the home has created its own day care services and employed 2.5 staff to provide activities. There are two separate activities each day, twice daily so that small group activities can take place. It was further stated that people have a better focus, there is meaning to the activity and bowling is no longer an activity. Independent living skills, gardening, drama, photography and rambling are the types of activities that people can now participate in. People are more involved with independent living skills and are supported to prepare meals. They devise shopping lists, which are pictorial and easy to identify in the local shops, go shopping for the ingredients and cook the meal. The home has an allotment where people are supported to grow produce and currently the allotment provides the home with lettuce, radishes, tomatoes and potatoes. There is a drama group run by a member of staff who has studied drama and is involved in armature dramatics. The people who are interested in drama attend and at present they are working on a production of a fairy tale. There is a member of staff who runs a photography group and the people with an interest go out and take photographs of the agreed theme. People can also participate in rambling and photographs of places with special interests are provided for people to locate during the ramble, making the walks more interesting
Care Homes for Adults (18-65 years) Page 3 of 9 for the person. One person is being assessed for supported living and staff are working with this individual to develop the necessary skills. This person is having support with budgeting, road safety, cooking and laundry. Day care activities are reviewed three monthly and an overview which looks at the progress of the various activities is recorded. While the outcomes of the activities are included into the report an action plan is not devised. An action plan will complete the review and will assist with future development plan for the person. A tour of the property took place during the visit and it is evident that there is a rolling programme of maintenance. Bedrooms are individual with a mixture of the personal belonging and homes furniture which reflects the persons personality and lifestyle. We went of a tour of the premises with the manager and were told that the main focus for maintenance will be the bathrooms, office, hallways. Comments about training were sought from the manager about the way training is provided. Training ensures that the staff have the skills necessary to meet the changing needs of people at the home. We were told that a training package is used for the majority of mandatory training which included Food Hygiene, Moving & Handling, Infection Control, Mental Capacity ACT (MCA), Safeguarding Adults, Dementia and Fire. Staff also attend external courses and include First Aid, Assertive Communication and Understanding Autism. Staff can access vocational qualifications and NVQ2 is followed by NVQ 3. New employees must complete the Common Induction Programme. What the care home does well:
Questionnaires were sent to the staff and people living at the home. We received 9 completed surveys from people at the home and 7 from staff. Completed surveys from people at the home were positive about the choice of home. This means that people were asked if they wanted to move into the home and they received enough information to make decisions about moving there. Comments about making complaints indicated that people know who to speak to if they are not happy and how to make a complaint. Four people said that they made decisions about what to do each day, while three said this was usual and one said it was sometimes. In terms of the environment four people said that the home is always clean and fresh, three said it was usual and one said it was only sometimes. People also responded positively about the staff, it was stated that they are treated well by the staff and manager and they listen and act on what they say. Additional comments made by people at the home included I enjoy going to college, working on our allotment and trips out. I also like going out for coffee and cake with my keyworker and I am consulted about taking different college courses.
Care Homes for Adults (18-65 years) Page 4 of 9 One person at the home agreed to give feedback about the standards of care at the home. We asked about the way their privacy and dignity is maintained and it was explained that staff knock on doors before entering, their mail is handed to them unopened and they have keys to their bedrooms. Comments were sought about routines and expectations of living at the home. We were told that there are no set times to retire and there is an expectation that they undertake household chores. For example, this individual tidys their bedroom on a designated day, participates in cooking and shopping. Complaints and Safeguarding was part of the discussion with this person and we were told that the manager is approached with complaints. This person said they felt safe at the home; staff did not shout at anyone and knew how to care for people at the home. Overall surveys comments from staff were good, they said that they were given enough information about the needs of the people they support, a robust recruitment process was followed and they know what to do if someone raises concerns about the home. Five staff said that their induction covered everything that they needed to know about the job while two staff felt this was mostly. In terms of supervision five staff said that the manager offers enough support and discusses their performance with them. Five staff also said that information is shared with other carers and there is enough staff to meet the needs of people at the home while two felt this was usual. Good communications, happy and relaxed atmosphere, training and supervision were additional comments made about what the home does well. Staff also felt that the way information is shared, consultation and the varied day care provided worked well at the home. The only criticism levied at the home by the staff was the environment which they said needed some attention. We spoke to a day care worker about their role and discussed the advantages of having a designated post of day care worker. This member of staff said day care workers have set times to undertake set activities and does not involve routine tasks that have to be undertaken as a support worker. We understood that with separate roles there are better structures and more opportunities for updating care plans; 1:1s with people and to accompany people on appointments. It was stated that by having separate roles of day care workers and support workers, there is a more holistic way of caring for people is achieved. This is because the staff at the home contribute towards the persons care. When we asked about the way day care workers ensure that the activities attended are the most suitable. We were told that following each activity, people discuss the activity, staff then report their opinion of the activity and explain the changes necessary. Comments about the way people are supported to make decisions were sought from the staff. It was stated that for some people information has to be succinct, for others giving people the available decisions that can be made and for others physical choices. People are asked what they want to do and where they want to go which is more empowering.
Care Homes for Adults (18-65 years) Page 5 of 9 Other more complex decisions based on health care issues are passed to the manager who will refer onwards. In terms of Safeguarding Adults, the factors of abuse were listed by the staff and its evident that they are clear about their responsibility to report poor practice. The role of the keyworker was discussed with a support worker on duty. It was explained that support workers are assigned to specific individuals and play a crucial role in coordinating the persons care. Keyworkers assess all areas of need including personal, social and emotional care needs. The care planning process was explained that during assessments people are observed to determine their capabilities and where assistance is needed an action plan is devised. The person is then asked to sign the care plan to indicate their agreement with the action plan. The day care and support worker said that in-house and external training is provided and supervision with the line manager occurs regularly. We were told that supervision is based with the role, the people living at the home and staffing. 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 R No £ 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 1 1 6 The Statement of Purpose 30/01/2008 must be reviewed to make clear the admission procedure. The range of needs that can and cannot be met at the home must be made clear. Not Checked 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!
