Random inspection report
Care homes for adults (18-65 years)
Name: Address: The Cornerstone 115 Doncaster Road Rotherham South Yorkshire S65 2BN 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: Eileen Engelmann Date: 1 4 0 4 2 0 1 0 Information about the care home
Name of care home: Address: The Cornerstone 115 Doncaster Road Rotherham South Yorkshire S65 2BN 01709365387 NONE NONE NONE Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Rachel Devine Type of registration: Number of places registered: Conditions of registration: Category(ies) : The House of Light Trust care home 8 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 8 One named resident over the age of 65 shall be allowed to reside at the home. Date of last inspection Brief description of the care home The Cornerstone is a residential care home and provides care and accommodation for eight adults with a learning disability. The House of Light Trust, a charitable organisation that has other care homes for people with a learning disability in the area, owns it. It is situated in a residential area of Rotherham, opposite the local park and close to other community facilities such as shops and public houses. The building is a large Victorian house with a modern extension. Accommodation is provided on three floors. There is a bathroom on each floor and
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home people who use the service have single occupancy bedrooms. Communal space is provided by the three lounges and there is a large kitchen/dining area where people living in the home like to congregate. To the rear of the house is a garden area and to the front is a driveway and a small off road parking area. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
This unannounced visit to the service was carried out as part of our three year inspection programme. The site visit started at 10:00am and finished at 12:00 noon. As part of this visit we looked at all the information that we have received, or asked for, since the last key inspection which was in June 2007. This included the Annual Quality Assurance Assessment (AQAA) that was sent to us by the service on 2 March 2010. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We also sent out surveys to people using the service and staff and had a good response from these (80 from staff and 100 from people using the service). We looked at any outstanding requirements from previous reports (for this service there were none), and checked the services medication and complaints/safeguarding systems. Two support workers were on duty, plus the home manager . The home manager is not the registered manager for the service, but is in day to day charge of the home. The home manager was given feedback during and at the end of the visit. Time was spent walking around the home, talking to five people using the service and looking at relevant paperwork. Discussion with people using the service indicated that they are able to exercise their rights to make choices and decisions around their daily lives. Individuals are able to get up and go to bed when they wish to, are consulted on their health care needs and are supported to access health care professionals as needed. People using the service told us that they have good access to their GPs and some individuals have input from the Community Team for Learning Disabilities. The home employs a mix of male and female care staff so individuals have a choice of staff gender for the delivery of personal care. It was apparent from discussions with the staff and observation of the people using the service that people require primarily support and encouragement to do as much as possible for themselves. Whilst some individuals require some assistance with personal care such as bathing and washing, this is relatively low key and in the main consists of staff supervision and guidance. The staff are fully aware of the need to maintain peoples dignity and efforts are ongoing to achieve this whilst carrying out care tasks. Medication records examined and practices described during the visit suggest that people living in the home can expect to receive their prescribed medicines correctly as intended. The staff who are responsible for administration of medication have received appropriate training and the bulk of the medication is administered from a nomad or cassette system. Other medications including creams, ointments and liquids are administered directly from their original containers. The medication records are complete and up to date. There were no controlled medications being used in the home at the time of this visit (April 2010). Improvements have been made since the last key inspection and some recommendations were made as part of this visit. Care Homes for Adults (18-65 years) Page 4 of 9 There are good records in place with the medication sheets describing each persons individual preferences when taking medicines. This minimises the likelihood of people refusing to take medication and helps to reduce the number of dose omissions. Some further changes in medication record keeping would provide further evidence of the efforts made in the home to maintain peoples health and wellbeing through the safe and correct use of prescribed medicines. We spent some time with the home manager, discussing how she should develop a robust Home Remedies system for the service. It was recommended that the home manager should consult with the Pharmacist and local GPs about the type of medicines that would be acceptable within this system, develop an appropriate policy and procedure and have the written consent from each persons GP in the medication file. We recommended that the service put a photograph of each person receiving medication into the medication file. We appreciate the fact that there is a photograph of each person in their care plan and that no agency or new staff would be giving out medications; but it is good practice to have another photograph with the medication sheets to reduce the risk of mistaken identity being made. One persons medication had been hand written (transcribed) onto the medication sheets, as they had come in after the pharmacist had printed the records. We recommended that where staff are writing in the details, there should be two staff signing the entry to indicate they have both witnessed that the information on the sheet (name of medication, strength and administration methods) is correct. Information from the AQAA completed by the manager on 2 March 2010, and discussion with the home manager, indicated that people using the service can express their opinions of the service during weekly house meetings. At these meetings individuals can discuss any concerns or complaints and they also have an opportunity to talk to the home manager on a weekly 1-1 basis. Any issues raised go into the house meeting minutes. There is a copy of the homes complaints policy and procedure in the statement of purpose and service user guide. The home manager told us that people using the service have access to a pictoral policy and procedure. This helps strenthen their knowledge and understanding of their rights. Individuals who spoke to us were confident that they could talk to the staff or home manager about any problems. Information in the AQAA given to us, says that the home promotes open and honest communication through out the home as the service believes that good communication promotes good quality care. There have been no complaints or safeguarding alerts (this is where a person raises concerns about the safety or wellbeing of a person using the service), in the last 12 months. Information from the AQAA indicates that staff have received Safeguarding of Adults from Abuse training from Rotherham Borough Council. In addition to this staff have received training around the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DOLs). This knowledge and information is used to ensure that peoples choices and human rights are maintained and that any limitations on facilities or personal choice are only made following assessment, best interest meetings, risk assessments and discussion with the person concerned or their representative.
Care Homes for Adults (18-65 years) Page 5 of 9 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 1 20 The registered manager should ensure that a photograph of each person receiving medication is put onto their medication sheet. This will reduce the risk of misidentification of a person. The registered manager should ensure there is a robust Home Remedies system in place, with a policy and procedure for staff to follow and a written letter of consent to the policy from each persons GP. The registered manager should ensure that where staff are hand writing in the details of medication received (transcribing), there should be two staff signing the entry. Their signatures are to indicate they have both witnessed that the information on the sheet (name of medication, strength and administration methods) is correct, and corresponds with the information on the medication container. 2 20 3 20 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!
