Inspection on 02/04/09 for 1 Church Road
Also see our care home review for 1 Church Road for more information
This inspection was carried out on 2nd April 2009.
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.
Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: 1 Church Road 1 Church Road Wembdon Bridgwater Somerset TA6 7RQ one star adequate service 21/11/2008 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Jane Poole Date: 0 2 0 4 2 0 0 9 Information about the care home
Name of care home: Address: 1 Church Road 1 Church Road Wembdon Bridgwater Somerset TA6 7RQ 01278453635 01278456656 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Home First & Foremost Ltd care home 13 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 13 The maximum number of service users who can be accommodated is 13. The registered person may provide the following category of service only: Care home providing personal care only- Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability- Code LD Date of last inspection Brief description of the care home 1 Church Road is registered to provide care for up to 13 people who have a learning difficulty and/or additional physical disability. The house is set in its own grounds in a quiet residentil area on the outskirts of Bridgwater. All bedrooms are for single occupancy and all have en suite facilities. The registered providers are Milbury Care / Voyage. There is currently no registered manager at the home but a manager is in post who has begun the process of becoming registered. 2 1 1 1 2 0 0 8 Care Homes for Adults (18-65 years) Page 2 of 7 What we found:
This inspection was carried out over a 3.5 hour period to follow up on the progress being made to address the requirements made at the last key inspection. As part of the inspection process questionnaires were sent to the home prior to the inspection. 3 were returned from people living at the home and 6 from members of staff. Since the key inspection a new manager and deputy manager have been appointed to the home and both were available on the day of this random inspection. In addition there are now three senior carers who offer support and guidance to less experienced members of staff. Each senior has been delegated specific areas of responsibility. Many of the questionnaires returned by staff highlighted low staffing levels as an area that could be improved upon. The manager gave assurances that new staff had been recruited and the home was now fully staffed. Shifts patterns have been changed to ensure that staff no longer work excessively long hours and that additional staff are available at busy times of the day. At the time of the inspection there were 8 staff on duty, including the manager and deputy. Staff spoken with said that staffing levels had improved enabling people to take part in more individualised activities. The new manager has an obvious enthusiasm for raising standards within the home and developing a culture of person centred care. They demonstrate good leadership and are giving direction to the home. One person wrote on their questionnaire since having a new manager the home is picking up, the manager is very organised and we are able to take service users out more. Everyone living at the home has had a health check carried out by their local GP and many have attended dental appointments. One person has moved to a more appropriate care setting. Work has begun to up date the care plans and risk assessments to ensure that they give clear, up to date guidance for staff to follow. This work is ongoing and one care plan seen was still not fully reflective of the persons needs and abilities. There has been some work to up-grade the environment. New carpets have been laid in hallways and some bedroom furniture has been replaced. One landing area, where carpet had not been replaced, was noted to have a strong unpleasant odour which was discussed with the manager. At the time of this inspection the downstairs hallway was being painted. At the time of the key inspection one person was using the second communal lounge as a bedroom limiting the choice of communal space for other people. This room has now been reinstated as a lounge. During the inspection one person was seen to be relaxing in the second lounge away from the noise of the busier living room. At the key inspection one bedroom window did not have curtains or a blind. Curtains have now been put in place to promote this persons privacy and aid sleep. Care Homes for Adults (18-65 years) Page 3 of 7 The fire log was viewed and this showed that equipment within the home is now being tested on a weekly basis. 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 4 of 7 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 6 15 The home must ensure that support needs and plans are reviewed This is to ensure that peoples individual and changing needs continue to be met appropriately or to assist the home in identifying when it is no longer able to meet an individuals needs. 27/02/2009 2 9 13 The home must ensure that activities are fully risk assessed This is to minimise identified risks and hazards and protect the people who live at the home 27/02/2009 Care Homes for Adults (18-65 years) Page 5 of 7 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 6 of 7 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI 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 or Textphone: or 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 7 of 7 - 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!
