Inspection on 22/11/05 for 34 Pedmore Walk
Also see our care home review for 34 Pedmore Walk for more information
This inspection was carried out on 22nd November 2005.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 18 statutory requirements (actions the home must comply with) as a result of this inspection.
Other inspections for this house
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
There is an extremely dedicated staff group who are well qualified and competent; they provide a continuity of care for residents in a patient and caring approach. For example, all staff attend celebrations even when not on duty in order to ensure that residents experience the best time possible. There was lots of laughter and positive interaction through out the whole inspection. Concentrated efforts are made by staff to provide a stimulating environment for residents to lead enriching lives. Families are welcomed and actively involved in participating in residents` lives. All relatives commented that they kept up to date with important information and expressed satisfaction with the overall care provided. Comments included "it is a lovely home and the staff are all so helpful, caring and friendly". Residents are encouraged to participate in exercising control over their daily routines and overall delivery of care. Meals are nutritious and well balanced. All bedrooms are individually decorated and furnished and reflect residents` personal tastes and characters. The premises was warm, tidy and clean through out. The practice in relation to the administration of medication ensures residents receive medication safely.
What has improved since the last inspection?
Staff have produced a service user guide which is aimed at providing information for residents in a format suitable for their needs. Some improvements have taken place in the environment. The conservatory has been made more homely and comfortable. Management are seeking feedback from relatives regarding the quality of care provided through questionnaires. Records have been obtained to demonstrate that visiting professionals have appropriate qualifications and other checks. Improvements have also taken place in management of residents` finances although a couple of further minor improvements need to be addressed. Health care needs of residents are well met with only a couple of minor issues which need further attention. Some health and safety items have been addressed; there are some minor outstanding issues.
What the care home could do better:
The care planning system requires improvement as it does not provide staff with easy accessible information nor does it identify aims or goals. Risk assessments also need to be expanded to ensure that all potential risks to residents` safety and wellbeing are fully assessed and controlled. On occasions staffing levels are having an impact upon residents` activities and outings and these need to be reviewed. The environment is not wholly suitable for people who have physical disabilities due to the lack of space and equipment which would promote their independence and dignity. The provider recognises this shortfall and is looking at building an alternative premises. However plans are in the very early stages. There was a very serious concern identified in respect of the rear entrance to the premises which was found to be unsafe due to broken and uneven paving slabs which requires immediate attention. Recruitment and selection procedures for new staff do not offer suitable safeguards and protection for service users. Immediate requirements were issued to address these very serious shortfalls and to take appropriate action. At the time of writing this report the manager had already started to make improvements. This together with the environmental issues are disappointing findings to what otherwise is an excellent service. It is reassuring that the provider is keen to meet with the Commission for Social Care Inspection to look at ways forward in overcoming issues identified.