Inspection on 16/07/07 for 40 Fir Tree Road
Also see our care home review for 40 Fir Tree Road for more information
This inspection was carried out on 16th July 2007.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.
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
The physical design and layout of the premises ensures provision of an overall safe, well-maintained, accessible and comfortable environment. The home is suitably equipped with appropriate specialist aids to meet the care needs of people using services. At the time of the inspection visit the home was clean and free from malodour. There is a clear admissions criteria, which promotes anti-discriminatory practice. Admission decisions are based on holistic, comprehensive needs assessments ensuring the different and lifestyle needs and aspirations of prospective people using services can be met. Assessed needs and risks are mostly addressed in care plans and effort made to afford choices in the daily lives of people using services, wherever possible and however small. Provision includes a balanced, wholesome diet that accommodates food preferences and dietary needs. Staff have knowledge and understanding of safeguarding adults issues and robust procedures are in place for reporting suspicions or evidence of abuse or neglect. This ensures the safety and welfare of people using services. Feedback from a relative/advocate demonstrated overall confidence DS0000013494.V338543.R01.S.doc Version 5.2 Page 6that staff have the right skills and experience to properly look after people using services " Generally we are very happy with the staff and their skills----Staff present (the person we/I visit) well and (this person) is always happy and smiley".
What has improved since the last inspection?
Care plans are now reviewed monthly and controlled drugs are now stored in a suitable medication cabinet. A part time driver/support worker has been appointed which has enabled increase in activities for people using services outside of the home.It was positive to note the intention to employ a full time support worker/driver to further enhance social and leisure opportunities in the community. This is a development/ change being made as a result of consulting and listening to people using services. Some people using services have been on holidays which they were involved in choosing, supported by keyworkers and advocates. This year all people using services had their bedrooms decorated and were involved in choosing colour schemes. A new extension has been built providing a good standard additional sitting room which has enhanced the facilities of the home.
What the care home could do better:
Two requirements made at the time of the last inspection have not been met. Specifically diabetes awareness training for staff and other statutory training could not be evidenced. Records of staff training were incomplete. Information available at the time of this inspection indicated the need for review and improvement in care planning processes for this to be a continuously inclusive process consulting and communicating with family and/or advocates not just at the time of annual reviews. Additionally feedback from a relative/advocate confirmed the need to develop appropriate methods for supporting people using services to keep in touch/communicate with relatives/advocates. It was concerning to receive feedback in the same questionnaire of failure to communicate significant information affecting the health and welfare of a person using services examples being if this person has been unwell. Also concerning was feedback from the same relative/advocate that the complaint procedure is not clear or always effective, examples of this stated to be sometimes a slow response to concerns and on occasions, letters of complaint not receiving a response from head office. A copy of the home`s quality assurance report stated to be in the home could not be located and not all staff had received infection control training or had training in the management of epilepsyAttention is necessary to aspects of infection control practice. Liquid soap and paper towels need to be provided in bedrooms for hand washing for staff after engaging in personal care tasks. The provision of soap and other toiletries in bedrooms, bathrooms and toilets also need to have risk assessments carried out to minimise the potential for these to be accidentally ingested by people using services. If provision of liquid soap in bedrooms is not considered safe then alternative methods should be considered for ensuring adequate infection control practice. Additional charges not included in fees must be stated in the service users guide document, which tells people how the service works. The statement of purpose, which is a document that tells people who the service is for, service users guide and complaint procedure also need a minor amendment updating contact details for the Commission for Social Care inspection (CSCI). Care plans and personal and environmental risk assessments need to be further developed. Improvements are also necessary to medication practices and procedures. A copy of Surrey`s multi-agency safeguarding procedures should be available in the home for staff`s reference.