This inspection was carried out on 13th January 2010.
CQC found this care home to be providing an Poor 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.
Random inspection report
Care homes for adults (18-65 years)
Name: Address: 76 Holland Street Holland Street, 76 Sutton Coldfield West Midlands B72 1RR zero star poor service 09/02/2009 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: Christine Lancashire Date: 1 3 0 1 2 0 1 0 Information about the care home
Name of care home: Address: 76 Holland Street Holland Street, 76 Sutton Coldfield West Midlands B72 1RR 01213542789 01213550832 Telephone number: Fax number: Email address: Provider web address: Katymeakin@Birmingham.gov.ukwww.birmingha m.gov.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Social Care and Health care home 22 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Conditions of registration: 22 22 The maximum number of service users who can be accommodated is: 22 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) 22, Physical disability (PD) 22 Date of last inspection Brief description of the care home The home is a large two-storey building of modern design and appearance. It is set within its own grounds occupying a corner position. The home is located in a residential road in Sutton Coldfield with good access to shops and transport links. The gardens at the rear of the home are spacious and secluded. There is parking facilities to the front and rear of the building.
Care Homes for Adults (18-65 years) Page 2 of 8 0 9 0 2 2 0 0 9 Brief description of the care home The home provides accommodation and care to adults who have a learning disability. Some people have additional physical disabilities and behaviour that may challenge. Each person has a single bedroom. The home is arranged over four different living areas. On the first floor people are supported to live more independently and are involved in meal planning and household tasks. This part of the home is known as minimal care. The physical standards of the home do not meet the needs of people with additional physical disabilities. The manager said that CSCI inspection reports are on display on the notice board in the hallway and the outcome of inspections are shared with people living in the Home and staff during meetings. The amount people pay to live at Holland Street is worked out for the individual with their social worker. The items not covered by the fee include clothing and toiletries. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This home is due to close in the near future. The people who live there are being supported to move into alternative accommodation after their needs have been assessed and they have been consulted. There will be no new admissions to this home. The home is being managed by a manager who has come from another home until the home closes. The staff are working alongside some staff who are employed by the new provider, so that people in the home can get to know them so that their transition to their new properties will be as smooth as possible. We found that the home has met the requirements made in the last report. There are now improved arrangements for making sure that appropriate action is taken should someone who lives in the home go missing. We saw that care plans have been updated and reviewed. In order to make sure that people move to suitable placements where their needs will be met, peoples needs have been reassessed. We found improved risk assessments on peoples files and staff had signed these to indicate that they had read and understood these. We saw evidence that these had been reviewed regularly. These help to make sure that people are safe whilst being supported to be as independent as possible. The care plans which we sampled contain better detail of the activities in which people have taken part and the choices which they have made. We saw that staff provide good support to people at mealtimes and the sampled file contained good detail of what people had been offered and what they had eaten. We found evidence that people are encouraged and supported to eat a healthy diet and that appropriate action is taken promptly when peoples weights change to one which may indicate that they are becoming less healthy. We saw new menus with better choices and the manager reports better liaison with the catering team. The staff training matrix shows that staff are now trained in manual handling and there are manual handling risk assessments on the sampled files. These have been reviewed and updated as needed. Hoists and lifting equipment have been checked. As part of the plans for the move, all equipment has been audited and only that equipment which is currently needed for specific people has been retained. This will go with them to their new homes. The detailed training matrix shows that staff have received training in safeguarding. The new procedures are in the office and there is a flow chart for easy reference on the office wall. A complaints log has been introduced and we have received more notifications of incidents from the home, indicating that managers have benefited from their additional training in this area and that people are better protected. All members of staff with the exception of one have attained at least NVQ level 2. Care Homes for Adults (18-65 years) Page 4 of 8 We saw the records of fire safety and water check records and found them up to date and appropriately maintained. We found that the staffing levels have improved. All people at the home are due to move in the near future to new homes with a new service provider. In order for people to be as comfortable as possible about the move, staff from the new provider have joined the team and they are working with existing staff so that they get to know the individual communication methods of the people in the home. We observed good communication between staff and people in the home. The manager told us that when there are shortages, some agency staff are used, but never on their own, and people always have someone who can communicate with them who knows their needs and preferences. The rotas show good management cover and we saw good systems for the clear delegation of tasks at the time of shift handover. All plans and other material examined showed evidence that managers continue to monitor records and comment when needed. 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 5 of 8 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 6 of 8 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 7 of 8 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. Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 8 of 8 - 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!
