Random inspection report
Care homes for adults (18-65 years)
Name: Address: Chatting Independently Ltd 3 Rectory Drive March Cambridgeshire PE15 9QR two star good 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: Alison Hilton Date: 0 4 0 6 2 0 0 9 Information about the care home
Name of care home: Address: Chatting Independently Ltd 3 Rectory Drive March Cambridgeshire PE15 9QR 01354650767 Telephone number: Fax number: Email address: Provider web address: david@chattingindependently.co.uk Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Chatting Independently Ltd care home 6 Number of places (if applicable): Under 65 Over 65 0 physical disability Conditions of registration: 6 The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category/ies 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: Physical Disability Code PD Date of last inspection Brief description of the care home Chatting Independently Ltd. is situated in a converted bungalow at 3 Rectory Drive, which is a private road near to March town centre. The service is specifically designed to cater for 6 people with a physical disability, who will be learning how to use AAC (Augmentative Alternative Communication aid), which is an electronic device to assist people with speech communication problems. There are six single rooms and residents share the kitchen/dining area, bathroom and lounge facilities. A good size well equipped physiotherapy room is now available. The hydrotherapy pool is almost
Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home complete. There are landscaped gardens to the rear of the property. A separate training/treatment room is situated in the home. There is an office and sleeping-in facilities for the staff. A copy of the last inspection report was in the office and available to residents and families. The fee levels vary depending on the needs of individuals accommodated and information can be gained directly from the home. The last key inspection was undertaken on 12th November 2007. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This was an unannounced random inspection that took place on Thursday 4th June 2009, as the result of an anonymous complaint. The elements related to the use of some medications and procedures completed by untrained staff; staff giving undercooked food to people in the home and unsafe pratices when using the microwave. We looked at a variety of records and staff training and spoke to the manager and responsible person who were both on site for the inspection. We contacted one of the training services to confirm the elements of the training they provided to staff and how competency was assessed. We contacted the District Nursing service but no-one phoned to say they had concerns about the practices at the home. As part of the checks in personnel files we looked at all the information and found that one member of staff had been appointed and started work in the home prior to the PoVA First being returned, although three references had been obtained and were on file. This means that people in the home were not protected from possible harm. The manager said that there had been no complaints about uncooked food and no-one had been ill as a result of any food related issue. Staff do not have specific training in food preparation but cook with the people living in the home. Staff use a heat probe for checking the temperature of cooked food after a food hygiene inspection that took place in October 2008 when the home received 3 stars. The manager said there had been an incident where a staff member had tried to warm a towel and put the microwave on for minutes instead of seconds. All staff have been advised how to use the microwave safely. 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 8 Care Homes for Adults (18-65 years) Page 5 of 8 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 39 24 The quality monitoring system should be further developed, to include the views of relatives, care managers and significant other professionals, for the purpose of reviewing and improving the quality of service. 31/01/2008 This requirement was not assessed during this inspection. 2 42 13 (4) (a) & (c) i) Hot water temperatures in 30/11/2007 the bathroom and shower facilities must be tested and recorded regularly to ensure that there is no risk of scalding to the people who live in the home; ii) Tests of break-glass points must be undertaken weekly. These areas were not looked at during this random inspection. 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 1 34 19 Staff must not commence work in the home until a satisfactory PoVA First has been obtained. This is to protect people living in the home from abuse. 13/06/2009 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!