This inspection was carried out on 13th July 2009.
CQC found this care home to be providing an Good service.
The inspector found no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for adults (18-65 years)
Name: Address: Giles Shirley Hall York Street Bromborough Pool Wirral CH62 4TZ 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: Diane Sharrock Date: 1 3 0 7 2 0 0 9 Information about the care home
Name of care home: Address: Giles Shirley Hall York Street Bromborough Pool Wirral CH62 4TZ 01516435563 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Jane Roberts Type of registration: Number of places registered: Conditions of registration: Category(ies) : Wirral Autistic Society care home 11 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 11 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 - Code LD The maximum number of service users who can be accommodated is: 11 Date of last inspection Brief description of the care home Giles Shirley Hall provides personal care for eleven adults with autism. The service is enclosed within a converted village hall. The Wirral Autistic Society has a conference hall and technology suite also housed within this building. These facilities are infrequently open to the general public. They are used by the societies day services Monday to Friday from 9am to 4pm. There is a separate point of access to the building for the general public/day services. The service consists of four flats, which are
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home accessible to one another and share the same main entrances. All bedrooms are single and have en-suite facilities. Each flat has a communal area comprising of a domestic style kitchen and dining/lounge area. There are gardens to the front and side of the service. Giles shirley Hall is reasonably close to local shops and to public transport services. Parking is available on the main road. The service is run by Wirral Autistic Society who have several care homes for adults with autism in the area. Wirral Autistic Society provides a range of day services and facilities. Fees are negotiated at the time of placement and are dependent upon a number of factors including the amount of staff cover required. The weekly cost for the service ranges from 906.00 pounds to 1450.00 pounds. A copy of the statement of purpose, which describes the services offered at Giles Shirley Hall, is made available to relatives and social workers and potential person wanting to live at Giles shirley Hall. The inspection report is available at the service for anyone to read. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
We carried out a random visit to Giles Shirley Hall on 13 July 2009 due to an anonymous concern being sent to the commission. The complainant alleged that the service had admitted an extra person to live there which meant they had 12 people living at the home instead of the 11 they are registered for and they were using the staff sleep in room for the extra persons bedroom. Before our unannounced visit to Giles Shirley Hall, we discussed this information with the manager on 22 June 2009 who admitted that this had occurred on 19 June 2009. We have also spoken to the client services manager on 24 June 2009 regarding the situation. Wirral Autistic Society has also written to the commission on 25 June 2009, received to our offices on 29 June 2009. This letter gives a detailed report of the serious circumstances leading to the service admitting a 12th person to Giles Shirley Hall. During our visit we acknowledged the number of issues that led up to this situation and we were shown various care records, incident reports and reviews describing why the decisions were made by the company representatives. The service currently has extra staffing levels in the day and staff are using either a sofa or mattress for their sleeping in duties at night. We were met at the service by the Chief Executive of Wirral Autistic Society, Dr Asher, Jane Carolan the Director of client services, Phil Hatton a registered manager within the company and the services manager Annette Keating. They explained that they had experienced various problems in being able to have access to acute facilities and support from the placement local authority. The provider and manager acknowledged that in admitting an extra person to the service this meant they had breached their conditions of registration. This breach of registration meant that we had to copy various records using Code B of the Police and Criminal Evidence Act. Staff acknowledged that a number of serious incidents listed in their report and letter to us dated 25/6/09 had not been reported to our department due to misinterpretation of the regulations and guidance. These reports are required to ensure the commission is kept up to date with issues and concerns that may arise within services and helps to show how each service are managing issues. The guidance available on our website tells care services providers what they need to notify the commission about and when this must be done. We have advised the provider and the manager that a report including the records of evidence copied at our visit would be submitted to the regional director of the commission and our legal department. They would consider all of the information before they make a decision about any potential regulatory actions based on the facts and mitigating circumstances. What the care home does well:
The provider and manager were fully co operative throughout our visit. Care Homes for Adults (18-65 years) Page 4 of 9 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 9 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 9 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 42 37 To complete and submit 28/08/2009 notifications about incidents at the home as required by Regulation 37 of the Care Homes Regulations and make sure they are submitted to the Care Quality Commission without delay. This will ensure that any adverse incident is fully disclosed and submitted to the Care Quality Commission at the time of the incident to show how each incident is being appropriately managed. 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 1 42 The organisations guidance about how staff should complete and submit notifications required under Regulation 37 of the Care Homes Regulations should be reviewed to make sure that it is clear that these
Page 7 of 9 Care Homes for Adults (18-65 years) 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 notifications must be submitted to the Care Quality Commission without delay. 2 42 The appropriate authorities should be contacted to identify the criteria and support necessary for any future treatment or acute admission needed for people living at the service. (We have subsequently received a copy letter from the provider to confirm that this has already been carried out.) This will help to reassure people that they will always have equal access to the right level of care and treatment within their local acute services when necessary. The Care Quality Commission should be kept informed and up to date regarding the management of the numbers of people living in the service especially after the two week period identified in this report if there are stil 12 people living at Giles Shirley Hall. 3 42 Care Homes for Adults (18-65 years) Page 8 of 9 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 9 of 9 - 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!
