Random inspection report
Care homes for adults (18-65 years)
Name: Address: The Avenue 6 The Avenue Keynsham Bath & N E Somerset BS31 2BU zero star poor service 27/10/2009 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: Sarah Webb Date: 2 5 0 2 2 0 1 0 Information about the care home
Name of care home: Address: The Avenue 6 The Avenue Keynsham Bath & N E Somerset BS31 2BU 01179864700 01179862524 helen.hill@sovision.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Helen Barbara Hill Type of registration: Number of places registered: Conditions of registration: Category(ies) : Keynsham & District Mencap Family Home care home 8 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 8 The maximum number of service users who can be accommodated is 8 The registered person may provide the following category of service only: Care home only - code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) Date of last inspection Brief description of the care home The Avenue is a large four storey, semi-detached property situated in Keynsham. It provides accommodation for seven people between the ages of 18 and 64 years of age who have a learning disability. There are some people who are over 64 years who have lived at the home for many years.
Care Homes for Adults (18-65 years) Page 2 of 9 2 7 1 0 2 0 0 9 Brief description of the care home The house has a basement flat that provides accommodation by way of a selfcontained living area. This comprises of two bedrooms for two people, a bathroom and a small kitchen. The first and second floor of the property provide accommodation for six people. A new wet room, containing a fully accessible toilet and shower, has been installed to meet peoples changing needs. There is also a new staff sleeping-in room and a new office. A basement has been provided for storage space for old records and other items. The home is within easy access of local amenities that include a leisure centre, shops and park. There are accessible transport routes to Bath and Bristol by both bus and train. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
We met with members of The Avenues board on 18th December 2009 and were told that action had been taken to meet requirements issued at the Key inspection of the home on 27th October 2009. The Directors requested a review of the rating that was given at this inspection. The outcome of this review is that the rating remains unchanged and the final report has now been published. We planned to carry out a Random inspection during February 2010 to see if specific requirements issued had been met. These were regarding systems to record expenditure, personal finances and property of the people living at the home. Also that there were safe systems in place to store medication in peoples bedrooms. We found these requirements had been met. At this Random inspection visit we did not assess fully all areas relating to outstanding requirements issued from both the key inspection of 1st May 2009 and 27th October 2009. These will be asessed fully at the next key inspection. However, three of the six outstanding requirements from 1st May 2009 key inspection have been met. These relate to us being told about things happening in the home, including alleged abuse. The reporting of every allegation of abuse is now also being made to the local authority. We found improvements had been made in the remaining three outstanding requirements. 1) We know staff are now reporting concerns they may have about the people living in the home, however we did not speak to the manager or all the staff about their understanding of how to safeguard vulnerable people. We know there are some new staff working at the home on a relief basis and will be following up their knowledge of safeguarding at the next key inspection. Therefore this requirement is partially met. 2) We found there have been improvements in the way the home is being run. Staff are no longer using their loyalty cards to purchase items for the people living at the home. It is recognised that staff have in the past purchased items for people as a cheaper means of buying clothing, but that this puts staff in a postion of personal gain. This requirement is partially met as we have not assessed others areas relating to the way the home is run and if it is in the best interests of the people living there. 3) We saw new specific policies and procedures in place relating to the recording of expenditure, personal finances and property of the people living at the home and that these are being followed by staff. We will be looking at further policies and procedures at the next key inspection and whether staff are also following these. This requirement is partially met. What the care home does well:
1) The recording of all financial transactions of the people living in the home had improved.
Care Homes for Adults (18-65 years) Page 4 of 9 A more robust system was now in place with improved practice helping to ensure a clear audit trail could be followed. 2) The people living in the home had been provided with lockable cabinets to keep their medication safe. 3) Records were being kept of the property and belongings of the people living in the home . 4) We are now being informed of events taking place that relate to the wellbeing of the people living in the home including concerns and allegations of abuse. These are now also being reported to the local authority. 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 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 6 15 Individual care plans must be 31/12/2009 developed with each person living at the home that reflects the persons best interests and their assessed mental capacity needs. This will make sure that all the people living at the home have their best interests and mental capacity needs met. 2 7 12 Peoples consent forms relating to medication, money saving, including saving for holidays, and healthy eating must be reviewed on a regular basis in consultation with them. This will ensure their needs and preferences are met and their money is safeguarded. 31/12/2009 3 23 13 The understanding of every aspect of how to safeguard vulnerable people must be clarified with every person who works in the home or is involved with running it. PARTIALLY MET The Registered Person must ensure this is carried out to 01/06/2009 Care Homes for Adults (18-65 years) Page 6 of 9 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 ensure residents are safe. 4 37 10 The home is not well run and 01/07/2009 is not run in the best interests of the residents. PARTIALLY MET The Registered Person must ensure this changes to ensure residents are provided with a professional and safe service. 5 40 12 The homes own policies and 01/06/2009 procedures are not followed by staff members, the Registered Manager or the Directors. This places residents at risk. PARTIALLY MET The Registered Person must ensure these are adhered to as if they are not, residents are at risk. Care Homes for Adults (18-65 years) Page 7 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 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 23 Keep a record of monies put aside for peoples activities that are then cancelled, and subsequently used for another activity, so that there is a clear audit trail. 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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!
