Random inspection report
Care homes for adults (18-65 years)
Name: Address: The Byre Allaston Court Farm The Byre Lydney Gloucester GL15 5SR zero star poor service 25/11/2009 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: Paul Chapman Date: 3 0 0 3 2 0 1 0 Information about the care home
Name of care home: Address: The Byre Allaston Court Farm The Byre Lydney Gloucester GL15 5SR 01594844244 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Footsteps Medical Care Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 4 The maximum number of service users who may be accommodated is 4. The registerd 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 Byre was registered in July 2007 as a new service for adults with a learning disability. It is located in a residential area on the outskirts of Lydney. The property is a bungalow which has been fully redeveloped in order to meet the relevant National Minimum Standards. All bedrooms have en-suite facilities. There is also a spacious
Care Homes for Adults (18-65 years) Page 2 of 11 2 5 1 1 2 0 0 9 Brief description of the care home shared bathroom with adaptations, a lounge and a kitchen-dining area. Prospective residents and their representatives are provided with information about the home including the Service Users Guide. Fee levels are negotiated on an individual basis. Care Homes for Adults (18-65 years) Page 3 of 11 What we found:
On arrival at the home we were met by the staff on duty which included the acting manager and the owner of the service. Two of the three people living in the home were present. This inspection site visit was planned as a brief visit to confirm that the service was making progress towards meeting the requirements of the previous inspection. A key inspection will be completed within the next two months where we will seek evidence that all of the requirements of the previous inspection report have been addressed. This was explained to the acting manager and the owner. Whilst we were at the home on this occasion the acting manager supported us in identifying the evidence needed to confirm requirements were being addressed. Speaking with the acting manager, examining peoples files and comments from a staff member have shown us that the quality of the outcomes for this service are improving. Peoples needs are being identified, care plans are in place to meet those needs and there is some evidence of people being given choice. In addition to this the staff have received training to meet peoples needs and maintain a safe environment. 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 11 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 5 5 Each person must have a Statement of terms and conditions in place which provides information about any additional costs which are to be paid. This is to ensure that people have access to information about the costs of the service they are to receive. 01/01/2010 2 5 5 Each person must have a statement of terms and conditions in place which provides information about any additional costs which are to be paid. This is to make sure that people have access to information about the costs of the service they are to receive. 26/02/2009 3 6 15 The registered person must 01/01/2010 ensure that all of the people in the home comprehensive care plans in place that identify their needs and the steps staff must take to meet those needs. Failure to implement these care plans will put people at risk of their needs not being Care Homes for Adults (18-65 years) Page 5 of 11 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 met. 4 7 16 The registered person must ensure that people in the home are empowered to make choices and these must be recorded. Empowering people to have a choice and recording these occasions will provide good evidence that the service is led by the needs and wishes of people living in the home. 5 9 13 The registered person must 01/01/2010 ensure that risk assessments are continually reviewed and new assessments must be implemented as required. Failure to do this puts people at unacceptable risks. 6 12 16 The registered provider must 18/12/2009 ensure that they promote the welfare of all of the people in the home and that staff support them to take part in a range of activities. Failure to do this will negatively affect the quality of life experienced by people in the home. 7 18 17 The registered person must ensure that comprehensive records are kept to provide evidence that a persons health needs are being met. Failure to do this makes it impossible to confirm this
Care Homes for Adults (18-65 years) Page 6 of 11 22/01/2010 11/12/2009 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 persons physical needs are being addressed. 8 18 15 The registered person must 18/12/2009 ensure that peoples personal care needs are identified and that care plans are in place that detail the actions required by staff to meet those needs and wishes. Failure to implement these care plans put people at risk of their needs not being met. 9 18 15 The registered person must 25/12/2009 ensure that where people require moving and handling by staff that plans are in place identifying how peoples needs are met. Failure to do this puts people at unnecessary risk. 10 19 37 The registered provider must 11/12/2009 inform the CQC of all events that are prescribed as part of this regulation. Failure to do this is a breach of the regulations. 11 19 37 The registered person must inform the Commission of any incidents affecting the well being of people living in the home. This is in respect of an emergency admission to hospital. This is to make sure that we can monitor the support people are receiving.
Care Homes for Adults (18-65 years) Page 7 of 11 26/02/2009 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 12 20 13 The registered person must 11/12/2009 ensure that medication sheets are checked for accuracy by another member of staff. Failure to do this presents a greater risk of a medication error. 13 22 22 The registered person must provide evidence that complaints are fully investigated and responded to within 28 days. This is to make sure that the home processes complaints in line with its policies and procedures. 26/02/2009 14 23 13 The registered person must 08/01/2010 ensure that guidelines are developed detailing the actions staff must take when people become anxious and present that challenges. Failure to do this puts people at risk of being treated inappropriately when they become anxious. 15 37 8 The registered provider must 27/02/2009 appoint a manager who must apply to become registered with us. This is to make sure that the home is managed in line with current legislation. 16 39 24 The registered person must put a quality assurance 26/02/2009 Care Homes for Adults (18-65 years) Page 8 of 11 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 system in place to evaluate the service provided. This is so that the quality of the service provided can be monitored and reviewed. 17 39 24 The registered provider must 15/01/2010 implement the quality assurance procedure. This makes sure that the registered provider is monitoring the service being provided. Care Homes for Adults (18-65 years) Page 9 of 11 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 34 The registered person should ensure that the recruitment records of staff employed in the home are accurate. Phonecalls to other care employeres should be recorded. Care Homes for Adults (18-65 years) Page 10 of 11 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 11 of 11 - 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!
