Random inspection report
Care homes for adults (18-65 years)
Name: Address: The Dales 137 Gillott Road Edgbaston Birmingham West Midlands B16 0ET zero star poor service 20/02/2009 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: Kulwant Ghuman Date: 0 1 0 6 2 0 0 9 Information about the care home
Name of care home: Address: The Dales 137 Gillott Road Edgbaston Birmingham West Midlands B16 0ET 01214540197 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ms Mary Slammon care home 7 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 7 The maximum number of service users who can be accommodated is: 7 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) 7 Date of last inspection Brief description of the care home The Dales is situated close to Edgbaston Reservoir and Summerfield Park, and within easy reach of local amenities. The large Victorian property has front, off street parking and is well presented. Facilities are provided on the ground, first and second floor reached by a main staircase. Each person living in the home has a bedroom with wash hand basin and four bedrooms also have showers. There is a large front lounge, rear dining room and kitchen area and laundry facilities. One ground floor bedroom is
Care Homes for Adults (18-65 years) Page 2 of 10 2 0 0 2 2 0 0 9 Brief description of the care home available. The house is well maintained. Furniture and carpets are well maintained. The garden has been developed to include two seating areas with comfortable garden furniture. Paving around the garden allows for short walks. The statement of purpose states that the home will provide service users with a secure, relaxed, homely environment in which their care, well being and comfort are of prime importance. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
This announced random inspection was carried out by two inspectors and lasted 4 hours on the 1st June 2009. We contacted the home on 28.5.09 to inform them of our visit on 1st June 2009 to ensure that the manager and that all the financial records were available in the home for inspection. The manager of the home was available throughout this random inspection. This random inspection was carried out to check that the home had met the requirement to ensure that adequate records were being maintained to safeguard the people living in the home where they were being assisted with any aspects of management of money. The manager had put in place an A5 book for each person in the home to record financial transactions in. The documentation that had been put in place did not ensure that the people living in the home were being safeguarded in respect of the management of their money. We found that there was no clear record of the monies that were being received by the individuals or where the money was coming from. For example, for one individual money for personal allowances were given to the manager by a relative however, there was no record of how much had been brought to the home. The person who was living in the home had signed to say that he had received a sum of money. Another person had monies paid into the owners account but there was no record of what had been received or given to the individual living in the home. There were not always receipts in place for the purchases being made on behalf of the people living in the home and some of the receipts did not relate to the purchases being made. There was no way of knowing how much money the individuals should have available to them in the home. There were tins that contained money for which there were no records. We were told that this money was the change left over at the end of a month that was put aside towards a holiday but on some occassions a balance was carried forward in the book. There were also envelopes attached to pages of the books containing money that did not always contain the amount detailed on them, or there was no amount identified. There was no way of knowing how much money should have been in these envelopes or where the money came from. The people living in the home were signing a receipt to say that they had received a sum of money but they clearly had not as the manager was managing this money on their behalf. Individuals were either being taken to the post office to withdraw monies from their accounts or to cash giros. There was no audit trail for what amounts were being drawn out and how much was being taken towards fees and where the rest of the money was going. At the key inspection of 20th February 2009 the manager had been advised to ensure that receipts from the post office showing balances and amounts withdrawn were kept as evidence of an audit trail. This was not happening consistently.
Care Homes for Adults (18-65 years) Page 4 of 10 People living in the home were receiving a variety of benefits but there was no clear record of what each was receiving, the amounts or where they were being deposited. We had been informed that the people living in the home had been taken on holiday to Blackpool and Spain during 2008. No records could be found on the day of this random inspection in relation to these holidays. We were told that the documentation would be provided to us at the office in by mid day on the 2nd of June 2009. At the time of this inspection we were provided with a booking receipt of a holiday to Blackpool during 2007 and a selection of receipts for amusement rides and snacks and breakfasts. Again there was no information about who had paid what. On 3rd of June 2009 we received some information from the home via the post about a holiday to Spain during 2008. Again this showed the total amount of monies paid for booking the accommodation and flights. It did not show the amounts paid for by individuals or any receipts for expenditures during the holiday. We know that one of the individuals booked to go did not go on the holiday but the same number of people flew to Spain. No information was provided as to what input that individual had made towards the holiday cost. No information was provided about the holiday to Blackpool during 2008. The manager held passports, bank books, bank cards and personal identification numbers (PIN) for the cards on behalf of the people living in the home. There was no record of what accounts were open, who had cards or PINs to access the monies or where these were stored. No requirement has been made as a result of this inspection as the service has breached Regulation 17 of the Care Homes Regulations 2001 and the Care Standards Act 2000 in that a requirement was made during the last inspection of the service see requirement 5 of the outstanding requirements. This matter has been referred to our Enforcement Team where consideration will be given as to whether a Statutory Enforcement Notice will be issued. 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 10 Care Homes for Adults (18-65 years) Page 6 of 10 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 12 All the people living in the 14/05/2009 home should be supported to be more involved in decision making within the home. This will ensure that the people living in the home are assured that they are valued and their views taken into account. 2 9 13 The risk assessment process 14/05/2009 must be robust identifying all risks and management plans. This will ensure that the people living in the home are safe and there is consistency within the staff group when managing the risks. 3 20 13 The records for the 14/05/2009 management of medicines must clearly show that people have been given their medicines as prescribed. This will ensure that the people living in the home receive their medicines as prescribed. 4 20 13 Syringes and medicines must 14/05/2009 be stored in a locked cupboard suitable for the storage of medicines. Care Homes for Adults (18-65 years) Page 7 of 10 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 This will ensure that medicines and needles are kept safely secured out of reach of vulnerable adults. 5 23 17 Adequate records must be 30/04/2009 maintained in the home to safeguard the people living in the home where they are assisted with any aspects of management of money. This requirement had not been met at the random inspection of 1.6.09 and consideration is being given to further actions against the home in respect of the breach. This will ensure that the people living in the home are safeguarded from abuse. 6 34 19 All recruitment checks must be in place and assure that the individual is suitable for employment before they start working in the home. This will ensure that the people living in the home will be safeguarded and be supported by suitable individuals. 30/04/2009 Care Homes for Adults (18-65 years) Page 8 of 10 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 9 of 10 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 10 of 10 - 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!
