Latest Inspection
This is the latest available inspection report for this service, carried out on 28th May 2010. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for 19 Wheelwright Road.
What the care home does well This is a random inspection and therefore not all the core standards are assessed. Staff communicate well with people. They use words, pictures, gestures and signs so people can understand what is happening and be encouraged to make their own decisions. Staff spend time sitting and talking to people living in the home so they feel valued. People have their own bedroom it is furnished and decorated in a way that people wanted.People are supported to go out to places and do things they like doing. Interactions between people and the staff on duty were friendly and relaxed. What the care home could do better: This is a random inspection and therefore not all the core standards are assessed. Work to the bathroom should be completed as soon as possible so people are protected from any risks to their safety. Bedroom furniture should be repaired or replaced so that the home is safe and well maintained for people. Random inspection report
Care homes for adults (18-65 years)
Name: Address: 19 Wheelwright Road Wheelwright Road, 19 Erdington Birmingham West Midlands B24 8PA 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: Donna Ahern Date: 2 8 0 5 2 0 1 0 Information about the care home
Name of care home: Address: 19 Wheelwright Road Wheelwright Road, 19 Erdington Birmingham West Midlands B24 8PA 01213829746 01213829746 Telephone number: Fax number: Email address: Provider web address: www.CareTech-uk.com Name of registered provider(s): Name of registered manager (if applicable) Caretech Community Services Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 5 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 5 1. 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 (5) 2. The maximum number of service users who can be accomodated is: 5 Date of last inspection Brief description of the care home 19 Wheelwright Road is two linked terraced houses located in the Erdington area of Birmingham. The home is registered to provide care and support to five adults under the age of 65 who have a learning disability. There were four people living there, three
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home women and one man. The people living there have some difficult to manage behaviour, and autism. Since our last visit the home has had a major varaition to its registration and has increased its registered numbers from three to five. The accommadation has been extended into the house next door. A door on the first floor links the two houses. One house has three single bedrooms, two with en suites and a communal lounge, dining room and activity room. The second house has two self contained flats with their own bedroom, lounge, kitchen and bathroom. Laundry facilities are housed in an outhouse at the rear of the property. People accommodated at this home all require full mobility as no adapted facilities, or mobility aids are available. The home has a rear garden. The home has no off road parking. The service users guide stated that the range of the fees for the home is £1800 £3,500 per week. The information included in this report applied at the time of inspection and the reader may want to obtain more up to date information from the care service. Previous inspection reports are available in the home for people to read. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
The focus of this inspection undertaken by the care quality Commission (CQC) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements , minimum standards of practice and focuses on aspects of service provision that need further development. The last key inspection of this service was completed on the 30th January 2008. The random inspection was undertaken by one inspector over four hours. There were four people living at the home. The home did not know we would be visiting. During the visit we looked at peoples care records, medication management, complaint records, some health and safety records and we looked at some parts of the home. The manager was not on duty that day but she came in to speak to us and to make sure we had all the information we needed. We spoke to three care staff and a professional who was visiting. We met and spoke to all of the people living there, however due to peoples communication needs they were not able to tell us their views about the home. We spoke to staff about meeting peoples needs and we observed interactions between people and staff. When we arrived at the home we were made to feel very welcome by people living there and the staff. Staff communicated well with people using words, pictures and signs so that they could understand and be understood. There were good relationships between staff and people living there. Staff had a good understanding of peoples needs. We looked at the care plans for two people. Care plans are records that tell staff what support people need. The care plans were detailed. There was a lot of information to look through. They had been kept under review so that they say what peoples current needs are. They had detailed information about peoples communication needs so staff know how to be consistent when communicating with people. We saw a number of risk assessments and we looked at some of these. These tell staff how to support people with activities or tasks that may involve some risk and provide information so people can be supported safely. We spoke to staff about how meals are planned. Food records showed that people had a varied diet and were offered food that reflected their cultural and where appropriate religious needs. Earlier in the year we received information in a completed survey telling us the food budget in the home had been reduced. We spoke to the manager about this when we received this information and we discussed it again at this visit. She assured us that the food budget had been increased again so ensuring peoples dietary needs are well met. People living there are from different cultural backgrounds. Their care plan stated how staff should support the person to meet their cultural needs. Observations and discussions during our visit indicated that staff had a good understanding of how they should support people to identify their culture in a way that the person wanted to. We looked at medication practice and saw that good systems are in place so people receive their medication in a way they prefer. Staff have completed medication training and are completing further training so they have up to date knowledge and skills. We saw
Care Homes for Adults (18-65 years) Page 4 of 9 from reading peoples case notes that they are supported to attend for medical appointments so their health care needs are met. We met with one professional during the visit and they told us that people get good support from the staff team. They told us The staff team is consistent Peoples behaviour that can be challenging has reduced and staff communicate well with people. We looked around parts of the home to make sure it was safe and comfortable for people. We saw some broken furniture in one persons bedroom we were told that this is to be replaced. A number of items are being stored in the garden. The manager said they are hoping to have garden storage so these items can be stored securely. The bathroom on the first floor is under refurbishment. A boiler has been replaced but the work to the shower had not been completed and there was exposed brick and pipe work. We were told that only one person uses this bathroom and it is always with staff suppervision. We asked the manager to complete a risk assessment so it is clear how the person is to be supported by staff at all times to minimise any risks to their safety. After our visit we received confirmation from the manager that work to complete the refurbishment commenced on 14th June. The home has some secured areas and key pads are on external doors for peoples safety. Best interest assessments have been completed by Social Services so ensuring these restrictions are necessary. We looked at some health and safety records to ensure the home is well maintained so peoples health and safety is promoted and protected. Fire drills take place so people would know what to do if the fire alarm was activated. We saw individual fire risk assessments on peoples care plans which inform staff how to support the individual person to keep safe in the event of a fire. The work place fire risk assessment was just due for review this should be up dated so that the home has taken all the action it needs to ensure people are safe. Since our last visit there has been a change of manager. The current manager has worked at the home for over twelve months and has a number of years experience of working with people with disabilities. She told us she is in the process of registering with CQC. The area manager visits the home monthly to complete an audit and a report of their findings is made. Recent copies of the report were not available for us to see but these were sent to us a few days after our visit. These showed that the views of the people living there and issues requiring action are identified. What the care home does well:
This is a random inspection and therefore not all the core standards are assessed. Staff communicate well with people. They use words, pictures, gestures and signs so people can understand what is happening and be encouraged to make their own decisions. Staff spend time sitting and talking to people living in the home so they feel valued. People have their own bedroom it is furnished and decorated in a way that people wanted.
Care Homes for Adults (18-65 years) Page 5 of 9 People are supported to go out to places and do things they like doing. Interactions between people and the staff on duty were friendly and relaxed. 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 6 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 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 2 3 4 5 24 24 24 42 42 Work to the bathroom should be completed so people live in a safe and comfortable home. Repairs to broken furniture in peoples bedroom should be completed so they live in a safe and comfortable home. Storage arrangements should be improved so that any risks to peoples safety is minimised. The work place fire risk assessment should be reviewed so any actions required to minimise the risk of fire are taken. A risk assessment should be completed on outstanding repair work so any risks to peoples safety is identified and minimised. 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!