Latest Inspection
This is the latest available inspection report for this service, carried out on 3rd June 2010. CQC found this care home to be providing an Adequate 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 20 Talbot Street.
What the care home does well We found that the service continues to make progress and is providing a person centred service that treats each person as an individual with their own specific care needs. We also feel that the service is promoting people`s independence through supporting and encouraging people to undertake the tasks they can and to develop new skills. For example we observed one person making their bed and records confirm that people make drinks for themselves and help with their laundry. The service has developed good care plans that are person centred and clearly describe people`s health, personal care and social care needs and show how they wish to be supported. We saw that the service takes account of people`s views when planning its service and supports people to make choices over how they live their lives. The service has weekly `chat groups` where people are consulted about what they want to eat and what they want to do. The service also has individual talks with people to gain their views. Everyone at the service has specialist communication needs and we saw that plans are in place to help staff to understand how people communicate. These plans include information about how people express distress, happiness and anger and include pictorial information. We also saw that the service has records of peoples likes and dislikes. People are being supported to have their personal care and health care needs met. Each person`s plan includes the type of support they need. This is based on promoting their independence whilst keeping them safe. What the care home could do better: People living at the service are supported to be as independent as possible and to make choices over their lives. We did however make two recommendations at this inspection. The service needs to make sure that medication is administered correctly in that records are only signed when the medication has been administered. We also recommended that the service continue to develop the way it reviews and monitors its service. Random inspection report
Care homes for adults (18-65 years)
Name: Address: 20 Talbot Street 20 Talbot Street Rugeley Staffordshire WS15 2EQ one star adequate service 08/09/2009 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: Jane Capron Date: 0 3 0 6 2 0 1 0 Information about the care home
Name of care home: Address: 20 Talbot Street 20 Talbot Street Rugeley Staffordshire WS15 2EQ 01217898889 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Maureen Elizabeth Holcombe Type of registration: Number of places registered: Conditions of registration: Category(ies) : Care Services (UK) Ltd 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 to be accommodated is 4 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) 4 Date of last inspection Brief description of the care home The service is set up to provide support to four people with learning disabilities, who may have some challenging behaviour, speech and language disorders and who need a high level of support and guidance. The home is provided in a five bedroomed house in a residential area close to the town centre. Everyone has their own bedroom. There is
Care Homes for Adults (18-65 years) Page 2 of 8 0 8 0 2 2 0 1 0 Brief description of the care home a garden at the back of the home that provides an area for sitting and for activites. People are supported to help run the home completing such tasks as shopping and cooking. People can take part in activites both at the service and in the community. The service provides information to people about the service. Fees are based on each persons needs and people considering using the service should contact the service to discuss the fees charged. The fees include transport costs and a contribution towards a holiday. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This was an unannounced random inspection to check on the progress of the service. We had undertaken a random inspection in February 2010 following a number of concerns identified at the Key Inspection in September 2009. The random in February 2010 showed that the service had addressed all the requirements we had made. This random inspection lasted approximately 3 hours. The inspection included looking at whether people are having their care needs met, whether people are being kept safe, how the service manages complaints and how the service is being managed. During the inspection we spoke to the manager and deputy and another staff member. We also had brief discussions with two people that live there. We looked in detail at information relating to one person to check whether their care needs had been identified and plans were in place to meet these needs. We saw that plans are in place that show peoples needs and how they should be met. Where people show some difficult behaviour plans describe the behaviour and give information to staff on how to respond. We also saw that every incident is recorded and takes account of potential trigger points that may have led to an incident. People are supported to have their health care needs met and everyone has a health action plan. People are registered with a doctor and a dentist and receive any specialist support they need. Records confirm the involvement of the Community Learning Disability Team and the psychiatric services. We looked at how the service supports people to have their medication. We saw that medication is stored securely and that medication received is recorded. We saw that the service has a system for auditing medication to check that medication is given as prescribed. Staff have received training in medication and the manager is assessing their competence. Examination of the medication administration records (MAR) shows no gaps. However when we observed medication being administered we saw that the MAR sheet was signed before the medication was taken. We raised this with the manager and are confident that this will be addressed. We also looked at the training that staff receive and spoke to the deputy and a care staff member. Staff are aware of peoples needs and how they should be met in the way people want. We checked the staff rosters and saw that there are always three staff on duty throughout the day. This provides a one to one ratio for people and is suitable to meet the needs of the people that live there. We looked at a sample of staff files and these confirm that staff have the necessary checks before they start work. We also saw that staff receive induction training as well as ongoing training in such areas as challenging behaviour, communication, medication and safeguarding. When we spoke to staff they could tell us about how they responded to the specific needs of people and how to respond if people present difficult behaviour. The manager is very experienced and has the necessary qualifications and training. She is well supported by the deputy who is in the process of completing her NVQ level 4. The manager spends some time working as a care staff member but has sufficient time
Care Homes for Adults (18-65 years) Page 4 of 8 available to undertake her management role. The service has some systems in place to monitor and review the service including gaining information from the people that live there, checks on medication and health and safety checks. However this is an area that the service still needs to develop. Examination of Health and safety records confirmed that the service is promoting peoples safety. The service provides staff with training in health and safety issues and undertakes checks on equipment such as the fire alarm. At our last visit we advised the service to complete a fire drill during the evening and we saw that this had been done. We also saw that people have a pictorial fire evacuation procedure in their bedrooms. 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 8 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 8 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 20 When administering medication records should only be signed once medication has been taken. This will make sure that the service can be fully confident that medication has been taken. The system for reviewing and monitoring should be further developed. This will enable the service to be confident that the service is being provided to the necessary standard. 2 39 Care Homes for Adults (18-65 years) Page 7 of 8 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 8 of 8 - 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!
