Care Home: 22 Hallewell Road

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What the care home does well The people living in the home are treated as part of an `extended family` where their needs are known and met in a personalised way. There is a small staff team who have worked at the home for a long time. This ensures the continuity of care for the people living in the home. The people living in the home receive a varied and nutritious diet. The people living in the home are assisted to access all medical facilities such as GP,hospitals, dentists and opticians. Contact with families is encouraged and people are assisted to be part of the local community by using facilities such as churches, shops and day centres. Activities are arranged according to peoples` needs and wishes. Comments made by health care professionals included: `Clients well cared for and seem happy.` Comments made by relatives included: `Happy with X`s care. X is extremely happy at the family run home and I have no concerns about her welfare or care. `X is slowing down due to her age, and chooses to only go to day centre 2 days or not if she wants. Life is made interesting if she stays at home.` `X is well looked after and the food is first class. The house is always clean and tidy and the staff are all very nice and look after X very well.` `Look after the residents sensitively according to their particular needs.` What the care home could do better: The manager should ensure that the records for the administration of medicines in the home are accurate. Goals identified for the individuals living in the home should be practical and measurable enabling people to develop their individuals skills and interests. The quality assurance system in the home should be developed to ensure that a development plan identifies how the home will continue to develop its service for the benefit of the people living in the home. Random inspection report Care homes for adults (18-65 years) Name: Address: 22 Hallewell Road Hallewell Road, 22 Edgbaston Birmingham West Midlands B16 0LR 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: Kulwant Ghuman Date: 0 9 0 4 2 0 1 0 Information about the care home Name of care home: Address: 22 Hallewell Road Hallewell Road, 22 Edgbaston Birmingham West Midlands B16 0LR 01214558269 01214545177 martom01@blueyonder.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Marcella Marie Higgins Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Marcella Marie Higgins care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 3 The maximum number of service users who can be accommodated is: 3 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) 3 Date of last inspection Brief description of the care home 22, Hallewell is a three-bedroom home for adults who have a learning difficulty. The home is a three storey building in a quiet residential road in Edgbaston, Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home Birmingham. The home is within walking distance of shops, places of worship, a park, pubs, restaurants and a selection of bus routes providing access to the city centre. The registered premises comprises of two lounges, a kitchen with a dining area, WC, a separate laundry and a conservatory area. The three service users each have their own bedroom on the first floor. There is a bathroom and a separate toilet on the first floor. The registered person and her partner live on the premises on the third floor. The home is furnished and decorated to a high standard and is reflective of a family type domestic dwelling. To the rear of the home is a garden with lawned areas, a patio and at the top of the grounds there are three wooden buildings in the style of a western town to provide entertainment on the country and western theme for those who live and work at the home. The home is also used as a day facility for three people on most days of the week except Saturdays. Two people currently use this facility. The reader should speak to the proprietor about the current fees at the home. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: We visited the home on 9th April 2010. The home did not know that we were going to visit. Since the last key inspection of August 2007 there had been an Annual Service Review in 2008 when it was found that the home continued to provide a good service. The focus of inspections 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, standards of practice and focuses on aspects of service provision that need further development. Prior to the visit taking place we looked at all the information that we have received, or asked for, since the last key inspection. This included notifications received from the home. These are reports about things that have happened in the home that they have to let us know about by law. The Annual Quality Assurance Assessment AQAA for this inspection was not received before the inspection but was received at the inspection. The AQAA is a document that provides information about the home and how they think that it meets the needs of people living there. At the time of the visit we saw the three people living in the home. There were also two people who came to the home on a day care basis. The three people living in the home had lived there for many years and their needs continued to be met. The manager told us how she would introduce someone into the home if that was ever to happen. She was quite clear that the people living in the home would have the final say as to whether they wanted to live with that person. We looked at the care being provided to two of the people living in the home by looking at their care files, asking relatives and professionals involved in the home what they thought about the service being provided and speaking to the people themselves. We looked around the home and at some documents to see that the home was safe and that equipment was being kept safe and well maintained. From our observations during the day and comments received from the people living in the home and from people involved in their care it was clear that the individuals were comfortable in the home and that there were good relationships between them, the manager of the home and the staff who worked there. It was evident that they lived as an extended family unit. The small staff group meant that the needs of each individual were known in great detail and they were all treated as individuals. The people living in the home told us about how they spent their time on a daily basis. This included some people attending a day centre, visiting relatives, going to the shops or watching television. There were regular visits from people who undertook aromatherapy and reiki as well as doing activities such as painting, knitting and quizzes. One individual went dancing with the manager and went on holidays in a caravan. The others were less keen to leave the home as they were anxious about their families visiting them. We looked at the food records and this showed us that there was a variety of food available and the people told us that they were happy with the food. Care Homes for Adults (18-65 years) Page 4 of 10 The people living in the home looked well cared for and were found to be in good health. Care plans were good and included information that showed that they were encouraged to do task for themselves where possible. The care plans did have goals included in them but they were quite general. They needed to be broken down to show how long term goals were to be achieved and how individuals would develop their own abilities. The people living in the home were assisted to get any medical attention they needed. The home was using a monitored dosage system for the management of medicines. These were generally well managed however care needed to be taken to ensure that the medication administration records (MAR) were accurate. It was noted that one medicine had not been recorded on the MAR but the medicine had been given to the individual. It was also noted that the same person signed the MARs even if they had not given out the medicines. The person giving out the medicines should sign the charts to show they have administered it and take responsibility for the administration. The home continues to be well maintained and homely. Equipment is available to help those with reduced mobility such as walk-in shower, stair lift and wheelchairs. The bedrooms for the people living in the home are found on the first floor and the living quarters for the manager and her partner are on the second floor. There are good garden facilities available for the people living in the home during the good weather. There is a small staff team that know the needs of the people living in the home. They work well together. All but one of them are trained to NVQ level 2 or above. The training matrix showed that some training needed to be updated. This included manual handling, first aid and adult protection procedures. This will ensure that the staff are kept informed of developments in current good practices. The management of the home ensures that the people living there benefit from a well managed home where their needs are well catered for and where they live as part of an extended family. Since the last key inspection one safeguarding issue had been raised. The issues raised had been addressed and the matter had been resolved. There is a quality assurance system in place in the home however, further work is needed on it to enable a development plan to be put in place. The home is safe and equipment is regularly maintained. The gas service was due and training for staff in the fire procedures in the home was needed. What the care home does well: The people living in the home are treated as part of an extended family where their needs are known and met in a personalised way. There is a small staff team who have worked at the home for a long time. This ensures the continuity of care for the people living in the home. The people living in the home receive a varied and nutritious diet. The people living in the home are assisted to access all medical facilities such as GP, Care Homes for Adults (18-65 years) Page 5 of 10 hospitals, dentists and opticians. Contact with families is encouraged and people are assisted to be part of the local community by using facilities such as churches, shops and day centres. Activities are arranged according to peoples needs and wishes. Comments made by health care professionals included: Clients well cared for and seem happy. Comments made by relatives included: Happy with Xs care. X is extremely happy at the family run home and I have no concerns about her welfare or care. X is slowing down due to her age, and chooses to only go to day centre 2 days or not if she wants. Life is made interesting if she stays at home. X is well looked after and the food is first class. The house is always clean and tidy and the staff are all very nice and look after X very well. Look after the residents sensitively according to their particular needs. 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 10 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 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 1 6 Goals identified on care plans should be practical and measureable enabling the people living in the home to develop their skills and interests. All medicines being administered should be recorded on the medicine administration records and they should be signed by the people giving the medicines. This will ensure that there will be accurate records for the administration of medicines. Arrangements should be put in place to ensure that the staff receive regular updates on their mandatory training including adult protection, first aid and manaul handling. This will ensure that the staff have up to date information on current good practices. Arrangements should be put in place for the service of the gas equipment. This will ensure that the equipment is safe for use. Arrangements should be put in place for the training of staff every six months in fire prevention and evacuation procedures. This will ensure staff know what to do in an Page 8 of 10 2 20 3 35 4 42 5 42 Care Homes for Adults (18-65 years) 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 emergency. 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. 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