Care Home: 29 West Ashton Road

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What the care home does well We saw information, such as the minutes of house meetings and review meetings, which had been produced in a pictorial format. This made the information interesting to look at, and photos had been used to illustrate particular items. We thought that the home had done an excellent job in producing information in ways that would make it more accessible to people at the home. During our visit we talked with people in the lounge and heard about some recent developments. People had been consulted about changes that were being planned concerning the future of 29 West Ashton Road as a care home. Meetings had been held to explain the plans and to ask people for their views. Information about these meetings and the consultation process was also being produced in a pictorial format. We were told about books that were being produced with people who lived at the home about their `End of Life` wishes. One person showed us their book, which was very well illustrated to show the things that were important to them. Photos and illustrations had been used to help the person express and communicate their wishes. The work on `End of Life` wishes showed a very person centred and individual approach. We saw how people were being encouraged to take responsibility in the home, such as by being able to look after their personal records in their own rooms, rather than these having to be kept in the office. What the care home could do better: The home generally looked clean and tidy, although it was agreed with the deputy manager that basin taps needed a more thorough clean and to have a build up of scale removed so that they would look nice and be more hygienic. We saw that there was a window on the first floor landing which could open fully and without restriction. We talked to the deputy manager about the safety of this. The deputy manager confirmed that a risk assessment would be undertaken and action taken in the light of the findings to ensure that the window was not a hazard for people. Random inspection report Care homes for adults (18-65 years) Name: Address: 29 West Ashton Road 29 West Ashton Road Trowbridge Wiltshire BA14 7BJ three star excellent 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: Malcolm Kippax Date: 3 0 0 6 2 0 1 0 Information about the care home Name of care home: Address: 29 West Ashton Road 29 West Ashton Road Trowbridge Wiltshire BA14 7BJ 01225766654 Telephone number: Fax number: Email address: Provider web address: h5m001carwithen@mencap.org.uk www.mencap.org.uk Name of registered provider(s): Name of registered manager (if applicable) Susan Grace Carwithen Type of registration: Number of places registered: Conditions of registration: Category(ies) : Royal Mencap Society care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 6 No more than 6 service users with a learning disability which includes the 1 named male service user with both a learning disability and physical disablement currently being accommodated Date of last inspection Brief description of the care home 29 West Ashton Road provides personal care and accommodation for up to six adults with learning disabilities. The home is run by Mencap and a housing association owns the property. 29 West Ashton Road is in a residential area of Trowbridge. The home is a Victorian, semi-detached property on two floors. Each person at the home has their own room. Two bedrooms are on the ground floor and four rooms are on the first floor. The Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home bedrooms do not have en-suite facilities. There is a bathroom on the ground floor and a shower room on the first floor. The communal areas include a lounge, a dining room, a kitchen, and a separate utility room with laundry facilities. At the rear of the home there is a large garden with a lawn, shrubs and vegetable plot. People who live at the home receive support from a permanent management and staff team. The fees at the time of the last inspection were £528.00 per week. Some additional charges are made, including the costs of holidays and travel. Information about the service is available in the homes Statement of Purpose. Copies of inspection reports can be obtained from Mencap and are also available through the Commissions website at: www.cqc.org.uk The previous key inspection of 29 West Ashton Road was on 26th June 2007 when the home was rated as Excellent. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We made an unannounced visit to 29 West Ashton Road at 1.40 pm on 30th June 2010. There were five people living at the home at the time and people were doing different things when we arrived. Three people were attending day centres, which was something they did each week. Two other people were having home based days; one person told us that they had been shopping during the morning. They said that they liked going out to buy a newspaper each day and could do this by themselves. We met with the homes deputy manager who said that a number of people went out by themselves and that risk assessments had been undertaken to help ensure that they did this safely. People told us that they helped with the household jobs, such as vacuuming, washing up and cleaning bathrooms. We met one person who had moved into 29 West Ashton Road since we last inspected the home. We were told that they had settled in well. We read about review meetings that had taken place to help ensure that the move went smoothly and so that any difficulties could be addressed. A needs assessment had been undertaken and an initial care plan produced. This person required a special diet and they told us about the support that they received with eating the sort of foods that were right for them. We saw that a Health Check record had been completed for this person when they moved in. The deputy manager told us that there were no concerns about peoples health at the present time. They said that some people had medicines for particular conditions, although there were no controlled drugs being prescribed. We looked at the medicine administration records for two people. These records were up to date to show when people had received medicines and the name of the staff member who had provided support. The deputy manager told us that two new staff members had recently started. We looked at a recruitment checklist. This showed that checks had been undertaken, such as Criminal Records Bureau (CRB) disclosure and proof of the applicants identity. References had been obtained. These checks help to ensure that applicants who are unsuitable for the work are not appointed and the people at the home are better protected as a result. One staff member had started working in the home before their CRB disclosure had been returned. The checklist did not show whether an ISA Adult First check had been undertaken. This check shows whether the applicant is someone who should not be working with vulnerable people. It needs to be carried out if they are to start working with people at the home before the outcome of their CRB disclosure is known. A manager from Mencap later confirmed with us that this check had been carried out before the person started work. We looked at several Accident/Incident/Near misses forms that had been completed since the start of the year. Significant events and incidents were being followed up and discussed with other agencies where necessary. We looked at the communal areas of the home and the environment generally looked clean and tidy. The deputy manager said that the ground floor bathroom was going to be refurbished. There was a notice board in the dining room which included the minutes of house meetings and information about peoples different jobs in the home. There was Care Homes for Adults (18-65 years) Page 4 of 8 also a complaints procedure. We saw that forms were available if anybody wanted to log a formal complaint. 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 24 That a check is made on all windows above ground floor level to ensure that they do not present a risk to people who live at the home. This would include looking at the extent that they open and whether this needs to be restricted for peoples safety. 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. 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