Latest Inspection
This is the latest available inspection report for this service, carried out on 4th 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 30 to 31 Pickwick Close.
What the care home does well Staff demonstrated a good knowledge of the needs and wishes of people living at 30/31 Pickwick Close. The care plans are well written and make good use of pictures and symbols and they provide staff with sufficient detail to enable them to meet people`s personal and healthcare needs. What the care home could do better: The home should employ more permanent staff. The badly stained bedroom carpets should either be cleaned or replaced. The damaged boxing around the shower room sink in number 31 should be removed and replaced. Repairs should be carried out in the bathroom in number 30. The rusty shower chair and mirror should be replaced, the stained shower curtain should be replaced and the rust stained flooring should be replaced and the boxing in around pipework should be repaired. Random inspection report
Care homes for adults (18-65 years)
Name: Address: 30 to 31 Pickwick Close 30/31 Pickwick Close Laindon Basildon Essex SS15 5SW 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: Pauline Marshall Date: 0 4 0 5 2 0 1 0 Information about the care home
Name of care home: Address: 30 to 31 Pickwick Close 30/31 Pickwick Close Laindon Basildon Essex SS15 5SW 01268410634 01268410634P/F luke.reeves@estuary.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr George Lai-Chun Type of registration: Number of places registered: Conditions of registration: Category(ies) : Estuary Housing Association Ltd care home 8 Number of places (if applicable): Under 65 Over 65 2 8 dementia learning disability Conditions of registration: 1 8 Accommodation and personal care to be provided for three service users who have Dementia and whose names are know to the Commission. No more than a total of eight service users to be accommodated at any one time. Date of last inspection Brief description of the care home Pickwick Close is situated relatively close to Basildon, Laindon and Wickford town centres. There are a good bus and train links to the area. The home provides 24-hour residential care for up to eight adults who have a learning disability. Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home The home comprises of two interconnecting bungalows. Each bungalow offers four single bedrooms, a large lounge, a dining room, kitchen, bathroom, shower room, sluice facility and separate toilet. There is also a separate office and a sensory room. Each bungalow has its own garden/patio area to the rear of the property. Parking is available to the front of the bungalows. The home has its own transport facilities for residents. The manager can provide people interested in living at 30/31 Pickwick Close with a copy of the homes Statement of Purpose and Service User Guide. The current cost of a bed space is £1443.58 per week and people pay a weekly contribution of between £70.15 and £110.30. There are additional charges for personal items such as toiletries and services including chiropody and hairdressing. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
This was an unannounced random inspection which lasted four hours and fifteen minutes. We did a tour of the premises and looked at a random sample of the homes records including the staffing roters, the activities records, the menus and the nutrition records. We spoke to people living in the home and to some of the homes staff. All of the people living in the home have communication difficulties, however, they were able to share their views through gestures and facial expressions. A new manager has been in post since 29/03/2010 but was on annual leave at the time of our visit; the person in charge of the home was the support worker that was in charge of the morning shift; this person assisted us with the inspection process. We received a completed annual quality assurance assessment (AQAA), which had been fully completed by the previous manager. The AQAA is a self assessment document that the manager is required by law to complete. We sent surveys to people that use the service and to some of the homes staff and we received a good response that contained many positive comments about 30/31 Pickwick Close. Comments from staff members included the home encourages people to remain as independent as possible and offers them choices in all aspects of their care and we get regular training and care is of a very high standard. We received one negative comment from a staff member regarding the lack of staff that were able to drive; they said that this sometimes limited outside activities. The last inspection took place on 21/06/2007 and it was identified at this inspection that people did not have sufficient opportunities to take part in activities in the local community. We found that more activities now take place both inside and outside of the home. Both the AQAA and the activities records showed that the level of activities had improved since the last inspection. The home employs a community access worker for five days each week and the activities records showed that people regularly used local amenities such as shops, colleges, bowling, day centres and pubs. The AQAA showed that many day trips had taken place in the past year. The activities records confirmed that people have participated in many day trips that included, a visit to the London eye, a boat trip in Lee Valley, Colchester Castle museum, the railway museum, Dickens World, Tilbury Fort, Sealife Centre, Marsh farm and a safari park. The person in charge of the shift told us that people frequently use the well equipped sensory room and that some people regularly have aromatherapy treatment. The activities records confirmed that people make good use of the sensory room and that they regularly have aromatherapy treatment. One staff member told us that people had a variety of activities within the home which includes painting on canvas boards, listening to music, colouring in books and watching films. The person in charge told us that some of the people living in 30/31 Pickwick Close preferred not to participate in some of the homes activities and people confirmed this. We looked at the homes menus and they showed that a variety of nutritious meals were offered and that if an alternative meal was provided, this was recorded. The nutrition records showed the amounts of food that people had eaten and people indicated that they were given the meals that they preferred.
Care Homes for Adults (18-65 years) Page 4 of 9 The home has recently been redecorated and has some new furniture. Peoples bedrooms were personalised and mainly clean and tidy, however two of the bedrooms had very badly stained carpets that need to be either cleaned or replaced. The boxing in of pipes in the shower room in number 31 was damp, badly damaged and hanging off the wall. The flooring, the mirror and the boxing in of pipes in the shower room of number 30 had rust marks. The person in charge said that the rusty shower chair that was in use had marked the floor. There was a strong smell of damp or mould in the room and the shower curtain was badly stained. We looked at the last two providers reports that were made under Regulation 26 and there was no mention of any repairs or replacements for either of the shower rooms or for the cleaning or replacement of any carpets. The manager has a planned four weekly duty rota and this showed that there was a shortfall of regular staff on every shift with the exception of some night shifts. The manager also produces a weekly rota which is used to record the names of staff that cover all of the shifts including agency staff. Any changes to the planned rota are shown on the weekly version and it also shows the name of the shift leader and provides a breakdown of the various shift times. This weekly rota showed that thirty seven shifts had been and were due to be covered by agency staff in the week commencing 3/5/2010. The person in charge told us that staff had been recruited but they could not start work until their CRB had been received; she was unsure of how many staff had been recruited but said that she felt there were two or three. The person in charge told us that two agency staff work a guaranteed thirty hours each week and one of these agency members of staff said that they were very happy working in the home and had done so for some time on a regular basis. We undertook Annual Service Reviews on 25/4/2008 and 30/09/2009 and these did not change our opinion about the service. 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
Care Homes for Adults (18-65 years) Page 5 of 9 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 24 It is recommended that the boxing in of pipes in both of the shower rooms is repaired and that the damaged flooring, the rusty shower seat, the stained shower curtain and rusty mirror are replaced to ensure that people using the service have hygienic well maintained bathing facilities and the stained carpets in two of the bedrooms should be either cleaned or replaced. It is recommended that the home employs more permanent members of staff to ensure that the service is effectively and efficiently run to meet the needs of the people it serves. 2 34 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!