Care Home: 46 Sedgley Road

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Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 46 Sedgley Road Swan Village Care Services Ltd 46 Sedgley Road Woodsetton Dudley West Midlands DY1 4NG     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Christine Lancashire     Date: 1 8 0 3 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: 46 Sedgley Road 46 Sedgley Road Swan Village Care Services Ltd Woodsetton Dudley West Midlands DY1 4NG 01902421938 08706092435 swanvillage1@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Swan Village Care Services Limited care home 5 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: Date of last inspection Brief description of the care home 5 46 Sedgley Road is a privately owned care home, which has been registered to provide care for a maximum of five adults who have learning disabilities. The home is situated in a residential area of Sedgley and has a regular public transport system that enables easy access to Dudley and Wolverhampton town centres and places of local interest such as Dudley Zoo, the Black Country Museum and the local nature reserve. There are car parking facilities at the rear of the premises. The ground floor of the house has a lounge, kitchen/dining area and a single bedroom with adjacent shower room. The first floor has four single bedrooms, a bathroom and small office. The home does not provide any lift facilities and therefore is not suitable for people who have difficulty negotiating stairs. Visitors are welcomed at any reasonable time. Care Homes for Adults (18-65 years) Page 4 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We carried out this inspection in order to measure the performance of the home against the key National Minimum Standards. Before the inspection we sent questionnaires to the people who use the service and to the manager so that she could provide us with information about how the home has been running diring the past year. We arrived at this home on a weekday morning without telling anyone that we would be visiting that day. We toured the building, and met some of the staff and people who live in the home. We examined a sample of records about the people in the home, the staff, health and safety and quality monitoring. We looked at the records of the administration of medication. We used our findings to write this report. Care Homes for Adults (18-65 years) Page 5 of 26 Care Homes for Adults (18-65 years) Page 6 of 26 What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 26 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 8 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs and aspirations are fully assessed prior to coming to this home. Evidence: We saw that the the home has a Statement of Purpose and service user guide, including information in pictorial format which is easier to understand for some people. They provide useful information about the home for people considering moving in and their relatives. We looked at a sample of two files, including that of the last person to be admitted. We saw that they contained the necessary assessments before the person was admitted and copies of letters offering a place and saying that the home would be able to meet their needs. The information from the assessments was used to form the basis of the care plans which help staff to know what support to provide to each person. Care Homes for Adults (18-65 years) Page 9 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs and personal goals are reflected in their care plans. They are encouraged to participate in decisions about their lives and are supported to take risks as part of an independent lifestyle. Evidence: We sampled the files and looked in details at those for two people in the home. The plans for each person are in two folders, which are well organised and properly completed. One contains health care information and relevant support plans related to this subject. The second folder contains care plans regarding topics such as showering and bathing, communication, personal hygiene, choosing clothes, oral hygiene, personal grooming, nail care, night time routines, privacy, supporting relationships, daily life skills, activities and behavioural support. We found the plans easy to understand with agreed support needs, short term and long term goals and detailed actions needed to meet the needs identified. People who Care Homes for Adults (18-65 years) Page 10 of 26 Evidence: are able to read and write are encouraged to sign the care plans to demonstrate their understanding and agreement. Staff told us that the plans contain enough details to help them to know how to support each person. We saw staff responding to peoples requests to participate in activities. People were preparing for a trip to a place of interest on the day of the inspection and staff were making sure that they were ready to go, for example checking that they were wearing suitable clothes and had completed personal tasks before setting off. There are communication plans and these include information provided by relatives and previous carers. Advocates are also arranged when needed. We saw staff communicating well with people who live in the home and giving clear indications of what would be happening. We saw a range of risk assessments covering activities of daily living and tasks relating to independence. Depending on their abilities, people are supported to make snacks and drinks. They are helped to have new experiences. Care Homes for Adults (18-65 years) Page 11 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported to take part in appropriate activities and to maintain links in the local community. They have appropriate relationships and their rights are respected. They are supported to have a healthy diet and enjoy their mealtimes. Evidence: On the day of the inspection, we met three of the people who live in the home and they were looking forward to going out on a trip to the Safari Park. We saw activity planners, but staff told us that they can also be flexible and respond to peoples preferences based on the weather or their mood. The records show that people take part in a range of in-house and community based activities with lots of access to the local community. For example, these include housework tasks, walks to the shops, watching movies, arts and crafts, bus trips to local towns, a pub lunch, going to the cinema, bingo and visits to a local places of interest. Staff complete daily reports and Care Homes for Adults (18-65 years) Page 12 of 26 Evidence: these include the activities. Use is also made of local colleges when possible. There are examples of arts and crafts by people in the home in various places, including their bedrooms. The staff and people in the home confirmed to us that people are supported to keep in contact with their family and friends. People have varying levels of contact, according to their circumstances. We saw that daily routines are flexible and promote independence. For example, people may have snacks and drinks when they wish to. The welcome pack given to people when they move in contains a range of policies in pictorial formats informing residents of their rights for example with regard to voting, advocacy and opening of correspondence. We looked at the menus and records of what people had chosen to eat. Staff told us that they have been making efforts to make sure that there are healthy options for people in the home. These include meat, fish, vegetables, salads, pasta, rice, traditional English foods and spicy meals. Fresh fruit is also available. Staff know the preferences and needs of the people in the home in terms of food and these are recorded on their files. A nutritional screening tool is used as part of the assessment process and the manager informed us that use has been made of the community dietician for further advice. Care Homes for Adults (18-65 years) Page 13 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People receive personal support in the way they prefer and require so that their physical and emotional needs are met. They are supported and protected by the homes practices in dealing with medicines. Evidence: We looked at daily reports completed by staff and found that the people who live at this home are provided with choices about their daily routines. The sampled support plans were detailed and show how each person needs and prefers to be supported. Our observations and examination of daily reports confirmed that staff are fully aware of the need to promote peoples dignity for example by ensuring appropriate clothing is worn and that people are well presented before leaving the house. Each person in this home has a health care action plan. There are checklists of actions with regard to making appointments to see health care specialists, attending health care screening and other routine appointments. There are care plans for specific health care issues. For example, there is a detailed support plan in place for management of Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: epilepsy, accessing health professionals and supporting people with clinical procedures. We looked at the arrangements for the storage, administration and recording of medication and found that these are good. We saw certificates to confirm that staff had been trained in the administration of medication. We saw that there is guidance for staff in relation to medicine which is taken as required. We saw detailed records of the receipt of medication into the home and the returns to the pharmacist. There were no gaps in the medication charts. Care Homes for Adults (18-65 years) Page 15 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This home has systems to ensure that the views of the people who live there are listened to and acted upon, giving assurance that people are well protected. Evidence: We saw a comprehensive complaints procedure which is openly displayed within the home. There is a pictorial complaints procedure for people who live in the home and copies are held in their welcome packs. We saw that there is a safeguarding policy and a copy of the Department of Healths guidance no secrets held in the managers office. There is also a copy of the Local Authoritys safeguarding and protecting vulnerable adults policy. Staff have been trained in vulnerable adult abuse awareness and we interviewed three members of staff, all of whom confirmed that they felt that people in this home are well protected. Two people who live in the home also told us that they feel safe there and they knew how to make a complaint if necessary. We saw risk assessments which identify the types of action which need to be taken in the case of challenging behaviour, in order to protect staff and people in the home. Since the last inspection there have been no complaints to the manager or to CSCI Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: about this home. Care Homes for Adults (18-65 years) Page 17 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people at this home live in a homely, clean, safe and comfortable environment which is well maintained and where there are good arrangements for infection control. However, the bathroom and toilet areas would benefit from decoration. Evidence: We looked round the home and three people invited us to look at their bedrooms. They had plenty of personal items and they said that they are happy with their rooms. The ground floor of the house has recently been refurbished. Most areas have had new flooring, including carpets in some areas. The living room is decorated and furnished in a homely and contemporary style, with ornaments and a large television. The bathrooms are in need of further work, some of which has been started. There are policies and procedures for infection control and we was supplies of gloves, aprons and hand gel. There are suitable bins and arrangements for the disposal of clinical waste. All ares of the home were clean on the day of the inspection and there were no Care Homes for Adults (18-65 years) Page 18 of 26 Evidence: unpleasant odours. There is a small garden area at the front of the house. This has been dug recently and there were flowering daffodils on the day of the visit. This makes a pleasant approach to the front door. To the rear of the property there is a sheltered garden which is fenced. The manager said that people make use of this space in the warmer weather. Care Homes for Adults (18-65 years) Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are supported by adequate numbers of appropriately trained and competent staff so that their needs are met. They are protected by the homes recruitment practices. Evidence: We looked at the rotas and saw that there are adequate numbers of staff on each shift. The manager told us that the team has been stable for three years, with the addition of one member. Staff told us that they are supported by other staff who will change shifts if, for example, one is attending a training session. They said that they are happy working at this home. Staff confirmed that they received a suitable induction and we saw the materials used. This complies with the requirements in this area. Staff also attend a variety of training in relevant areas such as food hygiene, epilepsy, medication and manual handling. Staff are encouraged to attend NVQ training and over 50 have achieved level 2 or above. The training matrix shows the plans for all staff over the coming year and this includes new training as well as refresher courses in basic areas. Staff are recruited through a standard company procedure and they are checked Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: through the Criminal Records Bureau. These measures help to protect the people who live in the home. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The people who live in this home benefit from from a well run home where their views underpin self monitoring, review and development. Their health, safety and welfare is promoted and protected. Evidence: The manager was present throughout the inspection. She is appropriately qualified and well experienced to undertake her role. The company has a quality assurance system and this includes seeking the views of people using the service and their representatives. There are regular visits from a representative of the registered provider and checks are made to ensure that the standards are maintained. The manager made available the records relating to the regular checks and servicing on equipment in the home. We sampled the safety records and found that these are up to date. There are also regular checks on fire safety equipment and water Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: temperatures. There are relevant risk assessments, including a fire safety risk assessment. We looked at food hygiene practice and saw that this was efficient. There is a food hazard analysis, regular testing of cooked food, fridge and freezer temperatures. High risk foods are labelled with the date of opening and stored in the fridge. Care Homes for Adults (18-65 years) Page 23 of 26 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 26 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, Care Homes 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 bathroom and WC areas are decorated to bring them up to the standards in other communal areas. Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: Telephone: 03000 616161 or Textphone: or 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 26 - 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. 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