Care Home: 5 St Margaret`s Gardens

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What the care home does well The AQAA told us the home had been working with people on developing Health Action Plans. A person showed us their health action plan. They had fully participated in creating this, and had a sense of ownership. It was an excellent example of person-centred, creative work, with photographs, pictures and accessible information. The home presented as homely and clean. The person who was in when we visited showed they felt completely at home. There had been significant investment in the environment, by way of a newly constructed conservatory. New furniture for this room had just been delivered. This will give people additional choices of where and how to spend their time. The garden was also receiving attention, with construction of a patio area. The garden fence had been replaced as requied following the previous inspection, when it had been broken. What the care home could do better: The kitchen showed evidence of gradual deterioration of surfaces and fittings, which will impact on the ability to keep it truly clean. This should be monitored closely, making good where possible and otherwise replacing. There were no negative comments in survey returns from people living in the home. However, we noted people had been assisted by staff of the home. It is preferable in seeking people`s views, to arrange for support from external trusted people, such as day centre workers or college tutors, in order to demonstrate independence from the service. Random inspection report Care homes for adults (18-65 years) Name: Address: 5 St Margaret`s Gardens 5 St Margaret`s Gardens Melksham Wiltshire SN12 7BT one star adequate service 21/05/2009 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: Roy Gregory Date: 2 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: 5 St Margaret`s Gardens 5 St Margaret`s Gardens Melksham Wiltshire SN12 7BT 01225709691 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Bernadette Anne Saunders Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ordinary Life Project Association care home 4 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 4 2 1 0 5 2 0 0 9 5 St Margarets Gardens is one of a number of care homes in Wiltshire that are run by the Ordinary Life Project Association (OLPA). The home is a detached house in a residential area of Melksham. There are some convenience shops and bus stops within walking distance. Parking is possible in the road outside. Each person who lives at the home has their own bedroom. One of the bedrooms is on the ground floor and has an en-suite bathroom. The other bedrooms and a bathroom are on the first floor. There is a sitting room and a dining room. A conservatory added in 2010 looks over a large garden at the side of the house. The homes garage is used as a laundry and storage area. Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home The people who live at the home receive are supported by a manager and a permanent staff team. There is at least one staff member working in the home throughout the day. Extra staff work at certain times. The fees are in the range of £875 - £1100 per week. Information about the home is available in a Statement of Purpose. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We visited the home on Monday 24th May 2010 between 4:20 p.m. and 5:40 p.m. This random inspection replaced a previously planned key inspection, following changes in our inspection priorities during the period of transition between our obligations under the Care Standards Act 2000 and the Health and Social Care Act 2008. The focus of this random inspection was on key areas of safety, and the services response to requirements and recommendations we made at our previous key inspection on 21st May 2009. Prior to the visit we received their Annual Quality Assurance Assessment [AQAA], which demonstrated how they plan to develop the service and also gave some numerical information. We received survey questionnaires by post from the people who live at 5 St Margarets Gardens, and from three members of staff. During the visit we met the registered manager Bernie Saunders, and one of the people that lives at the home. We looked around all the shared areas of the home, including the garden, and were able to see one bedroom. We looked at some care and health planning records, and how the home recorded accidents and incidents affecting the people that live there. We saw the arrangements for handling peoples medicines. We saw the arrangements made for storing and managing administration of controlled drugs. We toured all shared areas of the home. We looked at staff training records. On 1st June 2010 we visited the providers head office in Warminster to look at records of staff recruitment. One new member of staff had been recruited since our previous key inspection, when we made requirements that the service must be able to demonstrate that a thorough recruitment procedure is operated. We saw that the person had not been appointed until the service received confirmation that the persons history had been checked, to ensure they were not unsafe to work with vulnerable people. They had been subject of a scored interview, which took account of observations when the person visited the home and feedback from the people that live there. The required confirmation of the persons identity and integrity were in place. The requirement has therefore been met. Staffing rotas at the home showed the new member of staff had initially been supernumerary to the staff team after being appointed. They were not required to work alone until they were ready to do so. We were able to confirm that there were full training records for the staff of the home, as previously required. There were good records of the training that individuals had completed, and there was a plan in place for training for the year 2010-11. All staff had completed external equality and diversity training. All had done, or were due to do, update training in abuse awareness and safeguarding. End of life care training had been arranged with Dorothy House Hospice. In our survey of staff views, all three respondents indicated they received relevant, up to date training that helped them understand and work with peoples needs. Two of the three considered there were always sufficient staff to meet the individual needs of all the people in the home. As recommended at our previous inspection, the home had installed a medicines cabinet that meets the current storage regulations for controlled drugs, although no such Care Homes for Adults (18-65 years) Page 4 of 8 medicines were currently in use. One person in the home was self-medicating, with an appropriate risk assessment in place, which included locked storage in their bedroom. For other people in the home, there were good records of the receipt and administration of medicines. We saw evidence of close liaison with health professionals. In respect of one persons needs, the manager said training received about working with the Mental Capacity Act 2005 had proved very useful. The home had a very low rate of accidents. We saw that the Fire and Rescue service had visited the home and required improvements to the fire risk assessment, which had been carried out. 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 30 Carry out an assessment of the risks to good infection control practice in the kitchen, to devise an action plan for addressing any risks identified. Try to identify people outside the service who can support individuals living in the home to give feedback to the company, and to the inspection process, by way of questionnaires or other means. 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. 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