Care Home: 5 Trinity Street

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What the care home does well Records kept by the service shows us it works well with health care professionals to ensure people`s health care needs are appropriately met and reviewed regularly. People are supported by staff trained in managing their medication and supporting people who sometimes display challenging behaviour. Comprehensive records are kept of situations were a person has displayed such behaviours, the actions taken by staff and whether or not "as and when required" medication has been taken. What the care home could do better: The manager should ensure written protocols are produced in a timelier manner whenever a person is prescribed "as and when required" medication. This should be kept on the person`s file for staff to refer when needed. This will ensure a consistent approach is taken by the staff team. The manager should carry out periodic assessments on staff who are responsible for managing medication to ensure they continue to be competent in this area, particularly for medication prescribed "as and when required". Information about staff who previously worked in another service within the company should be transferred with them and reviewed by the manager. This is to ensure any gaps in training are identified and, where necessary, a training programme is produced. This will ensure each member of staff is suitably trained to meet the needs of people living in the home. Random inspection report Care homes for adults (18-65 years) Name: Address: 5 Trinity Street 5 Trinity Street Old Hill Cradley Heath West Midlands B64 6HT two star good service 10/03/2009 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: Linda Elsaleh Date: 3 0 1 0 2 0 0 9 Information about the care home Name of care home: Address: 5 Trinity Street 5 Trinity Street Old Hill Cradley Heath West Midlands B64 6HT 01384823048 Telephone number: Fax number: Email address: Provider web address: info@inshoresupportltd.com Name of registered provider(s): Name of registered manager (if applicable) Christine Bridgwater Type of registration: Number of places registered: Conditions of registration: Category(ies) : Inshore Support Limited 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 5 Trinity Street provides long term care to 3 adults with a learning disability who are of mixed gender. The house is sited near the centre of Old Hill in an established residential area that affords easy access by foot to a range of local facilities, including Care Homes for Adults (18-65 years) Page 2 of 8 1 0 0 3 2 0 0 9 Brief description of the care home public transport. Staff also have access to a car for transporting the residents between venues. The house is a terraced property that has been adapted for its current use and consists of two living rooms, a kitchen/diner and three single bedrooms as well as bathroom and toilets. The main stated aim of the home is to provide a service that reflects the expectations of the residents: identifying and fulfilling their individual needs by means that are valued by society; this in order to develop and support individual and personal experiences and characteristics which are culturally valued and maintained. There is a staff group that consists of a manager, senior support staff and support workers. There are waking staff available 24 hours per day. The manager is responsible to a service manager and directors of Inshore support who have a number of homes of similar size and purpose. The current charges for living at the home are not detailed in the homes statement of purpose (as should be the case) and the home should be contacted for information as to what these are. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We looked at the health and medication records for two people living in the home. These tell us people are supported to access health care services. The information kept on their individual files are detailed and include daily monitoring records of health issues and, where changes have been, of their medication. The medication adminisration record (MAR) sheets we sampled were clearly recorded and, as required by the services procedures. The records show both people are prescribed as and when required medication. One persons file contains a protocol for administering this medication. Staff we spoke to demonstrated they understood this information and were clear about how to respond to the persons behaviour in accordance with her/his care plan. We were informed the second person had only recently been prescribed as and when required medication. A written protocol for administering this was not available. The senior member of staff on duty told us this was being produced and staff had been made aware of the new prescription and the reasons for this in the communication book and at the staff meeting held on 26th October 2009. We saw staff following the services procedures for administering medication when we arrived. A member of staff spoke in detail about procedures and practice showing us they had a good understanding of medication issues. The manager informed us prior to this visit that she would be assessing the practice of individual staff members responsible for managing medication. We looked at a senior member of staffs file and found records of practice assessments carried out in 2006 and 2007, but no evidence of any recent assessments. The training matrix shows us the support workers on duty have attended training in Safe Handling of Medication in July this year, one had attended additional specialised medication training and the other was booked to attend later this month. Both have attended training in managing challenging behaviour. The records also showed us staff have also recevied training in safeguarding vulnerable adults and first aid. These were recommendations made in the key inspection report for March 2009. There were no training records for the senior member of staff who was on duty. They told us they had recently returned to work at the home and were familiar with the needs of the people who live here. They said they had attended all relevant medication training and confidently explained the different procedures. We spoke to the manager following this inspection and she confirmed this information was correct. What the care home does well: Records kept by the service shows us it works well with health care professionals to ensure peoples health care needs are appropriately met and reviewed regularly. People are supported by staff trained in managing their medication and supporting people who sometimes display challenging behaviour. Comprehensive records are kept of situations were a person has displayed such behaviours, the actions taken by staff and whether or not as and when required medication has been taken. Care Homes for Adults (18-65 years) Page 4 of 8 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 20 The records for staff who have worked in other services within the company should be transferred with them and reviewed by the manager to ensure staff are suitably trained to meet the needs of the people who live in this home. Individual protocols for as and when required medication should be produced in a timely manner to ensure a consistent approach to administering this medication is taken by staff. Records of staff who have transferred to this service from another service within the company should be kept held on these premises and reviewed by the manager. This is to ensure they are suitably trained to meet the needs of the people who live here. 2 20 3 36 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. 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