Care Home: 58 Whichers Gate Road

Similar services:

• Hillview Farm
• Dalewood Respite Care
• Orchard,The
• REACH Upton Court Road
• Fairways
• Treloar College
• Kestrel House, St Anne`s Opportunity Centre,
• Pinta

What the care home does well There is a relaxed and friendly atmosphere in the home and staff know how each person likes to be supported.People who live in the home said they get the right support from the staff and the manager and know how to ask for help if they need it.The staff are reliable and have training to make sure that they can meet the needs of everyone who lives in the home.People who live at 58 Whichers Gate Road help to run the home and they make decisions about what happens there.Visitors are welcome and people can keep in touch with their friends and relatives.A person who lives in the home told us "I think it`s fantastic here". What has improved since the last inspection? Work has been done in the house and the garden to make it look better.The manager is doing more training that she will then use to train staff. What the care home could do better: The home needs to have a place to store particular types of medication that people living in the home may be prescribed, because of changes in the law. Key inspection report Care homes for adults (18-65 years) Name: Address: 58 Whichers Gate Road 58 Whichers Gate Road Rowlands Castle Hampshire PO9 6BB The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Laurie Stride Date: 1 3 0 7 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. They reflect the things that people have said are important to them: 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 Care Homes for Adults (18-65 years) Page 2 of 30 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 mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC 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 30 Information about the care home Name of care home: Address: 58 Whichers Gate Road 58 Whichers Gate Road Rowlands Castle Hampshire PO9 6BB 02392413141 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): lynn@dandarodgers.wanadoo.co.uk Mr David Rodgers Name of registered manager (if applicable) Mrs Mandy May Clarke Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 3 0 care home 3 learning disability Additional conditions: The maximum number of service users to be accommodated is 3 The registered person may provide the following categories of service only: Care home only(PC) to service users of the following gender : Either whose primary care needs on admission to the service are within the following category: Learning disability (LD) Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home 58 Whichers Gate Road is a house for three people, near to the village of Rowlands Castle. Each person who lives there has their own bedroom. People who use the service are supported to be independent and to do the things they want to do. Fees are 480.00 pounds per week. Care Homes for Adults (18-65 years) Page 5 of 30 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 Care Homes for Adults (18-65 years) Page 6 of 30 How we did our inspection: This is what the inspector did when they were at the care home We (the commission) visited the home on 13th July 2009 and telephoned the manager in the morning to tell them we were coming. We looked at how well the home was doing since the last inspection on 7th August 2007. We were in the home for three hours. Care Homes for Adults (18-65 years) Page 7 of 30 We met two of the people who live in the home and spoke with them and we also talked with the manager. The home gave us information about what they were doing in their annual quality assurance assessment (AQAA). What the care home does well There is a relaxed and friendly atmosphere in the home and staff know how each person likes to be supported. Care Homes for Adults (18-65 years) Page 8 of 30 People who live in the home said they get the right support from the staff and the manager and know how to ask for help if they need it. The staff are reliable and have training to make sure that they can meet the needs of everyone who lives in the home. People who live at 58 Whichers Gate Road help to run the home and they make decisions about what happens there. Visitors are welcome and people can keep in touch with their friends and relatives. Care Homes for Adults (18-65 years) Page 9 of 30 A person who lives in the home told us I think its fantastic here. What has got better from the last inspection Work has been done in the house and the garden to make it look better. The manager is doing more training that she will then use to train staff. Care Homes for Adults (18-65 years) Page 10 of 30 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home Care Homes for Adults (18-65 years) Page 11 of 30 If you want to speak to the inspector please contact Laurie Stride Care Quality Commission SE Citygate Gallowgate Newcastle upon Tyne NE1 4P Tel 03000 616161 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 12 of 30 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 13 of 30 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. The home continues to assess and review the needs and aspirations of people who use the service, so that it can be sure of providing the right support to meet them. Evidence: The registered manager confirmed that there had been no new admissions to the home. The previous key inspection on 07/08/07 showed that there was a comprehensive assessment process ensuring individuals needs are identified by the home prior to admission. During this visit we saw samples of the records of care and support provided to the three people who live in the home. These showed that the individuals needs and wishes are being continually reviewed so that the service can be sure of being able to continue to meet the needs. Examples included monthly and annual reviews and updated risk assessments. Care Homes for Adults (18-65 years) Page 14 of 30 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. People who live in the home are actively involved in planning their support and make choices on a day to day basis so that they can do the things they like doing. Evidence: The AQAA told us that each person who lives in the home has an in-depth personal file which covers all their needs and choices. Yearly reviews are held with residents, their families and placing authorities when needed. This was confirmed during our visit through talking with two of the people who use the service and the manager and looking at samples of care records. People who live in the home told us that they are involved in planning the support that is provided for them and were happy to show us and talk about their individual care plans. The plans were clear, well-organised and up to date. We saw that where an individual had been asked if she wanted to take part in developing a plan, but had said she did not wish to, that had been recorded. There were records of monthly and annual reviews, risk assessments and incident forms, showing that individuals strengths, wants and needs are continually being assessed and any changes incorporated into the support plans. One person whose care plan we saw told us that the support they receive is very good. Care Homes for Adults (18-65 years) Page 15 of 30 Evidence: Throughout our visit we observed respectful and friendly interactions between the manager and people who use the service. One person who lives in the home told us that they can come and go as they like. Both individuals talked to us about their routines and how each participated in the daily running of the home. Care Homes for Adults (18-65 years) Page 16 of 30 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported to be involved in the community for recreational, educational and employment purposes based on their wishes, which promotes their independence. Evidence: The AQAA told us that the home continues to promote the independence of the people who use the service, for example supporting them to find work placements and college courses. We saw that each person who lives in the home had been supported to complete Listen to me documents, which detail what they like doing and want to do in the future. We spoke with two of the people who live in the home and they told us about these documents and their involvement in them, showing that these are live working documents that reflect individual needs and wishes. One person told us about the college course they are doing and we saw that people have certificates showing their previous achievements. Two of the people who live in the home have jobs in the community. The other person spoke to us about the work placements they had held until a recent change of circumstances. These changes had been recorded, showing that these had been Care Homes for Adults (18-65 years) Page 17 of 30 Evidence: discussed and agreed between the individual, their relative and the manager. Through discussion with both individuals and the manager and reading the records, it was clear that the home maintains good relationships with relatives and encourages people to have full social lives, including holidays and trips out. There is a camera and intercom system installed so that the residents can see and speak to anyone who visits the home. The people who live in the home explained to us how and when they use this system. Each person has their own chosen routine that includes household tasks. We asked about these and the individuals told us that they liked doing these things. The manager told us that the routines are kept flexible and are discussed at house meetings so that people can make changes if they want to. Throughout our visit we observed people who live in the home chatting and discussing tasks they were doing, such as the laundry and menu planning. The two people we spoke with showed us how they plan menus on a daily basis and record the meals they have and told us they were going shopping after our visit. The manager was providing support and transport for this. The menus showed a variety of meals and the manager said that healthy eating is encouraged. Care Homes for Adults (18-65 years) Page 18 of 30 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 who use the service have their physical and emotional needs met and are supported to manage their own medication. Evidence: People who use the service told us they receive the personal support they wish to have and we saw that individual needs are recorded in care plans. The AQAA told us that the service has organised full health checks for all the residents. We saw records showing that people who live in the home have access to health care services when required, such as doctors, dentisits and opticians. A meeting had been arranged with one persons care manager to discuss some recent changes and review the individuals needs. A doctor had also been contacted in relation to this and the individual, who we spoke with, was aware of what was taking place. Self-medication is promoted in the home and all residents are involved following risk assessments that are regularly reviewed. Small amounts of medication are dealt with in the home and are recorded as dispensed by the manager or staff member and the residents then hold these and record when they take them. The manager said she has contacted the pharmacy to enquire about a dosette system, which would mean staff only have to check and sign for the dosette box filled by the pharmacist. The home does not have a purpose built medication cabinet and medication is kept in a cupboard in a locked Care Homes for Adults (18-65 years) Page 19 of 30 Evidence: office. Since the last inspection the legislation around medication stored in care homes has changed and now requires homes to have a specific storage facility for controlled drugs. This was discussed with the manager who said she would act on this to ensure the home meets this requirement and would confirm when this had been completed. We saw records indicating that a staff member who works in the home had received training in medication management. Care Homes for Adults (18-65 years) Page 20 of 30 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. People who use the service are confident about expressing any concerns and know that these will be listened to and responded to appropriately. People feel safe living in the home and they are protected by the homes procedures and staff training. Evidence: We saw that the home has a clear complaints procedure in a pictorial format and the AQAA told us that everybody has received a copy. The home has a system for recording any complaints and actions taken. The manager said that to date this has not had to be used and people who use the service told us that they had no concerns and could talk to the manager if they needed to. We observed that people who live in the home talked freely and openly with the manager during our visit. We discussed with the manager the procedures for responding to any suspected abuse and the manager was clear about these, including her responsibilities and the role of Social Services. We saw records showing that a member of staff had completed training in adult protection and the manager said that this training had recently been updated. Risk assessments had been reviewed and updated regularly and people who live in the home told us about systems in place to keep them safe. Records showed that the home carries out thorough checks on new staff members before they are allowed to work in the home. Care Homes for Adults (18-65 years) Page 21 of 30 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. People who use the service benefit from a well-maintained, safe and comfortable home that meets their individual needs and promotes their independence. Evidence: The home is bright, airy and fresh and decorated to a good standard. The AQAA told us that in the last twelve months two of the bedrooms and a residents personal office had been decorated and we saw further evidence of this during our visit. There are plans to re-paint the external windows and replace the dining room carpet in the next twelve months. We saw that maintenance records are kept and there are regular checks and health and safety audits. All of the bedrooms were personalised to the individuals taste and we spoke with two of the people who live there who told us that they felt it is very much their home. We observed residents going about their daily routines while we talked with the manager and looked at records. There are cleaning rotas for residents and staff, so that chemicals such as bleach, for example, are only used by staff. Staff receive training in infection control. Handwashing facilities are provided in the kitchen, bathroom and WC and these areas are suitably equipped with soap and towels. There is a long back garden and residents have been advised following risk assessment to only use part of it due to an uneven surface. This leaves plenty of space for them to use Care Homes for Adults (18-65 years) Page 22 of 30 Evidence: and the individuals we spoke with said they were happy with the arrangement. Care Homes for Adults (18-65 years) Page 23 of 30 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 who live in the home are supported by suitably trained and qualified staff who work flexibly to promote service users independence. The staff recruitment procedures protect people who use the service. Evidence: The manager and one member of staff provide support over the five week days. The times when support is given depends on the needs and activities of the individuals who live at the home. The residents we spoke with said they had enough support to meet their needs, as they are able to do a number of things independently including using the community. They described the procedures that are in place for contacting staff in an emergency or if otherwise needed. The telephone numbers were clearly displayed on the wall near the telephone. The interactions we observed between the manager and people who use the service were positive and supportive. We looked at the recruitment and training records for the member of staff. These showed that POVA First and Criminal Records Bureau checks had been carried out by the company prior to the person being employed. The training records showed that training had been given in health and safety, basic first aid, moving and handling, food hygiene, fire safety awareness, medication management, understanding abuse and managing challenging behaviour. The member of staff had completed a National Vocational Qualification in health and social care in April 2009. The manager told us that training Care Homes for Adults (18-65 years) Page 24 of 30 Evidence: about epilepsy and equality and diversity was being arranged. Records of staff supervisions and meetings were also on file. Care Homes for Adults (18-65 years) Page 25 of 30 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 home is well managed and run in the best interests of the people who live there and the health and welfare of residents and staff is promoted. Evidence: The manager has worked in this and another registered home for over three years and was registered in respect of both homes in february this year. The manager has an NVQ level 4 and the Registered Managers Award and is currently training to train staff about Equality and Diversity issues and the Mental Capacity Act. The AQAA stated that the homes policies and procedures had been reviewed in January 2009. The home has quality assurance systems to make sure that the service is meeting the needs of the people who use it. In addition to daily discussion and the monthly and annual reviews, there are regular house meetings and survey questionnaires twice a year. The residents questionnaire is in a pictorial format and this had been given out in July along with staff and relatives questionnaires. The manager said she was waiting for the relatives questionnaires to be returned for this period and showed us a sample from the January survey. The manager said she discusses with the relatives any issues that arise. The samples of questionnaires we saw gave positive comments about the service. Care Homes for Adults (18-65 years) Page 26 of 30 Evidence: We asked a person who lives in the home for their views about the service and they told us I think its fantastic. Regulation 26 visits are carried out by the registered provider every month and we saw reports for each visit were held in the home. We also saw records of weekly maintenance checks and monthly health and safety checks carried out by the manager and staff. Weekly checks included the fire safety equipment and we saw that the fire log book was up to date. A fire safety training session about procedures, roles and responsibilities was carried out by an external company in March 2009. Two of the people who live in the home described to us the fire evacuation procedure and told us they take part in the first aid training with the staff. Up to date service certificates were on file for the gas and electrical appliances and the manager said she was waiting for the renewed electrical installation certificate. Care Homes for Adults (18-65 years) Page 27 of 30 Are there any outstanding requirements from the last inspection? Yes  No  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 28 of 30 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 Description 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 Description 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 Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - 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!