Care Home: 63 Hoveringham Drive

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What the care home does well The AQAA completed by the manager tells us what the service does well- `Person centred approaches including `learning logs`, and active support records. Delivers an excellent service that meets the individual needs of service users`. The person who had help to complete our Have Your Say survey told us that they are supported by staff to make decisions of what they wish to do during the day. They also indicated that they know how to complain if they feel they have cause to do so. Staff completing our survey told us that they get sufficient training for them to do their job,and know what to do if they have any concerns relating to the service. Six out of the ten completed surveys indicated that usually there are sufficient staff at the service. Some additional comments in the surveys are - `Staff are well trained to meet needs`. `Good communication, plans of care in place and followed. It has a caring quality, warm and friendly environment, and good place to work`. `Provides holistic care to people, respects their individual choices`. We looked at the care records of two people living at the home and found that each person has a full assessment of their care needs. We saw that each person has anindividual support plan for both day and night. This gives the support workers the information they need to provide care and support to each person in the way they prefer, at the time they prefer it. The files contained completed risk assessments where they may be a potential harm to the person. A plan of care is available to give directions to the support workers on the way they can reduce the risk of harm. We saw that there are plans for maintaining effective communication with people when they have difficulties verbalising their needs. Alternative methods of communication are recorded. We looked at the systems for administering medication to people, staff explained the procedures and we looked at the medication administration records (MAR) for a selection of people. We discussed the administration of creams and lotions, the manager explained that the support workers apply and administer these preparations. The MAR is not completed at each application, the manager explained that the creams are applied each day. We spoke with the manager and suggested that a separate record for support workers to sign could be used in conjunction with the MAR. The manager confirmed that all staff have had recent training in medication management. The AQAA records that the service has received two complaints within the last twelve months. We spoke with the manager and looked at the way the service records and responds with complaints and the action that had been taken. We, the commission, have not received any correspondence in relation to concerns, complaints since the last inspection. The manager has the experience and knowledge to manage the home on a day to day basis, they offered their cooperation with this inspection. The documentation that we asked for, to support the information provided on the AQAA and our observations during the inspection, was readily available, up to date and in good order. The service continues to provide a quality service, with people expressing their satisfaction with their life at the home. What the care home could do better: It is considered that the service is continuing to provide an excellent service - no requirements and recommendations have been made as a result of this unannounced inspection. Random inspection report Care homes for adults (18-65 years) Name: Address: 63 Hoveringham Drive 63 Hoveringham Drive Eaton Park Stoke on Trent Staffordshire ST2 9PS three star excellent 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: Joy Hoelzel Date: 1 1 0 5 2 0 1 0 Information about the care home Name of care home: Address: 63 Hoveringham Drive 63 Hoveringham Drive Eaton Park Stoke on Trent Staffordshire ST2 9PS 01782201766 Telephone number: Fax number: Email address: Provider web address: Hoveringham@choiceshousing.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Terri Byczkowski Type of registration: Number of places registered: Conditions of registration: Category(ies) : Choices Housing Association Limited care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 6 The maximum number of service users who can be accommodated is: 6 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) 6 Date of last inspection Brief description of the care home Hoveringham Drive is located on a large private housing estate in the Bucknall area of Stoke-on-Trent. It has access to a small but adequate shopping centre and, via a local bus route, has relatively easy access to the main shopping centres of Hanley and Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home Longton. The bungalow is a purpose built unit that is run by The Choices organisation, who have a number of similar homes throughout the Potteries area. This home is registered to provide care for six people with varying degrees of learning disability. The design of the home is based on the domestic model, with six bedrooms, a domestic kitchen/diner, laundry, and a communal lounge. Bathrooms and toilets have been specially adapted to assist people with a physical disability. Doorways and corridors are wide to facilitate wheelchair use and have been fitted with grab rails. The open plan layout established by creating an archway between the kitchen and the lounge has achieved its objective of encouraging people to make more use of the lounge facilities. The property has a small but well kept garden at the rear with adequate seating for use in fine weather. There is a sloping Tarmac covered area at the front for car parking The exterior and interior are in a good structural state of repair. Information on the current level of weekly fees can be obtained directly from the service. Care Quality Commission reports for this service are available from the provider or can be obtained from www.cqc.org.uk Care Homes for Adults (18-65 years) Page 3 of 8 What we found: The service did not know that we would be calling to conduct an inspection of the home. The last key inspection of the service was completed in August 2007 and was rated as providing an excellent service. Annual service reviews in July 2008 and July 2009 did not change our judgement of the service. A look around the home took place, which included a number of bedrooms as well as communal areas. The care documents of two people using the service were viewed including care plans, daily records and risk assessments. Other documents seen included medication records and service records. Discussions were held with people at the home. Some people were unable to tell us about their experience of life at the home. Observations were made of how they spent the day and of the interactions offered by staff in an attempt to obtain an overview of how they may be feeling. Prior to this inspection an Annual Quality Assurance Assessment (AQAA) document was posted to the home for completion. The AQAA is a self-assessment and a dataset that is filled in once a year by all providers. It informs us about how providers are meeting outcomes for people using their service and is an opportunity for providers to share with us areas that they believe they are doing well. It is a legal requirement that the AQAA is completed and returned to the commission within a given timescale. The registered manager completed this document in March 2010 and returned it to us. Comments from the AQAA are included within this inspection report. We asked for our Have Your Say, surveys, to be distributed to people living in, working in and visiting the home. One was returned from a person living in the home (they had help to complete the form) and ten were completed by members of staff. The responses and comments are included in this report. What the care home does well: The AQAA completed by the manager tells us what the service does well- Person centred approaches including learning logs, and active support records. Delivers an excellent service that meets the individual needs of service users. The person who had help to complete our Have Your Say survey told us that they are supported by staff to make decisions of what they wish to do during the day. They also indicated that they know how to complain if they feel they have cause to do so. Staff completing our survey told us that they get sufficient training for them to do their job,and know what to do if they have any concerns relating to the service. Six out of the ten completed surveys indicated that usually there are sufficient staff at the service. Some additional comments in the surveys are - Staff are well trained to meet needs. Good communication, plans of care in place and followed. It has a caring quality, warm and friendly environment, and good place to work. Provides holistic care to people, respects their individual choices. We looked at the care records of two people living at the home and found that each person has a full assessment of their care needs. We saw that each person has an Care Homes for Adults (18-65 years) Page 4 of 8 individual support plan for both day and night. This gives the support workers the information they need to provide care and support to each person in the way they prefer, at the time they prefer it. The files contained completed risk assessments where they may be a potential harm to the person. A plan of care is available to give directions to the support workers on the way they can reduce the risk of harm. We saw that there are plans for maintaining effective communication with people when they have difficulties verbalising their needs. Alternative methods of communication are recorded. We looked at the systems for administering medication to people, staff explained the procedures and we looked at the medication administration records (MAR) for a selection of people. We discussed the administration of creams and lotions, the manager explained that the support workers apply and administer these preparations. The MAR is not completed at each application, the manager explained that the creams are applied each day. We spoke with the manager and suggested that a separate record for support workers to sign could be used in conjunction with the MAR. The manager confirmed that all staff have had recent training in medication management. The AQAA records that the service has received two complaints within the last twelve months. We spoke with the manager and looked at the way the service records and responds with complaints and the action that had been taken. We, the commission, have not received any correspondence in relation to concerns, complaints since the last inspection. The manager has the experience and knowledge to manage the home on a day to day basis, they offered their cooperation with this inspection. The documentation that we asked for, to support the information provided on the AQAA and our observations during the inspection, was readily available, up to date and in good order. The service continues to provide a quality service, with people expressing their satisfaction with their life at the home. 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 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. 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