Latest Inspection
This is the latest available inspection report for this service, carried out on 8th June 2010. CQC found this care home to be providing an Excellent service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for 7 Crawford Street.
What the care home does well The home presents a warm, friendly atmosphere and there was good interaction between staff and guests. Guests are encouraged to make their own choices and maintain their independance. A regular staff team provide care and support to the guests and they are aware of their needs and how to support them. Care records are detailed to ensure all guests` individual care needs have been taken into recorded. This ensures the staff have the information on how to meet those needs in the way in which the guests prefer. A varied activity programme is in place to meet the guests needs during their stay. These include BBQ`s, trips out, cinema and female only weekends. Staff commented: "We will do what we can to make their stay a happy one." Staff surveys received provided the following positive comments on the management of the home. Their comments include: "We keep families informed of all relevant information." "All staff work together sharing information and support each other." "The manager is very good and helpful." Staff spoken with said: "Supervision is very good." "Support from the manager is very good." "We are very involved with the families and have an open relationship." "We have a good team." What the care home could do better: Training in the Mental Capacity Act 2005 and Deprivation of Liberty should be provided so that staff are aware of how to meet the needs of those who cannot make their own decisions. The manager should record his assessment of the staff competency whilst administering medication. To show they are providing a safe system of working. Random inspection report
Care homes for adults (18-65 years)
Name: Address: 7 Crawford Street Mencap Homes Foundation 7 Crawford Street Bolton Lancashire BL2 1JG three star excellent service 21/05/2007 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: Elaine Stoddart Date: 0 8 0 6 2 0 1 0 Information about the care home
Name of care home: Address: 7 Crawford Street Mencap Homes Foundation 7 Crawford Street Bolton Lancashire BL2 1JG 01204398122 Telephone number: Fax number: Email address: Provider web address: www.mencap.org.uk Name of registered provider(s): Name of registered manager (if applicable) Mr P Rimmer Type of registration: Number of places registered: Conditions of registration: Category(ies) : Royal Mencap Society care home 6 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 6 Crawford Street is operated by Mencap. It provides a short stay respite service for adults who have a learning disability. The service has recently expanded to offer specific support to people who have particular needs in relation to Autism. The registered manager is Mr Paul Rimmer who is responsible for the day to day running of the home. The house is a large bungalow with ramped access and a number of adaptations designed to meet the needs of people with physical disabilities. The home is situated close to Bolton town centre, off the main Bolton to Bury road, and within easy reach of shops and leisure facilities. Accommodation is provided in single bedrooms throughout and provides spacious, comfortable accommodation for those
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home who stay there. Since April 2010 the local Social Services Department spot purchases with the service for respite placements and the funding for each individual is specific to their assessed needs. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
7, Crawford Street provides a short stay respite service for adults who have a learning disability. The registered manager is Mr Paul Rimmer who is responsible for the day to day running of the home. The manager was not on duty at the time of the visit. The random inspection was conducted with three support workers who provided the information, records and documents to demonstrate the care and support provided. People who use the service like to be called guests and this term is used in this report as a mark of respect to them. The house is a large bungalow with ramped access and a number of adaptations designed to meet the needs of people with physical disabilities. Accommodation is provided in single bedrooms throughout and provides spacious, comfortable accommodation for those who stay there. We undertook a site visit as part of the inspection, which focused on two outcome areas. These were Personal and Healthcare Support and Concerns, Complaints and Protection. During the visit two of the guests care files were case tracked (their care files were examined to help to ensure the staff were providing the care and support they needed). We spent time with the staff on duty and spoke with two guests to gain insight into what it is like to work and stay at the home. An annual quality assurance assessment (AQAA) was sent by us to the service. The AQAA is a self-assessment and a dataset that is filled in once a year by all providers and it is one of the main ways that we will get information from providers about how they are meeting outcomes for people using their service. The AQAA also provides us with statistical information about the individual service and trends and patterns in social care. No surveys were returned to us by people using the service. Eight surveys were returned by staff and their comments were positive on the management of the home. Outcome Area - Personal and Healthcare Support. The AQAA reported All guests are supported to be as independent as possible so that their dignity and privacy is respected. Support plans outline personal care and support needs in great detail with clearly defined outcomes. All the staff team sign up to the risk assessments to show that they are aware of the guests needs and respect those needs. Care files we looked at gave good detail about the guests individual care and social needs. Staff have sufficient information to enable them to provide the care and support to meet their individual needs, wishes and preferences. Support plans outlined the guests daily routines, likes and dislikes, what they like to do, preferred times for getting up and going to bed and social interests. Specific needs were identified, such as how they like to be managed while receiving their personal care, meals and medication. All care needs are reviewed prior to admission with the family to ensure any changes in
Care Homes for Adults (18-65 years) Page 4 of 10 care needs are identified. We saw that risk assessments were in place in respect of their care and daily living. This ensures that the staff are able to minimise risks to the individual when providing the care and support. Record are maintained of the guests health care needs. Any specific health care needs are recorded and staff are made aware of these to enable them to monitor this during their stay. Each guest maintains their own GP while on respite. The staff attend any health care appointments with them should they need to during their stay. Guests are encouraged to maintain their independence at all times, as their care plans clearly outline the support needed by the staff in the way in which they prefer. This was observed during the visit, as staff attended to the needs of a guest. Staff were observed to treat guests with dignity and respect at all times during the visit. A pleasant relaxed, friendly atmosphere was present. Staff spoke to guests in a caring manner and always knocked prior to entering rooms. The activities provided are tailored to meet the guests needs during their stay and records are maintained to show this. Staff are available twenty four hours a day to provide care and support to the guests during their stay. Sufficient staff were on duty to meet the guests needs. Additional staff are provided during peak times and for those guests who require one to one support. Staff maintain good relationship with parents to ensure they are satisfied with the care and support given and receive up to date information to ensure their stay is a safe and happy one. The home provides ladies only weekends where all care staff and guests are female. They have aromatherapy, nail care and take away meals. Parents complete an up to date medication form for each guest on admission. This is checked and recorded by the staff and countersigned by the manager. Thus ensuring the correct medication is in place for administration during their stay. Stock control records are made by two staff to ensure medication administered is monitored closely. All medication administered are signed for by staff to verify the guests have received their prescribed medication. Staff are trained to administer medication safely. Staff confirmed that the manager conducts medication rounds with them while on shift to assess their competency. Records should be maintained to show this occurs. All medication is securely stored when in the home and a responsible person is allocated daily to oversee medication needs. The parents sign to accept that medication can be administered by staff. Medication policies and procedures are in place to enable safe systems of administration. Staff training profiles seen showed that staff are trained in areas which are relevant to meet the needs of the guests they care for. Taining includes epilepsy and challenging behaviour. Outcome Area - Concerns, Complaints and Protection. The AQAA reported If the service fails to meet that high standard we encourage the guest, family to inform us so that we can get their support as they wish it to be.
Care Homes for Adults (18-65 years) Page 5 of 10 The AQAA reported that two complaints have been made to the service and dealt with following their procedures. No complaints have been made to the Commission and no safeguarding referrals made. There is a complaints policy and procedure in place. Information on how to complain is contained in the service user guide. Staff spoken confirmed their understanding of the action to take should they witness any abuse in the home. All staff are trained in safeguarding procedures to protect the guests from harm. Copies of local agreement on safeguarding is available in office for staff to access. Information is available to staff on the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. These are to help protect people who cannot make their decisions about their care or treatment. Staff have yet to receive training in this and a recommendation is made in this report. Staff receive training on handling guests finances to ensure they are managed safely. Financial records were checked and showed that all guests personal monies are recorded on arrival. Risk assessments are maintained to show those guests who require support and how this is done. All financial transactions are recorded by staff and receipts kept to provide an audit trail. Guests are encouraged to manage own monies, where possible, during their stay. What the care home does well:
The home presents a warm, friendly atmosphere and there was good interaction between staff and guests. Guests are encouraged to make their own choices and maintain their independance. A regular staff team provide care and support to the guests and they are aware of their needs and how to support them. Care records are detailed to ensure all guests individual care needs have been taken into recorded. This ensures the staff have the information on how to meet those needs in the way in which the guests prefer. A varied activity programme is in place to meet the guests needs during their stay. These include BBQs, trips out, cinema and female only weekends. Staff commented: We will do what we can to make their stay a happy one. Staff surveys received provided the following positive comments on the management of the home. Their comments include: We keep families informed of all relevant information. All staff work together sharing information and support each other. The manager is very good and helpful. Staff spoken with said: Supervision is very good. Support from the manager is very good. We are very involved with the families and have an open relationship. We have a good team. Care Homes for Adults (18-65 years) Page 6 of 10 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 7 of 10 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 8 of 10 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 manager should record his assessment of the staff competency whilst administering medication. To show they are providing a safe system of working. Training in the Mental Capacity Act 2005 and Deprivation of Liberty should be provided so that staff are aware of how to meet the needs of those who cannot make their own decisions. 2 23 Care Homes for Adults (18-65 years) Page 9 of 10 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 10 of 10 - 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!
