Care Home: 7 Eworth Close

Similar services:

• 2 Perhaver Park
• The Vicarage
• St George`s
• 5 Seafield Road
• Radfords
• Honeybourne House
• 32 Beaumont Way

What the care home does well The home has a small and experienced staff team who have a good understanding of the individuals needs. They treat people in a warm and respectful manner, which means that they can expect to receive care and support in a sensitive way. People living in the home appear settled and confident in their surroundings and contribute fully to all aspects of daily life in the home. Interactions with staff on duty are friendly and relaxed. The new care plan documentation and associated documents will describe the support to be given and explain the reasons for it. They will show who has been involved in reaching these decisions. Where goals are set, there will be evidence that these are met, making the process meaningful and beneficial for people. Effective systems are in place to help ensure that there is consistency in assessing, planning, implementing and evaluating the care when required. The manager and staff team are working hard to empower people and encouraging them to maintain independence, autonomy and choice. Health care is provided effectively, enabling people with some significant complex needs to receive the best possible advice and treatment for these. The home works diligently on behalf of the people living there to promote their rights to access appropriate support. The home promotes a good quality of life and focuses on maintaining and developing skills, enabling people to be as independent as possible. A range of experiences and opportunities are offered, including regular access to community activities, which is both enjoyable, stimulating and meets individual preferences and expectations. People maintain family contact and staff encourage family and friends to join in with activities and any outings. People receive a varied and wholesome diet that they are able to influence. The home is clean and comfortable, it provides a safe and peaceful environment for the people living there. The home promotes staffing levels and skill mix of staff in order to help ensure that people`s needs can be met. The recruitment policies and procedures set up in the home should help ensure that people living in the home are supported and protected. People benefit from a well run home, under the leadership of an effective manager who has suitable knowledge, skills and competencies to ensure that the service continues to meet their changing needs. What the care home could do better: The home is well organised and managed by an effective, stable management team that promotes the views and interests of all people who use the service. All of the National Minimum Standards assessed at this inspection were met. No statutory requirements have been made as a result of this inspection. We would like to thank everyone who took part in the inspection, their enthusiasm and support was greatly appreciated. Random inspection report Care homes for adults (18-65 years) Name: Address: 7 Eworth Close Bank House 2-4 Wood Street Old Town Swindon Wiltshire SN1 4AB one star adequate service 03/09/2009 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: Wendy Kirby Date: 2 9 0 6 2 0 1 0 Information about the care home Name of care home: Address: 7 Eworth Close Bank House 2-4 Wood Street Old Town Swindon Wiltshire SN1 4AB 01793878169 Telephone number: Fax number: Email address: Provider web address: mariaarthur18@yahoo.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Maria Arthur Type of registration: Number of places registered: Conditions of registration: Category(ies) : Ian Charles care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 6 No more than six service users with a learning disability may be accommodated at any one time. Date of last inspection Brief description of the care home 7 Eworth Close is run by a partnership, which operates under the name of Ian Charles. The home is located in Grange Park, which is a residential area on the outskirts of Swindon. It is a two storey detached property with a large garden. Each service user has their own bedroom. Two bedrooms are on the ground floor and they are therefore suitable for people who cannot manage the stairs. One of the bedrooms Care Homes for Adults (18-65 years) Page 2 of 12 0 3 0 9 2 0 0 9 Brief description of the care home on the first floor has an en-suite toilet. There are two bathrooms on the first floor and a wet room with a shower on the ground floor. The communal rooms consist of a large lounge and a kitchen with a dining area. There is an office on the first floor, which is also used as a staff sleeping-in room. Service users receive support from the acting home manager and a team of support workers. Care Homes for Adults (18-65 years) Page 3 of 12 What we found: This was a random inspection conducted by one inspector over approximately five hours. In line with the Care Quality Commissions current methodology this random visit was completed instead of a full key inspection. A key inspection reviews all of the key National Minimum Standards. A random inspection is a more focused, targeted visit and no new rating of a service is given. The improvements made since the last inspection are still in their infancy. Although we are satisfied that outcomes for people who use this service have improved the previous adequate rating awarded for this service in 2009 remains in place at this current time. Prior to the inspection we (The Commission) looked at various pieces of information to gather evidence in preparation for our visit, which included the following: The previous inspection report in 2009 where the home received an adequate rating. The homes inspection record, which gives us an account of any information we have received about the home since the last inspection. The Annual Quality Assurance Assessment, known as an AQAA. The home is requested annually to complete and return this assessment to us by a specified time. We received the AQAA on time, which contained information about what the home considers it does well and what plans they have for further improvements in the coming year. We have used examples from the AQAA in this report to support our own observations during our visit to the home. We sent surveys Have Your Say to people who live in the home and staff. Comments received from the surveys will be referred to throughout this report. During our visit we spoke with two people who live in the home, the manager, the area manager and staff members who were on duty. Comments received will be referred to throughout this report. We looked at individual care files, which included pre admission assessments, care plans and risk assessments. We spent time in all communal areas of the home and looked at the bedrooms. These are just some of the positive outcomes for people who use this service that we saw during our visit: From the initial pre admission assessments staff identify needs enabling them to form written care plans. The care plan format is currently being replaced and staff have received training in person centered care and how to produce plans with people who use the service.The new format should help further ensure that personal preferences,likes and dislikes will be encouraged and supported. Care Homes for Adults (18-65 years) Page 4 of 12 Plans need to evidence that people have specific requests and routines, in order to show that people are involved in deciding how they wish to receive care. The AQAA tells us that, All service users are encouraged to be actively involved in planning their care as it impacts on the quality of their lives. The staff have a good understanding of how important it is to support service users in this area and to see them develop as individuals. The plans showed consistency in assessing, planning and evaluating care as required. Regular care reviews take place for people living in the home, which can include family members and key workers wherever possible. This allows the opportunity to discuss and evaluate care and any issues or concerns people might have. Staff demonstrated a clear understanding of peoples individual needs. Through observation and discussions with the staff we saw skills of sensitivity and warmth when communicating and delivering care to people living in the home. Some people have complex needs with varying impairments and learning disabilities. We were told about individual communication requirements and through patience and time the staff had identified effective methods of communication with individuals. Risk assessments were examined and showed us that staff were mindful of keeping people safe within their home and out in the community. The manager told us that the staff were vigilant in empowering people to promote as much independence as possible but at the same time making sure that they do this as safely as possible. Care files and discussions with staff demonstrated that the home was providing people with opportunities to develop social, emotional, communication and independent living skills. There was information on levels of independence and the level of support that was required by staff to support the people both in and outside of the home. The new documentation will help develop this further. Weekly activities and plans are reviewed with people, staff and families to ensure that they remain relevant to the individual. All individual tastes and preferences are taken into account. The information shared will be produced in a lifestyle plan and will provide staff with extremely useful information including, peoples personalities, essential things that are important to individuals, how people express emotions, things that people enjoy and how to support people successfully and keep them safe. People regularly go out and enjoy the local community amenities. People make their own choices at mealtimes with the support from staff. The menus, which they have produced, offer a varied healthy diet plan. Alternatives were also made available and flexibility in meals was evident. People are encouraged to help prepare the meals. Staff in the home are mindful of educating and assisting people in maintaining a healthy balanced diet. We saw that staff monitor peoples weight closely and the care files give very specific information about maintaining adequate nutrition. This includes peoples likes, dislikes and how much support they require from staff. The AQQA states, Service users are encouraged to be involved in menu planning, preparing and cooking meals. The service users have an understanding of healthy living and through the menu planning they are able to make personal choices and try new foods. Care Homes for Adults (18-65 years) Page 5 of 12 The kitchen was clean and tidy. Following the last inspection and subsequent requirement, the kitchen will be refurbished and redecorated. Work was due to start the week after our visit, when all the people living in the home were going on holiday. The stores, fridge and freezer had a good supply of food. People living in the home are involved in the shopping and use local amenities for their food supplies. There does not appear to be any unnecessary rules in the home and it was clear that the manager and staff are working towards empowering people and encouraging them to maintain independence, autonomy and choice. Daily routines are flexible within the home, people can get up and go to bed when they like, have their meals in their bedrooms, they can go out when they wish and participate in activities they have a particular interest in. This was confirmed through documentation in care files, in discussion with individuals and through observation during our visit. Staff support and encourage people to express their preferences when purchasing clothes, toiletries and having their hair done. Plans also tell staff whether people prefer male or female carers when receiving personal care and what they like to be called. All personal care is provided in private and bedrooms and bathrooms can be locked from the inside. The home promotes privacy and dignity to all people who use the home. Staff attend training on induction, which covers aspects such as closing doors and pulling curtains when delivering personal care and knocking on doors and waiting for an invitation to enter before going in to their bedrooms. Health Care needs are detailed in the Care Files. Records of visits to the General Practitioner and the outcomes are recorded. Specialist referrals and visits to other health professionals including, Consultants, Chiropractors and Dentists were seen, to help ensure that peoples identified needs are being monitored and met. The manager explained that peoples health care needs are closely monitored in consultation with primary health care services and that access to health screening is undertaken. We walked around the inside and outside of the home and viewed the bedrooms and the communal areas including the dining room and lounge. Room sizes are fairly spacious for their stated purpose. All areas of the home were decorated to peoples taste, clean and well maintained. Some attention has been given to ensure that areas are homely, including photographs of the people living there. People had been supported to personalise their bedrooms with pictures and ornaments and they are able to bring items of furniture should they wish. Rooms are lockable so that they can maintain their privacy and keep their personal possessions secure. The lounge area allows for people to be seated together enjoying the entertainment systems on offer. This room has been redecorated and refurbished, new flooring will also be provided in the near future. The laundry area is well equipped. Supplies of gloves and aprons were seen throughout the home. The outside provides a safe, private area for people to relax in. The manager ensures that staffing levels are indicative of the needs and levels of care Care Homes for Adults (18-65 years) Page 6 of 12 required and confirmed that levels of staff rise should dependency levels increase. Most of the team are experienced members of staff who have a good knowledge of the people living in the home. We observed some staff carrying out their duties and assisting individuals. Staff were respectful, warm in manner, good humoured and sensitive towards the people within a relaxed homely environment. The AQAA states, The staff team is diverse and works well as a team, with skills that compliment each other offering service users a variety of skills. We received seven completed staff surveys, which provided us with valuable constructive comments. These comments further supported and evidenced our judgements made as a result of this visit. Comments received included, We provide good quality care and support for residents, There is a good atmosphere amongst the staff, Management tries all the time to improve things in order to make it a better place to live, The manager listens to staff and residents and is open and supports new ideas, and I really think we look after the residents very well. We know that the home follows good recruitment procedures. This will help ensure that the right people are employed to work at the home, and people living in the home will be further protected. People living in the home are encouraged and supported to be involved in the recruitment of new staff. Records contain completed application forms with a full employment history, at least two written references and Criminal Records Bureau (CRB) disclosures. Staff receive a job description, terms and conditions of employment, and GSCC code of conduct. We spent all day in the company of the newly appointed manager who consistently demonstrated effective leadership skills within her role. Her knowledge and enthusiasm of the home, the people living there and all staff who work at the home was evident. The management team encourages innovation within the staff team and ideas that are generated are respected and actioned, which demonstrates an open and inclusive atmosphere. Throughout our visit the management demonstrated skills that relate to the aims and purposes of the home. It was evident the management and staff are becoming a stable team that supports a commitment to providing quality of care for the benefit of the people living in the home. We received four completed surveys from a people that live in the home and we spoke with people during our visit. Everybody agreed that they were well cared for, that staff treated them well, that they were involved in making decisions, and that they felt safe. Comments included, Staff are very friendly and helpful, I can do just what I want to do, I am well looked after and my manager will solve any problems I may have and I can rest, relax and have my own time alone when I need to. The home supports people with complex needs and the ethos is to encourage independent living within the scope and abilities of each person. Both the area manager, manager, and staff spoken with remain clear on these points and it is evident that people living in the home, have made significant progress including, improved mobility, social skills, confidence and self awareness and all staff should be commended for their continued efforts. Care Homes for Adults (18-65 years) Page 7 of 12 What the care home does well: What they could do better: The home is well organised and managed by an effective, stable management team that promotes the views and interests of all people who use the service. All of the National Minimum Standards assessed at this inspection were met. No statutory requirements have been made as a result of this inspection. We would like to thank everyone who took part in the inspection, their enthusiasm and support was greatly appreciated. Care Homes for Adults (18-65 years) Page 8 of 12 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 9 of 12 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 10 of 12 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 11 of 12 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 12 of 12 - 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!