Latest Inspection
This is the latest available inspection report for this service, carried out on 6th May 2010. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Andelain.
What the care home does well People living at the home are receiving a consistent service from people they know and trust;the home is located in a residential area, yet close to local shops and facilities; People living at the home told us they were happy there. They could show us photographs of events they have participated in recently and activities they have undertaken; One person who is now very frail is cared for substantially in bed. The home are managing their care well with occasional visits from district nursing staff to overview the care delivery. The person centred plans being developed show a high level of staff involvement and interest. People were enjoying compiling the plans. What the care home could do better: The home has not achieved many of the the requirements and recommendations made at the last inspection, some of which were outstanding from previous years. Some progress has been made in some areas. This is despite considerable support being provided in planning and target management by Torbay care trust and a meeting held in 2009 with a Care Quality Commission manager to ensure the home is clear about the need to complete compliance and recommendations. Further action may be taken as a result, as the continued lack of compliance could put people at risk. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Andelain 12 Eugene Road Preston Paignton Devon TQ3 2PQ one star adequate service 21/01/2010 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: Michelle Finniear Date: 0 6 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Andelain 12 Eugene Road Preston Paignton Devon TQ3 2PQ 01803559336 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Carole Louisa Byrne Type of registration: Number of places registered: Conditions of registration: Category(ies) : Miss Carole Louisa Byrne care home 7 Number of places (if applicable): Under 65 Over 65 7 learning disability Conditions of registration: Registered for a maximum of 5 LD(E) Registered for a maximum of 7 LD Date of last inspection Brief description of the care home 7 2 1 0 1 2 0 1 0 Andelain is a home for up to seven adults who have a learning disability; some of these people may be retired. The home has three floors, with the owners occupying the top floor. The home is near to shops and the sea front. There is a garden, down a few steps from the house. The current range of fees are from 475 to 520 pounds per week. Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home A copy of the last inspection report is kept in the dining room. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
We carried out this inspection to follow-up the requirements and recommendations raised at the key inspection undertaken in January 2010. Following this inspection the home were sent an improvement plan to return to us indicating the action that they planned to take to address the concerns raised, however this plan was not completed or returned to us. We carried out an unannounced site visit to the home, however on the day we arrived the owner and her partner were not available. Contact was made with them by telephone, and the inspection continued without them being present. Contact was made the next day again by telephone with the owner to clarify some information which the staff had not been able to supply us with on the site visit. On the day we visited there were two staff on duty. The home was fully occupied with seven people living there, and when we arrived two people had had already gone to day centres. One person who should have gone to the day centre that day had decided they wanted a day off, and so were at the home, having breakfast in bed. Other people got up during the time we were there, in their own time, and had breakfast when they wished. This shows the home can be flexible in meeting peoples wishes. The staff on duty were experienced, competent and confident. They knew the people living there well and were able to talk about the work that they were undertaking with them. We looked at the care plans which are being developed for people in a person centred format. One person who lived at the home explained their plan to us with a member of staff, and told us of the further work they intend to do to complete the plan. This included a trip the following day to the area where they had grown up to take photographs of places of importance to them. These will be incorporated into the plan. Separate care plans are also provided which contain more clinical information. Plans were being updated and this was a piece of work people were taking great pride in. Another person we spoke to looked at their plan with us and told us about the importance of the photographs and information it contained. We spoke to the staff on duty and looked at some of the policies available. We also undertook a tour of some areas of the home and discussed with the staff the care of one person who was quite frail. Staff could tell us about the activities and stimulation that was being provided for this person who is cared for substantially in bed. At the previous inspection requirements and recommendations were made in a number of areas. Some were still outstanding from previous inspections, and a meeting was held with the owner last year to discuss the lack of progress. The majority of these areas had still not been completed at the time of this inspection. As an example, on the last inspection the bathroom and toilet floor was uncovered bare flooring, and therefore not able to be kept clean or dry. This is the only toilet facility available on this floor. Four months later the flooring had still not been put in place. The owner told us they were waiting for the contractor to return to complete the flooring. Care Homes for Adults (18-65 years) Page 4 of 10 The Safeguarding policy has not been completed and updated at the time of the inspection, but the owner later supplied us with an updated policy. This ensures that staff have information on what to do in case they suspect abuse or abusive practices. Staff also need training in this area, along with training in the Mental Capacity Act which ensures that peoples rights to make decisions are supported within a clear framework of assessment. The owner told us that she has tried to book courses for staff on epilepsy management, but has been unsuccessful. Training is said to be being undertaken in dementia care through a purchased package. At the last inspection a person living at the home had indicated they would like a lock for their bedroom door, however this has not yet been provided. The owner told us she is looking to find one which can be opened from the outside in case of emergency. Also at the last inspection the owner was expected to provide systems for the supervision of care staff. Supervision is a system which confines professional development and performance management. It should help ensure that staff are working to their full potential and consistently to support people. The owner told us this has not been achieved. She said that some staff supervision has been occurring in groups or individually, however this is not always being recorded. Fire training was assessed as being needed at the last visit, however staff on duty had not received fire training for some time. The owner said that her partner had contacted a fire agency to enable himself to be trained to deliver training to the staff in-house on fire prevention. The course was apparently cancelled so has not been undertaken. A recent fire inspection indicated that the home was compliant with the areas of legislation regarding fire that they looked at. A risk assessment and fire evacuation plan has been undertaken, and staff told us that automatic door closers are available where these are needed or indicated. At previous inspections the home has been required to provide a quality assurance plan or system to ensure the quality of service provided and compliance with national minimum standards. The owner told us that she has done some work on this however it was not completed. She told us she would supply information to us about the progress, however this had not been received a fortnight after the inspection. In the last six months the home have been receiving support from Torbay Care Trust, and it is understood that an action plan was completed with the home owner to move the home forward. The owner told us she has not made as much progress as she would have liked on the plan, which we believe is due to be reviewed within the next month. People living at the home were on the electoral role, but the staff told us no-one had expressed a wish to vote. A radiator in the lounge remains uncovered. At a previous inspection the owner had said this would be actioned promptly. What the care home does well:
People living at the home are receiving a consistent service from people they know and trust;
Care Homes for Adults (18-65 years) Page 5 of 10 the home is located in a residential area, yet close to local shops and facilities; People living at the home told us they were happy there. They could show us photographs of events they have participated in recently and activities they have undertaken; One person who is now very frail is cared for substantially in bed. The home are managing their care well with occasional visits from district nursing staff to overview the care delivery. The person centred plans being developed show a high level of staff involvement and interest. People were enjoying compiling the plans. 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 6 of 10 Are there any outstanding requirements from the last inspection? Yes R 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 23 13 The home must have an up 31/03/2010 to date policy and procedure on safeguarding vulnerable adults. This is to ensure that staff working at the home are clear about their role and responsibility for safeguarding residents well being and safety. 2 26 12 Suitable locks must be fitted 31/03/2010 to toilet doors and to residents private accommodation. This is to ensure the home is respecting the privacy and dignity of service users. 3 30 13 The refurbishment of the upstairs bathroom must be completed. This is to eliminate potential risks to the health and safety of the residents who are using it. 31/03/2010 4 42 23 The home owner must 31/03/2010 provide professional fire training; up date the homes fire risk assessment, and consult with the fire safety officer with respect to suitable door closers.
Page 7 of 10 Care Homes for Adults (18-65 years) 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 This is to assure the safety of people in the home in the event of an emergency. 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 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!
