Care Home: Autism Initiatives - Redpoll Lane

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What the care home does well The care plans provided guidance for staff to support people living in the home so they could live their lives as fully as possible. Thorough risk assessment processes were in place and were being used to ensure that people living in the home could take part in a range of activities safely. Plans were in place to help the staff work consistently with people in safely managing some of their more difficult behaviour. People`s health was being monitored by staff and people living in the home had regular access to health professionals to help them stay as healthy as possible. What the care home could do better: We consider that Redpoll Lane continues to provide excellent outcomes for the people living there and would expect the home to continue to review its service to make sure that the high standards we have found at our visits there are maintained and, where possible, improved. Random inspection report Care homes for adults (18-65 years) Name: Address: Autism Initiatives - Redpoll Lane 29 Redpoll Lane Birchwood Warrington Cheshire WA3 6NP 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: Julie Porter Date: 0 3 0 6 2 0 1 0 Information about the care home Name of care home: Address: Autism Initiatives - Redpoll Lane 29 Redpoll Lane Birchwood Warrington Cheshire WA3 6NP 01925837004 Telephone number: Fax number: Email address: Provider web address: www.peterhouseschool.org Name of registered provider(s): Name of registered manager (if applicable) Autism Initiatives Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 2 Number of places (if applicable): Under 65 Over 65 0 0 learning disability mental disorder, excluding learning disability or dementia Conditions of registration: 2 2 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: Mental disorder, excluding learning disability or dementia - Code MD, Learning disability - Code LD. The maximum number of service users who can be accommodated is: 2. Date of last inspection Brief description of the care home 29 Redpoll Lane is on a side road of a housing estate in a residential part of Warrington new town. The home provides care specifically for younger adults with Autistic Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home Spectrum Disorders. The home is a three bed roomed house with a lounge, dining room and kitchen on the ground floor and private gardens to the rear. Aids and adaptation have been provided to meet the needs of one resident. However, the premises do not provide level access and are not designed to meet the needs of people who have a physical disability. Access to local shops and public transport is good and residents have their own car that is used each day. Information about Redpoll Lane, including copies of the most recent inspection report, is made available to each resident and their representatives and can be obtained by contacting Autism Initiatives on 0151 9500 330. Fees range according to the needs of the individual and are agreed with the local authorities that fund the placements of the people who live at the home. There are no additional charges other than transport costs shared between the two residents. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: One inspector visited Redpoll Lane on 03 June 2010 to check that the home continues to maintain standards in relation to Health and Personal Care and Complaints and Protection. We looked at the plans for the people living in the home and saw that they were individual and person centred. Useful information was recorded in the About me section and we found this was written positively to highlight peoples skills and interests. We found that risks were assessed and used positively to enable people to be as safe as possible whilst taking reasonable risks to enable them to take part in a range of activities. We saw many risk assessments to support people take part in activities in the home and going out. People living in the home have autism and sometimes their behaviour includes aggression, self harm and lack of understanding. We saw that positive intervention plans were part of the persons care. For example, there were plans of how staff should support them positively when they were hurting themselves. We found that the plans were being reviewed but in some cases had been in place for over two years. Positive intervention plans should be used to support the behaviour and be time limited so that if and when they work they then become part of the care plan itself or something different is tried. We saw that people living in the home had regular contact with health professionals and their general health was regularly monitored with appointments to the doctors, optician, dentist, chiropodist. People living in the home also had regular contact with specialist help. We looked at the records of management of medicines in the home and found these were satisfactory. There was information available to staff regarding any medication prescribed to the residents and thorough guidance and procedures written for staff regarding the administration of as required (PRN) medicines, so that staff all worked consistently. We found that for one person medication was mainly in liquids and other medication prescribed as tablets was being crushed. Staff told us that this had been agreed with the doctor as being in the persons best interest. Staff remembered seeing the letter confirming this but it could not be found on the day of our visit. The matter was discussed with the acting manager so he could resolve this and find it. We checked staff training records for medication administration and staff had had training in 2008 and 2009 so that they have the training to make sure they can do this safely without making errors. We checked the accident records and saw that these had been completed. Appropriate risk assessments had been put into place following incidents and accidents. We checked the money held for one person living in the home and found the recording to be satisfactory. Training on safeguarding adults from abuse had been completed by all but one new member of staff working in the home. Staff had completed positive intervention planning, Deprivation of Liberty Safeguards training and safeguarding. One of the directors of the organisation was responsible for positive intervention and autism practice and there was a practice support team available to all the homes for advice and support relating to behaviour. This showed us that the staff at the home had the training, guidance and support they needed to provide a good standard of care for the people living in the home. Care Homes for Adults (18-65 years) Page 4 of 8 What the care home does well: 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. Care Homes for Adults (18-65 years) Page 8 of 8 - 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. 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