Latest Inspection
This is the latest available inspection report for this service, carried out on 16th April 2010. CQC found this care home to be providing an Adequate service.
The inspector found no outstanding requirements from the previous inspection report,
but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.
For extracts, read the latest CQC inspection for Bealey`s Lane Residential Home.
What the care home does well The home has person centred plans in place for all of the people who live there. What the care home could do better: The home needs to make sure that it recognises what is a potential deprivation of liberty and takes action to address this. The home needs to contact the district nursing service for advice about the management of pressure area care and supply of equipment. There must be regular checks of the hot water systems and where temperatures are not within recommended levels action is taken promptly to resolve this. This will make sure that people living in the home have a consistent supply of hot water and a reduced risk from legionella bacteria. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Bealey`s Lane Residential Home 1 Bealey`s Lane Bloxwich Walsall West Midlands WS3 2JT one star adequate 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: Mandy Beck Date: 1 6 0 4 2 0 1 0 Information about the care home
Name of care home: Address: Bealey`s Lane Residential Home 1 Bealey`s Lane Bloxwich Walsall West Midlands WS3 2JT 01922492285 01922492285 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Vicky Hill Type of registration: Number of places registered: Conditions of registration: Category(ies) : Swan Village Care Services Limited care home 5 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 5 The maximum number of service users who can be accommodated is: 5 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) 5 Date of last inspection Brief description of the care home Bealeys Lane is a care home which is registered to provide care to a maximum of five people with severe learning disabilities. The service provider is Swan Village Care Services, part of the Minister Pathways Group. The home is located near to the centre
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home of Bloxwich, opposite a park and close to shops, pubs and other amenities. The home was opened in 1995, originally being a residential dwelling and domestic in nature, that has been converted for its present use. All the homes bedrooms are single without en-suite facilities. The home has parking facilities to the front of the building and a private garden to the rear with a patio area. The home also provides transport in the form of a mini bus. The information in the Statement of Purpose informed us that the current fees were between GBP1000 and GBP2515 per week. The reader may wish to contact the service for more current information. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
We visited the home because we had been told that one person was being locked in their bedroom during bedrest without their consent. We were concerned that this person was being deprived of their liberty. When we arrived we asked the person in charge to show us to the bedroom of the person in question. The door was closed but not locked, the person was in bed sleeping. We were told that the door had been locked when this person had bed rest in the afternoon, this was to protect both the person in bed and the other people using the service who would enter the bedroom and attempt to eat toiletries. Information about locking the persons door was not included in their care plan or risk assessment. Staff recognised that this should not have been done and understood the implications of doing this. The home manager told us that this situation has been discussed with a social worker and the home will be making an application in line with the Deprivation of Liberty Safeguards. The home has also responded by making sure that the person who needs bedrest now has one to one care during this period of time. A staff member will sit outside of the bedroom in order to prevent other people entering and disturbing the person. This information will need to be included into the persons support plan. The home has also arranged for additional training in the principles of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards. Once this training has taken place all staff will be trained and should have an understanding of what could possibly constitute a deprivation of a persons liberty. We were also concerned about the locking of the door as this created an additional risk in the event of fire breaking out. We looked at the personal evacuation plan for the person in question. The plan was very detailed and when we spoke to staff they were able to tell us what action they would take in the event of fire breaking out. We have made some good practice recommendations as a result of this inspection. We have noted that one person was judged to be at high risk of developing pressure sores. The home is making sure the person has regular bedrest and at present there is no pressure damage. The home cannot demonstrate how they have reached the decision about the person being at high risk of developing pressure sores. There is no risk assessment for this. We have recommended the home contacts the district nursing service who will be able to assist with this and also in the provision of equipment for pressure relief. We have noted the home has been without a vehicle since December 2009. This has meant a reduction in the social activity for people. We were told that people living in the home have been supported in using public transport but this has not been ideal and their social lives have been affected by this. The organisation has now arranged for a new vehicle but only after staff had sourced the quotes for this. The organisation should have been more proactive in managing this situation so that people living in the home did not have their routines disrupted. When we completed our inspection in June 2009 we made one requirement about the
Care Homes for Adults (18-65 years) Page 4 of 9 storage of medication in the home. We have seen that a new medication storage cupboard has been purchased and installed. We have removed this requirement. We also made comments about the redecoration and refurbishment of the home. We are concerned about the length of time it takes the organisation to attend to maintenance repairs in the home. We have identified during this visit there is an inconsistent supply of hot water to one of the bedrooms. This has been on ongoing problem for three months and has not been addressed. We also note that three rooms in the home have the water supply turned off for safety reasons. When this happens we expect the home to flush through the system on a weekly basis to make sure the risk of legionella bacteria growing. This has not been done. There are only three recorded entries since January 2010 to show that checks have been made. We have sent a letter to the home asking them to take action to address this. The home must be able to demonstrate it is protecting the health and safety of the people living there 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 9 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 9 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 1 18 12 The home must make proper 31/05/2010 provision for the pressure area care of the people living in the home. This will reduce the risk of pressure sores developing for people. 2 23 13 The home must make sure that timely applications are made in relation to a deprivation of a persons liberty. This will safeguard the people living in the home. 30/04/2010 3 42 12 The home must make sure 30/04/2010 that people have access to a consistent supply of hot water. They must make sure they conduct regular checks of the hot water supply and record this. The home must also keep weekly records of the flushing through of the system. They must do this to reduce the risk of legionella to the Care Homes for Adults (18-65 years) Page 7 of 9 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 people living in the home. 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 8 of 9 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 9 of 9 - 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!
