Care Home: Bigwig House

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What the care home does well The building has been redecorated and there is new carpets throughout the communal areas of the home. People living in the home are happy, and staff were observed working well with people living there. The home was clean and homely. We looked at requirements set at the last key inspection. The following areas, where there were regulatory requirements set, now meet the national minimum standards and associated regulations: * Medication systems have improved. Storage is to a good standard and medication is secure. Medication records are maintained to a good standard. Current staff have all received training in good practice regarding management and administration of medication. * There is suitable evidence that a satisfactory quality assurance system is in place. * Staff training is generally to a good standard, although the organisation needs to ensure computer records of staff training are up to date for all staff. For example two staff on duty both said they had received first aid training in the last couple of years, although this was not apparent from the records. * Health and safety precautions have improved. For example portable electrical appliance testing has been completed and evidence that testing of the electrical `hardwire` circuit has been completed and is deemed satisfactory. A test has been completed to ensure the legionella bacterium is not present in the water system. What the care home could do better: Two policies still need to be written: * A policy regarding the prevention of legionnaire`s` disease. This should outline procedures followed to minimise the risk, and, if necessary, what additional proceduresneed to be put in place. The Health and Safety Executive publishes a useful leaflet on this issue on its website. * A Quality Assurance Policy which outlines the procedures which the organisation follows to ensure its services are managed to a good standard. We noted that the oil central heating system needs to be serviced, as this was last carried out on 17/6/2009. However we are happy with the progress which has been made by the registered persons, since the last inspection. The commission is currently not carrying out key inspections for the majority of services or awarding star ratings. However based on the evidence from this inspection, if we were, we would be happy to up rate this service to a 2 star `good` service. Random inspection report Care homes for adults (18-65 years) Name: Address: Bigwig House Rhubarb Hill Holywell Bay Newquay Cornwall TR8 5PT 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: Ian Wright Date: 2 3 0 6 2 0 1 0 Information about the care home Name of care home: Address: Bigwig House Rhubarb Hill Holywell Bay Newquay Cornwall TR8 5PT 01637831220 01326371099 mail@dcact.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Terry David Morgan Type of registration: Number of places registered: Conditions of registration: Category(ies) : Spectrum care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 3 The maximum number of service users who can be accommodated is 3. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) Date of last inspection Brief description of the care home Bigwig House provides care and accommodation for three people on the autistic spectrum. It is run by Spectrum, an organisation that provides specialist care to people on the autistic spectrum. The home is situated in Holywell Bay, which is near Newquay. The accommodation is on two levels and consists of three single bedrooms, an office, Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home kitchen, dining room and lounge. There is a sizable garden and satisfactory car parking for staff and visitors. The home has its own transport. The current residents do not need any specialist equipment or adaptations, and the home is not adapted for a person with a physical disability. Spectrum employs a registered manager-Terry Morgan- who is responsible for the day to day running of the home and who is supported by a team of staff who cover shifts at the home over the 24 hour period. Spectrum aims to provide service users with appropriate support in a small domestic environment in a community setting. The fees for people living in the home are decided on an individual basis based on the persons needs and as agreed with the sponsoring authority. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: This unannounced random inspection was completed to: * Check suitable action has taken place regarding statutory requirements issued at the key inspection on 4th August 2009. * Check we remain happy with the standard of care at the home. The methodology to complete this inspection was as follows: * We inspected the building. * We met with the registered manager to discuss progress and developments at the home since the last inspection. * We inspected relevant documentation held in the home. We were happy with actions taken since the last key inspection. We did not have any concerns regarding the service. What the care home does well: What they could do better: Two policies still need to be written: * A policy regarding the prevention of legionnaires disease. This should outline procedures followed to minimise the risk, and, if necessary, what additional procedures Care Homes for Adults (18-65 years) Page 4 of 9 need to be put in place. The Health and Safety Executive publishes a useful leaflet on this issue on its website. * A Quality Assurance Policy which outlines the procedures which the organisation follows to ensure its services are managed to a good standard. We noted that the oil central heating system needs to be serviced, as this was last carried out on 17/6/2009. However we are happy with the progress which has been made by the registered persons, since the last inspection. The commission is currently not carrying out key inspections for the majority of services or awarding star ratings. However based on the evidence from this inspection, if we were, we would be happy to up rate this service to a 2 star good service. 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 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 39 24 The registered persons must 01/09/2010 ensure there is a quality assurance policy in place. Improvement in this area will help to ensure there is an effective system to ensure continuous improvement. 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 33 24 The registered persons must 01/09/2010 have a Quality Assurance Policy. This will help ensure satisfactory procedures are in place to ensure the organisations services are managed to a good standard 2 41 13 The registered persons must 01/09/2010 ensure the central heating system is serviced on an annual basis This will ensure the heating system at the home is deemed safe by a qualified engineer 3 42 13 The registered provider must 01/09/2010 develop a policy, and ensure necessary precautions are in place regarding the prevention of legionaires disease. This will help to ensure there are satisfactory procedures in place to minimise the risk of legionaires disease to 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 staff, people who use the service and their representatives. 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. 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