Care Home: Church Road (7)

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What the care home does well Adequate information about the home including a copy of the `Statement of Purpose` and `Service User`s Guide` was available to current and prospective residents. Care plans examined showed that an assessment of individual`s needs was carried out prior to moving in. This process involves the input of the prospective resident, their family and other professionals. Each person has a `person centred plan` of care based on their views about how they wish to be supported from day to day and longer term goals. These are reviewed on a regular basis and any changes are reflected within the support plan. Each care plan includes the assessment of needs, various risk assessments, the resident`s profile, information about support provided, keyworker system, personal care plan, day care programme and daily records. Care plans examined showed that residents` identified needs were being met and that all residents are registered with a G.P. Individuals receive personal and healthcare support using the `My Health` that was reviewed and kept up to date at each health appointment attended. Staff spoken to said that the support provided for residents was based upon identified needs including the rights of dignity, privacy, choices and respect. Overall, there are good systems in place for ordering, storing and administering the medication that the each resident requires. However, there were were some tablets missing and unaccounted for that require the exisiting systems and practices to be reviewed and implement a regular auditing and monitoring programme so that all medicines received, administered and returned for disposal are accounted for. The home has a complaints procedure and information on complaints is also included in the `Service User`s Guide`. No complaints have been received in the last twelve months. The home has a copy of the Hertfordshire procedures on Safeguarding Adults. Staff spoken to confirmed that they are familiar with the procedures and staff records showed that they have received training on the safeguarding adults. An element of adult protection is also covered in the induction programme for all new staff members and those people undertaking the NVQ assessment. The implementation of a number of systems including assessment and admission process, care planning and review, consultation and communication, recruitment, induction, training, supervision and appraisal of staff ensures that the home operates in an manner that benefits people using the service and the staff team. The home has a quality assurance system in place and seek the views of people using the service, relatives, staffand other interested parties. Records inspected were up-to-date and accurate and were held securely. Staff spoken to were aware that people using the service can access their records and information held about them in accordance with the Data Protection Act 1998. There were policies and procedures in place to ensure that the health, safety and welfare of people using the service and staff are promoted and protected. A valid Employer`s Liability insurance certificate was displayed and expires on the 31st May 2010. What the care home could do better: The manager must ensure that a robust system for the management of medicines is implemented so that an audit trail of all medicines received and returned for disposal are accounted for. Random inspection report Care homes for adults (18-65 years) Name: Address: Church Road (7) 7 Church Road Bengeo Hertford Hertfordshire SG14 3DP 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: Bijayraj Ramkhelawon Date: 0 6 0 5 2 0 1 0 Information about the care home Name of care home: Address: Church Road (7) 7 Church Road Bengeo Hertford Hertfordshire SG14 3DP 01992501266 F/P01992501266 H3075@mencap.org.uk www.mencap.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Teresa Acraman Type of registration: Number of places registered: Conditions of registration: Category(ies) : Royal Mencap Society care home 4 Number of places (if applicable): Under 65 Over 65 4 learning disability Conditions of registration: Date of last inspection Brief description of the care home 4 7 Church Road is a four bedroom family house situated in a residential area of Bengeo. The house has been converted to provide accommodation for four adults with learning disabilities. The ground floor consists of a bedroom with an en-suite shower, a lounge, kitchen/dining area, WC and a small office. The first floor consists of three single bedrooms, a staff sleeping-in room and bathroom. The rear garden is small but provides enough space to accommodate some garden furniture and a small patio area. The local shops are within walking distance. The county town of Hertford is approximately one mile away and all forms of transport can be easily accessed, the home also has the use of its own transport. The home provides information for Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home prospective residents in an appropriate format for them. A copy of the Statement of Purpose, Service Users Guide and the latest inspection report are available on request from the manager of the care home. The range of fees charged can also be obtained from the manager on request. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: This random inspection was carried out on the 6th May 2010. We found that the home continues to provide an excellent service for the people using the service. Residents spoken to said that they were being well looked after and were complementary of their rooms, food and staff. However, we also found some shortfalls in the systems for the management of medicines. What the care home does well: Adequate information about the home including a copy of the Statement of Purpose and Service Users Guide was available to current and prospective residents. Care plans examined showed that an assessment of individuals needs was carried out prior to moving in. This process involves the input of the prospective resident, their family and other professionals. Each person has a person centred plan of care based on their views about how they wish to be supported from day to day and longer term goals. These are reviewed on a regular basis and any changes are reflected within the support plan. Each care plan includes the assessment of needs, various risk assessments, the residents profile, information about support provided, keyworker system, personal care plan, day care programme and daily records. Care plans examined showed that residents identified needs were being met and that all residents are registered with a G.P. Individuals receive personal and healthcare support using the My Health that was reviewed and kept up to date at each health appointment attended. Staff spoken to said that the support provided for residents was based upon identified needs including the rights of dignity, privacy, choices and respect. Overall, there are good systems in place for ordering, storing and administering the medication that the each resident requires. However, there were were some tablets missing and unaccounted for that require the exisiting systems and practices to be reviewed and implement a regular auditing and monitoring programme so that all medicines received, administered and returned for disposal are accounted for. The home has a complaints procedure and information on complaints is also included in the Service Users Guide. No complaints have been received in the last twelve months. The home has a copy of the Hertfordshire procedures on Safeguarding Adults. Staff spoken to confirmed that they are familiar with the procedures and staff records showed that they have received training on the safeguarding adults. An element of adult protection is also covered in the induction programme for all new staff members and those people undertaking the NVQ assessment. The implementation of a number of systems including assessment and admission process, care planning and review, consultation and communication, recruitment, induction, training, supervision and appraisal of staff ensures that the home operates in an manner that benefits people using the service and the staff team. The home has a quality assurance system in place and seek the views of people using the service, relatives, staff Care Homes for Adults (18-65 years) Page 4 of 8 and other interested parties. Records inspected were up-to-date and accurate and were held securely. Staff spoken to were aware that people using the service can access their records and information held about them in accordance with the Data Protection Act 1998. There were policies and procedures in place to ensure that the health, safety and welfare of people using the service and staff are promoted and protected. A valid Employers Liability insurance certificate was displayed and expires on the 31st May 2010. 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 1 20 13 An audit and a monitoring system for all medicines received and returned for disposal must be implemented. So that all medicines are accounted for and residents are not put at risk. 11/06/2010 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. 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. 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