Care Home: Fourways

What the care home does well Fourways provides a long-term home for people, including those with complex needs. Staffing levels are good which means that staff have time to provide individual attention and activities. Staff pay close attention to make sure people receive good personal care and have access to healthcare. The home is well managed: the manager carries out checks to make sure that staff are providing the care she expects and have the understanding and knowledge they need. What the care home could do better: The law says that the owner of the home must carry out a visit each month to check it is running well. If for any reason it has not been possible to do this, the owner should consider setting up arrangements for a manager from one home to visit another, to check on the quality and report to her. The manager should continue to develop the quality assurance system. Inspecting for better lives Random inspection report Care homes for adults (18-65 years) Name: Address: Fourways Fourways Benton Terrace Stanley Durham DH9 0NT 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 assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. 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: Kathy Bell Date: 0 5 0 2 2 0 0 9 Information about the care home Name of care home: Address: Fourways Fourways Benton Terrace Stanley Durham DH9 0NT 01207281788 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Janette Heslop care home 7 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 7 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 category: Learning disability Code LD, maximum number of places: 7 The maximum number of servcie users who can be accommodated is: 7 Date of last inspection Brief description of the care home Fourways is a registered care home for up to seven adults with a learning disability. The home was opened in 1991 by the owners Mr William Heslop and his wife Mrs Janette Heslop. Mrs Heslop continues to run this home and three others in the Derwentside area. The people who run and manage these services are members of the same family and have been involved with the homes since they opened. So they have a strong commitment to making them happy places to live and work. The home is a two-storey end terrace house located in the same terrace as its sister Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home home 2 Benton Terrace. It is in Stanley, County Durham and is close to the town centre, where there are shops, services and places people go for entertainment and leisure. The home is also close to major bus routes. The two homes share the same registered manager and staff team. The home is like a large family house. There is one ground floor bedroom, which two people share. This room is suitable for people who have mobility problems. The other five residents have single rooms upstairs. The home has a well-kept garden , with a large, pleasant conservatory and a paved back yard. The two homes in Benton Terrace share the use of a mini bus and a car, to go and about. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We were satisfied that the rating for this home should remain excellent. Each person has a care plan which explains in detail about every aspect of their lives and the help they need. The care plans recognise their individual choices and prompts staff to record any religious or cultural needs. Staff have recorded risk assessments for any activities which might put people at risk and these explain clearly what staff must do to protect people. The care plans also include the activities each person wants to do and staff record clearly when they have done these. This is for everyday activities within the house like playing cards, as well as going out on the minibus, for swimming, trampolining or other activities. This means that staff know they are responsible for helping people take part in rewarding activities of their choice. The care plans make sure that the staff know exactly the help each person needs. Because they explain what the person can do themself, staff can help people be as independent as possible. Throughout the parts of the care plan which tell staff what to do, the importance of respecting their privacy and dignity is stressed. The home is following the advice of a physiotherapist to help someone keep as mobile as possible. Clear records are kept of when people see a doctor and what happened. The records showed how staff ask for advice whenever they are concerned. There are safe systems to look after peoples medication. The home has arranged a good system with the local pharmacy to handle one drug which may be given at a varying dose each week. The home has a satisfactory policy for dealing with complaints but has not actually received any. The manager described how staff have to interpret peoples behaviour when they are not happy about something. All staff have had training in safeguarding adults. The building provides a pleasant, homely place to live. But behavioural problems of some people who live there has meant that there is a smell of urine in some areas. Three staff are usually on duty through the waking day and one person sleeps in at night. These are good staffing levels and means staff can give people individual attention and take them out when they want to. There is a training programme for staff including key training such as moving and handling and first aid, with regular refresher training. Staff have also had training in challenging behaviour, the Mental Capacity Act, diversity and the safe handling of medicines. Staff who have already had training in medication are now repeating this. The manager is very experienced and has the qualifications expected for care homes managers. She carries out her own spot checks within the home to make sure that the care is of the standard she expects. She also talks with staff to make sure they understand important policies. Each year, surveys are sent out to relatives and care professionals and provided for people who live in the home. The results of the last surveys were not yet available in the home. We saw a business plan where the manager and the company agree that they need to develop more a formal quality Care Homes for Adults (18-65 years) Page 4 of 8 assurance system. This shows they recognise the importance of it, even though they are already doing many of the important parts of a quality assurance system. The Regulation 26 visit reports for the last two months were not available in the home. We saw the records of regular checks of the fire safety system and hot water. Staff also carry out safety checks on the minibus. The home has reviewed its fire risk assessment. 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 R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set. No. Standard Regulation Requirement Timescale for action 1 39 24 The home must continue to develop and improve its quality assurance system and produce an annual plan using the views and ideas of service users and their representatives. 01/04/2008 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, Care Homes 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 24 23 Staff must continue their 30/04/2009 efforts to control the smell of urine in some areas. To ensure the home is a pleasant place for residents, staff and visitors 2 39 26 The owner of the home must 30/04/2009 carry out the monthly visits required under Regulation 26. If she has been unable to do this for any reason she should consider setting up arrangements for the manager of one home to visit another, to check on the quality. This is so the owner can be sure that care is being provided to the standard she expects. 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 CSCI 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 or Textphone: or 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. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. 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