Care Home: Grange Road

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What the care home does well At the last key inspection, we found that this home provided a good standard of care for the people who live there. At this visit we found many areas of improvement and evidence that people receive an excellent quality of care. We saw good, detailed care plans which contain information for staff about the person and how they prefer to be supported. People`s communication methods are described, so that staff are able to offer people choices and involve them in the planning of their support and activities. For example, `If I turn my head away from you then it may be because I don`t want what you are offering or I do not want to participate`. The records are written language which is easy to understand and good use is made of photographs. People`s usual routines are described. For example, `I like to chill out in the lounge or hallway when get home. Once Ive had my tea and a little rest I should be supported by a member of staff to go for a walk, usually for about 10 to 15 minutes`. There is a health action plan for each person in the home. We saw that these contain relevant details such as health history, screening, appointments, medication and monitoring of weight. Staff sign to indicate that they have read these. We saw that people are supported to take part in a wide range of activities and to take holidays. People have recently participated in trips to the cinema, bowling, games, reflexology, swimming and pampering sessions. There are risk assessments which cover the activities in which people participate and these show the ways in which the risks are minimised. eg for swimming, the possible risks include the following, `I could step on something with bare feet. I could drown if unattended`. We found that people are supported to make decisions and to make choices about their environment. The bedrooms are decorated in very individual styles to take account of the interests and preferences of the people who use them. When people have expressed their dislike of an activity, attempts are made to find an alternative. For example, when people have not enjoyed going on holidays staying away from home, plans have been developedto have days out instead. People are supported to maintain relationships in the community with family and friends. There is information about how to make a complaint and there is a record of comments made about the home. This contains no recent complaints, but there are several compliments, including the following, `lively and vibrant team of very committed and professional staff`. We looked around the house and all areas appeared to be light, clean and well maintained. We saw a record of maintenance requests and when the work had been completed. The garden has a sitting area and an area where vegetables are grown. There are policies and procedures to minimise the risk of the spread of infection and staff have access to appropriate equipment such as gloves and aprons. The rotas show that there is a good level of staff cover and the manager has time to complete her tasks. Use is made of regular bank staff when there are vacancies and this helps to provide consistency for the people who live in the home. Staff receive ongoing training. All members of the staff team, with the exception of two who have recently joined, have NVQ level 2 and 5 have level 3. This means that people are supported by staff who are suitably trained. Staff demonstrated that they are able to communicate with the people in the home and presented as cheerful and coping. We saw that there is a very detailed system for monitoring the quality of care and health and safety in the house. This includes regular reviews of records, checks on equipment and visits from representatives of the organisation. The views of the people who use the service as well as those of their representatives are sought and account is taken of these when making plans. The manager demonstrated enthusiasm for further developments to improve the quality of life for the people who live there. What the care home could do better: We have made no requirements or recommendations following this visit. The manager has demonstrated that she monitors the conduct of the home and makes sure that all systems are up to date, so that people receive appropriate care. She identifies areas where improvements would benefit the people in the home and implements these so that the standards remain high. Random inspection report Care homes for adults (18-65 years) Name: Address: Grange Road 109 Grange Road Erdington Birmingham B24 0ES two star good 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: Christine Lancashire Date: 0 2 0 6 2 0 1 0 Information about the care home Name of care home: Address: Grange Road 109 Grange Road Erdington Birmingham B24 0ES 01213846607 01283820411 tracey.morrell@robinia.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Tracy Jane Morrall Type of registration: Number of places registered: Conditions of registration: Category(ies) : Solor Care West Midlands 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 109 Grange Road is a purpose built facility for up to five people with learning disability and physical disability. The property is detached and stands in its own large grounds with access to off road parking for up to 4 cars with easy access for wheel chair users to the front of the home. There is a wide range of local amenities such as shops and Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home health care are within walking distance such as chemist, doctors surgeries and optician. There are five bedrooms that are all fully furnished to a good standard. All bedrooms have en-suite facilities and are fitted with equipment based on peoples individual needs such as overhead hoists, grab rails, toilet raisers, and assisted bathing facilities if required. People have the option to bring their own belongings and furnishing if they choose to do so. On the ground floor there is a laundry, dining area and a communal lounge where people can sit and socialise. There is a passenger lift that leads to the first floor. To the rear of the property there is a conservatory and a quite room for people to relax. The rear garden has access for wheel chair users by means of a ramp that leads on to a lawn area and patio. The kitchen that is open at all times so people can have snacks and make drinks. Fees payable depend on the needs of each person. There is a financial assessment completed by the placing authority before the person move into the home. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We visited the home on a weekday without telling anyone that we would be arriving. When we arrived there were three people who live in the home and three members of the staff team. The manager arrived soon after. The focus of this visit was the areas in which improvements were asked for in the report of the key inspection in July 2007. At the time of that visit, the home had recently been set up and there was a need to further develop the system for quality assurance. The manager also needed more time to complete her duties. At this visit we looked round the home and spoke to the manager and staff. We looked at records, including the records relating to one of the people who lives in the home. We looked at the rota and the records of staff training and supervision. We also looked at the homes arrangements for making sure that the high standards are maintained and improved on. We used this evidence to write this report. What the care home does well: At the last key inspection, we found that this home provided a good standard of care for the people who live there. At this visit we found many areas of improvement and evidence that people receive an excellent quality of care. We saw good, detailed care plans which contain information for staff about the person and how they prefer to be supported. Peoples communication methods are described, so that staff are able to offer people choices and involve them in the planning of their support and activities. For example, If I turn my head away from you then it may be because I dont want what you are offering or I do not want to participate. The records are written language which is easy to understand and good use is made of photographs. Peoples usual routines are described. For example, I like to chill out in the lounge or hallway when get home. Once Ive had my tea and a little rest I should be supported by a member of staff to go for a walk, usually for about 10 to 15 minutes. There is a health action plan for each person in the home. We saw that these contain relevant details such as health history, screening, appointments, medication and monitoring of weight. Staff sign to indicate that they have read these. We saw that people are supported to take part in a wide range of activities and to take holidays. People have recently participated in trips to the cinema, bowling, games, reflexology, swimming and pampering sessions. There are risk assessments which cover the activities in which people participate and these show the ways in which the risks are minimised. eg for swimming, the possible risks include the following, I could step on something with bare feet. I could drown if unattended. We found that people are supported to make decisions and to make choices about their environment. The bedrooms are decorated in very individual styles to take account of the interests and preferences of the people who use them. When people have expressed their dislike of an activity, attempts are made to find an alternative. For example, when people have not enjoyed going on holidays staying away from home, plans have been developed Care Homes for Adults (18-65 years) Page 4 of 8 to have days out instead. People are supported to maintain relationships in the community with family and friends. There is information about how to make a complaint and there is a record of comments made about the home. This contains no recent complaints, but there are several compliments, including the following, lively and vibrant team of very committed and professional staff. We looked around the house and all areas appeared to be light, clean and well maintained. We saw a record of maintenance requests and when the work had been completed. The garden has a sitting area and an area where vegetables are grown. There are policies and procedures to minimise the risk of the spread of infection and staff have access to appropriate equipment such as gloves and aprons. The rotas show that there is a good level of staff cover and the manager has time to complete her tasks. Use is made of regular bank staff when there are vacancies and this helps to provide consistency for the people who live in the home. Staff receive ongoing training. All members of the staff team, with the exception of two who have recently joined, have NVQ level 2 and 5 have level 3. This means that people are supported by staff who are suitably trained. Staff demonstrated that they are able to communicate with the people in the home and presented as cheerful and coping. We saw that there is a very detailed system for monitoring the quality of care and health and safety in the house. This includes regular reviews of records, checks on equipment and visits from representatives of the organisation. The views of the people who use the service as well as those of their representatives are sought and account is taken of these when making plans. The manager demonstrated enthusiasm for further developments to improve the quality of life for the people who live there. 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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