Care Home: Hagley Road

What the care home does well This is a random inspection so not all the standards were assessed. Each person has a care plan. These are regularly reviewed and tell staff how to support individuals to achieve their goals. Staff know what each person needs and are aware if people`s needs change. People are supported to keep in touch with their family and friends so they can maintain relationships that are important to them. The people living there have opportunities to make choices and decisions about their lives. This helps to ensure their well being and improve their self esteem. Staff know the people living there well so they know how to support them. Staff have the training and support they need so they know how to meet the needs of the people living there. People living there said they liked living at the home. People can go on holiday with staff if they want to. One person said they enjoyed their holiday and was talking to staff about planning the next one. What the care home could do better: This is a random inspection so not all the standards were assessed. Safe office space should be provided so that staff can run the home effectively to benefit the people living there. Random inspection report Care homes for adults (18-65 years) Name: Address: Hagley Road 429 Hagley Road Edgbaston Birmingham West Midlands B17 8BL 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: Sarah Bennett Date: 0 9 0 6 2 0 1 0 Information about the care home Name of care home: Address: Hagley Road 429 Hagley Road Edgbaston Birmingham West Midlands B17 8BL 01214202970 01214202970 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Nigel Timothy Higgins Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mind in Birmingham care home 10 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Conditions of registration: 10 The maximum number of service users who can be accommodated is: 10 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: Mental disorder, excluding learning disability or dementia (MD) 10 Date of last inspection Brief description of the care home 429 Hagley Road is situated on a busy main road close to Bearwood. The building is of a traditional appearance and blends in well with the other residential houses. Close to the home is a shopping centre, pubs, restaurants and leisure facilities. The area is also Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home well served by a range of public transport. The homes brochure states that The home provides long term care for people suffering with mental health problems. The homes philosophy gears towards a slow track rehabilitation with people who live there being allowed time to develop and enhance the skills they have. The home allows the people living there to fulfil their potential and future goals in terms of their accommodation. The home is not suitable for people who use wheelchairs and this is stated in the service users guide. The reader should contact the home for updated information about the fees charged to live there. A copy of the last inspection report is available in the home for visitors to read if they wish to. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: The focus of inspections undertaken by the Care Quality Commission (CQC) is upon outcomes for people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. The last key inspection of this service was completed on the 16th September 2009. This random visit was undertaken by one inspector over five hours. There were ten people living there. The home did not know that we would be visiting that day. The reason for this visit was to check compliance with the requirements made at the last key inspection and to review the outcomes for the people living there. During this visit we looked at two care files, the medication records for two people, fire and health and safety records and reports of visits by a representative of the provider. We looked around some parts of the home. We spoke to the people living there, the manager and the staff on duty. These are our findings: A volunteer within the organisation leads a monthly meeting with the people living there. A meeting was being held that afternoon. The volunteer said that it is good as people get an opportunity to air their views. The volunteer then raises these with staff so that if people do not feel comfortable about doing this, it can be done on their behalf. Staff were observed encouraging people to attend the meeting so they could have their say in the running of the home. Records showed that people are going out and doing activities they enjoy. One person goes to college and had been that morning. They have also joined a local walking group. One person is showing an interest in art and staff were observed encouraging them with this. A computer is available for people to use. The manager said that a volunteer has got people involved in using this. They hope that four more volunteers will soon start working with the people living there to encourage them to do more activities. Volunteers are waiting for checks to ensure they are suitable before starting. The manager said one person is interested in bird watching, so they were looking at ways to develop this interest and find out if others are also interested. Some people living there due to their mental health needs can lack motivation but staff have worked hard to explore things that may interest them and motivate them to try new things. Records included more information about how staff should support people to meet their health needs. Daily records showed more detail about how staff had supported individuals to meet these. Records of health appointments were more detailed as to the outcome so that staff knew what support they needed to give individuals. Medication records included an updated photograph of the person so that unfamiliar staff would know who to give the medication to. Where people are prescribed medication to be given as required, clear protocols have been written. These state when, why and how much of the medication should be given so that people get the medication they need. Care Homes for Adults (18-65 years) Page 4 of 9 When we last visited medication records were hand written. This could result in errors being made. A printed record of the medication that each person is regularly prescribed has now been developed. Where people are prescribed medication during the month, such as antibiotics, this is hand written on the record. Staff said there is less likely to be errors in this, as there is less medication to write and it does not happen that often. Medication records looked at showed that staff sign when they give people their medication and indicated that people are getting their medication as prescribed. The kitchen has been refurbished making it cleaner and more hygienic. A new larger cooker has been installed, which makes it easier to cook meals for all the people living there. Several rooms have been redecorated and new furnishings and furniture provided. This has made the home more comfortable for people to live in. Work has been done on the garden involving some of the people living there working with staff and a volunteer. A project initiated by the manager has been ongoing about the history of the house and garden. Work is being done to restore the garden to an Edwardian style and this has involved clearing beds and bids are being submitted to fund replacement of fencing and garden furniture. The air raid shelter has been cleared and re opened and is being used for much needed storage space. The office is very small and often staff have to work in the dining room, which can encroach on the space for the people living there. Staff have to reach up to get files off the office shelves, which can be hazardous. The medication cabinet and fridge are also in the office, which makes it difficult for staff to concentrate on giving this to people when there is such limited space. The computer is in the office but it is not possible for staff to sit in a comfortable position when using this due to the limited space. We saw wires hanging across the table where the computer is. The manager said that quotes have been obtained to extend the office and they are waiting for approval from the finance committee for this. The plans would mean the loss of one toilet/bathroom on the ground floor. The people living there have been consulted about this and raised no objection. There would still be the minimum number of bathrooms on this floor for people to use. The exterior of the home is to be redecorated in the next couple of months. This will make the home look more welcoming from the outside. One person and a volunteer have cleared much of the front garden so it is easier to see the home from the road. They have also put up a number sign to help with this. This has helped to make the home more welcoming and homely. Reports of visits by a representative of the provider were more detailed. These showed that they spoke to the people living there and staff to find out how the home is meeting the regulations to ensure good outcomes for the people living there. The representative visits monthly and the people living there have access to a copy of their report, so they can see if any improvements need to be made. There have been more fire drills. This gives staff and the people living there a chance to practice what to do if there is a fire. Records of these were detailed so it was clear who was involved and how they responded. Fire records showed that staff regularly test the fire equipment to make sure it is working. What the care home does well: Care Homes for Adults (18-65 years) Page 5 of 9 This is a random inspection so not all the standards were assessed. Each person has a care plan. These are regularly reviewed and tell staff how to support individuals to achieve their goals. Staff know what each person needs and are aware if peoples needs change. People are supported to keep in touch with their family and friends so they can maintain relationships that are important to them. The people living there have opportunities to make choices and decisions about their lives. This helps to ensure their well being and improve their self esteem. Staff know the people living there well so they know how to support them. Staff have the training and support they need so they know how to meet the needs of the people living there. People living there said they liked living at the home. People can go on holiday with staff if they want to. One person said they enjoyed their holiday and was talking to staff about planning the next one. 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 6 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 7 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 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 1 42 Safe office space should be provided so that staff can run the home effectively to benefit the people living there. 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. 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