Latest Inspection
This is the latest available inspection report for this service, carried out on 17th June 2010. CQC found this care home to be providing an Good service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for Handley Drive.
What the care home does well We found that staffing arrangements are satisfactory with 3-4 staff deployed per shift, the manager reported that there are no staff vacancies. We found that recruitment procedures are also satisfactory, but have asked the manager to ensure that copies of all relevant pre employment checks are maintained on the personnel files. We saw that staff have received the training they need to deliver good quality care and the numbers of staff trained to National Vocational Qualification (NVQ) level 2 or above exceeds the minimum number recommended. We saw that staff receive one to one supervision sessions regularly and Personal Development Reviews are carried out twice per year. We also saw that staff meetings are planned monthly, but are some times less frequent. We saw that people using the service have monthly meetings chaired by an independent advocate, to discuss their needs, concerns and plans. The minutes of these meetings are displayed on a notice board. We spoke to two people using the service at length, they both gave positive accounts of the support they receive at the home. They both know who their key worker is and said that they are told about their care plans when they have a monthly one to one meeting with their key worker. We talked to people using the service and staff about medication. No one at the service currently self medicates we talked to the manager about this, and recommended that this is an area that could be developed. We saw that medication is properly and safely stored. We saw that the service has robust systems in place for recording and auditing medication stock, this includes periodic spot checks by the manager. We looked at how the service manages complaints. People using the service told us that they know how to complain and who to go to if they have any concerns. The manager told us that the service hasn`t received any formal complaints in the last 12 months, there has not been any safeguarding concerns. Staff have received safeguarding training, including how to recognise and report suspected abuse. Mental Capacity Act training has also been provided and most staff have received guidance about Deprivation of Liberty safeguards (DOLS), other training is planned. The manager gave an account of a DOLS referral for one person. When we send out surveys we ask people using the service to tell us what the service does well. We have been told that; "I can do what I want to do everyday." "People are helpful to each other. I go out for lots of meals. Nice and Homely." "I can have a chat with residents. I go out sometimes." "I can go to places I want to go. Everyone is friendly. The staff help me, I can do what I want to do each day." Staff told us that; "The needs of all service users are always a priority, we try to promote independence/community events as much as possible." "The home cares for people to a very high standard and always ensures that their needs and wants are met." "Provide a brilliant service to all people using the service no matter what individual needs they have, they are treated with respect and dignity in all areas of care and encouraged to be as independent as possible. Staff work well together as well as on their own. Which helps the home run well." "Ensures enough activities are on to enable people to go into the community, ie college courses, day trips and holidays." "To meet the individual needs of all residents, with respects to gender, religion, disabilities, knowledge and single interests." "Treat each person as an individual, provides a variety of regular activities for each service user." What the care home could do better: We talked to people using the service about care plans and looked at a sample of these. We recommended that the service considers developing the plans in a format that people using the service can more easily understand this also applies to minutes of meetings and any other relevant information. When we send out surveys we ask people using the service to tell us what the service could do better. We have been told that; "I would like to go out more often." "We could have our own key or swipe card." "I would like a new car to transport everyone, so we have a spare car." Staff told us that; "Staff morale is low at the moment. No consistency with things that are said not very good communication sometimes." "Nothing, in my own opinion as the staff and management maintain a very high standard of care for each other and the service users." "More communication and consistency. Carry out thorough care plans, regularly. To implement and to put into action anything discussed at staff meetings." "With lots of money and extra staff we could do wonders. I believe a carers job is not just a job it`s an adventure with the resources we have and the staff commitment we fulfil the residents needs." "Sometimes communication between staff is not good. Needs better team work, morale between staff can be very low at times. Managers need to manage people properly and deal with issues effectively, and not ignore problems." "Make sure enough staff are on duty to meet the needs of people. Communicate, work with consistency, work on staff morale." We spoke to the manager and a member of staff during this visit, we have been told that staff morale concerns have been resolved now that a full staff team has been recruited. We asked if people using the service have keys to their home, the manager agreed to look at this. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Handley Drive 12 Handley Drive Brindley Ford Stoke on Trent Staffordshire ST8 7QZ 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: Wendy Jones Date: 1 7 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Handley Drive 12 Handley Drive Brindley Ford Stoke on Trent Staffordshire ST8 7QZ 01782517079 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Stoke on Trent City Council Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 11 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 11 The maximum number of service users who can be accommodated is: 11 The registered person may provide the folllowing 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) 11 Date of last inspection Brief description of the care home Handley Drive is a residential home located on the outskirts of Stoke On Trent, Staffordshire, the home is owned by Stoke on Trent City Council. The home provides a service for adults of both genders who have a learning disability. The two-storey
Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home property was built in the 1960s, providing eleven single occupancy bedrooms, located on both the ground and first floor, en suite facilities are not provided. Bathrooms and toilet areas are located throughout the home and are in close proximity to both communal areas and bedrooms. The property provides two group living areas, on the ground floor there is a lounge dining area and a separate large lounge and separate dining area. There are also three bedrooms, laundry, office and walk in shower area on the ground floor. On the first floor there are eight further bedrooms, one assisted bathroom, one unassisted bathroom and also a shower room. There is a lounge/diner/kitchenette, which is used as a daily living skills training facility. People using the service also have access to a garden at the rear of the property; ramp access and a grab rail are in place from the patio entrance. The home is located in a residential area and is in keeping with the local community. Prospective users of the service should contact the provider for information about the fee range and charges they made need to pay. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
This report refers to a random unannounced inspection visit by one inspector, on the 17 June 2010. A random inspection is short visit that focuses on a specific subject, for this visit we decided to focus on how the service manages medication, manages complaints and supports peoples independence. We also looked to see that any recommendations or requirements made at the last key inspection visit have been addressed. As part of the inspection in order to provide information to help us form judgements about the quality of the service, the acting manager was asked to complete an annual quality assessment (AQAA) document. The AQAA provides us, the Care Quality Commission (CQC) with a lot of information about the way the service is run, how it has improved since our last visit and what they hope to achieve in the future. We sent out surveys to people who use the service and staff. We have received eleven from staff and seven from people using the service. We have included a sample of their comments in this report. During the visit, we spoke to two staff and to two people using the service. We also spent time looking at records and documents. These included care plans, medication administration, stock control and audit records, staff recruitment and training records and minutes of staff and peoples meetings. We found that the service currently provides for 11 people, who have a Learning Disability. The registered manager has recently successfully applied to manage another service, but was available throughout this visit. Interim management arrangements have been agreed until the now vacant post has been advertised and a new manager recruited. We have confirmed during this visit that any requirements and recommendations made at our last visit to this service, have been addressed. What the care home does well:
We found that staffing arrangements are satisfactory with 3-4 staff deployed per shift, the manager reported that there are no staff vacancies. We found that recruitment procedures are also satisfactory, but have asked the manager to ensure that copies of all relevant pre employment checks are maintained on the personnel files. We saw that staff have received the training they need to deliver good quality care and the numbers of staff trained to National Vocational Qualification (NVQ) level 2 or above exceeds the minimum number recommended. We saw that staff receive one to one supervision sessions regularly and Personal Development Reviews are carried out twice per year. We also saw that staff meetings are planned monthly, but are some times less frequent. We saw that people using the service have monthly meetings chaired by an independent advocate, to discuss their needs, concerns and plans. The minutes of these meetings are
Care Homes for Adults (18-65 years) Page 4 of 10 displayed on a notice board. We spoke to two people using the service at length, they both gave positive accounts of the support they receive at the home. They both know who their key worker is and said that they are told about their care plans when they have a monthly one to one meeting with their key worker. We talked to people using the service and staff about medication. No one at the service currently self medicates we talked to the manager about this, and recommended that this is an area that could be developed. We saw that medication is properly and safely stored. We saw that the service has robust systems in place for recording and auditing medication stock, this includes periodic spot checks by the manager. We looked at how the service manages complaints. People using the service told us that they know how to complain and who to go to if they have any concerns. The manager told us that the service hasnt received any formal complaints in the last 12 months, there has not been any safeguarding concerns. Staff have received safeguarding training, including how to recognise and report suspected abuse. Mental Capacity Act training has also been provided and most staff have received guidance about Deprivation of Liberty safeguards (DOLS), other training is planned. The manager gave an account of a DOLS referral for one person. When we send out surveys we ask people using the service to tell us what the service does well. We have been told that; I can do what I want to do everyday. People are helpful to each other. I go out for lots of meals. Nice and Homely. I can have a chat with residents. I go out sometimes. I can go to places I want to go. Everyone is friendly. The staff help me, I can do what I want to do each day. Staff told us that; The needs of all service users are always a priority, we try to promote independence/community events as much as possible. The home cares for people to a very high standard and always ensures that their needs and wants are met. Provide a brilliant service to all people using the service no matter what individual needs they have, they are treated with respect and dignity in all areas of care and encouraged to be as independent as possible. Staff work well together as well as on their own. Which helps the home run well. Ensures enough activities are on to enable people to go into the community, ie college courses, day trips and holidays. To meet the individual needs of all residents, with respects to gender, religion,
Care Homes for Adults (18-65 years) Page 5 of 10 disabilities, knowledge and single interests. Treat each person as an individual, provides a variety of regular activities for each service user. 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 10 Care Homes for Adults (18-65 years) Page 7 of 10 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 32 13(3)(5) All staff must receive mandatory training in this instance manual handling and infection control. 24/12/2007 2 33 18 Recruitment must be 24/12/2007 improved to ensure that staff are provided in sufficient numbers to meet the needs of service users, without existing staff working additional hours on a regular basis. Care Homes for Adults (18-65 years) Page 8 of 10 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 2 6 20 Information relevant to people using the service should be produced in a format that they can more easily understand. The service should promote peoples independence by supporting them to self medicate where appropriate. Care Homes for Adults (18-65 years) Page 9 of 10 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 10 of 10 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
