Care Home: Hunters Moon

Similar services:

• 2 Perhaver Park
• The Vicarage
• St George`s
• 5 Seafield Road
• Radfords
• Honeybourne House
• 32 Beaumont Way

What the care home does well Documentation such as the Service User`s guide is being developed with photographs so it is easier for people to understand. People`s support plans are up to date and well written. Risk assessments have been reviewed and updated. Profiles for the management of behaviours are in place. People who have epilepsy have a risk assessment and epilepsy management plan in place. Detailed work has been completed in relation to the deprivation of liberty safeguards. The systems to manage people`s medicines are ordered and well managed Staff training is given priority so that staff have the knowledge and skills to meet people`s needs effectively. What the care home could do better: All medicines should be clearly labelled with full instructions of use rather than `as directed.` Discussion should be held with the GP when it has been identified that a person does not want or need their medicines, as prescribed. A rolling programme of redecoration and refurbishment of the environment should be devised and implemented. The identified bathroom must be refurbished to remove all areas of damp and mould. Other areas of damp within people`s en-suite facilities must be investigated and addressed. The wall surrounding the front door and the damp areas in people`s en-suite facilities should be repainted. Random inspection report Care homes for adults (18-65 years) Name: Address: Hunters Moon Grittleton Road Yatton Keynell Nr Chippenham Wiltshire SN14 7BH one star adequate service 21/04/2009 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: Alison Duffy Date: 2 2 0 6 2 0 1 0 Information about the care home Name of care home: Address: Hunters Moon Grittleton Road Yatton Keynell Nr Chippenham Wiltshire SN14 7BH 01452300025 Telephone number: Fax number: Email address: Provider web address: www.holmleigh-care.co.uk Name of registered provider(s): Name of registered manager (if applicable) Holmleigh Care Homes Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 7 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 7 The maximum number of service users who can be accommodated is 7. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) Date of last inspection Brief description of the care home Hunters Moon is one of a number of care homes owned by Holmleigh Care Homes Ltd. The organisation operates in Gloucestershire and Wiltshire. The manager is Mr Phillip Pedersen. Mr Pederson is not as yet registered with us as the registered manager. Hunters Moon accomodates seven people with a learning disability. The home is Care Homes for Adults (18-65 years) Page 2 of 11 2 1 0 4 2 0 0 9 Brief description of the care home located in the village of Yatton Keynell, near Chippenham. Staffing levels are generally maintained at five or six staff on duty throughout the waking day. At night there are two waking night staff and a member of staff provides sleeping in provision. Care Homes for Adults (18-65 years) Page 3 of 11 What we found: This unannounced random inspection took place on the 22nd June 2010 between 10.15am and 2.15pm. Mr Phillip Pedersen,the home manager was available throughout our visit and received feedback at the end. We sent the service surveys, for people to complete if they wanted to. We also sent surveys to be distributed to members of staff and health/social care professionals. This enabled us to get peoples views about their experiences of the service. We received surveys back from three people using the service and five staff members. Within our site visit, we looked at the support plans of two people. We looked at accident reports and the recruitment and training documentation of two newly appointed members of staff. We toured the accommodation with Mr Pedersen. The last inspection of this service took place on the 21st April 2009. Mr Pedersen told us that people had lived at the home for many years. It was therefore not possible to view any up to date assessment documentation. We looked at two peoples support plans. At our last inspection we made a requirement to ensure that all plans were signed and dated. This had been addressed. The information within the plans was ordered, well written and up to date. There were details about peoples physical, emotional, social and cultural needs. The support people needed in terms of daily living skills was clearly stated. Within the plans, profiles for the management of behaviours had been further developed and updated. At our last inspection, we made a requirement to ensure that all potential risks to people were identified, assessed, recorded, dated and kept under review. This had been addressed. Mr Pedersen told us that he initially looked at potential risks involved in day to day living. This included areas such as eating, drinking and travelling in the homes vehicle. Mr Pedersen told us that he wanted to slowly introduce people to new experiences and opportunities. He said that risk assessments were being developed for these areas. We saw that the assessments were well written and detailed. At our last inspection, we made a requirement to ensure that any restrictions of peoples liberty were agreed as part of a multi disciplinary team. This had been addressed. Mr Pederson showed that he had detailed knowledge in this area. He told us that he had discussed aspects of restriction such as the entrance gates and keypad locks, within a multi-disciplinary setting. Within the forum, matters such as one to one staff support were raised as a restriction. As a result, Mr Pedersen undertook best interest assessments. The documentation available regarding the restriction of peoples liberties was detailed and well written. Mr Pedersen told us that since our last inspection service user meetings had been introduced. The contents of discussion were written in a pictorial format for people to easily understand. We saw that the Service Users guide had also been developed in a pictorial format. Photographs had been used to ensure a clear definition of the written text. Care Homes for Adults (18-65 years) Page 4 of 11 At our last inspection, we made a requirement to ensure that each person with epilepsy had a risk assessment and an epilepsy profile in place. This had been addressed. Mr Pederson told us that he had contacted the Community Nursing Service to assist with the assessments and profile. An annual health care check for each person had also been instigated. Mr Pederson told us that all staff who administered medicines to people had received training and their competency was regularly assessed. We saw that there was one occasion when a staff member had not signed the medicine administration record. Mr Pederson told us that he would address this with the staff member. A staff member had countersigned any handwritten medicine instruction in order to minimise the risk of error. We saw that there were some medicines that were described to be taken as directed. We said that specific prescribing instructions were required so that staff knew exactly when to give the medicines to the person. There were some instructions which stated to be taken daily yet staff had not signed the medicine record to show it had been given. Mr Pederson told us that this was because the person did not require the medicine on a daily basis. We advised that this should be discussed with the persons GP. As good practice, staff had used body maps to show where topical creams were to be applied. At our last inspection, we made a requirement to ensure that medicines which people took with them when leaving the home were recorded appropriately. This had been addressed. Mr Pederson showed us a format that had been devised to record the number of tablets taken and returned to the home. The homes improvement plan, confirmed that there was a well recorded protocol for medication being taken off the premises for social leave. We saw that a GP had given authorisation for some people to have their medicines covertly in food or drink. We looked at the accident records and saw that minimal entries had been made. Those recorded were factual and well written. Mr Pedersen told us that there had not been any significant incidents or accidents. We were informed us of any incidents, which affected peoples wellbeing under regulation 37. We looked around the accommodation with Mr Pederson. We said that some areas such as the lounge and main corridors would benefit from redecoration. The bathroom was very damp with mould on the ceiling and walls. The ventilation was very poor. This presented a risk to people using the bathroom. We said that the bathroom needed refurbishing, without delay. Within a persons en-suite facility, there was a damp area on the ceiling. Mr Pedersen told us that he would investigate the cause of the problem and then arrange for the ceiling to be redecorated. We saw that the area around the front door was in need of painting. Within bathrooms, there were a number of continence aids and disposable gloves. We advised that these were stored more discreetly. At our last inspection, we made a requirement to ensure that the home had an updated fire risk assessment which was signed, dated and kept under review. This had been addressed. Mr Pedersen told us that a full review had been undertaken in January 2010. He said that fire safety measures, as recommended by the Fire and Rescue Service were being worked through. This had involved the installation of new fire call points and new locks to some doors. Mr Pedersen told us that a night time fire evacuation took place so that staff could experience the procedure. At our last inspection, we made a requirement to ensure that Mr Pedersen submitted an application to us, to become the registered manager. Mr Pedersen told us that his application had been submitted but needed resubmission. Mr Pedersen said that he was in the process of doing this but needed to Care Homes for Adults (18-65 years) Page 5 of 11 await the receipt of his Criminal Record Bureau disclosure. We looked at the recruitment and training records of the two most recently appointed staff members. One file was not available. Mr Pedersen told us that the recruitment and selection administrative work was undertaken at the organisations Head Office. Once completed, the prospective staff members file would be sent to the home. Mr Pedersen told us that the file had not been received. A robust recruitment process could therefore not be evidenced. We looked at the second staff file. There was an application form, two written references and a health care questionnaire. There was documentary evidence of the persons identity. There was evidence that the persons suitability to work with vulnerable people had been checked. Mr Pederson told us that new staff undertook a range of training before they started working directly with people. This included training in the protection of vulnerable adults, manual handling and infection control. We saw that staff had also completed training in positive behaviour management, dignity and respect and fire safety. Within surveys, people told us that they could sometimes make decisions about what they did each day. They said that staff and managers treated them well and usually listened to what they said. They said the home was usually fresh and clean. People told us that they knew who to speak to if they were not happy. In relation to what the home did well, one person said pizza, dance club, shopping, going out in the car and party food. Staff told us within their surveys that checks such as references and a Criminal Records Bureau disclosure were carried out before they started employment. They said they received training related to their role and were given up to date information about the needs of people they supported. Two staff told us that there were usually enough staff to meet the individual needs of people. Two staff said that there were sometimes enough staff available. In relation to what the home did well, one staff member said offer good quality of care and meet the needs of service users. Staff attend training and supervision. Service users are offered choices and respect. Service users are given access to activities in the community. Service users participate in shopping for their food. Personal care is given with dignity and respect. Another staff member said the staff at the home interact and provide a high level of care to suit the service users needs. Staff are very aware of issues that cause barriers for the service users. Other comments in relation to what the home did well were activities, comfort, meals and training, people are treated with the up most respect and promotes good team work. Works well in challenging situations. In relation to what the home could do better, one staff member said provide a better system of communication, support, activity and advocacy for the service users. Another staff member said the home should provide more activities. I believe that more staff should be trained to drive the homes minibus. I would like to see a new mini bus as the one held needs attention. Other comments in relation to what the home could do better were the home could do better by cutting down the number of employees calling in sick unnecessarily, more staff and sort vehicles, more funding for extra member of staff and we need a new bus and participating in outdoor activities increased. More game board activities for service users indoors. Care Homes for Adults (18-65 years) Page 6 of 11 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 7 of 11 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 8 of 11 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 30 13 The identified bathroom must 30/08/2010 be refurbished to remove all areas of damp and mould. Other areas of damp within peoples en-suite facilities must be investigated and addressed. So that people live in a pleasant and safe environment. 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 19 20 All medicines should be clearly labelled with full instructions of use rather than as directed. Discussion should be held with the GP when it has been identified that a person does not want or need their medicines, as prescribed. Continence aids and disposable protective clothing should be discreetly stored rather than being visible in bathrooms and toilets. The wall surrounding the front door and the damp areas in peoples en-suite facilities should be repainted. Page 9 of 11 3 24 4 24 Care Homes for Adults (18-65 years) 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 5 24 A rolling programme of redecoration and refurbishment of the environment should be devised and implemented. Care Homes for Adults (18-65 years) Page 10 of 11 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 11 of 11 - 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!