Care Home: ICS 1 Dexter Way

Similar services:

• Polesworth Group 70 Long Street
• Breme
• Polesworth Group 64 Long Street
• Polesworth Group 68 Long Street
• 10 Whitfield Avenue
• Polesworth Group Friary Road
• Polesworth Group Pooley Heights
• Polesworth Group 32 Station Road

What the care home does well People`s support plans are detailed and informative ensuring that staff are able to meet individuals assessed needs. People are actively supported to make decisions about their lives on a daily basis. Consideration is given to people`s interests, hobbies, and leisure pursuits when planning activities. The involvement of relatives/ families and friends is encouraged by the home. Good medicine management helps ensure people using the service are given their prescribed medicines correctly to promote their health and well being. The home has both a complaints policy and an adult protection policy in place. The complaints procedure has been provided in a format that is meaningful to people. Staff are aware of their responsibilities with regards to protecting people from abuse. People are supported in a respectful manner and their personal care needs are met. Staff are knowledgeable about the people who use this service. They have a good understanding of their roles and responsibilities. Staff are knowledgeable and skilled in meeting people`s needs. Training and staff support is given high priority. People`s accommodation is clean, fresh, well maintained and appropriate to their needs. What the care home could do better: High standards continue to be maintained and no requirements have been made following this inspection. The organisation has an excellent quality assurance system and any required improvements are quickly identified and a plan put in place to address them Random inspection report Care homes for adults (18-65 years) Name: Address: ICS 1 Dexter Way Off Birchmoor Road Polesworth Warwickshire B78 1AZ 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 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: Julie McGarry Date: 1 9 0 5 2 0 1 0 Information about the care home Name of care home: Address: ICS 1 Dexter Way Off Birchmoor Road Polesworth Warwickshire B78 1AZ 01827331713 01527546888 mgr.polesworth@individual-care.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Susan Partlow Type of registration: Number of places registered: Conditions of registration: Category(ies) : Individual Care Services 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 1 Dexter Way is a large domestic-style house situated on the corner of a modern housing estate close to the village of Polesworth. The service is for five adults with a learning disability. Each person has their own bedroom. Two of the bedrooms are situated on the ground floor and have en suite facilities. There is a lounge with a dining Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home area, a kitchen and a small utility room. There are three bedrooms on the first floor, a bathroom and separate toilet. One room upstairs is designated as an office/ sleep in room for staff. Externally at the rear of the house, there is a patio and garden landscaped to meet the needs of the service users. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: The quality rating for this service is three star; this means that people using the service receive excellent outcomes. This was a random inspection undertaken by one inspector, over one day, and was unannounced. As the inspection was unannounced the registered owner, manager and staff did not know we were going. The care of two people living in the home was identified for close examination by reading their care plans, risk assessments, daily records and other relevant information. This is part of a process known as case tracking where evidence of the care provided is matched to outcomes for the people using the service. Before the inspection we looked at all the information about the home that is held on file by us such as notifications of accidents, allegations, and incidents and complaints. We also sent an Annual Quality Assurance Assessment (AQAA )to the manager to complete. The manager completed and returned the Annual Quality Assurance Assessment (AQAA) containing helpful information about the home in time for the inspection. A number of records such as support plans, complaints records, and staff training information were also sampled for information as part of this inspection. Evidence: People at the home were seen to rise at their own pace and receive unhurried support to eat their breakfast of choice. Everyone was well groomed and dressed in appropriate good quality clothing indicating they are supported to maintain a good self image. Two people were case tracked during this inspection. The home has recently reviewed and updated all care files. The care files covered all the main areas of care including medical history, personal care, pressure care, nutrition, communication, continence and mobility. Records show that care plans are evaluated on a monthly basis or more often if needed and changes are made to the care plans if there is a change in the need of the person. Care plans were individually dated and signed so there was a clear audit trail of when the care needs had been identified. This is helpful to know particularly when care needs change so that it is possible to see if a persons health has improved or deteriorated. Relevant risk assessments are carried out to promote each persons safety. Risk assessments seen in care records sampled are recorded in a format that is personalised and comprehensive. When necessary, specific plans had also been put in place to manage particular behaviours in the best way and to keep residents and other people as safe as possible whilst promoting their independence. Entries in peoples health records show that they are being supported to attend health care appointments to monitor and treat diagnosed health needs. Peoples records show that they are being supported to attend routine health appointments such as annual health checks, dental check ups, chiropody support, and eye tests. Care Homes for Adults (18-65 years) Page 4 of 10 In the AQAA we are told Needs of service users in relation to equality and diversity issues are initially assessed and highlighted in the care plan and detailed instructions for supporting any specific needs beliefs. Service users are enabled to fulfill their individual cultural and religious beliefs, they are supported with any special diets, and specific staff training is given where necessary as identified in the needs assessment. The manager sets high standards and expects that people will be treated with dignity and respect. 1 Dexter Way specialises in caring for people who need care because they have physical and learning disabilities. Staff at the home are trained to understand the best ways to help people who may sometimes show behaviour that is challenging such as getting very frustrated or anxious. We saw that people were very calm and relaxed. We saw that people are free to move around the house without staff making them go and sit down. People who use the service are supported by staff who promote and respect their privacy and dignity. Staff were seen referring to people by their preferred form of address and we saw staff knocking on peoples doors and waiting for a response before they entered the room. Most medication is dispensed via blister packs. Three peoples Medication Administration Record (MAR) Sheets were looked at, alongside additional recording sheets that showed a daily record of numbers of individual tablets remaining to demonstrate accuracy in administering and recording. Whilst the homes management of medication is good, the home needs to ensure all staff are clear about the safe disposal of medicines and record temperatures of medication stored. We saw that the registered manager regularly audits the medication to ensure staff are administering it as prescribed by the GP. We saw that people are involved in various activities which include overnight trips to musical events, swimming, going out for meals and holidays in Britain - Devon and Edinburgh. The care plans detail which social and leisure activities people enjoy. The home has a clear complaints policy and process which is available in the kitchen at the home and in the statement of purpose which is given to people when they are considering a move to the home. Peoples care files also contain signed documents showing that the complaints policy has been discussed with peoples family / representatives. People told us in their surveys that there was someone they could speak to if they were unhappy and that they knew how to make a complaint if they needed to. There have not been any referrals made about matters that could affect the safety and welfare of the people living at the home since the last inspection. Required policies and procedures are provided to promote residents welfare and protect them which include multi agency procedures for the protection of vulnerable adults (POVA) recognising abuse and whistle blowing. Two staff spoken with demonstrated a good understanding of the types of abuse they might encounter and to whom they should report any concerns. The manager informs that audits are being carried out at the home to ensure the quality of care delivered is monitored for example, Regulation 26 visits. Regulation 26 visits must be carried out at least once a month by a registered provider or another appropriate Care Homes for Adults (18-65 years) Page 5 of 10 person of the organisation who is not directly concerned with the conduct of the care home. This is to inspect the premises of the care home, speak with residents at the home, and with permission their representatives, to form an opinion of the standard of care provided in the care home and prepare a written report on the conduct of the care home. Copies of recent reports of the visits were seen and read informing of improvements that need to be made. The AQAA tells us that the home has made the following changes as a result of listening to people who use their service Regular service user reviews, liaising with other professionals to get their valued input, group meetings of workers to look at different approaches for working with service users. Observation of working practices are undergone to audit and improve service provision. It is during review meetings that significant changes can be made. For example, if a service user no longer benefited from an activity they previously enjoyed then those changes would be made. Alternative activity placement would be found and recorded accordingly. From the AQAA we were informed that 89 of staff have achieved a minimum of level two in the National Vocational Qualification in care. This is above the minimum level of 50 of staff required. The AQAA states that 100 of permanent staff have received training in safe food handling and no staff are employed without two references and a criminal record check indicating clear and robust procedures for the recruitment of all staff. From discussions with the manager staff and records seen staff are receiving regular planned supervision or annual appraisals of their performance. The manager states that supervision and appraisals are standard practice at the home. On the day of this visit the home was suitably staffed staff were clear on their roles and of the needs of people and a variety of activities were in place. There was a good atmosphere throughout the home with friendly and warm relationships existing between staff and people who use the service. Staff told us in surveys that they felt well supported in their jobs and that they have the training they need. During the visit a member of staff told us that they enjoyed their job and that they have positive relationships with the people who live there. We did not inspect the homes environment at this visit, however the AQAA tells us The home is well maintained any work that needs to be carried out is reported immediately to our Redditch Office maintenance continues to be carried out by professionals to a very high standard. A record is kept in homes maintenance log book. Regulation 26 the home is inspected monthly and a record kept of each inspection of the premises. New carpets have been fitted to communal areas of the building. The home continues to meet the requirements of the local fire service and environmental health department health and safety building Acts and Regulations. Fire safety records are kept up to date and a record of fire drills are well documented. The AQAA confirms all necessary checks and servicing are being carried out by staff and or approved contractors including the fire safety system, equipment electrical appliances, heating and other equipment. Accident and incident records are kept and notified appropriately to the Commission and relevant other agencies. Throughout staff were seen to interact with residents in a warm positive and individual Care Homes for Adults (18-65 years) Page 6 of 10 manner. Staff were observed to stimulate or soothe people according to circumstances. In discussion, staff showed their enthusiasm for supporting and enabling people to the best of their ability. 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 10 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 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 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!