Care Home: ILP Residential

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What the care home does well Photographic evidence in the home, combined with what people living there told us in person and through service user surveys, showed that people were supported to live interesting and varied lives. They benefited from a clean, modern environment and enjoyed good relationships with each other and the providers. There was evidence of positive role modelling and encouragement to maintain and develop skills in independent living. People told us they liked living in the home. The providers of the service have been committed to widening their training in social care practice and gaining appropriate qualifications.A relative of one of the people in the home expressed confidence in the nature of care and support they saw provided by the home. What the care home could do better: Records of the support people received were mostly basic, and could not be relied on to provide essential information. We saw evidence that for a period of several months in 2009, three people were being accommodated. The service is registered to accommodate two people. This calls into question the quality of management of the service, which we rated as a `good` quality service at our last key inspection. Accordingly we are considering the range of enforcement actions we could take, through our internal management review process. Random inspection report Care homes for adults (18-65 years) Name: Address: ILP Residential 32 Shire Way Westbury Wiltshire BA13 3GF 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: Roy Gregory Date: 2 3 0 3 2 0 1 0 Information about the care home Name of care home: Address: ILP Residential 32 Shire Way Westbury Wiltshire BA13 3GF 01373864945 01373864945 lewis770@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr James Norman Lewis Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr James Norman Lewis care home 2 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 2 ILP Residential is a private residential care home, which offers care in a wholly domestic setting to two adults with a learning disability. The registered provider and manager is Mr James Lewis. He provides care together with Mrs Cherry Lewis, his wife. The home is a four bedroomed terraced property on a modern residential development, situated within walking distance of local shops and Westbury town centre. It is on a bus route, whilst Mr Lewis also makes his car available for some transport needs. The house has three floors, which enables Mr and Mrs Lewis to have private space on the top floor. The two residents rooms are on the first floor, where there is also a bathroom and toilet for them to use. The ground floor has a kitchen, Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home lounge diner, toilet, conservatory and courtyard garden, all shared by the people living in the home, and Mr and Mrs Lewis. There is access from the garden to a garage, where people can undertake a number of pastimes. Mr and Mrs Lewis make regular trips abroad, taking people with them if they wish to go. The weekly fees include covering the cost of one holiday per year. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We visited ILP Residential unannounced on Tuesday 23rd March 2010 and stayed for two hours. The purpose of this random inspection visit was to establish the dates of admissions and discharges of service users during 2009; to see the additional accommodation that had been used for a third person at one time; and to examine the nature of the providers involvement with service users personal monies. Under PACE code B, we removed a number of documents, which indicated periods during which people were placed at the home to receive a residential care home service. Whilst we were at the home we met each of the people currently living there. We saw evidence of how support is provided to them. We also took note of survey forms they had previously returned to us. We spoke afterwards to a relative of one of the people in the home. The service did not have a record that showed when people were admitted or discharged. There was reliance on individual records to show this information. However, for one person, the provider told us that their precise date of staying whole time, as opposed to staying as a guest, could not be ascertained. It had not been identified as a significant event to record this information. For another person, their date of leaving the home had not been recorded. The provider assumed the last date in the daily record of their care corresponded with when they left. We saw the bedroom that had been used to accommodate a person when the number of people accommodated had been three. We were informed the room fell just short of the floor area stipulated in the related National Minimum Standard. However, it offered a pleasant and private space, with sufficient availability of light and fresh air. There was good quality furniture and close provision of toilet and bathroom facilities. Communal space was sufficient for five adults sharing the house. We saw the ways in which people were supported to handle, access and spend their personal monies. The provider was not an appointee for anyone. People had bank or building society accounts of their own and kept spending money with them. With regard to a person who left the home in October 2009, we saw an e-mail trail showing that the provider and funding authority were in contact about how to cease payments from the persons benefits entitlement to ILPs business account. We were told a settlement payment had been recently made. What the care home does well: Photographic evidence in the home, combined with what people living there told us in person and through service user surveys, showed that people were supported to live interesting and varied lives. They benefited from a clean, modern environment and enjoyed good relationships with each other and the providers. There was evidence of positive role modelling and encouragement to maintain and develop skills in independent living. People told us they liked living in the home. The providers of the service have been committed to widening their training in social care practice and gaining appropriate qualifications. Care Homes for Adults (18-65 years) Page 4 of 8 A relative of one of the people in the home expressed confidence in the nature of care and support they saw provided by the home. 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 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 37 9 (2)(b)(i) The registered manager 31/08/2008 must provide evidence or registration for training to National Vocational Qualification in care, level 4. 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. 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