Latest Inspection
This is the latest available inspection report for this service, carried out on 4th August 2010. CQC found this care home to be providing an Adequate service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Ledbury ABI Transitional Living Unit.
What the care home does well Because this inspection was focused on checking requirements from a previous inspection, we may not have identified all areas of good practice within the unit. Care plans are regularly reviewed and updated, and contain detailed and relevant information to inform staff so that they can support people with their needs and preferences. What the care home could do better: We have not identified any areas where the unit needs to make significant improvements. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Ledbury ABI Transitional Living Unit Market Street Ledbury Herefordshire HR8 2AQ one star adequate service 19/03/2010 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 Blake Date: 0 4 0 8 2 0 1 0 Information about the care home
Name of care home: Address: Ledbury ABI Transitional Living Unit Market Street Ledbury Herefordshire HR8 2AQ 01531637600 01531673619 Telephone number: Fax number: Email address: Provider web address: www.shaw.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mrs Lorraine Ann Cooling Type of registration: Number of places registered: Conditions of registration: Category(ies) : Shaw Healthcare (Ledbury) Limited care home 10 Number of places (if applicable): Under 65 Over 65 0 0 physical disability sensory impairment Conditions of registration: 10 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 with Nursing (Code N) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Physical disability (PD) 10 Sensory impairment (SI) 10 Date of last inspection Brief description of the care home Ledbury Acquired Brain Injury Transitional Living Unit opened on May 1 2003. It is operated by Shaw Healthcare. The unit is situated within the Ledbury Community Care
Care Homes for Adults (18-65 years) Page 2 of 8 1 9 0 3 2 0 1 0 Brief description of the care home Centre in the heart of the town. The Centre contains a number of separate services including a Social Service office, various dental, medical and therapy services, a minor injuries unit, an intermediate care unit (ICU), and a nursing home for older people. The last two are also registered with the Care Quality Commission as care homes and are also operated by Shaw Healthcare. This report is only about the Acquired Brain Injury Transitional Living Unit. The other two services are inspected separately. The unit offers care for up to 10 people aged 18 - 60. It offers services for people who need support and time to regain or to practice the skills necessary for independent living. The statement of purpose identifies the normal maximum length of stay in the unit as being five years. There are 10 single bedrooms with en-suite facilities, a sitting/dining room, an activities room and a therapy area. The unit has a laundry service and full meals service from a central kitchen but additionally, there is a kitchen on the unit for use by the people staying there. The unit is accessed by stairs or lift from the Centres main reception area, and also has its own front door accessed across a walkway. Outside the unit has a separate patio area with seating and a canopy, and an enclosed garden with raised beds. Information regarding fees can be obtained from the registered manager at the unit. A copy of this report can be viewed at the unit. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
We carried out this inspection because we needed to check that the service had complied with the requirements which we made at the last inspection in March 2010. One inspector visited the unit, unannounced, for an afternoon. We looked in detail at the care records for two people who live at the unit. We wanted to make sure that peoples care plans are kept up to date and that they reflect the persons current situation. This is so that staff know how to provide the support that each person needs. We saw that care plans had been regularly reviewed and updated. The care plans were written in a person-centred way, and placed great emphasis on each persons right to make choices for themselves. Records showed that people had been involved in planning and reviewing their own care, and that the unit had contacted relatives to discuss care planning where this was appropriate. This is good practice, as it means that people are enabled to have a greater level of control over their own lives. Some of the care plans were very detailed, and showed a good understanding of the persons needs and preferences. One person had a care plan for pain management. The care plan stated A (name of person) at times shouts out, staff are not to discourage this or perceive it as aggressive behaviour, this is how A communicates when uncomfortable. Records showed that the home had asked the GP to review the use of pain killing medication. The unit has made great improvements in the way they record issues about managing peoples behaviour. Records showed that a monthly analysis of incidents is carried out, and that the unit uses this analysis to support the evaluation and modification of the care plan as necessary. The unit has met the requirements which were issued at the previous inspection, and has shown that improvements are ongoing. 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 4 of 8 Care Homes for Adults (18-65 years) Page 5 of 8 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 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. 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 8 of 8 - 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!
