Care Home: Lewis House

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What the care home does well The home had a key inspection in January 2010 and the home was rated as 2 stars which means that there were good outcomes for the people who live there. What the care home could do better: We did not review the requirements and recommendations that were made at the key inspection. We have made one new requirement and one recommendation as a result of this inspection. The financial policies at the home must followed. Receipts must be kept for withdrawals and any purchases that individuals make. This is so that there is a clear audit trail and people`s finances are safely managed. We recommend that the registered providers update their knowledge and consider attending training in Adult Safeguarding and the Mental Capacity Act so that they understand current legislation and practices. Random inspection report Care homes for adults (18-65 years) Name: Address: Lewis House Higher Merley Lane Corfe Mullen Wimborne Dorset BH21 3EG two star good service 23/01/2010 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: Jo Johnson Date: 0 3 0 8 2 0 1 0 Information about the care home Name of care home: Address: Lewis House Higher Merley Lane Corfe Mullen Wimborne Dorset BH21 3EG 01202887255 01202888820 lewis.house@btconnect.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Manager Post Vacant Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Jillian Elborn,Mr John Francis Elborn 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 user of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD Date of last inspection Brief description of the care home Lewis House is a care home offering accommodation to a maximum of seven adults who have a learning disability. The home is located in a quiet semi-rural setting on the outskirts of Corfe Mullen. Local amenities are close by and include churches, a Care Homes for Adults (18-65 years) Page 2 of 8 2 3 0 1 2 0 1 0 Brief description of the care home supermarket and a public library. A public transport route into nearby towns operates close to the home. The property is a detached family style house with a family atmosphere. The home is staffed 24 hours a day including a sleep-in duty at night. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: We visited the home unannounced on 3rd August 2010 at 10.30 am. We undertook this inspection following contact from the registered providers to inform us of changes in the manager and their re involvement in the direct operation of the home. For the last eighteen months the registered providers had devolved the responsibilities of the operation of the service to two nominated relatives. We spoke with the the two registered providers and the new manager. Since the key inspection a new manager has been appointed. They started the day before the inspection. The manager is experienced at managing an older persons home but does not have experience of working with people with learning disabilities. The manager and providers acknowledged that this is an area of development and gave a commitment to ensuring that they will support the manager in developing their skills and knowledge in this area. We looked at the recruitment records for the new manager as they are the only person recruited since the key inspection. The records showed that they had been recruited safely. The registered providers told us that they have re carpeted and redecorated two bedrooms following a flood at the home and plan to re carpet the rest if the home. The work on making the garden steps safe has not yet been started. This is the only way for people to access the laundry. The providers told us that a builder has been appointed and they agreed to send us the plans and timescales of works. Since the key inspection new industrial washing machines have been installed. There is still a domestic washing machine so that people can do their washing independently. We discussed with the registered providers their role in the day to day management of the home. Mr Elborn told us that they are at the home most days but that he is not involved in providing any personal care or support to people at the home and that he does not have any direct involvement in the management of peoples finances. Following the successful induction of the new manager the providers plan to step back form direct day to day involvement in the home. The registered providers are undertaking Regulation 26 reports as required by the regulations. We reviewed whether the financial auditing systems that were in place at the key inspection had been maintained. We looked at the records for three people. The monthly auditing of accounts has not been maintained and the receipts for transactions have not been collated with the personal monies records. The providers showed us that they had receipts but they were not yet attached to individuals records. We discussed that standing orders had been set up and signed by two of the people at the home. These were set up for their weekly contributions and to reduce the amount of cash that they were needing to with draw from the bank. However, there was no evidence of any multi disciplinary best interest assessment completed. A best interests Care Homes for Adults (18-65 years) Page 4 of 8 assessments should have been undertaken because it is not clear whether these individuals have the understanding or have had their capacity assessed in relation to this financial agreement. The financial policies at the home must followed. Receipts must be kept for withdrawals and any purchases that individuals make. We recommend that the registered providers update their knowledge and consider attending training in Adult Safeguarding and the Mental Capacity Act so that they understand current legislation and practices. 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 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 39 24 The management of the 30/04/2010 home must further develop effective ways of involving people in assessing and monitoring the quality of the service. It is important that people who use the service have a say in how it develops. 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 1 23 13 The financial policies at the home must followed. Receipts must be kept for withdrawals and any purchases that individuals make. This is so that there is a clear audit trail and peoples finances are safely managed. 06/09/2010 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 23 We recommend that the registered providers update their knowledge and consider attending training in Adult Safeguarding and the Mental Capacity Act so that they understand current legislation and practices. 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. 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