Care Home: Mallow Crescent (25-30)

Similar services:

• Thorndene
• Insight - Eastchurch
• Southfields
• Magenta
• Seabourne House
• 33 St John`s Church Road
• Dovedale Court
• Lyncol House

What the care home does well Residents are supported to develop their life skills. Social and recreational activities are provided for residents to take part in, and some are supported to find paid employment. The houses are kept clean and tidy, and promote Independence for residents. Staff at the home are trained, skilled and in sufficient numbers to support people who use the service. Residents are protected by the recruitment policies and procedures of the service. What the care home could do better: No requirements were made during this Random Inspection. However, a good practice recommendation has been made that a risk assessment should be produced for the use of hand towels in the identified house. Random inspection report Care homes for adults (18-65 years) Name: Address: Mallow Crescent (25-30) 25-30 Mallow Crescent Guildford Surrey GU4 7BU 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: Joseph Croft Date: 2 7 0 4 2 0 1 0 Information about the care home Name of care home: Address: Mallow Crescent (25-30) 25-30 Mallow Crescent Guildford Surrey GU4 7BU 01483455879 Telephone number: Fax number: Email address: Provider web address: rosie.broomer@surreycc.gov.uk Name of registered provider(s): Name of registered manager (if applicable): SCC Adult Social Care The registered provider is responsible for running the service care home 35 Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Conditions of registration: 35 35 The maximum number of service users who can be accommodated is: 35 The registered person may provide the following category/ies of service only: Care home only (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) Physical disability (PD) Date of last inspection Brief description of the care home 25-30 Mallow Crescent consists of six purpose built houses situated in Burpham. The houses are set at the end of a crescent in a quiet residential area. Each house has a front garden and a medium sized garden at the rear of the house. There is adequate Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home car parking for several cars at the front or side of each house. Five of the houses are for long-term placements, with the sixth house offering respite care for five places. Each house has a large and airy lounge/dining room, appropriately furnished, with access to the rear garden. An open plan kitchen is adjacent to the dining room. All the bedrooms are single occupancy and are nicely decorated and meet the needs of the residents. The home is registered to accommodate thirty-five people with a learning disability. The fees for the service are £750 per week. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: The service was judged as providing a 3* Star Excellent service at the key inspection of 4th May 2007. Two Annual Service Reviews have been undertaken, one in 2008 and the second in 2009. The Care Quality Commission (CQC) (us, we) undertook an unannounced site visit as part of a Random Inspection to assess the homes performance in regard to the Lifestyle, Environment and Staffing at Mallow Crescent. Regulation Inspector Mr Joe Croft undertook this visit on the 27th April 2010, which took three hours, commencing at 11:30 and concluding at 14:30. The assistant manager assisted throughout this site visit. The manager was not available due to a prior engagement, however, we did have a telephone conversation with the manager on the day following the site visit. The inspection process included a tour of four of the house, discussions with the assistant manager and two members of staff, viewing the menu and list of activities, and the sampling of three staff recruitment files. We also evidenced completed induction training records, and were provided a training matrix that evidenced the training of twelve members of staff. The registered manager completed and returned the Annual Quality Assurance Assessment (AQAA) when we asked for it, and we received completed surveys from ten residents and ten members of staff. Both the AQAA and surveys have been used as a source of evidence in this Random Inspection report. Lifestyle During discussions staff told us that residents are provided with a wide range of activities both in the local community and at the home. The residents attend day centres throughout the week where they take part in activities that include swimming, gardening and college courses. We were told that four residents are currently in paid employment, and the manager and staff continue to look for employment for those who have requested this. All residents are provided with an annual holiday. Some of these have included holidays in Cornwall, Dorset, the New Forest and holiday parks. The staff and residents have already commenced making bookings for this years holiday. During discussions with staff it was clear that they support residents to take part in activities of their choosing during the evenings and at weekends. These include shopping, eating out, going to the pub, cinema, library and theatre. Each house visited during this site visit had a list activities displayed that residents take part in, which also included photographs. Staff support residents to lead active lives and to be as independent as they are able to be, which includes using public transport, choosing their own evening activities and having time on their own. Some residents attend youth clubs, social clubs and monthly Care Homes for Adults (18-65 years) Page 4 of 10 themed parties. Residents also have access to the local community that provides them with the opportunity to meet other people outside of the home. During discussions the assistant manager told us that residents are provided with keys to their bedrooms if they choose to have one. Staff at the home support residents to maintain relationships with their family and friends. During discussions staff told us that there are no restrictions to visitors unless the resident requests not to see a visitor. All residents receive their own mail, and the majority have their own mobile telephones, however, pay telephones were observed in the houses viewed. Residents, who are able to, undertake certain chores such as laying the table for meals, dusting, cleaning and doing their laundry. During discussions staff told us that the aim is to support residents to be as independent as they can be. The menus include a variety of meals that include fresh meat, fish, pasta, fresh vegetables and fruit. During discussions staff told us that they receive advice about the menus from a Dietitian and Speech and Language Therapists, especially for those who have difficulty swallowing. Residents are able to choose the menu, and they take part in the weekly shopping. The kitchens in the houses viewed had recently been replaced and they were very clean and tidy. Food was appropriately stored, covered and dated, and the cooking temperatures and fridge/freezer temperatures were being recorded. Residents are able to have a drink and a snack whenever they choose, and bowls of fresh fruit were freely available in the houses. All surveys received from residents inform that they are able to do what they want to each day, evening and at wekends. The AQAA informs that residents access community activities, and are encouraged to have friendships and maintain family links. Environment. 25-30 Mallow Crescent consists of six purpose built houses situated in Burpham. The houses are set at the end of a crescent in a quiet residential area. Each house has a front garden and a medium sized garden at the rear of the house. There is adequate car parking for several cars at the front or side of each house. Five of the houses are for long-term placements, with the sixth house offering respite care for five places. Each house has a large and airy lounge/dining room, appropriately furnished, with access to the rear garden. An open plan kitchen is adjacent to the dining room. We had a tour of four of the six houses. We viewed some of the residents bedrooms. All the bedrooms are single occupancy and are nicely decorated and meet the needs of the residents. Each bedroom included the appropriate furniture as required, and the personal belongings of residents such as televisions, DVD players, family photographs and other wall pictures. All bedrooms were clean, however, one bedroom had a slight malodour which the manger is currently addressing with the resident concerned. Care Homes for Adults (18-65 years) Page 5 of 10 There are communal bathrooms with assisted baths, showers and toilets in each house that had liquid soap dispensers and paper towels. However, we did observe a hand towel in the toilets of one house. We were informed that this was because certain residents, due to their needs, are not able to use the paper towels. We were told that these towels are changed every night. We advise the manager to undertake risk assessments in regard to using the hand towels to ensure all possible risks can be limited through this practice. The houses visited were clean and tidy with the usual wear and tear of busy homes. Some of the decor requires attention, but these had already been reported by the manager and staff. All surveys returned from residents informed that the homes are fresh and clean. The AQAA informs that equipment and furnishings are replaced with the involvement of service users. Regulation 26 visits are undertaken and risk assessments pertaining to health and safety are in place. Staffing. Mallow Crescent employs sixty four permanent care staff, of which thirty one hold the minimum of an NVQ level 2 and above, and a further three staff are currently undertaking this training. The assistant manager told us that each house has two members of staff on duty each shift, and one sleeping in person. There is a seventh sleep in person who helps to cover any emergencies that may arise. During discussions staff told us that there are sufficient numbers of staff on duty to meet the needs of the residents. We were also told that they use their own bank staff to provide one to one support for those residents whose assessed needs require this. Three staff recruitment files were viewed. Each included an application form, two written references, proof of identification and a photograph. Criminal Record Bureau reference numbers are maintained in a separate file, and were viewed during the site visit. One application form had an unexplained gap in the employment history, however, the assistant manager was able to rectify this with the member of staff concerned during this site visit. The manager informed us during our telephone conversation that records for gaps in employment are included on the application selection list that ensures when a gap in employment has been noted, it is discussed with the applicant during their interview. Staff surveys inform that all the appropriate recruitment checks were undertaken before they commenced working at Mallow Crescent. Surveys from residents informed that staff treat them well, and they listen and act on what they say. During discussion, staff told us that they have an induction when they commence working at Mallow Crescent. The induction training is in line with the Skills for Care Council Induction Standards. Evidence of a completed induction programme was viewed during the site visit. Staff told us that they also undertake the Learning Disability Qualification when they commence their duties. Care Homes for Adults (18-65 years) Page 6 of 10 Staff surveys inform that their induction mainly covered everything they needed to know to do their job. Two informed that this partly covered what they needed to know. This was discussed with the manager during our telephone conversation on the 28th April 2010. Each member of staff has their own individual training file where they keep records and certificates of the training they have undertaken. The assistant manager gave us a training matrix on the day of the site visit. This provided evidence that staff had undertaken the mandatory training as required. Other training undertaken included Strategies for Crisis Intervention and Prevention (SCIP), Equalities and Diversities, HIV awareness, Effective Communication, Autism and Epilepsy awareness. All staff surveys informed that they are receiving training that helps them to understand and meet the needs of residents. During discussions staff told us that the training they receive is very good at Mallow Crescent. The AQAA informs that there is a staff induction package, CRB and POVA checks are undertaken for all new staff and staff have individual training files with evidence of their training. Thirty one of the sixty four staff holds the minimum of an NVQ level 2 or above, and three staff are currently undertaking this training. 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 1 30 Themanager should produce a risk assessment for the use of hand towels in one identified house. 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!