Care Home: Old Ford End

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What the care home does well Despite several months without a manager or deputy manager the service has remained consistent to people who use the service. A core staff have worked hard to reduce the impact of staff vacancies and lack of management upon service users. A new manager has been employed who in turn has quickly addressed staff vacancies. The manager has also met with family members to allay the concerns that they have raised. Although the safeguarding alert caused disruption and upset it was swiftly and appropriately dealt with. The manager and staff are working hard to rebuild trust with the family and service user affected. What the care home could do better: The service would benefit hugely from a period of stability. Although open for three years it has had four managers in this space of time and periods without a manager. This would enable the positive changes made to be permanent. Random inspection report Care homes for adults (18-65 years) Name: Address: Old Ford End 74 Old Ford End Road Bedford MK40 4LY 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: Angela Dalton Date: 1 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Old Ford End 74 Old Ford End Road Bedford MK40 4LY 01543442500 01234358298 Telephone number: Fax number: Email address: Provider web address: www.voyagecare.com Name of registered provider(s): Name of registered manager (if applicable) Milbury Care Services Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 6 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Conditions of registration: 6 5 The maximum number of service users who can be accommodated is: 6 The registered person may provide the following category/ies 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 - Code LD. Physical disability - Code PD. Date of last inspection Brief description of the care home Old Ford End was opened in 2007 and is finished to a high standard with regard to fixtures, furnishings, and decor. The home is located in a residential part of Bedford in Bedfordshire, in close proximity to local facilities Bedford town centre and transport links. Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home There are six en-suite bedrooms - five of these are on the ground floor and are fitted with a toilet, hand basin, and shower. An additional bathroom and separate toilet are on the ground floor. On the first floor the sixth bedroom has been designed as a bedsit and comprises of its own bathroom with overhead shower, bedroom, kitchen, and dining area. This could accommodate someone looking to develop his or her independent living skills. All bedrooms are of a good size and the ground floor bedrooms and bathrooms have been fitted with overhead tracking. There is no wheelchair access to the first floor and sixth bedroom. All of the bedrooms have been individually decorated and include a bed, a chair, a table, a touch-operated lamp, matching curtains and bed linen. In addition to the bedrooms and bathrooms the premises include a lounge, activitysensory room, an open plan kitchen diner, laundry, office, a number of store cupboards, a fully enclosed garden and parking for several cars to the front of the property. A TV and a music system were available for service users within the communal areas. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: One inspector conducted this unannounced site visit on 14th May 2010 between 10.50am and 1.30pm. We conducted a random inspection as some family members had raised some concerns as apart of the Annual Service Review, there has been a Safeguarding of Vulnerable Adults Alert and until recently the service had been without a manager. We found that the concerns raised by families had been met. The new manager is about to submit their application for registration with the Commission. We conducted the inspection with the registered manager and were able to observe the running of the service. Some concerns were raised by families since the previous inspection in relation to activities and leisure time. It was felt that people who use the service were watching television and that the service was not run in their best interests. The new manager has met with family members to allay their concerns and the Operations Manger has also written to family members to address the issues that they raised. Additional staff have been employed since the new managers arrival in February. An activity plan has been formulated for each service user and reflects how each individual spends their time. People who use the service go swimming and although the original pool they attended became unavailable an alternative was found. This involves a longer drive but there is the opportunity for some people to use it as a drive out and enjoy the local countryside while others attend their swimming session. Because of the limited sessions available this activity is rotated but it is hoped that as more sessions are offered all service users who want to can go swimming on a regular basis. A computer has been purchased for service users use with touch screen technology. Each service user will have their own software package which staff are to receiving training how to use. The manager hopes that a larger minibus can be purchased in the near future to better accommodate service users and staff to attend swimming sessions Activity folders are available for service users and staff to choose where they would like to go to spend their leisure time. The manager ahas negotiated with the organisation to fund additional daycare which was previously being paid for by families. The manager is researching how to obtain Advocacy support for people who use the service as this would ensure an independent viewpoint. Holidays are planned for those who wish to go and alternative days out will be provided for those people who would like to remain at home. This is in response to a safeguarding issue that occurred last year and has been appropriately dealt with. Family members had raise some concerns about service users appearing unwell. The new manger identified that although weights were being recorded that this service was provided by an external agency. There was no way to spontaneously check weights in between visits. The manager had identified that some people who use the service had lost weight but this has Care Homes for Adults (18-65 years) Page 4 of 8 been addressed. Staff record food intake and monitor when areas of concern are identified. All service users have a health plan and now that a better complement of staff is in place staff are able to monitor an changes that take place and manage them appropriately. Plans are in progress to purchase appropriate scales for wheelchair users. This will assist staff to regularly monitor any changes in weight and manage peoples needs accordingly. A safeguarding incident occurred at the latter end of last year. This was appropriately handled and dealt with by senior management staff. A protocol has been put in place to ensure that the issue does not occur again. A review of the safeguarding policy has occurred and staff have revisited the policy to ensure that they are familiar with the protocol. The situation that occurred was not one that could have been predicted in ordinary circumstances. There is evidence that the staff are working with family members and service users to re-establish trust. 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 £ 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 1 37 8 The manager of the service must be registered with the Care Quality Commission. Service users would benefit from competent and accountable management of the service. 31/07/2010 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. 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