Care Home: Pathways

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What the care home does well People using the service are able to talk to staff if they have any concerns and feel that they are being supported as required. People using the service have access to a variety of community based activities and comments received directly from individuals determine that people are happy with the activities that they are involved within. People using the service stated that they are pleased with their accommodation and that the staff are, "kind and friendly". People are supported with their individual care and support needs but also their health requirements and staff support people to ensure that they attend regular appointments as required. Evidence is maintained of these visits as a record. People are supported by a well managed and trained work force ensuing that they are protected and supported as required. People using the service reside in accommodation which is very well personalised to suit and meet their individual needs. People`s preferences and choices are listened to and respected. This is reflected, for example in their personalisation of their rooms and in addition to this the communal living areas. What the care home could do better: The service should ensue that all all documentation in relation to a person`s care needs and support are reviewed and up to date at all times. Random inspection report Care homes for adults (18-65 years) Name: Address: Pathways 56a Baden Powell Drive Colchester Essex CO3 4SR 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: Louise Bushell Date: 1 0 0 6 2 0 1 0 Information about the care home Name of care home: Address: Pathways 56a Baden Powell Drive Colchester Essex CO3 4SR 01206761680 01206862750 domingue@btinternet.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mr Pelandapatirage Gemunu Susantha Dias,Mr Jean Ghislain Domingue Name of registered manager (if applicable) Mr Jean Ghislain Domingue Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Conditions of registration: This home accommodates 12 people with learning disabilities who may also have physical disabilities Date of last inspection Brief description of the care home Pathways is a care home providing personal care and accommodation for 12 individuals with learning disabilities and physical disabilities. Pathways consists of two purpose built detached bungalows, set back from a quiet road in the Shrub End area of Colchester. The home is within easy reach of local shops and a short journey from Care Homes for Adults (18-65 years) Page 2 of 8 care home 12 Over 65 0 0 12 12 Brief description of the care home Colchester town centre, either by public transport or car. The home has its own transport. Both bungalows have a communal lounge and dining room with domestic style kitchens. There are a variety of bathing facilities to accommodate the varying needs and preferences of the residents. All the bedrooms are for single occupation and two of them have en suite facilities. There is a hard car parking area to the front of the bungalows that is shared and a garden with some mature trees to the rear of the buildings. There is level access to the garden and a brick BBQ is available for use. The fees for accommodation and support in Pathways range between £750.00 and £1100.00 weekly. No additional services are provided although residents give up a proportion of their mobility benefit to cover transport costs. This information was provided on the day of the random inspection. Care Homes for Adults (18-65 years) Page 3 of 8 What we found: This random inspection was conducted by one person and took place over a period of three hours. During the inspection we spent time reviewing several types of documentation, including care plans, risk assessments, training records and staff recruitment files. In addition to this we reviewed aspects of the environment and spoke to many of the individuals using the service, including staff. The service offers accommodation to people who require additional care and support. The building is purpose built to meet the needs of people who may need to use specialist equipment. During the inspection we saw many examples of specialist manual handling equipment supporting people as required. People using the service reside in a well maintained, suitably decorated environment to meet their individuals choices and preferences. The service was modern and reflected the choices of the individuals residing within it. People using the service have access to a range of facilities including a kitchen and garden area. One person using the service stated, I really like it here. In addition to this another person stated, I love my room. Peoples rooms were very well personalised and reflective of individuals personalities. Several of the people using the service were keen for us to look at their rooms. People using the service told us that they enjoy living at Pathways and that there is always plenty to do. We spoke to many of the people living at Pathways. One person told us about being part of the drama group and in addition to this discussions occurred about how people access the community on a regular basis. People told us that they go swimming, shopping for the weekly food budget, visiting museums, army barracks, cinema, the local pub and many more activities and adventures. Two of the people spoke about their holiday which is planned to Centre Parks. People using the service told us that they knew how to make a complaint and that they would be able to talk to a staff member if they were not happy. One person using the service stated, I would talk to Jim if I was sad. Staff were observed administering medication in a person centred method. Offering people their prescribed medication in their preferred method. Staff were also observed supporting people and engaging with people in a respectful and dignifying way. One person using the service stated, the staff are always kind and friendly to us. People using the service told us that they have monthly meetings to talk about any concerns within the service, holidays, outings, food and menus. People gave positive feedback regarding this and found them useful. One person using the service stated, I am very happy. We spent time talking to individuals about their care plan and support needs. We reviewed two care plans with the people using the service. It was clear that the individuals knew about their plan of care and that they were working towards their goals. The care plan evidenced that people are supported to attend health appointments and these were well recorded. The care plan also told us how people like to receive the support and care they need, taking into consideration their personal choices and preferences. It was noted that some of the records required reviewing in order to ensure Care Homes for Adults (18-65 years) Page 4 of 8 that any change in need is accurately reflected as required. This was brought to the attention of the manager of the service during feedback. Staff receive mandatory training and records reflected that this was up to date. Staff have completed food hygiene, first aid, manual handling, infection control, fire safety, health and safety, epilepsy, medication, safeguarding adults, and the mental capacity act deprivation of liberties and safeguards. The service produces a training matrix which provides up to date data regarding the training needs and achievements of the staff team. This system was effective and well managed. Staff files evidenced that people are suitably recruited in order to ensure that people are protected from harm. We spoke to a number of staff as part of this inspection. One staff member stated, I get all my required training annually when it is due. I have also completed safeguarding training. In addition to this one person stated, we have regular supervisions and appraisals. Evidence was seen to further support that staff receive regular supervisions and appraisals. 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 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. 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