Care Home: Polesworth Group 32 Station Road

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What the care home does well The home provides a good standard of care and support to a diverse group of people with differing needs and aspirations. Staff are supported with meeting these needs through the use of clear and comprehensive careplans. The home is clean, comfortable and homely with care taken to ensure that all equipment or adaptations are in place to ensure that peoples` needs are met.Good medicine management protocols and procedures ensure that people are not place at risk of harm. The organisation invests in its staff and values them as a resource by ensuring that they are well trained in order to be able to support the people using the service effectively. The people who live in the home are safeguarded through robust recruitment procedures. The home presents as well managed, with peoples best interests being seen as of paramount importance to both the manager and staff team who continually strive to improve this already excellent service. What the care home could do better: As previously assessed high standards continue to be maintained at this home we have not made any requirements or good practice recommendations as a result of this inspection. Random inspection report Care homes for adults (18-65 years) Name: Address: Polesworth Group 32 Station Road 32 & 32a Station Road Polesworth Staffordshire B78 1BQ 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: Justine Poulton Date: 2 3 0 4 2 0 1 0 Information about the care home Name of care home: Address: Polesworth Group 32 Station Road 32 & 32a Station Road Polesworth Staffordshire B78 1BQ 01827896939 01827331840 stationroad@polesworthgh.wanadoo.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Susan Black Type of registration: Number of places registered: Conditions of registration: Category(ies) : Polesworth Group Homes Limited care home 8 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 8 The maximum number of service users who can be accommodated is: 8 The registered person may provide the following category 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 (LD) 8 Date of last inspection Brief description of the care home Polesworth Group Homes was established as a limited company in June 1991, with the aim of providing accommodation and support for adults with learning disabilities. 32 Station Road is a care home for eight residents and it is situated in Polesworth near Tamworth. The property is a converted nurses home on two floors and is Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home unidentifiable as a care home, blending into surrounding residential properties. The home offers six single bedrooms and one shared bedroom. On the ground floor there are three bedrooms, a dining room, a large lounge and a conservatory, the kitchen, a utility room, a staff office and sleeping room, a shower room and toilet. Upstairs there are four bedrooms, a bathroom and a toilet. The premises are well maintained and decorated, with furniture and fittings of good quality. Externally to the rear there is a garden with a lawn, flowers and shrubs and the patio area. The craft room, which is a resource centre for all service users in Polesworth Group Homes, and the registered managers office are situated at the side of the property. The front of the home provides car parking spaces. The home is staffed 24 hours a day and cares for residents with medium to high levels of need. Some residents have high healthcare needs as well as learning disabilities. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: This inspection was a random inspection visit that took place on one day by one inspector. It was unannounced which means that the home did not know we were going. Prior to the visit we looked at information we have about the home. This included any complaints we have received, the homes annual quality assurance assessment and any completed surveys that we received. The service sent us their annual quality assurance assessment (AQAA) when requested. The information in the AQAA was clear and provided us with all of the information we asked for. We also received nine completed surveys from people living in and working at the home. During the visit we spoke to people who live at the home, staff who work at the home and the manager. We sampled peoples care plans and healthcare records and we looked at staff training and recruitment records. We did this to check that staff have information necessary to meet individuals care and support needs, to check that people are supported by staff who have been recruited appropriately and to check that staff have the knowledge, skills and training that they need to carry out their roles. We also looked around the home to ensure that it was comfortable, clean and safe. The home is registered for eight people. Currently there are no vacancies. The home caters for a diverse group of people whose ages range from 38 to 66. A staff team of 15 support staff and three ancilliary staff are employed to provide care and support on a seven day, 24 hour basis. Three care staff were on duty when we arrived. In addition, the homes cook, cleaner and laundry person were also on duty. When we arrived four people were at home, three had gone out and one was away visiting family. The manager was also available at the home. The home was clean, homely and comfortable for people. The communal areas were decorated nicely and furnished with good quality furniture and soft furnishings. We looked at peoples bedrooms and saw that they were all decorated to individual tastes, with personal effects around. We also saw that specialist equipment such as hoists, bedrails and hi/low beds had been provided for people as necessary. The AQAA tells us that the home promotes equality and diversity through the organisations equal opportunities policies and procedures, and staff training. It also states that Our work with service users, their families and other agencies is also based on the principles outlined in our policies and procedures. Staff told us that equality and diversity training is provided as part of their induction. The AQAA tells us that All our service users have detailed care plans and risk assessments. These are reviewed as a matter of course every six months, but when necessary, more frequently. We looked at one persons care plan and health care records. It contained pertinent information relating to their assessed needs along with any risk assessments deemed necessary. There was also a clear audit trail of reviews to Care Homes for Adults (18-65 years) Page 4 of 10 confirm that they are reviewed on a six monthly basis or more as necessary. In one persons support plan we saw some eating and drinking guidelines provided by speech and language therapy services. We were able to cross reference this with the relevant care plan written by the home, which stated that a polycarbonate spoon must be used when providing supporting to eat. We noted during lunch that a metal spoon was used. We asked the staff member concerned about this and she told us that she knew the care plan stated a polycarbonate spoon, but all the ones they have are very small and do not hold enough food. She told us that she is looking to purchase some dessert sized polycarbonate spoons. We raised this with the manager who said that she would look into this and ensure that some new better sized spoons would be purchased as soon as possible to ensure that it did not happen again. The support plan we looked at also recorded that X uses a wheelchair for all activities and must be hoisted for all transfers. A manual handling risk assessment that included using the hoist was available within the support plan, and staff we spoke to told us that they had received training in how to use the hoist safely. We saw two staff members supporting someone with using the hoist. They appeared competent in what they were doing and the person concerned appeared at ease and relaxed during the process. One of the people at home during the visit was unable to communicate verbally. Our observations of staff interactions with this person demonstrated that the staff know them well, and that they seemed at ease and comfortable with staff. We spoke to one person who told us Its a happy place to live, the staff are good, the food is lovely and we have lots to do. Medication is supplied to the home by a local pharmacist in blister packs that are accompanied by medication administration record (MAR) charts. The AQAA tells us that None of the service users are able to self-medicate and all medication is administered by staff. All staff attend Care of Medicines training, which is updated as per legal requirements. Our medication is in blister packs supplied by Boots and MAR sheets are used to record and sign for the administration of medication to each individual. There is a picture of each service user included with the MAR sheets to ensure correct identification. We saw that the home stores all of the medication in a lockable wall mounted cupboard which is located in the staff sleep in room. Protocols were in place for all medications that are administered on an as an when basis. Stock control measures were in place for all medications that were not blister packed. Staff we spoke to told us that they had received medication training and were able to administer medication, however, it is primarily the role of the senior staff to undertake this task. Staff training records we looked at confirmed that staff have received Care of Medicines training within the last twelve months. The AQAA tells us that We have a robust complaints procedure, which service users and their families are aware of. The appropriate information is available to the service users in a suitable format and is displayed in the home. There are policies and procedures in place that protect the service users. All staff are aware of their responsibilities to the service users and receive regular training related to the abuse of vulnerable adults. We saw a complaints procedure that had been compiled using photos, symbols and text and which was available for people on the wall in the hallway. We asked one person if they knew how to make a complaints. They told us that they had no grumbles, but would talk to their keyworker if they had. We asked staff about their understanding of abuse and they were able to tell us what Care Homes for Adults (18-65 years) Page 5 of 10 they would do if they suspected of witnessed any form of abuse. They also told us that they had received training in safeguarding vulnerable adults as part of their induction and then again when doing their NVQ qualifications. Training records we looked at confirmed that abuse is covered within induction. We looked at the recruitment files of two staff members. These confirmed that all of the necessary checks and processes which ensures that the recruitment procedure is robust were in place. This safeguards the people living in the home. The AQAA tells us that 79 of staff employed at the home are NVQ qualified. All staff are offered the opportunity to undertake an NVQ qualification. The Registered Manager supervises all staff approx every 7 weeks. There are at least 6 staff meetings each year and all staff also have an annual performance review. Staff we spoke to told us that they are very well supported with training to enable them to carry out their roles and that they feel valued by the organisation because of this. Certificates were available within the staff files looked at that provided and audit trail that linked with the homes training records. As stated previously we received nine completed surveys comprising of four from people living in the home and five from staff. All of the surveys indicated that the home is well run and people are happy living and working there, however one did raise concerns about some of the organisations policies and procedures not being in the best interests of the people living in the home or the staff, however no examples were given. Reference was also made to requests for activities being turned down occasionally, and that communication and organisation could sometimes be improved, again however no examples were given. Comments in the surveys included staff are hard working, dedicated, experienced and caring..., service users have very good standards of care and support, the home where I work is excellent, the home does everything well, I like the food, I like helping, I like my bedroom, lovely food, nice and clean, friendly staff, I am happy here at Station Road, end of story. The AQAA provided us with information that confirms that all of the necessary health and safety checks and tests have been carried out within the last twelve months and are up to date. What the care home does well: The home provides a good standard of care and support to a diverse group of people with differing needs and aspirations. Staff are supported with meeting these needs through the use of clear and comprehensive careplans. The home is clean, comfortable and homely with care taken to ensure that all equipment or adaptations are in place to ensure that peoples needs are met. Care Homes for Adults (18-65 years) Page 6 of 10 Good medicine management protocols and procedures ensure that people are not place at risk of harm. The organisation invests in its staff and values them as a resource by ensuring that they are well trained in order to be able to support the people using the service effectively. The people who live in the home are safeguarded through robust recruitment procedures. The home presents as well managed, with peoples best interests being seen as of paramount importance to both the manager and staff team who continually strive to improve this already excellent service. 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 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. 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