Care Home: Primrose Hill Farm

Similar services:

• Polesworth Group 64 Long Street
• Polesworth Group 68 Long Street
• 10 Whitfield Avenue
• Polesworth Group Friary Road
• Polesworth Group Pooley Heights
• Polesworth Group 32 Station Road
• Polesworth Group 70 Long Street
• Breme

What the care home does well This is a random inspection and therefore not all the core standards were assessed. The management team have made many improvements at the home in order to improve the outcomes for people who live there. Staff have had training so they know how to meet peoples individual needs. Medication procedures have been improved so people receive their medication safely. Care plans are in place for people. These tell staff how to meet peoples needs and keep them safe. There is more staff working at the home so they can meet peoples needs and keep them safe. What the care home could do better: This is a random inspection and therefore not all the core standards were assessed. The pre admission assessment process should become well established in the home so the home knows it can meet the needs of people prior to admission. Some furniture needs replacing so the home is safe and comfortable for people. Random inspection report Care homes for adults (18-65 years) Name: Address: Primrose Hill Farm Primrose Hill Farm Meadowsweet Road Kings Norton Birmingham West Midlands B38 9QW one star adequate service 11/12/2009 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: Donna Ahern Date: 0 4 0 8 2 0 1 0 Information about the care home Name of care home: Address: Primrose Hill Farm Primrose Hill Farm Meadowsweet Road Kings Norton Birmingham West Midlands B38 9QW 0 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Catherine Dowe Type of registration: Number of places registered: Conditions of registration: Category(ies) : Care Through The Millennium care home 39 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 39 The maximum numbers of service users who can be accommodated is:39 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 category: Learning Disability LD Date of last inspection Brief description of the care home Primrose Hill Farm is located in South Birmingham a few miles from Cotteridge Village. The home has been registered to provide a learning disability service for up to 39 younger adults. It is divided into seven separate houses. Six of the houses Care Homes for Adults (18-65 years) Page 2 of 9 1 1 0 5 2 0 1 0 Brief description of the care home accommodate six people and one house is for three people. Central to the community there is a 1 th century farm house and barn. The barn is currently undergoing interior renovation and when completed will be a community centre with planned activities. The farmhouse has been converted into offices and a training room is available.The community is fully enclosed by fencing with a gated entrance accessible via an intercom system. All houses have almost identical facilities including fitted kitchen, utility room, lounge and dining room with an additional seating area. All bedrooms are ensuite and are located on both ground and first floor level. To the rear of each house there is a small enclosed garden. There are extensive shared gardens. The houses are wheelchair friendly on ground floor level however there is no lift. It is the homes intention not to provide a service to people who are dependent on a wheelchair to mobilise. The fee level is not specified in the service user guide. This information can be sought from the manager. Individual fee details were contained in peoples care plans. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: The focus of the inspection undertaken by the Care Quality Commission (CQC) is upon outcomes for the people who live in the home and their views of the service provided. This process considers the care homes capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provision that need further development. The last key inspection of the home was undertaken on 11th December 2009 and a Random visit took place on 11th May 2010. Following our visit in May 2010 we made an immediate requirement in respect of ensuring care plans were in place so staff know how to meet peoples needs. These were met within the 48 hour time scale specified. We also made six additional requirements. The purpose of this visit was to monitor the homes progress in meeting these requirements. The random visit was undertaken by one inspector over five and a half hours. There were 13 people living at the home. The home did not know we would be visiting. We looked at two peoples care plans. We looked around some parts of the home. We looked at complaints records, medication practice, staff training records and staffing levels. These are our findings. The organisation had restructured and the previous manager has left. Following our visit in May a manager from one of the organisation other homes moved temporarily to Primrose Hill Farm to oversee the running of the home and a new registered manager started working at the home on 26th July 2010. Both managers were there at the time of the visit. We refer to the managers as the management team in this report. The management team have kept us informed of developments since our visit in May. During this visit we found that a number of significant improvements have been made at the home to improve the outcomes for the people who live there. We looked at two peoples care files. These are individual plans about what the person is able to do independently and what support is required from staff in order for the person to meet their needs. We found that the care plans identified information about the persons likes and dislikes so that staff could meet their needs in a way that they preferred. Behaviour management plans were in place so people with difficult to manage behaviour get the support they need to meet their individual needs and keep them safe. The policy for managing behaviour that can be challenging had been reviewed so staff have guidance and a procedure to follow. We looked at some of the pre admission assessments and we were concerned that these were lacking in detail. Information from social workers and other relevant people were not available for us to see. We could not establish that the home had carried out a detailed assessment to demonstrate that they could meet peoples needs prior to admission. When we spoke to the management team they confirmed the assessments we looked at had been completed prior to them working in the home. They had identified the shortfall in information and these matters were being looked into by them and the owner. Care Homes for Adults (18-65 years) Page 4 of 9 The management team were in the process of carrying out pre admission assessments on prospective service users. We saw the very comprehensive assessments that were being completed. We saw a number of reports from other relevant professionals and parties had been obtained as part of the assessment and a new assessment tool was to be introduced. This indicated to us that systems were now in place to ensure thorough assessments would be carried out prior to any admissions taking place to ensure that the home could meet peoples needs. New staff have been recruited and we were told that the home is now over staffed in preparation for receiving new referrals into the home. Three house managers are in place and they oversee two houses each which ensures a staffing structure is now in place. The management team confirmed that 95 of staff have completed or are on National Vocational Qualification level 2 (NVQ) which should ensure a qualified workforce is in place. Staff training has taken place in challenging behaviour, epilepsy, safeguarding and autism. Further training updates were planned including first aid, infection control and more in depth autism training is scheduled for September. This should ensure staff have the skills and knowledge to support peoples individual needs. Staff continue to work s which the management team said provides consistency for the people living there. Systems are in place for passing information between staff at the change over of a shift. This is still reliant on staff coming in before their shift starts which could lead to information about peoples care not being passed on. The management team The medication procedure had been reviewed and the arrangements for giving people their medication now ensures that this is done safely. The staff member who gives the medication now signs the medication record. The complaints procedure was in place but needed a minor amendment so the correct contact details are available to people who may want to contact us. The management team said a new complaint logging system would be establish detailing how complaints have been dealt with. Details of a complaint made prior to the management team working at the home was not available on file. We agreed that a second copy would be sent to the home so this can be logged again and any action that the home may need to take can then be dealt with. We saw that a complaint made by one of the people living there was dealt with thoroughly indicating that systems for managing complaints are now in place. We saw that systems are now in place for recording and reporting incidents to CQC ensuring that the home meets this legal requirement. We made a safeguarding alert following our visit in May 2010. This Birmingham safeguarding team in September 2010. Since our two further safeguarding issues which have been investigated We looked at two houses which are generally well maintained. One of the people needs a new bed and some bedroom furniture was in need of repair. We were told that these matters were in hand ensuring people live in a safe and comfortable home. What the care home does well: Care Homes for Adults (18-65 years) Page 5 of 9 This is a random inspection and therefore not all the core standards were assessed. The management team have made many improvements at the home in order to improve the outcomes for people who live there. Staff have had training so they know how to meet peoples individual needs. Medication procedures have been improved so people receive their medication safely. Care plans are in place for people. These tell staff how to meet peoples needs and keep them safe. There is more staff working at the home so they can meet peoples needs and keep them safe. 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 6 of 9 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 7 of 9 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 22 The complaint procedure should contain the correct CQC contact details so people know how to contact us if they need to. Bedroom furniture for one person should be replaced so people live in a safe and comfortable home. Consideration should be given to having a formal handover within the allocated shift system so the home can be confident that important information about the care of people is passed onto key staff. 2 3 26 33 Care Homes for Adults (18-65 years) Page 8 of 9 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 9 of 9 - 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!