Care Home: Quarrydene

What the care home does well All requirements we made at the last and previous inspection have been addressed. Mrs Bidmead shows commitment and a clear focus in relation to developing the service and enabling positive outcomes for people. The assessment process has been reviewed. People are fully assessed before being offered a service. A clear transition period is arranged to ensure people settle and their needs are met effectively. The needs of people already at the home are taken into account during the assessment process to ensure compatibility. Clear assessment documentation, which reflects people`s individual health, personal and social care needs has been developed. Significant focus has been given to developing people`s support plans. The documents are well written, comprehensive and person centred. People have `user friendly` support plans in their rooms. Clear, well written risk assessments are in place. People have been supported to access college placements and to follow their own individual interests. A range of both internal and external social and leisure activities have been arranged. The systems to store and administer people`s medicines are ordered and well managed. The environment has been improved upon through redecoration. People`s bedrooms are highly personalised. All areas of the home are clean and well maintained. Lockable storage facilities are in place and locks on bedroom doors have been installed. Clear recruitment processes ensure that all staff are suitable to work with vulnerable people. Staff receive training in relation to their role. Interactions between staff and people using the service are positive. What the care home could do better: No requirements or recommendations have been made at this inspection. Random inspection report Care homes for adults (18-65 years) Name: Address: Quarrydene Pavenhill Purton Wiltshire SN5 4DA one star adequate 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: Alison Duffy Date: 0 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Quarrydene Pavenhill Purton Wiltshire SN5 4DA 01793772736 Telephone number: Fax number: Email address: Provider web address: info@holmleigh-care.co.uk www.holmleigh-care.co.uk Name of registered provider(s): Name of registered manager (if applicable) Ms Sheridan Victoria Bidmead Type of registration: Number of places registered: Conditions of registration: Category(ies) : Holmleigh Care Homes Ltd care home 9 Number of places (if applicable): Under 65 Over 65 0 0 0 learning disability physical disability sensory impairment Conditions of registration: Date of last inspection Brief description of the care home 9 9 4 Quarrydene is a residential care home run by Holmleigh Care Homes Limited. The Director is Mr Rod Correia. The Registered Manager is Mrs Sheridan Bidmead. Quarrydene was registered on 7th August 2006. Previously a care home for older people, the property was totally refurbished. It now accommodates nine younger adults with a physical and/or learning disability. Four people may also have sensory impairment. Quarrydene is a spacious bungalow that is located in the village setting of Pavenhill, Purton. There are a number of communal areas including a sun lounge and a Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home sensory room. All bedrooms are single rooms and provide an en-suite of either a specialised bath or wet room. In some instances, the en-suite may be shared between two bedrooms. There is a range of specialised equipment to assist with individual need. Staffing levels are maintained at five support workers in the morning and four in the evening. At night there two waking night staff. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: This random inspection took place on the 4th May 2010 between 11.20am and 3.10pm. Mrs Bidmead, the registered manager was available throughout and received feedback at the end of our visit. Before visiting the service, we sent the registered manager an Annual Quality Assurance Assessment (known as the AQAA). This was the services own assessment of how they were performing. It told us about what had happened during the last year and about their plans for the future. We sent the service surveys, for people to complete if they wanted to. We also sent surveys to be distributed to members of staff and health/social care professionals. This enabled us to get peoples views about their experiences of the service. We received surveys from six people using the service and from two staff members. Within our site visit, we toured the accommodation with Mrs Bidmead. Two people using the service showed us their bedrooms. We looked at the assessment documentation and care plans of two people new to the service. We looked at accident reports and the recruitment documentation of two newly appointed staff members. We also looked at the training records of the two staff members. The last inspection of this service took place on the 30th April 2009. At our last and previous inspection, we made a requirement to ensure that people were fully assessed before being offered a placement at the home. We also made a requirement that the needs of existing people using the service were taken into account during the admission process. We saw that both requirements had been addressed. Within discussion, Mrs Bidmead demonstrated that she was very aware of the services admission criterion. The criterion was also stated within the Statement of Purpose. We saw that the assessment documentation of the two people newly admitted to the home was detailed, well written and fully completed. The assessments reflected peoples personal and health care needs. They were dated and showed who had been involved in the assessment process. There was clear information about the persons period of transition to the home. At our last and previous inspection, we made a requirement to ensure that the Statement of Purpose contained details of the fees and the care needs, which could be met at the home. We saw that the Statement of Purpose had been fully updated. The document was comprehensive and was well written in a user friendly format. An overall aim was identified as we want everything we do in the home to be driven by the needs, abilities and aspirations of our service users not by what staff, management or any other group would desire. We saw that each person had their own individual copy of the service users guide. At our last inspection, we made a requirement to ensure that all support plans were developed and signed by the individual and/or their representative. We saw that this had been addressed. All support plans had been fully rewritten. The plans were Care Homes for Adults (18-65 years) Page 4 of 10 comprehensive, ordered and person centred. They identified peoples individual care needs, their interests and personal preferences. A clear risk assessment followed each identified care plan. One person showed us their summarised support plan, which they held in their room. The plan was written in a user friendly format, with pictures and photographs. The person told us they had helped develop their plan with Mrs Bidmead. We looked at the systems for the management of peoples medicines. We saw that all medicines were ordered and safely stored. The medicine administration record was well maintained. There was an up to date list of homely remedies, which the GP had authorised. The GP had also given written consent to administer peoples medicines and to agree any special measures such as administering medicines covertly, as required. One person had signed to confirm that they wanted to take their medicines on top of a spoonful of yoghurt. People had their medicines regularly reviewed by the GP. We saw that clear protocols for medicines to be taken as required were in place. We looked at the recruitment and training records of the two most recently appointed staff members. The files were ordered and well maintained. We saw that there was an application form, two written references and a health care questionnaire. There were details about the prospective staff members interview. The file contained documentary evidence of the persons identity. There was also evidence that the persons suitability to work with vulnerable people had been checked. Documentation showed that staff members had completed a range of mandatory training. Topics covered included equality and diversity, emergency first aid, safeguarding adults and the control of substances hazardous to health (COSHH.) Mrs Bidmead told us that intensive interaction and sensory impairment training were in the process of being organised. At our last and previous inspection, we made a requirement that all staff must receive infection control and peg feeding training. This had been addressed. At our last inspection, we made a requirement that all environmental risk assessments must be updated on a regular basis. This had been addressed. There were risk assessments in place regarding areas such as kitchen safety, the safe handling of medicines, external activities and slips, trips and falls. We saw that there were minimal entries within the accident book. Mrs Bidmead told us that there had not been any accidents, incidents, complaints or safeguarding alerts. On a tour of the accommodation, we saw that all areas were clean, comfortable and well maintained. A new fire safety system had been installed. Mrs Bidmead told us that the system included a fire screen between the kitchen and the dining room and water sprinklers throughout. At our last inspection, we made a requirement to ensure that all staff received regular fire instruction. We saw that this had been addressed. In addition to in house training, staff had received fire safety training from an external facilitator. Two people showed us their bedrooms. They told us that they had chosen the colour schemes. We saw that the soft furnishings were coordinated and the rooms were personalised to a high degree. There were various pictures, posters and photographs which showed peoples interests and individuality. At the last and previous inspection, we made a requirement that all bedrooms must have a lock on the door and lockable storage facilities. This requirement had been addressed. At our last and previous inspection, we made a requirement to devise and implement a quality assurance system. Mrs Bidmead told us that a range of audits were now in place. Care Homes for Adults (18-65 years) Page 5 of 10 She said that regulation 26 visits, which were undertaken by senior managers, had been further formalised. Mrs Bidmead told us that the visit now covered specific topics of service provision. In the event of any identified shortfall, targets were set to ensure improvement. Mrs Bidmead told us that surveys had been distributed to people and their families in order to gain views about the service. We saw that this information was in the process of being coordinated. Specific comments included staff are well trained and continuing to explore further training, staff appear well informed and are always helpful and big improvement since new manager in place. Other comments were excellent home with an experienced and positive manager which is reflected throughout the home and Quarrydene is a warm and welcoming home. I am impressed by the hard work put in by Sheridan Bidmead [manager] to provide the residents with the level of service they require. The staff are friendly and professional. Since our last visit to the service, Mrs Bidmead had successfully completed the process to become registered with us, as the registered manager. Through discussion and observation during our visit, we saw that Mrs Bidmead had significantly improved the service people received and the management systems in place. She demonstrated a strong value base and was committed to enabling people to reach their full potential. Within surveys, people told us that they were able to make decisions about how they spent their time. They knew who to speak to if they were not happy and told us that the staff treated them well. They said the home was always fresh and clean. In relation to what the home did well, one person said take me out, college, pictures, bowling. Lets me choose my food. In relation to what the home could do better, the person said get my new vehicle. Help me move. When supporting a person with their survey, a relative told us they endeavour to find ways that their clients will be happy with and due to our XXs limitations, this is not easy. They are always happy to receive any suggestions re: care plans and medical information. We are always advised if there are any changes to his/her health. Within their surveys, staff told us that they were given up to date information about the people they supported. They said their induction covered what they needed to know and they had training related to their role. They said that the organisation carried out checks such as a Criminal Record Bureau disclosure and references before they commenced employment. In relation to what the home could do better, a staff member told us employ a cleaner. I think that the carers are expected to do too much i.e. care, cleaning, cooking, activities, washing, shopping. A dedicated cleaner would mean the home was kept clean to a high standard and more time could be given to meeting the needs of the service users. In relation to what the home did well, a staff member told us seven out of the nine service users attend college twice a week. They are fully supported by the staff and all enjoy it. The standard of care is good and the relationships between staff and service users are very effective. A wide variety of activities are organised. The home is fully staffed with a number of staff having worked there since it opened three and a half years ago. The staff member continued to state there has been an improvement in the running of the home since Sheri Bidmead became manager. She is a very effective manager. She strives to make sure the needs of the service users are met and that the carers receive the support they need. Care Homes for Adults (18-65 years) Page 6 of 10 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 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. 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