Care Home: Sharpe House

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What the care home does well People who live in the home are happy. Their comments included `it is a nice place to live and clean`; `my activities like cycling, pub, local walks and cafe all going very well`; `the support from the manager and staff is good`; and `I like the meals`. People benefit from a range of activities including swimming, going to the pub, skittles, day centres, work placements, beauty sessions, singing and discos. Since the previous key inspection people who live in the home have been on holiday to different destinations including Haven, Cornwall and cycling. The home is supporting people to develop their daily living skills through preparing food and cooking, cleaning, shopping, gardening and laundry. A number of documents within the home have now been produced in symbol format. This makes them more accessible for some people. Staff told us that they enjoy their work and feel well supported. Staff recruitment processes protect people from the risk of harm. What the care home could do better: The registered provider must ensure that medication is stored securely. This is to promote safekeeping of medicines and protect people from risk of harm. The registered provider must ensure that they inform us of any notifiable incidents that occur at the home. This is so that we know what is happening at the home. Random inspection report Care homes for adults (18-65 years) Name: Address: Sharpe House 1 West Road Wiveliscombe Somerset TA4 2JS one star adequate service 24/06/2009 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: Alison Philpott Date: 1 3 0 5 2 0 1 0 Information about the care home Name of care home: Address: Sharpe House 1 West Road Wiveliscombe Somerset TA4 2JS 01984629220 Telephone number: Fax number: Email address: Provider web address: jeddinternational@yahoo.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mr Paul Francis Creane Mr Marek Vaca Type of registration: Number of places registered: Conditions of registration: Category(ies) : Jedd International Ltd. care home 10 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 10 The maximum number of service users who may be accommodated is 10 The registered person may provide the following category of service only: Care Home only (Code PC) to service users of either gender whose primary care needs on admission to the home are within the folloiwng category: Learning disability - Code LD Date of last inspection Brief description of the care home The home is located in the small town of Wiveliscombe and is situated a short walk from the local community and its facilities. Sharpe House is a large detached property arranged over two floors. The layout of the home would not be suitable for service users with a physical disability. All bedrooms are single and have hand wash basins. Care Homes for Adults (18-65 years) Page 2 of 9 2 4 0 6 2 0 0 9 Brief description of the care home Some bedrooms are located on the ground floor. The home does not have a passenger lift to reach the first floor. The home has dining room, lounge, conservatory, and two bathrooms, domestic style kitchen, laundry room and well-presented garden. Sharpe House is registered with the Care Quality Commission to provide personal care for up to 10 service users, under the age of 65yrs, who have a learning disability. The home is not registered to provide nursing care. The home is owned by JEDD International Ltd. The Registered Provider is Mr Declan Howlett. The home currently has a manager designate who is applying to register as manager with the Commission. The homes current fee range is £360 to £855 per week. Additional charges include those for toiletries, hairdressing, transport some activities and chiropody. The home has a car and service users currently contribute 50 of their DLA mobility component towards the cost of transport. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: This random inspection commenced at 10.20am and was carried out over a total of four hours. The home has met all of the requirements and recommendations made at the previous key inspection on 24th June 2009. On the day of the inspection, eight people were living in the home. Four people were attending day centres and a work placement, one person was going for health checks, another person had gone out for a walk, and a couple of people were at the home. The manager designate was available throughout the inspection and was supported by a senior support worker and a support worker. We sampled two care plans. These contained a good level of detail, including peoples preferences, and provided good information for staff to follow. The manager designate told us that care plans and risk assessments are still being developed. Since the previous inspection, peoples individual goals have been identified and reviews have been carried out at regular intervals to ensure that peoples changing needs continue to be met. Daily records are now being kept and contained detailed information. Health plans have been introduced and there was evidence that people are supported to access healthcare appointments and professionals. One person who lives at the home has Epilepsy. The home keep a record of any seizures and a detailed action plan is in place for staff to follow. We looked at medication and medication records. The home uses a monitored dosage system. Staff administer medication and have recently completed training updates. The Medication Administration Record Sheets were fully completed. Where records had been hand written, two staff signatures had been obtained to ensure that the entries were correct. Medicinal creams had been dated on opening and discarded appropriately. We reviewed the stock of controlled drugs and this was found to be correct. We found that the medication cupboard does not have a good quality lock and is not secure. We advised the manager to contact the pharmacy to order a suitable cabinet. The home keeps small amounts of money for some people. Monies are stored individually. We checked two peoples monies. The balances were found to be correct. Written records of transactions are kept. These are signed by two members of staff. The manager designate showed us around the home. We sampled three bedrooms, bathrooms, kitchen, laundry, lounge and dining room. One person who lives in the home showed us their bedroom. We observed that people have personalised their bedrooms to meet their individual tastes and interests. One person who had recently had a new bedroom carpet went to the shop to choose the colour. Carpets have been replaced in several bedrooms and corridors. Some rooms have been redecorated. The home has an ongoing maintenance and renewal programme for further redecoration and refurbishment. The provider confirmed that smoke seals have been fitted to five fire doors; there is a programme in place to replace smoke seals to the rest of the doors. People who live in the home are being supported to develop the garden and a vegetable patch. The home was clean and fresh throughout. Care Homes for Adults (18-65 years) Page 4 of 9 We looked at two staff files. These were well organised and contained all of the required information to protect people from risk of harm. Two new members of staff had commenced their Skills for Care Common Induction. They had completed training courses in safeguarding adults, infection control, food hygiene, first aid and one had commenced their LDQ (Learning Disability Qualification). They were booked to attend training in moving & handling and health & safety. We spoke with two members of staff who confirmed that they had completed training, received regular supervision and felt well supported. Four staff who completed surveys told us that they have received relevant and updated training. Since the last inspection the home has appointed a new manager who is in the process of registering with the Commission. One person who lives in the home told us I like the staff and new manager, they are listening to me and help if I need it. Staff told us the new manager has only been with us a matter of weeks but staff have noted a big and vast improvement within the home and we have a new manager who is knowledgeable, professional and experienced. When the previous registered manager left the home, we were not informed. The home has now obtained a copy of the guidance so that they know when to send in a notification to the Commission. Accidents are recorded in a book that complies with Data Protection. Completed records are stored in each individuals care plan. What the care home does well: What they could do better: The registered provider must ensure that medication is stored securely. This is to promote safekeeping of medicines and protect people from risk of harm. The registered provider must ensure that they inform us of any notifiable incidents that occur at the home. This is so that we know what is happening at the home. Care Homes for Adults (18-65 years) Page 5 of 9 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 1 20 13 The registered provider must 30/06/2010 ensure that medication is stored securely. This is to promote safekeeping of medicines and protect people from risk of harm. 2 37 37 The home must ensure that 31/05/2010 they inform us of any notifiable incidents that occur at the home. This is so that we know what is happening at the home. 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 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. 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