Care Home: Six Acres

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What the care home does well The staff provide sensitive and flexible support to the residents. The residents are able to spend their day more or less as they please and they are involved in any decisions that affect their daily life, activities, and their health and wellbeing. There are systems in place to ensure that people know how to complain and to feel that their complaints will be taken seriously and acted upon. Management make sure that the staff receive training in the safeguarding of vulnerable people so that they can, as far as possible, protect the residents from mistreatment and harm. What the care home could do better: Good quality documents to guide and assist the staff in the safe management of medicines need to be in place.Staff must receive up to date training in medicine management. A Controlled Drug Cabinet must be provided so that when controlled drugs are in use at the home, they can be stored safely and in accordance with legislation. Random inspection report Care homes for adults (18-65 years) Name: Address: Six Acres 401 Bickershaw Lane Bickershaw Wigan Greater Manchester WN2 5PR 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: Grace Tarney Date: 1 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Six Acres 401 Bickershaw Lane Bickershaw Wigan Greater Manchester WN2 5PR 01942861113 Telephone number: Fax number: Email address: Provider web address: briansmith176@yahoo.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mr Brian Malcom Smith Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Brian Malcom Smith care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Six persons with a learning disability Date of last inspection Brief description of the care home 6 Six Acres is a privately run care home for up to six adults with learning disabilities. Six Acres is a bungalow situated off a busy road in the village of Bickershaw. It is owned and managed by the Smith family. Mr. Brian Smith, Junior, is the Registered Manager. The Home is close to shops and local facilities and is served by public transport. A smallholding is located at the rear of the bungalow. Geese, ducks and hens provide activity and occupation for the people who live at Six Acres: everyone is involved in Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home maintaining the well-being of the animals. One of the principal aims of Six Acres is to move people into their own or supported accommodation, where they can live more independently. The weekly fees at the home vary according to the individual assessed needs of the residents. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: The staff at the home were not told that this inspection was to take place although many weeks before the inspection we (The Care Quality Commission) asked the Manager of the home to complete a form called an Annual Quality Assurance Assessment (AQAA) to tell us what they did at present what they felt they did well and what they needed to do better. This helps us to determine if the management of the home see the service they provide the same way that we do. We received the completed AQAA form in March 2010. We also sent out survey forms to some of the residents and also to the staff. These survey forms asked them to give us their opinions about the care and facilities provided. We received 5 surveys back from the residents or their relatives, and 3 from the staff. Some of the comments from the residents/relatives were: My relative is cared for in a friendly, family atmosphere. Nothing seems too much trouble. All the staff seem to really care for the residents, they treat residents as family members. Staff commented that they felt well supported by management. We spent 4 hours at the home. During this time we looked at how people are supported so that they can live their lives as independently as possible. We checked to see if the support given is flexible and reliable and takes into account the needs and preferences of the residents. We also checked to see if the residents had access to various healthcare professionals so ensuring that any health care needs were addressed. We saw from looking in the care records that people had a choice about how they spent their day. We saw that 1 resident was about to go fishing with a member of staff. We were told that this was something that he enjoyed doing. We saw that 1 resident was sat in his room watching television whilst 2 other residents were sitting in the lounge, 1 listening to her favourite music and the other busy with some arts and crafts. A look at the care records showed us that regular visits to healthcare professionals such as chiropodists, opticians and hospital clinics were undertaken. To make sure that people were receiving their medicines safely we looked at how the medicines, including any controlled drugs, were ordered, stored, administered and recorded. We saw that the staff who handle the medicines are suitably trained to do so although we did see that some staff, including the Manager, needed to have some updated medicine management training as it had been some time since their last training. We looked at the medicine administration record (MAR) sheets and saw that they had been typed by the Manager. We explained that typing up the MAR sheets can lead to mistakes being made. They also did not have any codes on to show when a medicine was not given for any reason. There was also no section to show how much medicine had been received. We advised the Manager to ask their dispensing pharmacy for computerised MAR sheets. The Manager did so whilst we were there. He later confirmed that these computerised MAR sheets were now in place. We were also told that the management of the home do not get involved in the ordering of repeat medicines. They told us that the pharmacist does this for them. In accordance Care Homes for Adults (18-65 years) Page 4 of 10 with good practice, we advised the Manager to order the prescriptions from the residents GP themselves, check what has been prescribed and then send to the pharmacy. This ensures that the staff at the home know that the resident is getting exactly what has been prescribed. The documents in place to guide and assist the staff in the safe management of medicine management were not as detailed as they should be. The Manager agreed to update them. We saw that there was no Controlled Drug Cabinet in place that was in accordance with current legislation. There were no controlled drugs actually in use, but there is a legal requirement to have one. We also looked at how complaints are handled to ensure that people know how to and to whom they can complain. A complaints procedure was displayed within the home but was not included in the Service User Guide. The Manager agreed to attach the complaints procedure, which he did whilst we were in the home. The complaints procedure was easy to understand and tells people that their complaints will be acknowledged within 3 days and a full written response will be given within 3 weeks. We saw that there was a complaints log in place to ensure that a record would be kept of any complaint made and include details of any investigation and action that the management may take to put things right. The Manager informed us in the AQAA document that no complaints have been made to them in the last 12 months. No complaints have been made to us in the last 12 months. We also looked at the staff training files to check if they had received training in the safeguarding of vulnerable people. This training helps reduce the possible risk of harm or mistreatment to the residents. We saw that staff had been trained in the safeguarding of vulnerable people. Documents were also in place to assist and guide the staff in the event of any safeguarding incident occurring. No safeguarding incidents have been reported to either the management of the home or to us in the last 12 months. What the care home does well: What they could do better: Good quality documents to guide and assist the staff in the safe management of medicines need to be in place. Care Homes for Adults (18-65 years) Page 5 of 10 Staff must receive up to date training in medicine management. A Controlled Drug Cabinet must be provided so that when controlled drugs are in use at the home, they can be stored safely and in accordance with legislation. 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 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 7 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 1 20 18 All staff who administer medication must receive up to date accredited medication training. To ensure that they have the competence needed to administer medicines safely. 23/07/2010 2 20 13 A Controlled Drug Cabinet must be obtained which complies with legislation under the Misuse of Drugs Act Regulations (safe custody) and must be fixed to a suitable wall in compliance with legislation. To ensure the safe storage of controlled drugs and to comply with legislation. 23/07/2010 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 20 Good quality documents to guide and assist the staff in the safe management of medicines need to be in place. Page 8 of 10 Care Homes for Adults (18-65 years) 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 2 20 The staff should order the prescriptions from the residents GP themselves, check what has been prescribed and then send to the pharmacy. This ensures that the staff at the home know that the resident is getting exactly what has been prescribed. 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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