Care Home: Southside

What the care home does well This is a random visit and therefore not all core standards were assessed. There is a lovely well planned and designed garden that is safe and secure for people to enjoy. The home is clean, safe and well maintained so people live in a comfortable home. What the care home could do better: This is a random visit and therefore not all core standards were assessed. Peoples care plans should detail their current care needs so staff know how to help to meet their needs. Risk assessments must show staff how to reduce the risks to peoples safety. Staff must receive training so they know how to support people who are unable to make their own decisions and have behaviour that can be difficult. There must be enough staff employed in the home to support people to meet their individual needs. Medication should be managed well to ensure peoples health needs are met. Staff must know how to keep people safe in the event of the fire alarm being activated. The statement of purpose should be accurate and up to date so people have the information they need to know about the home. People should be given up to date information about how to contact CQC , should they or their Representatives need to contact us. Random inspection report Care homes for adults (18-65 years) Name: Address: Southside 1651 - 1653 Stratford Road Hall Green Birmingham B28 9JB two star good 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: Donna Ahern Date: 1 6 0 6 2 0 1 0 Information about the care home Name of care home: Address: Southside 1651 - 1653 Stratford Road Hall Green Birmingham B28 9JB 01217448811 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Janet Wyatt Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 10 Number of places (if applicable): Under 65 Over 65 0 dementia Conditions of registration: 10 The maximum number of service users who can be accommodated is 10 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 Dementia Code (DE) maximum number of places 10 Date of last inspection Brief description of the care home Southside is a care home providing accommodation for up to 10 people of working age with dementia. The home is situated on the Stratford road, Hall Green, a short distance away from local shops where there is a good range of local facilities. Care Homes for Adults (18-65 years) Page 2 of 10 Brief description of the care home The home has been converted to one large detached house and is set back behind a parking area for up to five cars. The main entrance to the home is accessible and suitable for people who use a wheelchair. Bedrooms are located on both ground and first floor level. There is no passenger lift to where the first floor bedrooms can be accessed. The second floor is private living accommodation for the owner and can only be accessed by a lockable facility. On the ground floor communal areas include an open plan lounge conservatory, a kitchenette, main kitchen, laundry and dining room. There is a well maintained secure garden to the rear of the property with seating areas, trees, shrubs and flowers. Written information about the home and the facilities is available but does not include details of fee levels. This information can be obtained from the manager. Care Homes for Adults (18-65 years) Page 3 of 10 What we found: The focus of this inspection undertaken by the care quality commission (CQC) is upon outcomes for 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 this service was completed on 5th July 2007. At that time we awarded the service a two star rating which meant people living there experienced good quality outcomes. We completed an Annual Service Review about the service provided at the home on 23rd September 2009. The outcome of this did not change our opinion of the quality of service provided. The home was due an inspection for the 2010 inspection year. As it was previously rated as a good home we assessed the information we had about the home and decide to do a random visit. This means we only looked at some areas and not all key areas. The random inspection was undertaken by one inspector over four and a half hours. There were ten people living at the home. The home did not know we would be visiting. During the visit we looked at peoples care records, medication management, staff training records, some health and safety records and we looked around parts of the home. We spoke to four people who live in the home, three staff, the manager and owner. These are our findings: The previous registered manager had left. There was a new manager who had been in post for several months and was in the process of applying to CQC to be registered. We refer to her in this report as the acting manager. We spent time in the lounge talking to people and observing staff supporting people. One of the people had been agitated and staff supported the person to spend some time in the garden on a one to one basis. Some people had been out for a walk in the morning. A spontaneous trip was planned during our visit to a local garden centre with the owner and five people went out on this trip. The home has its own transport and staff said this is good for getting people out to places of interest. Staff said people like walking and some people go out for walks most days. Staff were friendly and relaxed. People were offered drinks and staff gave support and guidance to people as and when needed. One person was resting in their bedroom for a while and staff did regular checks to make sure that they were okay. We had a look around parts of the home and saw that it was generally well maintained, safe and clean. We saw some fire doors propped open on the first floor. The manager told us this was to allow the bedrooms to air. She told us that automatic door closures are in the process of being fitted so in the event of the fire alarm activating these doors will close. The home was clean and fresh. Arrangements were in place to maintain good standards of hygiene so people are protected from the risk of cross infection. The garden is accessible from the lounge. It had recently been landscaped and provides a lovely well planned and secure outside area for people to enjoy. we saw people enjoying time out there during our visit. Care Homes for Adults (18-65 years) Page 4 of 10 We looked at two peoples care plans. Care plans are records that tell staff what people can do independently. They also say when staff need to support people to meet their individual needs. Parts of the care plan were due to be updated. This will ensure that staff have the information they need to meet peoples needs. We saw that an overview risk assessment had been completed which is good as this identifies potential areas of risk to people. The assessment states that detailed risk assessments will be completed following this initial assessment for areas of risk identified such as verbal aggression and at risk of falling. However on the two care plans we looked at this had not been done. This may mean that action taken to prevent risks to people living there are not always taken. People are supported to access other professionals so their social care and health care needs are met. This includes G.P, consultants, working age dementia support team and social work teams. We looked at the guidelines in place to manage one of the people who has epilepsy. The manager said the person has infrequent seizures. However the guidelines were not specific to the individual which may mean the person does not get the support they need if they had a seizure. Not all staff had completed training in epilepsy management which may mean they do not have the knowledge and skills to support a person in the event of them having a seizure. We looked at the arrangements in place for medication administration. Handwritten medication record sheets had not been witnessed and signed by a second staff member which could lead to errors being made. Protocols were not in place for all medication given on an as needed basis which may mean people do not get their medication when they need it. The acting manager told us and rotas indicated that there are usually two care staff on duty and the manager works across the working day. At night there is one person on duty and an additional staff member on a sleep in shift who provides support as needed. The owner currently works regular care shifts in the home and is also down as the registered manager in the statement of purpose. The owner is also the registered manager for another care home. We were concerned about this as we were unsure how the owner could fulfill these different responsibilities across two services several miles apart. She advised us that the care shifts she does at Southside would be ceasing at the end of the month. We also had some concern about the experience of the current staff team. We spoke to three staff on duty on the day. They had not done dementia or challenging behaviour training. Some staff had not completed basic training such as safeguarding, manual handling and food hygiene. Staff training records had not been kept up to date so it was difficult to get an accurate overview of what training the staff team as a whole had completed. There was no training plan in place to demonstrate that a trained and skilled team were in place to support people. Rotas were incomplete and did not identify any senior staff. The staffing arrangements did not reflect what was in the homes statement of purpose. The acting manager told us that training will be taking place soon and they plan to employ more staff. Since our last visit we have not received any complaints about the service. The manager said they had not received any complaints made directly to the home. However the complaints procedure had not been up dated with CQC details. This may mean people do not know how to contact us if they need to. We saw that inventories of peoples personal items and possessions had not be signed or dated which may mean systems are not in Care Homes for Adults (18-65 years) Page 5 of 10 place to ensure the security of these. A fire safety audit by the fire and rescue authority took place in October 2009. The outcome of the visit was that fire precautions were satisfactory. Staff training records and discussions with the manager confirmed that some staff had not completed fire safety training and the staff who had completed were overdue an up date in this. This may mean that staff are not confident in supporting people safely in the event of the fire alarm activating. 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 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 9 12 Risk assessments must be in 01/08/2010 place for identified risks. So risks to people are acted upon and people receive the support they need to stay safe. 2 33 18 There must be an effective staff team in place. To meet the individual and collective needs of the people living there. 08/08/2010 3 35 18 Staff must receive the training they need to meet peoples individual needs. So they fulfill the aims of the home and meet peoples individual needs. 01/09/2010 4 42 23 Staff must be trained in fire safety matters. So they know what to do and how to keep people safe in the event of the fire alarm being activated. 01/08/2010 Care Homes for Adults (18-65 years) Page 8 of 10 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 1 The statement of purpose should be up dated to include management details and the arrangements for staffing. So it accurately reflects the situation in the home. Care plans should reflect peoples current needs so staff know how to support people to meet their needs. Epilepsy protocols should be specific to the needs of the individual so it is clear to staff what they must do to keep people safe. Protocols should be in place for medication given on an as required basis so people receive their medication when they need it. When medication record sheets are hand written these should be signed by a second member of staff to ensure accuracy. Inventories of personal items should be signed and dated to ensure there are systems in place to promote the safety of peoples personal possessions. The complaints procedure should be up dated to reflect the CQC details so people would know how to contact us if they need to. There should be a staff training plan and records in place. So it is clear what training staff have completed and what needs doing so they have the skills to do their job. 2 3 6 19 4 20 5 20 6 23 7 23 8 35 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. Care Homes for Adults (18-65 years) Page 10 of 10 - 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!