Latest Inspection
This is the latest available inspection report for this service, carried out on 9th June 2010. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Talbot Court.
What the care home does well The home continues to provide a very homely and friendly environment for the people who use the service. Consultation with people helps to ensure that they are involved in the management of the service and live the life that they choose. Food taster sessions help to ensure that people have meals that they like on a regular basis. Detailed support plans help to ensure that people receive the care and support required. Staff and the people living in the home have good relationships with each other. This means people are settled and the atmosphere at the Home is relaxed and friendly. What the care home could do better: High standards continue to be maintained and no requirements have been made following this inspection. Some good practice recommendations are detailed. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Talbot Court 1-3 Jervoise Street West Bromwich West Midlands B70 9LU 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: Deborah Shelton Date: 0 9 0 6 2 0 1 0 Information about the care home
Name of care home: Address: Talbot Court 1-3 Jervoise Street West Bromwich West Midlands B70 9LU 01215253508 F/P01215253508 Telephone number: Fax number: Email address: Provider web address: www.voyagecare.com Name of registered provider(s): Name of registered manager (if applicable) Mrs Ruth Bailey Type of registration: Number of places registered: Conditions of registration: Category(ies) : Milbury Care Services Ltd care home 10 Number of places (if applicable): Under 65 Over 65 0 0 learning disability physical disability Conditions of registration: 10 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 with nursing only - Code N To service users of the following gender Both whose primary care needs on admission to the home are within the following category Learning Disability - Code LD (maximum number of places 10). Physical Disability code PD (maximum number of places 10) Date of last inspection Brief description of the care home Talbot Court is a purpose built bungalow that originally operated as two units, each for five people. Recently the unit has been operating as one, with the occupants of the
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home home sharing a communal lounge and separate dining area. Internally the two areas are linked. The home provides nursing care for up to ten people with learning and physical disabilities. The unit also offers kitchen, laundry and bathing facilities. The bathrooms have been adapted to offer sensory stimulation. The bungalow comprises of ten single rooms in total, three of which offer an en-suite shower facility. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
We, the Care Quality Commission (CQC) undertook this random inspection visit to monitor standards of care at the home, which was rated as good at the last key inspection on 4 September 2007. This random inspection was unannounced, which meant the home was not given notice of our visit. We wanted to gain an assessment of peoples experience within the home. This was to make sure that the standards highlighted within our previous report continue to be maintained. Before the visit we looked at information we received since our last inspection. This includes notifications of any incidents and how the service dealt with any complaints. During the visit we spoke with the deputy manager and other staff at the Home. We looked at information about people who use the service and medication records. We checked that staff had the knowledge, skills and training to meet the needs of the people they care for and we looked around the buildings to make sure they were clean, safe and comfortable. Two care plans were seen and these were detailed and contained sufficient information to enable staff to provide the care and support needed by people. We saw that family members are now invited to attend annual reviews of the care that people receive, they are able to comment and have an input into the care planning process. Care plans have been adapted to include some pictures to help people understand the meaning of the written information. In order to ensure person centred planning systems in place are successful, staff should attend training regarding person centred care planning. Since our last inspection of the service additional support plans have been put in place for everyone regarding finance and behaviour. These detailed plans help staff provide the support that people need. Additional information regarding food likes and dislikes has also been recorded. The home has in place safe systems for the storage and administration of medication. Medication is provided in a monitored dosage (blister pack) system. Some issues for action were noted which we were told would be addressed immediately. One of the records seen regarding blood glucose monitoring was confusing. We were told that staff have written out of date information on the monitoring records which did not correspond with the care plan information. This could cause staff not to take the required action if they follow the out of date details. Two medications seen did not have a date of opening recorded. Lactulose for one person had run out and the pharmacy had not delivered. This person was using medication belonging to other people in the Home until their supply is received from the pharmacy. This is not good practice and could result in the other person running out of medication before the end of the month. Care Homes for Adults (18-65 years) Page 4 of 9 The new controlled drugs cupboard should be put into use as soon as possible. Some refurbishment and redecoration has been undertaken and we were told this is ongoing. New carpets have been laid in corridors and a bedroom, all areas seen were clean and hygienic and equipment was in good working order. Some work is required to the dining room as walls remain marked and scraped. We were told that this is due to be decorated shortly. We saw that people appeared to be at ease in their surrounding and had a good rapport with staff. The atmosphere was relaxed and friendly. People were actively engaged in activities of their choice. Staffing levels were appropriate for meeting the needs of those currently living in the home. We were told that staff training is often computer based training with certificates being issued by head office. Staff undertake a learning disability qualification before they start their National Vocational Qualification (NVQ) in care. Training has been requested for twelve staff regarding non violent physical crisis intervention. Staff are not confirmed in post until they have undertaken the Learning Disability Awards Framework (LDAF) induction and foundation training by an accredited learning disability awards framework provider. Some staff require update training but the Home are aware of this and training is planned. We were told that the Home have not used agency staff for over a year preferring to use their own bank of staff whom people in the Home know well. 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 5 of 9 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 6 Staff should undertake training regarding person centred planning to ensure that systems in place are effective and meet the needs of the individual. All information on care plans and supporting documentation should be updated as necessary and record only current information for staff to work with. This helps to ensure that care needs are not missed and the correct action is taken to meet needs. Medication should have a date of opening and disposal to ensure that medicine with a limited shelf life is not used for a longer period than it should be. Work should be undertaken in the dining room to ensure that the decoration in this room is of a good standard. 2 6 3 20 4 24 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!
