Latest Inspection
This is the latest available inspection report for this service, carried out on 16th June 2010. CQC found this care home to be providing an Excellent 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 The Old School House (Madeley) Ltd.
What the care home does well People who use the service are protected by the agency`s policies and procedures on recruitment and selection of staff. We saw evidence that the service carries out Criminal Records Bureau checks (CRB) and has requested checks of the Protection of Vulnerable Adults (POVA) register before employing them. We have been told in the AQAA that there has been 4 incidents of restraint and 2 safeguarding referrals in last 12 months. We saw that the service has a complaints procedure in place, this is included in the guide people are given. We saw that the service keeps records of any comments, compliments and complaint it receives. But no complaints have been received in the last 12 months. We talked to the facilities manager about the two reported safeguarding referrals and looked at the records and evidence provided of investigation under safeguarding procedures. We saw that the Local Authority responsible for investigation had concluded that the allegations were not upheld. We saw from the records that staff have receivedsafeguarding training and the service has a training plan for staff to receive updates. We saw that some staff have received training regarding the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards, further training is planned. We asked if there are currently any concerns about Deprivation of Liberty and have been told that there aren`t. But the facilities manager was able to explain the procedure that would be followed if there were. We saw in the AQAA that there have been 4 incidents that have resulted in the restraint of people using the service. We talked to the facilities manager, and looked at records relating to these. We saw that staff have been trained in Management of Actual or Potential Aggression (MAPA) techniques, where the focus is on positive interaction and restraint is the last resort. We saw that behavioural management plans are in place, that provide explicit detail about how the staff should support the individual at times of high anxiety and the techniques that are agreed as appropriate for that person. We spoke to the facilities manager about how people`s finances are managed. We saw that the procedures for money management are robust and regular audits or `spot checks` are carried out. We saw that the provider, ensures that monthly visits are made to the home to assess the quality of the service provided. The agency monitors the quality of service it delivers and acts promptly when areas for improvement have been identified. There is evidence that the agency seeks the views of people using the service and their relatives about the quality of service provided. What the care home could do better: A service user guide is provided (pre assessment) so that the prospective user of the service or their carer know the type of service can be expected. This document should be be produced in a format of their choice, and include information about the range of fees and charges. The complaints procedure is available in the office and included in the Service User Guide needs to be in a user friendly format so that it is accessible to people using the service. The service should produce an annual development and improvement plan based upon the outcome of the regular quality audits that are carried out and the surveyed views of people using the service and other interested parties, ie relatives, health and social care professionals. Random inspection report
Care homes for adults (18-65 years)
Name: Address: The Old School House (Madeley) Ltd 17 Church Street Madeley Telford Shropshire TF7 5BN 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: Wendy Jones Date: 1 6 0 6 2 0 1 0 Information about the care home
Name of care home: Address: The Old School House (Madeley) Ltd 17 Church Street Madeley Telford Shropshire TF7 5BN 01952580629 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Sharon Ann Pound Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Old School House (Madeley) 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 to be accommodated is 10. The registered person may provide personal care (excluding nursing) and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following category: Learning Disability (LD) 10 Date of last inspection Brief description of the care home The date of the last Key Inspection was 01 August 2007 and Annual Service Reviews have been carried out on 12 August 2008 and 21 September 2009. Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home The Old School House is residential home that can provide a service for 10 people who have a learning disability. The property is nearby to shops and other amenities. The home offers 10 single bedrooms, six of which are equipped with en suite. The property also consists of two lounges, dining room, kitchen and sufficient bathing and shower areas. Staffing is provided throughout the day and night to ensure peoples needs are met. People have access to relevant healthcare services to support their physical and mental health needs. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
This report refers to a random unannounced inspection visit by one inspector, on the 16 June 2010. A random inspection is short visit that focuses on a specific subject, for this visit we decided to focus on how the service manages and responds to any complaints that are received and how it protects people using the service from the risk of abuse. As part of the inspection in order to provide information to help us form judgements about the quality of the service, the manager was asked to complete an annual quality assessment (AQAA) document. The AQAA provides us, the Care Quality Commission (CQC) with a lot of information about the way the service is run and what they hope to achieve in the future. We sent out surveys to people who use the service and staff, unfortunately at the point of writing this report we cannot be sure that any have been returned. We have spoken to the service about this. During the visit the facilities manager was the only person in the home, so we spent the time talking to her about the service and looking at records and documents. These included care plans, complaints procedures and records, staff training records and evidence of safe recruitment practise, accident and incident records, behavioural management plans and health information. We also looked at how the service ensures that it audits the quality of the service it provides. We didnt have an opportunity to speak to people using the service or staff because they were not in the care home during the visit, but did return as we were about to leave. We found that the service currently provides for six people, who have a Learning Disability. The service employs 13 support staff, a registered care manager and a facilities manager. Between four and seven staff are provided on each shift dependent on the planned activity for people using the service. We saw that staff and user meetings are planned bi-monthly. What the care home does well:
People who use the service are protected by the agencys policies and procedures on recruitment and selection of staff. We saw evidence that the service carries out Criminal Records Bureau checks (CRB) and has requested checks of the Protection of Vulnerable Adults (POVA) register before employing them. We have been told in the AQAA that there has been 4 incidents of restraint and 2 safeguarding referrals in last 12 months. We saw that the service has a complaints procedure in place, this is included in the guide people are given. We saw that the service keeps records of any comments, compliments and complaint it receives. But no complaints have been received in the last 12 months. We talked to the facilities manager about the two reported safeguarding referrals and looked at the records and evidence provided of investigation under safeguarding procedures. We saw that the Local Authority responsible for investigation had concluded that the allegations were not upheld. We saw from the records that staff have received
Care Homes for Adults (18-65 years) Page 4 of 8 safeguarding training and the service has a training plan for staff to receive updates. We saw that some staff have received training regarding the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards, further training is planned. We asked if there are currently any concerns about Deprivation of Liberty and have been told that there arent. But the facilities manager was able to explain the procedure that would be followed if there were. We saw in the AQAA that there have been 4 incidents that have resulted in the restraint of people using the service. We talked to the facilities manager, and looked at records relating to these. We saw that staff have been trained in Management of Actual or Potential Aggression (MAPA) techniques, where the focus is on positive interaction and restraint is the last resort. We saw that behavioural management plans are in place, that provide explicit detail about how the staff should support the individual at times of high anxiety and the techniques that are agreed as appropriate for that person. We spoke to the facilities manager about how peoples finances are managed. We saw that the procedures for money management are robust and regular audits or spot checks are carried out. We saw that the provider, ensures that monthly visits are made to the home to assess the quality of the service provided. The agency monitors the quality of service it delivers and acts promptly when areas for improvement have been identified. There is evidence that the agency seeks the views of people using the service and their relatives about the quality of service provided. 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 8 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 6 of 8 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 1 The service user guide should be be produced in an user friendly to ensure that the information is accessible. And also include information about the range of fees and charges. The complaints procedure should be produced in a user friendly format so that it is accessible to people using the service. All staff should receive training regarding the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. So that people can be confident that they will be appropriately supported. The service should produce an annual development and improvement plan. To evidence how the service intends to make improvements to the service it provides for the benefit of people living there. 2 22 3 23 4 39 Care Homes for Adults (18-65 years) Page 7 of 8 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 8 of 8 - 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!
