Care Home: The Old Vicarage, Easton

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What the care home does well The people living in the home are supported well by the staff team and good working relationships exist. Staff have a good knowledge and understanding about peoples individual needs. They are encouraged to be independent and to make decisions about their lifestyle.People are being supported well in making choices about moving to a new home. Their best interests are a priority and families and other professionals have been involved in their care and support. What the care home could do better: There are no requirements from this inspection. Random inspection report Care homes for adults (18-65 years) Name: Address: The Old Vicarage, Easton 8 All Hallows Road Easton Bristol BS5 0HH one star adequate 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: Sarah Webb Date: 2 3 0 6 2 0 1 0 Information about the care home Name of care home: Address: The Old Vicarage, Easton 8 All Hallows Road Easton Bristol BS5 0HH 01179399910 01179399910 Carole.tooze@brandontrust.org www.brandontrust.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ms Carole Theresa Tooze Type of registration: Number of places registered: Conditions of registration: Category(ies) : The Brandon Trust care home 7 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 7 The maximum number of service users who can be accommodated is 7 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 following category: Learning disability (Code LD) Date of last inspection Brief description of the care home The Old Vicarage is a large converted building that provides accommodation for seven people with learning disabilities. Since the last key inspection the registration of the home has changed from a nursing home to a residential care home. The home is in Easton, Bristol and is close to local amenities and bus routes. The home has seven single bedrooms and several communal areas, including a large Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home kitchen. The home is situated in a quiet road with off road parking. There is a garden area to the front and back. Brandon Trust has a mission statement that includes supporting and enabling people to live the lives they choose and to empower the users of our services to determine their futures and enable them to reach their goals. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: This was a unannounced Random Inspection carried out on 23rd June 2010 over a period of five hours. The manager and a senior member of staff were present for part of the inspection helping with the inspection process. We looked at a range of different evidence. This included information provided by the manager through the Annual Quality Assurance Assessment completed before this inspection, speaking to staff who work in the home, reviewing peoples individual care records, and looking at some of the homes records. We met two people living in the home and observed staff interaction with them. Before our visit we received surveys completed by two people living in the home and two surveys from staff. The feedback from the surveys was positive showing the people living in the home were happy with their care and support. The purpose of the visit was to follow up the requirements from the previous Key inspection of 10th July 2009 and to look at the processes for the five people who have been given notice to leave the home. The manager explained the home was not to be deregistered, but that the current service was not financially viable due to the number of beds vacant. We saw a requirement had been met for all the required information, such as the Service User Guide, to be available for the people living in the home and that this had been updated with appropriate information. Consultation meetings had taken place with staff about people moving and letters in accessible format had been given to the people living in the home. We saw families had been informed and involved in the changes. All but one person has had their needs reviewed by their social worker for a change in their accomodation. We did not see these reviews as they had only recently been done and people have not as yet received their copy. The manager said she would inform us when they were available. We saw how people had been involved in making choices about a move to their preferred accommodation. This was seen through peoples written thoughts about moving. The manager told us three people had made choices about moving to a more independent scheme. People had been spoken to individually about the move. Some had not been told about the move as it had been agreed with their families and other people involved in their care that the outcome would be too distressing and their anxiety levels would increase. This had been agreed in peoples best interests. The manager said great efforts were being made to ensure people were provided with an appropriate service to meet their needs. It was clear from talking to staff that they had good knowledge about peoples needs and had tried to involve people with their personal and individualised processes. Arrangements had been made for the people living in the home to be supported through independent advocates. We saw an advocate engaging and involving people in discussion about their move. Some people are being supported by their families. We saw care files that showed how people had been supported with their care needs Care Homes for Adults (18-65 years) Page 4 of 9 including their social networks, communication, personal safety, medication and well being. There was good clear information provided for staff to follow. It was evident people had been involved in the planning of their care through accessible information. We saw people living in the home had been supported through individual communication systems in helping them to understand their needs and how these could be met in a different environment. We saw written individual routines, symbolised and with pictures, to help people understand their daily routines. Staff had developed individual profiles about people that provided clear and current information for staff in their new placements. Profiles included peoples routines, preferences and choices in all aspects of their lifestyles. A requirement had been met for risk assessments to be developed associated with those individuals who were challenging. We saw clear and detailed risk assessments relating to confrontial behaviour and the dynamics between some people that could result in behaviours that were challenging. We saw risk assessments that showed how people were supported individually in being safe in a busy environment, where confrontation between people living in the home could raise levels of anxiety. We saw staff had supported and encouraged some people to be more independent for when they moved. This was seen through records of how people were keeping their medication in their room in a safe way. At the last inspection there were many recorded incidents of behaviours that were challenging between some of the people living in the home. This was due to confrontational incidents. Some of the previous safeguarding referrals resulted in meetings taking place regarding these incidents and how staff dealt with these behaviours. It was evident that some of these incidents have subsided since the last inspection due to there now being one less person living in the home. We have received significantly less notifications about incidents that are challenging, with only one safeguarding referral made since last year. This has been dealt with appropriately. A requirement had been met for the staff team to promote the welfare of the people who live in the home. This included that staff received training in safeguarding adults from abuse.We saw staff had attended updates in positive response refresher training that included working with behaviours that were challenging. We saw the general recording by staff had improved. This was seen through individual monthly reviews, records of individuals food offered at each meal, and support plans and risk assessments that provided staff with up to date information. What the care home does well: The people living in the home are supported well by the staff team and good working relationships exist. Staff have a good knowledge and understanding about peoples individual needs. They are encouraged to be independent and to make decisions about their lifestyle. Care Homes for Adults (18-65 years) Page 5 of 9 People are being supported well in making choices about moving to a new home. Their best interests are a priority and families and other professionals have been involved in their care and support. 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 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 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. 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