Latest Inspection
This is the latest available inspection report for this service, carried out on 21st May 2010. CQC found this care home to be providing an Adequate service.
The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.
For extracts, read the latest CQC inspection for The Rambles.
What the care home does well Residents are being properly cared for and are well supported at the home. The comments that residents made to us helped to demonstrate this. One resident told us `the staff look after me very well`. We also saw residents being well supported by the staff with their day to day needs. Care plan records are detailed and are written in a `person centered` way. The care plans guide the staff to provide unique care and support to each resident. Medication records help to confirm that residents` medication is looked after safely. The environment is homely and safe and residents are happy living there. Residents are protected by the employment procedures used to recruit new staff. There are safe recruitment procedures followed to try and make sure only people who are suitable to work at the home are employed. Accident records help demonstrate to us that if residents have an accident, the staff respond promptly and take the safest course of action needed. What the care home could do better: We did not set any requirements at the Inspection. Random inspection report
Care homes for adults (18-65 years)
Name: Address: The Rambles 90 Farleigh Road Backwell North Somerset BS48 3PD one star adequate service 06/07/2009 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: Melanie Edwards Date: 2 1 0 5 2 0 1 0 Information about the care home
Name of care home: Address: The Rambles 90 Farleigh Road Backwell North Somerset BS48 3PD 01275790072 Telephone number: Fax number: Email address: Provider web address: www.brandontrust.org Name of registered provider(s): Name of registered manager (if applicable) The Brandon Trust Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 6 The maximum number of service users who can be accommodated is 6 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 Rambles is a detached house in a residential area, offering supported living for up to 6 younger adults with learning disabilities. It is in large gardens on a main road, within a short drive of several local towns and approximately half a mile from local shops. 0 6 0 7 2 0 0 9 Care Homes for Adults (18-65 years) Page 2 of 8 Brief description of the care home Three bedrooms are on the first floor. One bedroom is in an annexe to the rear of the home, with its own lounge. Care Homes for Adults (18-65 years) Page 3 of 8 What we found:
We met two of the residents living at the home. We spoke to one of the residents about the care and support they receive and what daily life is like at the home. We observed residents who could not verbally express their views, being helped and supported by the staff. We met the manager, a registered nurse and three support workers. We saw staff helping residents with their care needs. We looked at two peoples care plan records, to see out what sort of care and support they need and how staff provide this to them. We checked the records of controlled drugs that are kept in the home.We checked the record with the medication that was being stored in the controlled drugs cupboard. We did this to see if medication is stored safely. We toured the premises to see if it is a safe and suitable place to live in. We checked the employment records of the last two staff that had been employed. We checked these records to see if there are robust recruitment procedures in place, to protect the residents from people who may not be suitable to work at the home. We inspected the previous two months accident records, these showed when people had an accident and what action had been taken to maintain their safety. What the care home does well: What they could do better:
Care Homes for Adults (18-65 years) Page 4 of 8 We did not set any requirements at the Inspection. 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 R No £ 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 1 4 The statement of purpose 21/07/2009 must set out the reasons for the use of the keypad entry and exit system to the home. There must also be guidance for people who do not require this security. The legal rights of residents. 2 6 15 Care plans must include a deprivation of liberty assessment if residents freedom has been been restricted. This requirement relates to the locking of a residents door to their living accommodation. Legal rights of residents. 21/07/2009 3 24 23 A programme of redecoration 08/10/2009 in the home must be put in place. To ensure residents live in a homely and suitable environment. 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 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!
