Latest Inspection
This is the latest available inspection report for this service, carried out on 7th May 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 Ware Road (49).
What the care home does well Ware Road provides good quality personal and health care support to meet the individually assessed needs of each service user. The service works hard at providing an environment where each individual service user can reach their best potential and lead an independent life style with in their abilities and their own safety. The comments made on the pre inspection surveys by service users and relatives were positive about the service and the quality of personal care offered. One service user told us that` the staff are very kind they go out with me and help to organize my holidays`. Another said ` the staff cook good food I like living here`.Comments from a relative said that despite the recent loss of several members of staff `we have seen the service steadily improve over the years the care has just got better and better`. The Manager could provide all the written evidence that we asked for during this unannounced inspection and the records examined were found to be well compiled and to be kept up to date. What the care home could do better: Further improvements could be made to the manner in which the person centered care plans are written and ways to achieve this were discussed with the manager during thisvisit. Random inspection report
Care homes for adults (18-65 years)
Name: Address: Ware Road (49) 49 Ware Road Hertford Hertfordshire SG13 7ED 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: Jan Sheppard Date: 0 7 0 5 2 0 1 0 Information about the care home
Name of care home: Address: Ware Road (49) 49 Ware Road Hertford Hertfordshire SG13 7ED 01992501288 01992501288 h3012@mencap.org.uk www.mencap.org.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Lisa Marie Carr Type of registration: Number of places registered: Conditions of registration: Category(ies) : Royal Mencap Society care home 6 Number of places (if applicable): Under 65 Over 65 6 learning disability Conditions of registration: Date of last inspection Brief description of the care home 6 49 Ware Road is a large Victorian house, which has been converted to provide accommodation for six people with a learning disability. The home consists of six single bedrooms, one ground floor shower room with toilet, one bathroom, one separate toilet, lounge and kitchendiner. It has a small front garden with limited off-road parking provided. There is a large rear garden. The home is conveniently situated on the main Hertford to Ware road, which can be busy. It is close to the shopping centre of Hertford, with all its facilities and major transport links. The home was first registered 13 November 1991 under the Registered Homes Act 1984. 49 Ware Road is part of MENCAP. There is a service folder, which includes a copy of the latest Commission for Social Care Inspection Report, the homes Complaints Procedure and
Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home other information concerning the service readily available in the home. The fees range from £895 per week and are set to meet individual need. All the current service users are sponsored by Hertfordshire County Council. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
The last key inspection of this service was carried out on 26th June 2007 when it was found that the standards were all met and the service was providing good quality care and gained a 2* Good rating. This unannounced Random Inspection was made over five hours on 7th May 2010 when it was again found that the service continues to meet the standards and to be offering good 2* quality care for its service users. The requirements made following the last inspection have all been met and no requirements are made following this visit. During this inspection we focused on some of the key standards of the Care Standards Act 2000 relating to Adults. This report is written using accumulated evidence gathered prior to the inspection including information contained in the AQAA (Annual Quality Assurance Assessment) completed by the Manager, information in the pre-inspection surveys sent to the service users staff and other stakeholders in the service and also takes account of statutory notifications sent periodically to the Commission by the Home. During this visit we had in depth discussions with the Manager and the deputy Manager, we made a tour of the building ,spoke with a number of residents and with the staff who were on duty. We found that the home was clean and tidy and that it provided a good quality homely environment for its service users. There was evidence of an on going maintenance and refurbishment programme and individual service users rooms were seen to be comfortably furnished with items of their choosing and equipment provided that they needed to enable them to follow as independent a life style as possible.The homes accessible garden was seen to be being well used on the day of our visit. We found that there were sufficient numbers of staff on duty to meet the assessed needs of the service users and to ensure their protection and the smooth running of the service. The deputy Manager who is currently acting as the homes manager explained that over recent weeks a number of staff including the Manager had left to take up alternative posts.The service has quickly filled a number of support worker staff vacancies and the vacant managers post is currently being advertised. The service is fortunate in having a deputy manager and senior support worker who both being long standing workers in the home and who have a good knowledge of the service users needs and of how to meet them and who also have a good grasp of the management requirements of the home. The records evidenced that the homes recruitment processes are thorough thereby ensuring the safety of the service users. During our visit it was seen that a good easy rapport existed between the staff and the service users. The service users who came to introduce themselves to us did so in a confident and enpowered manner.Several were happy to show us their rooms and to talk about their life style in the home. We found that all the service users have a weekly activity programme planned to meet their individually assessed needs and interests. Various day clubs and activity classes are attended and the manager told us of the new activities that she has recently been able to access for the residents. The home gives good attention to developing a range of activities that groups of residents can do together.On the day of this visit some service
Care Homes for Adults (18-65 years) Page 4 of 9 users went out for lunch and others were out visiting shops in the locality. All the service users took a staying away holiday last year and plans for this years holiday are already under way. The staff support the service users to maintain relationships with their families and help them with their visits to see them. Three care plans were examined and were found to contain good detail of the persons needs and of how these should best be met. Evidence of risk assessments and reviews could also be found but it could not always be seen that the service user had signed their care plan. Further improvements to the presentation of these plans written in a more person centered format were discussed with the manager during this visit. The care plan details evidenced that the service has developed and maintains close working relationships with local medical and other professional services. Visits to these agencies were well recorded with action plans and outcomes noted.Some staff have attended training concerning the Mental Capacity Act and the DOLs deprivation of liberty processes and any implications for the service users have been noted on their care plans. The home uses a MDS monitored dosage system for medication storage and administration. Administration records examined were found to be accurately maintained and up to date so that an audit of medication received into and leaving the service could be followed. We discussed with the Manager the possibility of relocating the medication storage cupboards from their current cramped location. Where medication is kept in a general fridge it should be stored in a lockable metal container and a Controlled Drugs register should be obtained. The service has a well publicized Complaints procedure; staff training concerning the Safeguarding of Adults was also seen to be current with training for these subjects already planned for the new staff members. Advocacy services are accessed by the home when needed and the staff discussed with us a recent occasion when appropriate use had been made of this service. What the care home does well: What they could do better:
Further improvements could be made to the manner in which the person centered care plans are written and ways to achieve this were discussed with the manager during this
Care Homes for Adults (18-65 years) Page 5 of 9 visit. 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. 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!
