Care Home: Wide Cove

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What the care home does well Care plans were written in a person centered manner with the individual being involved in the process. Care plans were detailed and considered all aspects of people`s day to day life. Health action plans that formed part of the care planning process contained detailed information about the person health needs and current health care support. They demonstrated that people had received health awareness from local health care professionals. Medication was managed appropriately. People living at Wide Cove know who to speak to if they are not happy and know how to make a complaint about the service. Policies and procedures were in place to safeguard people from harm. What the care home could do better: The medication policy needs to include information about the administration of medication prescribed for use on an as and when required basis (PRN). In addition, the policy also needs to include information about the use of covert medication under the Mental capacity Act 2005. Random inspection report Care homes for adults (18-65 years) Name: Address: Wide Cove 20 Brook Street Runcorn Cheshire WA7 1JJ 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: Adele Berriman Date: 1 0 0 6 2 0 1 0 Information about the care home Name of care home: Address: Wide Cove 20 Brook Street Runcorn Cheshire WA7 1JJ 01928572635 F/P01928572635 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Doreen Elizabeth White Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Denis Edward Price,Mrs Lynn Julia Price care home 8 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 8 The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD The maximum number of service users who can be accommodated is: 8 Date of last inspection Brief description of the care home Wide Cove is a care home providing personal care and accommodation for eight service users with a learning disability. Privately owned, the home is located close to shops, pub and other local amenities. It is a detached three-storey building with access between the floors via the stairs. The service users are accommodated in six single and one shared bedroom. These are individually furnished and decorated. The area to the Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home side of the home is used as a car park. The garden area to the rear of the home is secure, well-maintained and accessible to service users. Although the postal address for Wide Cove is Brook Street, the home is accessed via Edgerton Street. The staff team comprises of a manager who is supported by eight support workers. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: During this random inspection of the service we looked at the outcome areas for personal and health care support and concerns, complaints and protection. Prior to our visit the manager had completed an Annual Quality Assurance Assessment (AQAA). This document gave the service the opportunity to tell us what they felt they did well, what improvements they had made over the last 12 months and their plans for improvement over the next 12 months. The AQAA contained most of the information we asked for and some numerical information that we requested. Before our visit four people living at the home and five members of staff completed a survey form to tell us their experiences of living and working at Wide Cove. All four people who completed a survey form told us that the staff and the manager always treat them well. We saw that each person had their own file that contained their personal information, risk assessments, health action and care plan. One person living at the home showed us their file. A second file was also looked. We were shown that the care plans were detailed and contained specific details of how people wanted their care and support delivering in all aspects of day to day life. We saw that the health action plans were detailed, and contained information about identified health care professionals involved in the individuals life. The person who showed us their care plan told us that staff support them with whatever they want to do. They told us that they take part in their care planning and that it is reviewed on a regular basis. We saw that records were maintained of all visits made to health care professionals. One person showed us their health passport that they had completed with the assistance of staff. We saw that detailed risk assessments relating to specific areas of peoples day to day lives formed part of care plans. All five staff who completed a survey form told us that they are always given up to date information about the needs of the people they support. We saw that they had a policy and procedures for the safe storage, recording, receipt, administration and disposal of medication. To ensure that people receive their medication appropriately at all times the medication policy should be reviewed to include information about the use of medication prescribed on an as and when required basis (PRN). In addition, information in the policy regarding covert medication should include the current legislation under the Mental capacity Act 2005. We saw that medication administered was recorded on a Medication Administration Records and that and assessment process was in place for people wishing to manage or partially manage their own medication. Care Homes for Adults (18-65 years) Page 4 of 9 We saw that they had a complaints procedure available around the home. Since we last visited they had developed a pictorial complaints procedure for people with differing abilities. We saw that a form was available to record any complaints made to the manager, this again was available in a pictorial and written format. We spoke to four people during our visit and they all said that they knew who to speak to if they were not happy and knew how to make a complaint. No complaints had been made to the home or the Care Quality Commission within the last 12 months. All care staff who completed a survey form told us that they knew what to do if someone had a concern about the home. We saw that procedures were in place to safeguard people. For example, we saw a procedure for managing money and the protection of vulnerable adults. The manager told us that they had access to Halton Social Services safeguarding procedures which she demonstrated a good awareness of. No safeguarding concerns had been raised within the last 12 months. 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 1 20 13 The medication policy must contain information about the administration of PRN medication and the use of covert medication under the Mental Capacity Act 2005 This is to help ensure that medication is properly administered at all times 11/08/2010 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. 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