The Care Quality Commission
  • Care Home
  • Care home

Archived: Shaw Healthcare (Specialist Services) Limited - 33a Forest Road

Kingswood, Bristol, BS15 8EW (0117) 967 7447

Provided and run by:
Shaw Healthcare (Specialist Services) Limited

All Inspections

2 May 2013

During an inspection looking at part of the service

When we visited the home in August 2012 we found that people living at the home had not always been protected from the risk of abuse because although the provider had taken reasonable steps to identify the possibility of abuse, this had not always prevented abuse from happening. We saw that the behaviours of some of the people had impacted on other people putting people at risk of harm. We had received a significant level of notifications informing us and the local authority safeguarding team about these aggressive incidents. Since the last visit the levels of these notifications had reduced significantly. At this visit we found that strategies had been used by staff to protect people from the risk of abuse.

When we visited in August 2012 we found people were cared for by staff who had not always been supported to deliver care and treatment safely and to an appropriate standard. Staff had not updated mandatory training such as fire and first aid. We found that several staff had not updated their positive behaviour management training. There was no evidence to show that staff had received training related to peoples' needs such as autism although they had highlighted that this training would be useful. At this visit we found significant improvements in the level of training staff had attended. This included mandatory requirements and relevant training related to people's needs such as autism, the Mental Capacity Act 2005, and visual impairment awareness.

23 August 2012

During a routine inspection

We carried out a routine inspection of 33a Forest on 23 August 2012.

We spoke with the registered manager, two support workers and a family member who was visiting their relative. The people living at 33a Forest Road had complex needs and not everyone was able to tell us about their experiences. We used a number of different methods to help us understand the experiences of people using the service. We talked with one person who was supported by the manager with their communication. We carried out observations of other peoples' care and interaction with staff in different areas of the home.

33a Forest Road has been under local authority safeguarding measures following a high and significant level of aggressive incidents between some of the people living at the home. We had been told by the manager that the design of some areas of the environment were unsuitable and had contributed towards the difficulty in managing some peoples' behaviour. Some of the peoples' behaviours had been difficult to manage resulting in some people hurting others. We found that although the risk of abuse had been identified this had not always been prevented. Some people had made allegations about their care and treatment; one of these allegations had been substantiated and appropriate action had been taken by the home to keep people safe.

We had been told previously that a decision would be made by the organisation about the scope of the needs of the people to be admitted to the home. We had been told that the home had admitted some people whose needs could not be met with the placement ending. The manager was aware that the home had to offer appropriate placements to people that resulted in their needs being met.

We looked at peoples' care files and saw that peoples' needs had been assessed and their care and treatment had been planned and delivered in line with their individual needs.

We looked at other records to ensure that peoples' safety was being maintained. We saw there were sufficient staff on duty, up to date health and safety management audits had been carried out. Staff training records showed us that some staff needed to update specific training required to support people with their behaviour. We did not see if staff had accessed other training that was specific to some of the needs of the people in their care.

11 February and 11 March 2011

During a routine inspection

We carried out this visit on 11 February and 12 April 2011.

We found that some people living in the home were unable to tell us about their involvement in their care and if they were respected by staff due to their complex needs. For these people we carried out observations of their care and interaction with staff in the communal areas.

We found staff interaction with people was respectful.

We observed people being supported relaxing in their bedrooms watching television and listening to music. Some people were taking part in a cookery activity.

We saw that people used different ways to communicate. This included the use of pictures, verbal and sign language. Staff described how they supported individuals living in the home to make decisions about their care and how this was respected.

We saw people made choices about the food they were offered and that there was flexibility in how people ate their meals. We were told some people chose to eat in the dining area whilst the majority chose to have their meals in their rooms.

The environment was under review for the suitability of the premises in relation to the current needs of the people living there. To facilitate greater opportunities for people to be independent, some apartments had been planned to be refurbished to include a kitchenette. The furnishings had been reorganised and incidents that had occurred previously between the people living at the home had decreased.

We have received an application to change how care is provided to people living at Forest Road. This will mean the home will provide personal care to people but without nursing care.