• Care Home
  • Care home

Archived: The Thomas More Project - 97 Cromwell Road

97 Cromwell Road, St Andrews, Bristol, BS6 5EX (0117) 962 0887

Provided and run by:
The Thomas More Project

All Inspections

15 June 2013

During a routine inspection

We spoke with all of the four people living at the home. People told us that they enjoyed living at 97 Cromwell Road and were involved in the planning and delivery of their care and support. People told us that they attended review meetings to talk about their care and to set personal goals to work towards.

The home had lots of accessible information for people living at the home about the service they should expect to receive. Staff had received training in a form of sign language called 'makaton' which one person used in the home.

People were supported in promoting their independence and community involvement. One person told us 'I go to the shops and buy shopping for the house or for my tea'.

People's needs were assessed and care was planned and delivered in line with their individual care plan. Care plans were reviewed regularly and updated when people's needs changed.

People told us they were supported by staff to attend health appointments when necessary and people had health action plans in place.

Staff told us that they were well supported by the management of the home and received regular supervision and training appropriate to their role.

The provider had systems in place to monitor the quality of the service and completed regular audits on the service. We saw that when shortfalls were identified actions were taken to improve the service.

We saw that the home had an effective complaints procedure in place which people could access. People told us they knew how to make a complaint should the need arise.

13 September 2012

During an inspection looking at part of the service

The purpose of this visit was to review the compliance actions from the visit completed in June 2012.

We met with three of the four people living in the home and the member of staff that was on duty supporting them. We looked at records to enable us to make a judgment on how the service had improved since our last visit.

People had a structured timetable of activities. Some people went to day centres and/or to college five days a week. One person had three days of structured activities and the other two days the individual chose how to spend their time with staff support. People were involved in decisions about how they wanted to spend their time, what to wear, what to eat, what activities they would like to participate in, including annual holidays.

People told us they could go to the local shops and that they went on trips to places of interest and meals out. A person told us that activities were organised in the evenings including a club for people with a learning disability. One person told us they had recently been to the pub to play pool with staff.

People told us they had access to their care plan if they wanted to have a look. People's views were sought during reviews and recorded. Staff told us that people were asked regularly about how they wanted to be supported. We saw that relatives had been involved where relevant in the reviews of care and gaining information in respect of the person's end of life wishes.

People were registered with a doctor and access to other health professionals including the dentist, optician and the community learning disability team.

People told us they were involved in the weekly shopping, preparing and the cooking of the meals. Information was included in the plans of care on the involvement of individuals.

People told us they could access the kitchen to make snacks and drinks.

2, 3 July 2012

During a routine inspection

We looked at the care records for two of the four people living in 97 Cromwell Road to determine how people were being supported. We met with all four of the people living in the home, the manager and three members of staff. We completed a visit during the day and as the majority of the people living in the service were out either at college or at a day centred we returned the following evening. This enabled us to meet with all the people living in the home.

People told us they had regular house meetings where they could raise any concerns. They told us they were asked their opinions on activities, food and d'cor of the home. We were told the manager would tell people about any staff changes during the meeting.

People were asked their views through an annual survey. The manager told us that they asked either a relative or a person at their day care placement to assist people so that the information was recorded independently from the home.

People were not protected against the risks associated with medicines because the way the home was recording medication. This could potentially put people at risk.

People told us they felt safe in their home and they liked living there. People told us they had keys to their bedroom and that following an assessment, they may be given a front door key.

A person told us that if they were unhappy they would tell the staff or the manager. They also said they would talk to a relative.

People told us they liked the food that was provided and there was always sufficient quantities. People told us they were involved in the shopping and preparation of the meals.

We have asked the provider to for an action plan on how they were meeting the nutritional needs of people to ensure people had access to a healthy and balanced diet.

People told us that recently new staff had been employed and this meant they could go out more.

People confirmed they were asked how they wanted to spend their time including planning college courses. They told us during the visit that they were involved in day to day activities in the home including shopping, cooking and household chores. People had a structured timetable of activities. Some people went to day centres and college five days a week. People told us they could go to the local shops, they went on trips to places of interest and meals out. They also told us they were supported to go to church.

Staff told us that people were encouraged lead active and independent lifestyles and people were encouraged to be as independent as possible. People confirmed how they were involved and how staff encouraged them to be independent. This included going out on their own and looking after their medication.

When we spoke with individuals in the home they told us the staff treated them well and they liked living in 97 Cromwell Road. Responses included 'I have lived here a long while, I like the staff and the other people who live here'.

7 January 2011

During a routine inspection

From our visit it was evident that individuals are being supported well, have clear plans of care and very much part of the decision process of how they want to live their life. The focus of the care was the individual.

97 Cromwell Road provided a safe, homely and clean environment. Individuals spoken with said they liked living at 97 Cromwell Road.

Individuals were aware of their rights and the procedures to complain if they were unhappy. One person said 'I would tell the manager or staff if I have any concerns'.

From talking with one of the individuals it was evident that they could lead the life their chose and move freely and independently around their home and the local community.

Individuals were encouraged to be as independent as possible with opportunities to self administer their own medication, spend time in their home without staff support and go into the community.

There was a minor concern relating to the records of medication which could potentially put people at risk.

There were good systems for monitoring the quality of the care provided which included seeking the views of the people receiving a service and their families.