Inspection on 22/12/05 for 1 Curlew Close

This inspection was carried out on 22nd December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

1 Curlew Close 16/01/07

1 Curlew Close 16/01/07

1 Curlew Close 28/06/05

1 Curlew Close 30/03/05

1 Curlew Close 18/10/04

1 Curlew Close 18/10/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1 Curlew Close 1 Curlew Close Northway Tewkesbury Glos GL20 8TJ Lead Inspector Mr Simon Massey Unannounced Inspection 22nd December 2005 11.30a 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 1 Curlew Close Address 1 Curlew Close Northway Tewkesbury Glos GL20 8TJ 01864 297699 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) H4037@mencap.org.uk Royal Mencap Society Mrs Catherine Feasey Care Home 4 Category(ies) of Learning disability (4), Physical disability (1) registration, with number of places 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28/06/05 Brief Description of the Service: Curlew Close is a detached property on a housing estate on the outskirts of Tewksbury. The accommodation is arranged over two floors, with one bedroom being on the ground floor. This bedroom has an en-suite bathroom. The home provides care and support for four adults with Learning Disabilities and is owned and staffed by the national Mencap Society. 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 2 hours on 22nd December 2005. The home was previously visited on 28th June 2005 when a fuller inspection was completed. The inspector met with one staff member and one service user and examined records relating to medication, care planning, Health and Safety and staff and service user meetings. An inspection of the environment was also carried out. The inspector wishes to thank the staff member and service user for their cooperation and open approach to the inspection. What the service does well: What has improved since the last inspection? What they could do better: 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 6 No significant areas requiring improvement were identified during this visit. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standard were inspected during this visit. EVIDENCE: There have been no admissions to the home during the past 12 months. 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 & 10 The care planning is person centred and identifies individual needs and goals. The staff are committed to ensuring service users can make informed and independent decisions about their lives. EVIDENCE: All service users have care plans in place, which are reviewed appropriately with the involvement of the service users. Service users also have Individual Personal Planning meetings, which are recorded and identify clear goals and objectives. The staff team have greatly improved this area of work over the previous 12 months. The sample examined evidenced clear recording of information and of staff working with, and supporting, service users. Two of the service users have advocate involvement, which has been organised by their key-workers. This is to ensure that their choices and preferences over certain important issues are identified and that people are supported to make their own decisions. 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 10 All service users have risk assessments in place for a variety of activities and situations. The process is being used positively to support increased independence for one person and ensure that skills are developed which will minimise any risks. All records and information is securely stored but service users can have access to their records if they require to. 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12 & 15 The home supports the service users to lead lifestyles that are based on their assessed needs and identified wishes and aspirations. EVIDENCE: The home has continued to develop and support one person’s wish to live more independently. This is being approached in a structured and planned way and it is evident that this has resulted in positive outcomes for the service user’s confidence and lifestyle. They are now able to attend a number of local activities independently and also visit the local town. Employment experience is now being investigated as a possible next step. Records show that people are supported to attend a variety activities in the evenings and at the weekends. There have been two holidays provided this year, as well as trips to local pubs, social clubs and a Barn Dance. Two theatre trips are booked for the Christmas period. The home also has organised a monthly music session that takes place in the house and is attended by all the service users. 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 12 The staff member on duty described how they were considering some alterations to the furnishings and furniture in one person’s room to see if this increased their use of the bedroom. Service users are supported to maintain personal relationships and are provided with opportunities for developing friendships. Service users take responsibility for domestic tasks as far as their abilities allow. On the day of the inspection one service user was being supported to prepare their meals and had also completed some other chores around the home. If requested service users can have keys to their rooms, and one person presently has a key to their bedroom and to the home. 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 The home has effective systems in place for monitoring of health needs and involving outside professionals as and when required. EVIDENCE: The care plans detail the personal care that is required and how this should be provided. The home has arranged for some new bathroom equipment to be provided in the en-suite bathroom of the downstairs bedroom. This will help to meet the needs of the individual service user, and help ensure that the home can continue to meet these needs for the foreseeable future. The files showed detailed recording of health appointments and check ups for all service users. There was evidence of staff responding to concerns identified about health needs and arranging contact with the appropriate professionals. On the morning of the inspection one person had been taken for some tests following observations by the staff. This visit had been written up with clear information about the outcome and what the next steps should be. 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 14 There was evidence that medication has been reviewed by the GP and referrals being made to specialist services. The medication storage and administration were examined and found to be in order apart from one minor error. One person is currently having medication that cannot be supplied in the MDS format and this has been provided in packets. These packets should be signed and dated when they are started to ensure the correct sequence of use. 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected during this visit. EVIDENCE: 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 & 30 The home provides comfortable and homely accommodation that is well maintained and decorated to a good standard throughout. EVIDENCE: All of the communal areas have recently been decorated and the home appeared clean, hygienic and well maintained throughout. Service users were involved in choosing the colours. A letter rack has been fitted in the hallway with individual sections for each service user. Three of the four bedrooms were seen and these were personalised and met the individual needs of the service users. A staff member explained how they are investigating making alterations to one bedroom to see whether the person can be supported to make more use of their personal space. Paper towels have now been provided in the bathroom to improve the measures preventing cross infection. 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 17 Plans have now been agreed to alter the ensuite bathroom to ensure that the home can continue to the meets of the service user. The hot tap in the upstairs bathroom was not working but it was explained that it had only been mended that week and the maintenance had been contacted to return and make further repairs. 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected in detail during this visit. EVIDENCE: The home has been having regular staff meetings and these show that a variety of issues are discussed and information is distributed through the staff team. The staff member who supported the inspection was able to demonstrate a professional knowledge of the service users needs and the various actions and issues that are currently relevant within the home. They stated that the staff worked well as a team and were very well supported by the manager. They were positive about the changes that have occurred over the previous months and felt the home was moving in a forward direction. 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 The home has good systems in place for monitoring health and safety that help promote and maintain a safe environment. EVIDENCE: The home has registered its manager since the previous inspection but they were not on duty at the time this unannounced visit. Whilst these standards were not inspected during this visit, the home appears to be well organised, with the staff team having a clear sense of direction. All health and safety monitoring records were up to date. All fire safety checks have been completed and equipment has been tested and serviced. The bathroom wall cabinet is currently storing cleaning materials, and these need to stored in a more appropriate location. 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 20 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 3 3 4 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 Curlew Close Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x X X X X 3 X DS0000016309.V272981.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2 Standard YA42 YA20 Regulation 13(4)(a) 13(2) Requirement The home must store the bathroom cleaning materials in a more appropriate location The home must ensure that all medicines are dated when the packets are opened Timescale for action 28/02/06 28/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 1 Curlew Close DS0000016309.V272981.R01.S.doc Version 5.0 Page 24 - 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. 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