Inspection on 28/06/05 for 1 Curlew Close

This inspection was carried out on 28th June 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

1 Curlew Close 16/01/07

1 Curlew Close 16/01/07

1 Curlew Close 22/12/05

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 Northway Tewkesbury Gloucestershire GL20 8TJ Lead Inspector Simon Massey Announced 28 June 2005 12:00 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 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 Stationary 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 D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 1 Curlew Close Address Northway Tewkesbury Gloucestershire GL208TJ 01684 297699 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) H5M056Feasey@mencap.org.uk Royal mencap Society To be appointed Care Home 4 Category(ies) of LD Learning Disability Both (4) registration, with number PD Physical Disability Both (1) of places 1 Curlew Close D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th March 2005 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 D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 28th June 2005 and the inspector met with the manager and 2 of the care staff. 1 service user was spoken to and another 2 people were seen briefly. 2 other service users were interviewed during the unannounced inspection which took place at the end of March 2005. Records and files were examined and an inspection of the environment was also undertaken. What the service does well: What has improved since the last inspection? The acting manager has provided leadership to the staff team to develop an effective and co-ordinated care planning system that can respond to the individual needs of the service users. Recording and administration systems have been improved providing easier access to information. 1 Curlew Close D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 Page 6 What they could do better: 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 D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 1 Curlew Close D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 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 standard(s) These standard were not inspected during this visit. The home has had no admissions during the past 12 months. EVIDENCE: 1 Curlew Close D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 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 standard(s) 6,7&9 The care planning system is being improved into a format, which better helps the staff team to meet the individual needs of service users and ensures that they are fully involved in the process. EVIDENCE: A sample of care plans were examined and the improvements and changes that have been made were explained. The plans contain detail of personal support required, individual abilities and any behavioural management that is required. There are also details of action plans that are being implemented to meet the needs that have been identified in the care plans. The new format has been completed for two people and the team are in the process of completing the process for the other two service users. The service users are as involved in the process as far as their abilities allow. One service user with an expressed wish to live more independently has this clearly identified as a core part of their plan and risk assessments are in place to develop their independence and ability to travel on their own. 1 Curlew Close D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 Page 10 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 standard(s) 11,12,13,14,16&17 The home supports the service users to lead lifestyles that are based on their assessed needs and identified wishes and aspirations. EVIDENCE: Evidence was seen of the plans that are in place to encourage and support independence skills. These include cooking and budgeting, travel, being in the home unsupervised and choosing and planning leisure activities. Service users spend time at the a local day centre, attend some college courses and also have one to one time with their key-worker in the home. Activities are organised and supported both for individuals and for groups and the home has entertainment equipment for use by all the service users. Staff considered that there had been some reduction in the offering and supporting of activities at weekends during a period of staff shortages, but this would be rectified now that the home was fully staffed again. People are provided with keys to their rooms if they choose and are able to choose bedtimes and have privacy when they wish. 1 Curlew Close D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 Page 11 The menus show that a healthy diet is encouraged and people are supported to be involved in food preparation and menu planning. 1 Curlew Close D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 Page 12 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 standard(s) 18,19&20 The health needs of the service users are met with evidence of good liaison with outside professionals and monitoring of ongoing issues. EVIDENCE: Details are found in the individual files of the level of personal support required and how this is delivered. The home are liaising with the Community Learning Disabilities Team over several issues including adaptations to a bathroom and use of sign language. Service user’s medication has been regularly reviewed and the home’s medication system for storage and administration was examined and seen to be in order. Records showed regular visits to GPs and dentists being organised and appropriate recording being completed. 1 Curlew Close D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 Page 13 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 standard(s) 22&23 The home provides a safe environment in which service users are protected and their views and concerns listened to. EVIDENCE: Staff have completed training provided by Mencap around protection and abuse issues. There is guidance in place for staff on how to respond to behaviours from one service who occasionally displays frustration. Observation through previous inspections and evidence from recording demonstrated that staff have developed their understanding of these individual needs. The service user has responded and now has a positive relationship with their key-worker and the staff team. There have been no recorded complaints during the previous 12 months. 1 Curlew Close D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 Page 14 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 standard(s) 24 &30 The home provides a comfortable and homely environment that is clean and well maintained. EVIDENCE: With the exception of one bedroom all parts of the environment were seen during this visit and found to be clean, bright and well maintained. The communal areas are comfortable and the work recently completed in the garden has improved this area. The home has an ongoing programme of redecoration, in which service users can input their choices. 1 Curlew Close D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,35&36 The home has an effective and motivated staff team that work as a team to meet the individual needs of service users. EVIDENCE: Staff interviewed were able to demonstrate a good understanding of their roles and responsibilities and of the needs of the individual service users. 4 staff are undertaking NVQ training and 2 new staff are undertaking the Mencap induction and foundation course. Staff files contained the required information that demonstrated that the homes recruitment policy was being followed. Staff stated that they felt that their views were listened to and that they were able and encouraged to contribute ideas and opinions. Staff are up to date with the required statutory training and have also completed training on medication, epilepsy, communication and adult protection. The acting manager has begun providing regular staff supervision and staff interviewed stated that they were supported in their roles. 1 Curlew Close D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38&42 The acting manager has identified areas that the home needs to improve in and begun putting plans into action. EVIDENCE: After a period when the home has had several changes of management there has now been a period when the home has had its own manager rather than sharing with two other homes that are situated near by, and run by the same organisation. This has provided stability and allowed the staff team to focus on working as a team to meet the needs of the service users. The administration systems have been clarified and streamlined were possible and information is now easier to find and also to record. At the time of the inspection it was undecided whether the acting manager would take up the position permanently. All health and safety checks had been completed and recorded where appropriate. Staff have all completed the required statutory training. 1 Curlew Close D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 Page 17 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 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME 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 3 3 x x x 3 x D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 Page 18 no Are there any outstanding requirements from the last inspection? 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. Standard 37 Regulation 8 Requirement The home must register its manager Timescale for action 31/08/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations 1 Curlew Close D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 Page 19 Commission for Social Care Inspection 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 D51_D03_S16309_1CurlewClose_V207511_280605_Stage4_A.doc Version 1.40 Page 20 - 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. 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