Inspection on 31/10/08 for 1 Ewer Court

This inspection was carried out on 31st October 2008.

CSCI found this care home to be providing an Good service.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

1 Ewer Court 01/11/06

1 Ewer Court 07/03/06

1 Ewer Court 07/10/05

1 Ewer Court 16/01/05

1 Ewer Court 15/09/04

1 Ewer Court 19/02/04

Similar services:

Claremont House

Sun Court Nursing Home

Bramley Avenue (73)

15 Bramble Close

Dolphin Court

Fen Road

Wakes Hall

165 Putnoe Lane

Extracts from inspection reports are licensed from CQC, this page was updated on 30/03/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 1 Ewer Court Fairfax Road Colchester Essex CO2 7ED     The quality rating for this care home is:   two star good service 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Neal Cranmer     Date: 3 1 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 28 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 28 Information about the care home Name of care home: Address: 1 Ewer Court Fairfax Road Colchester Essex CO2 7ED 01206861189 01206562511 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mr Anthony Skalafouris Type of registration: Number of places registered: SCOPE care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 physical disability Additional conditions: Persons of either sex, under the age of 65 years, who require care by reason of a physical disability (not to exceed 3 persons) Date of last inspection Brief description of the care home The home comprises of three, purpose built, individual ground floor flats, which accommodate one service user respectively. The flats are part of a small new build two-storey residential complex owned by the Colne Housing Association, and are located in Colchester close to the town centre. Within the complex there is a staff office, which incorporates sleeping facilities for night staff. Each flat is fully equipped and adapted to meet the assessed needs of the occupants. The three flats have access to a communal patio area. There is private designated off road parking facilities. Fees charged by SCOPE are £14:83 per hour and are based on the duration of care, determined within a Care Profile Management breakdown of needs. Further charges relating to hotel charges, administration charges and basic rent are included in the overall costing of individual accommodation. Information about the service provided is Care Homes for Adults (18-65 years) Page 4 of 28 Over 65 0 3 Brief description of the care home contained within the Statement of Purpose and Residents Guide. Further information can be accessed through the Scope Head Office. Care Homes for Adults (18-65 years) Page 5 of 28 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was an unannounced inspection which was carried out on the 31st of October 2008 with the assistence of the homes team co-ordinator, service users and staff. The site visit was conducted between the hours of 09:00 and 3:00pm. the inspection involved a tour of service users individual flats, talking to service users and looking at records and documents. Additional feedback was received from two service users through the completion of questionaires, which were complimentary about the service, the care provided by the staff, and the management of the service. Care Homes for Adults (18-65 years) Page 6 of 28 At the end of the site visit, the findings were discussed with the manager, and advice and guidance given. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 28 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 9 of 28 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users can expect to be provided with the necessary information to enable them to decide whether the home can met their assessed needs. They can further be assured that their needs will be assessed prior to a service being offered. Evidence: The homes Statement of Purpose was viewed and was seen to have last been reviewed in September 2007, it included information regarding the accommodation provided, as well as the staffing structure. Also included was reference to the homes complaints and admissions process. Feedback received from service users both verbally and via questionaires was that they felt they were provided with the necessary information to enable them to decide if the home was able to meet their needs. The home has not had any recent new admissions, therefore the admission policy was sampled, which indicated that discussion would take place with either the service user themselve or their representative to establish whether or not the service users needs Care Homes for Adults (18-65 years) Page 10 of 28 Evidence: could be met at Ewer Court. Having determined that the service users needs can be met then provision is made for service users to visit the home to enable them to carry out a personal assessment of the home and what it can offer. Following this visit if service users wish to proceed then overnight stays are arranged. The policy states that emergency admissions are not normal policy, however any such admissions would require an assessment to be undertaken by a qualified member of the team to ensure that the individuals needs could be met without predjudice to the service users already in residence. The admission policy indicated that the process of admission into the home was robust. Care Homes for Adults (18-65 years) Page 11 of 28 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Care plans are detailed, ensuring that service users needs are identified and addressed, and service users are supported to make decisions about their everyday lives through a consultation process supported by staff. Evidence: Three service users plans of care were sampled, and all contained evidence of detailed guidance to staff on how to support service users to meet thier general support and health care needs within a semi-independant environment. All of the plans seen were drawn up with the involvement of the service users, and each of the service users kept their care plan in their flat with them. Discussion with service users indicated that they were aware of the content of their care plan. During the course of the site visit all of the service users were seen consulting with staff and management. From discussion with and observation of service users it was evident that they were empowered and supported to make decisions in respect of their daily lives and to Care Homes for Adults (18-65 years) Page 12 of 28 Evidence: remain as independent as possible. One service user was observed negotiating with the manager to have their television operating system adapted to meet thier physical needs and enable them to retain control over their choice of what they chose to watch on television. Care Homes for Adults (18-65 years) Page 13 of 28 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users are supported to meet their lifestyle needs in a way that ensures that they experience a meaningful lifestyle. Evidence: None of the service users residing in the home have any paid employment, although others do have some voluntary employment. Those who do not have any form of either paid or voluntary employment attend local adult education college. In -house activites included watching television, going out to the pub and attending church. Each of the service users either prepares or is assisted to prepare their own meals in their own flat, which has a well equipped kitchen dinning area to enable them to maximise their independence. Each service user shops either independently or with support from staff for their own items of shopping. Care Homes for Adults (18-65 years) Page 14 of 28 Care Homes for Adults (18-65 years) Page 15 of 28 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users can be assured that they will be supported to meet their health and personal support needs. Evidence: Service users spoken with indicated that they were supported with their personal support needs as agreed within their plans of care. Personal support observed on the day of the site visit was flexible, consistent and reliable. Care plans sampled provided evidence of good joint assessments being undertaken and service users physical needs were addressed in a manner determined by them. All of the service users are registered with a local General Practitioner, and records of appointment were kept which included details of the nature of the appointment, and the outcome. Records sampled also indicated that service users were supported by staff to attend out-patient appointments. Policies and procedures for the safe receipt, recording, storage, handling, administration and disposal of medicines were in place for staff guidance. All staff had received appropriate training in the administration of medicines, provided by the Care Homes for Adults (18-65 years) Page 16 of 28 Evidence: dispensing chemist. Each service user had a lockable facility in their flat for storing of their medication. At the time of the site visit one service user was able to self medicate, and a care plan was seen to be in place to support the service user in this area. Care Homes for Adults (18-65 years) Page 17 of 28 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users can be assured that any complaints or concerns will be listened to and responded to. They can also be assured that the homes arrangements for dealing with adult protection issues is good and ensures that service users are protected from the risk of harm or abuse. Evidence: The complaints procedure was available in a format that was easily accessible to the service users, and other documents were available to assist individuals to make a complaint or raise a concern including a SCOPE brochure entitled Complaining is not wrong, it is right. Service users surveys returned indicated that they knew who they should speak to if they were unhappy. At the time of the inspection site visit no complaints had been received by either the home or the Commission for Social Care Inspection (CSCI). Adult protection policies and procedures were in place for staff guidance, including a policy on Whistle Blowing. Since the last inspection all staff had received training in adult protection (confirmed by sampling of records and through discussion with staff). The team co-ordinator who was available throughout the site visit was aware of their responsibilities in respect of adult protection issues. At the time of the visit no referrals had been made in respect of the home. Care Homes for Adults (18-65 years) Page 18 of 28 Care Homes for Adults (18-65 years) Page 19 of 28 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The accommodation provided provides service users with a comfortable and safe environment in which to live. Evidence: The home consists of three individual flats consisting of a lounge, kitchenette, bedroom, bathroom and hallway leading to individual front doors. All of the flats were well equipped with low level work surfaces to facilitate meal preparation and to enable service users to maximise their independence. Each flat was also equipped with a washing machine and tumble dryer to enable service users to manage their own washing either independently or with staff support if necessary. All light switches and electrical sockets had been lowered to facilitate ease of use by service users. Where appropriate to the needs of the service users overhead hoist tracking had been installed in bedrooms and bathrooms. Each flat was equipped with a range of aids and adaptations to facilitate independence these included: specialist Parker baths, environmental control systems including nurse call system, telephones, televisions, both adapted to enable use by service users, lights and shower and comode chairs. Service users also had motorised wheelchairs which had been adapted for their individual needs, once again to enable them to maximise their independence. Care Homes for Adults (18-65 years) Page 20 of 28 Evidence: Discussion with service users indicated that they felt that their flats were very well equipped to meet thier needs and assist them to maximise their independence. Care Homes for Adults (18-65 years) Page 21 of 28 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users can be assured that the staffing levels provided will be sufficient to meet their assessed needs. However the homes staff recruitment process was not sufficiently robust enough to evidence that service users were protected from harm or abuse. Evidence: Observation of staff interacting with service users during the site visit indicated that they were comfortable and motivated and had the necessary knowledge and experience to be able to support the service users to met their everyday needs. The home employs four care staff, two of who work full time and two of who work part time. At the time of the site visit another member of staff had just been appointed for who the relevant pre employment safety checks had not yet been received. The homes recruitment practice was sampled through the viewing of three staffs recruitment files. None of the files sampled contained any documentary evidence relating to pre employment checks having been undertaken including criminal records bureau check (CRB), application form, or employers references. Discussion with the team co-ordinator indicated that they felt these documents maybe kept filed elsewhere, it was pointed out that these documents must be kept on site for the purpose of inspection. Training records of the three staff sampled indicated that they Care Homes for Adults (18-65 years) Page 22 of 28 Evidence: had received training in health and safety, manual handling, fire safety, emergency first aid, food hygeine, infection control and epilepsy awareness. Discussion with staff indicated that they felt the level of access to training was good. Sampling of the homes duty rota indicated that there is as a minimum of one member of staff on duty throughout the day, with further support available by telephone. Night cover is supplied by sleep-in support.Service users can access staff at any time via the nurse call system. Care Homes for Adults (18-65 years) Page 23 of 28 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Service users can be assured that the home has in place processes for seeking their views , and there are also processes in place for ensuring that regular servicing of equipment takes place thereby ensuring the health and safety of service users and staff. Evidence: The registered manager has significant previous experience of managing services and holds the registered managers award. Discussion with service users indicated that there was a good consultation process between the managers and the staff, and they were confident that any issues raised would be addressed appropriately through staff or service users meetings. Discussion with the team co-ordinator indicated that monthly Regulation 26 vists are undertaken and copies of these reports were provided to the home, and service users indicated that they were spoken to as part of this process. A range of safety certificates and checks were viewed including: record of fire drills, fire alarm system checks, smoke/heat detector tests, reports into servicing of Care Homes for Adults (18-65 years) Page 24 of 28 Evidence: specialist baths . All of which were found to be current and in order. Care Homes for Adults (18-65 years) Page 25 of 28 Are there any outstanding requirements from the last inspection? Yes R No £ 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, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action 1 34 19Schedule 2 The Registered Manager 01/12/2006 (5) must ensure that two written references are obtained before staff start work. 17 The Registered Manager 01/12/2006 must ensure that records required by regulation for the protection of residents are in place. This relates to the employment of staff. 2 41 Care Homes for Adults (18-65 years) Page 26 of 28 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, Care Homes 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 34 19 The registered person must 31/12/2008 not employ anyone in the home without first having obtained the documentary evidence required under Regulation 19, Schedule 2 of the Care Homes Regulations. To ensure that service users are protected by the homes recruitment process. 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 27 of 28 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. 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