Inspection on 07/03/06 for 1 Ewer Court

This inspection was carried out on 7th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Ewer Court 31/10/08

1 Ewer Court 01/11/06

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 08/07/2008.

CARE HOME ADULTS 18-65 1 Ewer Court Fairfax Road Colchester Essex CO2 7ED Lead Inspector Gaynor Elvin Final Unannounced Inspection 7th March 2006 14:00 1 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 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 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 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 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 1 Ewer Court Address Fairfax Road Colchester Essex CO2 7ED 01206 861189 01206 562511 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) SCOPE Mr Anthony Skalafouris Care Home 3 Category(ies) of Physical disability (3) registration, with number of places 1 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a physical disability (not to exceed 3 persons) 7th October 2005 Date of last inspection Brief Description of the Service: 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, 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 needs of the occupant. The three flats have access to a communal patio area. There are private parking facilities. 1 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on one day in March 2006, over one and half hours. All of the key standards for young adults and the intended outcomes have been assessed in relation to this service during at least two inspections for the current inspection year (April to March). To view the assessment of standards and outcomes not included within this report, please refer to the previous published report dated 7th October 2005. This inspection focused on the key National Minimum Standards and intended outcomes not assessed in the previous inspection, looking at working practices, supporting documentation and records, as well as progress made in addressing the statutory requirements and good practice recommendations made in the previous inspection report. What the service does well: What has improved since the last inspection? What they could do better: The training and development approach within the service needs to be more pro active to ensure staffs’ individual identified training needs are met particularly with regard to accessing and updating statutory training requirements. 1 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 Page 6 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 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 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 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 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): Standards 1-5 and their intended outcomes were not assessed on this occasion. EVIDENCE: The home has not received any new admissions since the last inspection. Key Standard 2 was found to comply with National Minimum Standards at the previous inspection, please refer to report dated 7th October 2005. 1 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 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): Standards 6-10 and their intended outcomes were not assessed on this occasion. EVIDENCE: Standards 6 – 10 were assessed and found to comply with National Minimum Standards at previous inspection please refer to report dated 7th October 2005. 1 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 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 the following standard(s): 13 & 14 Due to increased staffing levels, the home had improved its support to service users, enabling them to participate in a more fulfilling lifestyle and increasing access to the community. EVIDENCE: Two of the three service users have high support needs due to their profound physical disabilities. Since the last inspection staffing levels had improved enabling a more flexible lifestyle, offering further opportunities for ad hoc decisions to go into the community and providing individual support. 1 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 Page 11 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): Standards 18 – 19, and their intended outcomes, were not assessed on this occasion. EVIDENCE: Key standards 18, 19 & 20, and their intended outcomes, were assessed at the previous inspection and found to comply with National Minimum Standards. Please refer to previous report dated 7th October 2005. 1 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 Page 12 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): 23 Not all staff within the home had received structured awareness training in the protection of vulnerable adults. EVIDENCE: Adult protection policies and procedures were in place to guide staff. From the training and development plan it was not evident that all staff had received awareness training in the protection of vulnerable adults (POVA) and it identified that some were due for update. It was acknowledged that staff undertaken or currently undertaking NVQ have looked at POVA issues within appropriate modules and some staff had previously received training within SCOPES induction initiative. The Manager was advised to access local training from Essex Vulnerable Adult Protection Committee, to familiarise staff with Local policy and provide guidance to staff in the event of suspicion or allegation of abuse. 1 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 Page 13 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): Standards 24 – 30 and their intended outcomes were not assessed on this occasion. EVIDENCE: Standards 24 – 30 and their intended outcomes were assessed during the previous inspection and found to comply with National Minimum Standards. Please refer to report dated 7th October 2005. 1 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 Page 14 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): 33 & 35 Current staffing levels were sufficient to meet the assessed needs of the current service users. A pro active approach is required to ensure identified individual and collective training needs are met. EVIDENCE: Staffing levels have increased due to the redeployment of staff from another SCOPE establishment recently undergone voluntary closure. The staff team is deployed across Ewer Ct and the sister home Beehive Ct. The service users are enjoying the benefit of the current staffing levels, enabling more flexibility to social lifestyle. However, the manager was advised of the need to regularly review and revise staffing levels according to the assessed needs of the service users to provide an appropriate indication of the numbers of care staff required, particularly when new service users are admitted and when the needs of the existing service users change. The home has an allocated budget for staff training and development however this is managed by external management. A training and development plan for 2006/2007 was in place although identified training needs, for some staff, in relation to mandatory 1 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 Page 15 requirements, during 2005/2006 had not been achieved, e.g. as highlighted in previous inspection report, all staff still required training in food hygiene. The Registered Manager must ensure basic level of training is accessed and updated for all staff and that the programme is complimented by further initiatives directly linked to the homes service aims and to service users individual assessed needs. It is acknowledged that some staff had commenced or completed modules within the NVQ framework such as care planning, communication and safe medication administration. 1 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 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 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): Service users‘ had various opportunities for expressing their views and participating in the aims and objectives and development of the home. EVIDENCE: The Registered Manager is progressing towards achieving the required qualifications for registered managers by currently working towards NVQ level four in care and management, (The Registered Managers Award). The approach taken by management and staff toward service users and the consultation arrangements continue in a transparent and supportive manner. Since the last inspection progress had been made with regard to quality assurance and self monitoring. A Quality Action Group, recently formed provided a more structured forum enabling service users from Beehive and the sister home, Ewer Court, to raise and address any issues of concern with regard to the health and safety and physical aspects of the home, care management and staffing issues. The second meeting looked at the homes Statement of Purpose and the aims and objectives of each unit, identifying 1 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 Page 17 areas requiring improvement. The service users views of the service are being taken forward and included in the revised Statement of Purpose. On going development in this area will be assessed during the inspection process. 1 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 Page 18 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 2 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 3 3 X X X X 1 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 Page 19 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 YA23YA35 Regulation 18 Requirement The Registered Manager must ensure statutory training requirements are accessed and updated for all staff. Timescale for action 01/07/06 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 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Ewer Court DS0000036021.V285947.R01.S.doc Version 5.1 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!