Inspection on 17/01/06 for 13 Longmeadow Road

This inspection was carried out on 17th January 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 6 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

13 Longmeadow Road 08/11/07

13 Longmeadow Road 20/06/06

13 Longmeadow Road 20/07/05

13 Longmeadow Road 19/01/05

13 Longmeadow Road 24/06/04

13 Longmeadow Road 04/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Longmeadow Road (13) 13 Longmeadow Road Saltash Cornwall PL12 6DW Lead Inspector Alan Pitts Unannounced Inspection 17th January 2006 09:00 Longmeadow Road (13) DS0000008977.V273550.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 Longmeadow Road (13) DS0000008977.V273550.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. Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Longmeadow Road (13) Address 13 Longmeadow Road Saltash Cornwall PL12 6DW 01752 841680 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) Michael Batt Foundation (Valued Life Projects) Mr Brian Colin Roy Stokes Care Home 1 Category(ies) of Learning disability (1) registration, with number of places Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users to include up to 1 adult with a learning disability (LD) Total number of service users not to exceed a maximum of 1 Date of last inspection 20th July 2005 Brief Description of the Service: 13 Longmeadow Road is part of the Michael Batt Foundation, which aims to provide care and accommodation for people within the spectrum of learning disability. Its emphasis is to empower the service user to enable him to take responsibility for his decisions and actions within a guided framework. Staffing levels are on a one:one level. The home, which is rented on behalf of the service user, was set up to meet agreed stipulations. It is near the centre of Saltash and within easy each of Plymouth by private or public transport. The emphasis is on the service user directing the staff but where choices are obviously unwise or unsafe, these would be discussed. Guidelines regarding restrictions are in place, these have been discussed with the service user and relavant professionals in advance. The foundation provides a full support network for the staff and service user. Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on 17th January 2006 between 10.30am and 2pm. During the inspection I met the service user, the registered manager, and member of staff on duty. I was assisted in reviewing records kept, a tour of the premises and in discussing daily routines and procedures occurring at the home. What the service does well: What has improved since the last inspection? What they could do better: The registered provider must keep the required records available for inspection at the home. The premises are in need of some redecoration and refurbishment. Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 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. Longmeadow Road (13) DS0000008977.V273550.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 Longmeadow Road (13) DS0000008977.V273550.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): 4, 5 The home is focused on providing for the care needs of the service user. There are no plans for an additional service user at this moment in time. The service user does not have a contract or Statement of Terms and Conditions. EVIDENCE: The parent organisation and the registered manager have considered the possibility of introducing another service user, but this is not an option at the moment. The service user has lived at Longmeadow for approximately 4.5 years. The service user does not have a contract or Statement of Terms and Conditions. The registered manager telephoned the parent organisation and advised the inspector that this is in hand. The registered provider must provide the service user with a contract and/or Statement of Terms and Conditions. Longmeadow Road (13) DS0000008977.V273550.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): 9, 10 The service user is supported to take risks, and this is an inherent part of the service user’s care plan. The service user is aware of the issue of confidentiality, as are the staff and registered manager. Records are stored securely. EVIDENCE: The service user has transport and goes to work five days a week. The service user has the freedom to make decisions and choices, though the staff are available to provide support to inform those decisions and choices. Staff are available round the clock for the service user. The service user is aware of the information and records held. The service user expressed satisfaction with the care and support provided and service user’s confidence in the staff was shown in the relaxed manner in which the staff and service user engaged. Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 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, 15, 16 The service user is encouraged to participate in all aspects of life and the community as fully as possible, within prescribed safety/risk parameters. The staff work to provide the service user with consistent positive advice with which to make decisions. EVIDENCE: The service user has a job, which he attends five days a week. Leisure activities are encouraged and support is offered as necessary in order to facilitate these. Contact with family and relationships with others are supported, and the service user is free to decide the level of contact with significant others. The registered manager and staff demonstrated a good understanding of the service user’s rights and responsibilities. Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 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): 19, 21 Discussions with the registered manager, and the care documentation, showed that there is a comprehensive consideration and subsequent reviews of the service user’s physical and emotional health needs to ensure that they are met as far as is possible. EVIDENCE: The service user’s care needs and progress are reviewed at 3-monthly case reviews, which are attended by a multi-disciplinary team, including a psychologist and Community Psychiatric Nurse. The home maintains a record of attendance at medical appointments. The registered manager undertook to try to ascertain the service user’s wishes in respect of illness and death. Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 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 The home has a generic Protection Of Vulnerable Adults policy and procedure provided by the parent organisation. The service user is protected from abuse, neglect and self-harm. EVIDENCE: A generic Protection Of Vulnerable Adults policy is in operation. The registered manager should review and amend the registered provider’s Protection Of Vulnerable Adults procedure to provide a localised procedure with clear stepby-step instruction as to what to do in the event of an allegation of abuse (including local contact information). The registered manager demonstrated a good understanding of the procedure. Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 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): 24, 26, 28, 29, 30 Longmeadow is a residential property that affords comfortable accommodation in keeping with this type of property. Unfortunately the registered provider has been remiss in keeping up the maintenance and décor of the home and this is evident. EVIDENCE: Longmeadow is a residential property that provides the service user with a large, personalised bedroom, which has the additional benefit of superb views. The registered manager has introduced a cleaning schedule, and arranged for the cleaning of one of the home’s carpets while the inspector was present. The lounge is comfortable and pleasantly furnished. Unfortunately the maintenance, redecoration, and refurbishment of the property has been raised as an issue at previous inspections. The registered provider provided a report dated December 2005, which identified some areas for attention, but this did not include an action plan with timescales. The office has recently been repainted, but the decorators only painted up to the picture rail leaving the ceiling and the top portion of the wall in its original condition. The registered provider must audit the property to identify the need for redecoration, repair or refurbishment, which includes an action plan and timescales (e.g. the garden is in need of tidying, there should be a regular programme for ‘spring Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 Page 14 cleaning’, some of the windows are obscured to varying degrees because the window seals are failing). The service user’s care needs do not warrant specialist equipment. Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 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 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, 34, 35, 36 The inspector was unable to fully assess these standards, as the required records were not available for inspection. The inspector did see evidence that staff supervision is taking place. EVIDENCE: The home provides 1:1 staffing levels at all times. The inspector does have confidence in the registered manager’s, and staff’s understanding of the service user’s care needs and their ability to meet those needs, based on discussions which took place during the course of the inspection. However, the following records were not available for inspection: • Staff training records • Staff employment records This matter was raised at the previous inspection: • “The registered manager must provide an action plan to demonstrate that staff training will be provided that is appropriate to the work they are to perform, including first aid, food hygiene and NVQ training.” • “The registered manager must maintain various records regarding recruitment, supervision and training schedules. These are required to demonstrate staff competency and must be kept at the home and available for inspection.” Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 Page 16 The registered provider must ensure the records specified in Schedules 1, 2, & 3 are kept securely at the care home, and are available for inspection. Staff supervision was discussed with the registered manager. Whilst the Commission for Social Care Inspection reserve the right to inspect staff supervision records, in the normal course of events it is sufficient to know that staff supervision is taking place at least six times a year. To this end the registered manager should maintain a record of planned and past supervision sessions, which once they have happened should show two initials. Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 Page 17 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): 38, 39, 41, 43 This is a small home with a registered manager. There is a clear managerial hierarchy, and comprehensive policies and procedures, which benefit the service user. The staff were seen to interact in a relaxed, yet professional manner with the service user. EVIDENCE: The registered manager is currently undertaking the NVQ Level 4 qualification in care, and plans to subsequently undertake the Registered Managers Award. The registered manager anticipates the completion of the NVQ Level 4 later this year. In addition to this home the Commission for Social Care Inspection has agreed that the registered manager also has responsibility for another of the registered provider’s care homes in Plymouth. The staff were seen to interact in a relaxed, yet professional manner with the service user. There are comprehensive policies and procedures in operation. The registered provider and registered manager have no involvement in the handling of the service user’s monies. The registered person continues to complete monthly quality audit reports on the conduct of the home. A current gas safety certificate and a public liability insurance certificate were seen to be displayed at the home. Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 Page 18 Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 Page 19 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 3 2 Standard No 22 23 Score X 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X 3 X 3 N/A 2 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X 2 2 2 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Longmeadow Road (13) Score X 3 X 2 Standard No 37 38 39 40 41 42 43 Score X 3 3 X 3 X 3 DS0000008977.V273550.R01.S.doc Version 5.0 Page 20 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 YA5 Regulation 5(a)(b) Requirement The registered provider must provide the service user with a contract and/or Statement of Terms and Conditions. The registered provider must audit the property to identify the need for redecoration, repair or refurbishment, which includes an action plan and timescales (e.g. the garden is in need of tidying, there should be a regular programme for ‘spring cleaning’, some of the windows are obscured to varying degrees because the window seals are failing). The registered provider must ensure the records specified in Schedules 1, 2, & 3 are kept securely at the care home, and are available for inspection. Timescale for action 01/03/06 2. YA30YA24 13(4)(a), 23(2)(b) 01/03/06 3. YA33 YA34YA35 17 01/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 Page 21 No. 1. 2. Refer to Standard YA21 YA23 Good Practice Recommendations The registered manager should try to ascertain the service user’s wishes in respect of illness and death. The registered manager should review and amend the registered provider’s Protection Of Vulnerable Adults procedure to provide a localised procedure with clear stepby-step instruction as to what to do in the event of an allegation of abuse (including local contact information). Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection St Austell Office John Keay House Tregonissey Road St Austell Cornwall PL25 4AD 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 Longmeadow Road (13) DS0000008977.V273550.R01.S.doc Version 5.0 Page 23 - 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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