Inspection on 20/07/05 for 13 Longmeadow Road

This inspection was carried out on 20th July 2005.

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 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

13 Longmeadow Road 08/11/07

13 Longmeadow Road 20/06/06

13 Longmeadow Road 17/01/06

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 Mike Stokes Unannounced 20 July 2005 15:00 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. Longmeadow Road (13) D52-D04 S8977 Longmeadow Road V236140 200705 Stage 4.doc Version 1.40 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 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 Foudation (Valued Life Projects) Mr Brian Colin Roy Stokes CRH 1 Category(ies) of Learning Disability (1) registration, with number of places Longmeadow Road (13) D52-D04 S8977 Longmeadow Road V236140 200705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 19 January 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) D52-D04 S8977 Longmeadow Road V236140 200705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was organised to review the standards of care provided at the home. I arrived at 3.00 pm and finished at 5.30 pm. During the inspection I met the service user 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: 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) D52-D04 S8977 Longmeadow Road V236140 200705 Stage 4.doc Version 1.40 Page 6 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 Longmeadow Road (13) D52-D04 S8977 Longmeadow Road V236140 200705 Stage 4.doc Version 1.40 Page 7 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) 1, 2 and 3. The home provided appropriate information and assistance to support the service user in the choice of home. EVIDENCE: The statement of purpose and service users guide has been drawn up with specific guidance for the service user, as he is the only person resident in the home. Fees are all dealt with centrally at the Foundation’s offices. The present service user has lived in the property for 4 years, which was established specifically for him. Regular reviews of care are organised involving the consultant psychiatrist, community psychiatric nurse, social worker and the homes management and service user. The minutes and risk assessments are available at the home. Longmeadow Road (13) D52-D04 S8977 Longmeadow Road V236140 200705 Stage 4.doc Version 1.40 Page 8 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 and 8. The home is assisting the service user to be involved in decisions affecting him and recording these in individual plans. EVIDENCE: The care plan, diary, evaluation and incident records were inspected. The service user’s care plan is detailed and includes agreed goals with the service user. These are agreed between the professional advisors, the Foundation staff, the service user and reviewed at a 3 monthly frequency. The member of staff was observed to encourage the service user to be proactive in making decisions regarding daily activity within the home. The service user is encouraged to participate in all aspects of the home and this is part of the service user plan. The service user plan is very detailed about the level of participation that the service user is able to maintain in the local community. The risk assessments identify escorted and non-escorted activity and restrictions. The service user is made aware of the need for, and consulted about, any restrictions. Longmeadow Road (13) D52-D04 S8977 Longmeadow Road V236140 200705 Stage 4.doc Version 1.40 Page 9 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 and 17. The home continues to encourage the service user to participate in appropriate activities. EVIDENCE: The service user is involved in a work experience opportunity and staff try to advise and encourage the service user regarding personal relationships in conjunction with guidelines and the plan of care. Staff offer the service user opportunities to develop different living and social skills. The plan of care identifies appropriate responses to various situations and behaviours that should be reinforced through a consistent approach from staff. The service user is encouraged to take an active role in food preparation and also enjoys takeaway meals. A discussion occurred regarding appropriate nutritional intake in response to the service users identified health care needs. Longmeadow Road (13) D52-D04 S8977 Longmeadow Road V236140 200705 Stage 4.doc Version 1.40 Page 10 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 and 20. The health needs of the service user are met with evidence of multi disciplinary working taking place. EVIDENCE: Personal support is provided on a 24-hour basis for the service user. The main aim of the support is to promote independent living for the service user and maximise his control over his life. The service user has access to all agencies as required and is registered at the Saltash Health Centre. Records for 17/6/05 show that advice has been taken regarding diabetes and that the service user is to be encouraged to improve his diet. Longmeadow Road (13) D52-D04 S8977 Longmeadow Road V236140 200705 Stage 4.doc Version 1.40 Page 11 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 The service user is aware of the complaints procedures and has relevant skills to communicate any concerns to staff or other agencies. EVIDENCE: The service user has a solicitor to whom he would address any difficulties or complaints. The service user is aware of the Foundation’s complaints procedure that was available in the home. Staff have advised the service user how to access the Foundation’s complaints procedure. Longmeadow Road (13) D52-D04 S8977 Longmeadow Road V236140 200705 Stage 4.doc Version 1.40 Page 12 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, 25 and 27. The standard of décor within the home is poor with little evidence of improvement or maintenance. EVIDENCE: The home is a normal domestic dwelling in a location that suits the needs of the service user. The service user agreed to show the inspector his room that has appropriate furnishings and fittings. A bathroom and separate toilet are provided on the first floor. The service user has some responsibility for domestic duties and these are linked to goals and planning for independence that are stated in the care plan. Whilst noting that the property is leased and agreement is needed from the landlord, the poor standard of decoration has been commented on in previous reports. The member of staff on duty stated that estimates for redecoration are being organised. Longmeadow Road (13) D52-D04 S8977 Longmeadow Road V236140 200705 Stage 4.doc Version 1.40 Page 13 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 and 32. The senior staff member met at the home was organised and competent. Various records regarding recruitment, supervision and training schedules are required to demonstrate this competency and these must be kept at the home and available for inspection. EVIDENCE: The staff member displayed appropriate skills, organisation and attitudes in his observed interactions with the service user. The service user has 24-hour support because of the complexity of needs rather than high dependency. Only male staff currently work shifts on a 1:1 staffing level by day and at night. The support staff have an identified network of managers that they can call if a problem arises and they need extra help or advice. All staff have to undertake an induction programme initially and work with an experienced member of staff at first. A discussion with the senior carer on duty identified that first aid, food hygiene and NVQ training are required. A copy of various records held centrally must be kept at the home and available for inspection. Longmeadow Road (13) D52-D04 S8977 Longmeadow Road V236140 200705 Stage 4.doc Version 1.40 Page 14 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, 40 and 42. The manager is supported by the Foundation in delivering appropriate services and staff demonstrate an awareness of their roles and responsibilities. EVIDENCE: Mr Brian Stokes is the registered manager and he has registered with NVQ level 4 and the Registered Managers Award training. A recommendation is made for the registered manager to update the Commission on the progress of this training. In addition to this small home the Commission has agreed that the registered manager also has responsibility for another of the Foundation’s care homes in Plymouth. The home has full policies and procedures documentation. The registered person continues to complete monthly quality audit reports on the conduct of the home. A recommendation is made regarding the provision of current gas safety certification and the public liability insurance certificate to be displayed at the home. Longmeadow Road (13) D52-D04 S8977 Longmeadow Road V236140 200705 Stage 4.doc Version 1.40 Page 15 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 3 3 3 x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 x 3 x x x Standard No 11 12 13 14 15 16 17 3 3 x x x x 3 Standard No 31 32 33 34 35 36 Score 3 2 x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Longmeadow Road (13) Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score 2 x x 3 x 2 x D52-D04 S8977 Longmeadow Road V236140 200705 Stage 4.doc Version 1.40 Page 16 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 24 Regulation 23.2(d) Requirement Timescale for action 30/9/05 2. 32 18.1 ( c ) 3. 32 17 and schedules 3 and 4. The registered manager must provide an action plan to demonstrate that all parts of the care home will be kept clean and reasonably decorated. The registered manager must 30/9/05 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 30/9/05 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. 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 37 Good Practice Recommendations The registered manager should update the Commission on D52-D04 S8977 Longmeadow Road V236140 200705 Stage 4.doc Version 1.40 Page 17 Longmeadow Road (13) 2. 42 the progress of the RMA training. The registered manager should ensure there is current gas safety certification and the public liability insurance certificate to be displayed at the home. Longmeadow Road (13) D52-D04 S8977 Longmeadow Road V236140 200705 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 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. 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