Inspection on 08/02/07 for 15 Sorrel Drive

This inspection was carried out on 8th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

15 Sorrel Drive 06/11/08

15 Sorrel Drive 23/01/08

15 Sorrel Drive 19/01/06

15 Sorrel Drive 01/09/05

15 Sorrel Drive 26/03/05

15 Sorrel Drive 19/11/04

15 Sorrel Drive 20/02/04

15 Sorrel Drive 10/12/03

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 15 Sorrel Drive 15 Sorrel Drive Boughton Vale Rugby Warwickshire CV23 0TL Lead Inspector Yvette Delaney Key Unannounced Inspection 8th February 2007 14:30 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 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 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 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. 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 15 Sorrel Drive Address 15 Sorrel Drive Boughton Vale Rugby Warwickshire CV23 0TL 01788 546310 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) Mrs Elaine Sandra Ward Mrs Elaine Sandra Ward Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 19 January 2006 Brief Description of the Service: 15 Sorrel Drive was originally an adult placement home and was later registered as a small care home for younger adults with a learning disability. It is currently registered for 3 people, with varying levels of physical and learning disabilities. The home is a detached property, which has recently been extended. Situated in Brownsover on the outskirts of Rugby the home is close to local amenities and services. Residents have their own bedrooms and share the home with Mrs Ward and her family, as part of the family. The residents have access to all areas of the home and communal rooms include the kitchen, dining room, lounge, conservatory and bathrooms. There is a shower room facility on the ground floor. Two residents have bedrooms on the ground floor of the property. A third service user has a bedroom on the first floor. At the rear of the property, there is a small, well-maintained garden. The registered manager has not advised the Commission of the fees payable by residents accommodated in the home. This information has been requested. 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection visit was unannounced and took place on Thursday 8 February 2007 between the hours of 2.30 pm and 5.30 pm. The registered provider was present throughout the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views of the service provided. This process considers the care home’s capacity to meet regulatory requirements, minimum standards of practice and focuses on aspects of service provisions that need further development. Before the inspection, residents and relatives were sent questionnaires to seek their independent views about the home. Comments were not received from any of the residents or their relatives. A pre-inspection questionnaire was sent to the registered provider of the home. The questionnaire has not been returned. Information contained in these documents would normally be used to assess the actions taken by the home to meet the care standards. The information would then be used to inform the report. There was only one of the residents present in the home at the time of the inspection, this residents care was therefore ‘case tracked’. This involves establishing an individual’s experience of living in the care home by meeting or observing them, discussing their care with staff, looking at their care files, and focusing on outcomes. Records relating to resident care, staff training, recruitment and health and safety were examined. Relatives were not seen and spoken with during this inspection visit. The owner of the home, family members and one of the residents, were spoken with at the inspection. The resident was able to make some active contributions during the inspection visit. Further information to identify the outcomes for residents’ was also gained through observation and interactions with the family. What the service does well: 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 6 The people living in this home are fully involved in the registered provider’s family life. Residents are treated as part of the family and receive full support from the registered provider and her family to live as far as possible ordinary and meaningful lives. The residents have the opportunity to participate in and contribute to the community in which they live. To support the residents to integrate into the neighbourhood in which they live the family have held street parties and bonfire events, which have taken place on land next to the house. The atmosphere in the house is relaxed, warm and welcoming. 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. The summary of this inspection report can be made available in other formats on request. 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 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 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 Quality in this outcome area is adequate. Information is available for the people who may wish to live in the home, this is not in a format, which is accessible and suitable for all the residents to support their decision on living there. This judgement has been made using available evidence including a visit to the home. EVIDENCE: The Statement of Purpose and Service User Guide have been updated to provide current and potential residents with information needed to make a choice about living in the home. The documents along with other information such as care plans are not presented using varied communication media. One of the residents in the home said, “Elaine would explain things to her.” The use of varied communication methods such as supporting pictures and photographs would help residents when accessing information. Residents living in the home have varied needs these include physical and learning disabilities. There have been no new residents admitted to the home. The owner confirmed that any new referrals would be done through Social Services. A full assessment would be carried out and the existing residents would be involved in the admission of any new person to the home. 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10 Quality in this outcome group is good. Residents’ rights are respected and risks are assessed to ensure that residents have guidance and support to lead as far as possible independent lives. This judgement has been made using available evidence including a visit to the home. EVIDENCE: The care plans for all three residents were examined these were well laid out and presented an informative assessment and recognition of each persons care needs. Information in the care plans was person centered and contained clear information. Care plans identified the individual needs and wishes of residents and stated how these would be met. Personal care wishes and choices were documented. One resident who was at home due to the weather explained that they can do a lot of things for themselves and that help is given when they get ‘stuck’. The residents in the home are involved in determining the level of risk they are able to undertake before any intervention. The care plan for the resident 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 10 followed through the case tracking process shows that the resident is slow with movement and therefore is at risk of being left behind when out walking. To manage this “Someone to walk alongside…” Residents are free to access the community all attend day centres. On the day of the inspection, one resident was at home, one was attending college and the remaining resident was in hospital. The resident present in the home said that they felt safe in the home. 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome group is good. Residents have a good lifestyle, they are enabled to participate in varied activities and enjoy their meals in the home. This judgement is made using available evidence including a visit to the home. EVIDENCE: Residents living in this home have varying levels of independence and are encouraged and supported by the family to maintain their independence. The resident spoken with expressed an interest in activities, which take place both in the home and the community. Residents attend day centres and colleges which encourages life long learning. The resident explained that they attend a day centre where they “use computers and talk.” Records show that visits have also been made to Ryton Gardens, Coombe Abbey and the Bowling Alley. Residents are supported to access the community independently travelling by bus or taxi to the local sports centre mainly to go swimming but also giving 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 12 the opportunity to see and talk to other people. The family has an allotment, which all the residents like to work on. The vegetables they produce are used at mealtimes, fruit picking is another group event that takes place and is enjoyed by the residents. The care plan for the resident examined through the case tracking process shows that they like their food and needs no special aids. The resident likes to put a lot of food on their plate at once the care plan says “Encourage…to put smaller amounts on…plate and tell…that can go back for seconds if…want.” Discussion with the manager explained that this approach has been successful in changing the resident’s behaviour at mealtimes. All residents eat their meals with the family. The owner of the home is aware of the residents likes and dislikes for example one resident does not like spicy foods and this preference is taken into account when cooking meals. Residents are integrated into family life, the resident spoken with said, “We go to the caravan.” The opportunity to take a holiday both in England and abroad are available to residents dependent on assessment. Some of the residents have had the opportunity to go to Spain. The owner of the home explained that the resident’s families are welcome to come and visit and residents can go and visit their family. Some residents have visitors and some don’t and some receive letters. All of the residents are part of the family in the home where they are living and take part in every day family life and events. 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21 Quality in this outcome group is good. Resident’s personal and healthcare needs are met in a way that is responsive to their changing needs, personal preferences, protects their privacy and promotes dignity and independence. This judgement has been made using available evidence including a visit to the home. EVIDENCE: The service user present in the home at the time of inspection was well dressed and took pride in their appearance. This was achieved with the support of the owner of the home, who encourages independence and using prompting to encourage self-care and independence. The care plan for this resident says “…will need to be helped with most aspects of personal care, can dress…” The resident is of West Indian origin and showed the inspector specialist hairstyling products that are needed to protect and maintain their hair type. Care plans were sufficiently detailed in providing information on residents’ likes and dislikes and their preferences related to personal care. Care records for this resident shows that the resident visits the GP. A further care plan record shows that specialist healthcare advice regarding the 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 14 management of a resident with epilepsy has been accessed and the advice and instructions documented and followed. Support services are accessed for the specific needs of individual residents as necessary and this includes advice on aids and adaptations for example, wheelchairs and bathing/shower equipment. Support is also sort from social services for advice on social and psychological management of residents where needed. The owner was able to demonstrate an understanding of the safe handling of medicines and appropriate records were maintained. Medicines were contained in a locked cupboard. There were no residents currently administering or considered able to retain and control their own medication. The owner understood the importance of medicines being accounted for and the possible risks to residents if they were not managed safely. 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome group is adequate. Arrangements are in place for the effective management of complaints, recruitment procedures need to be robust to ensure that residents are safe at all times. This judgement has been made using available evidence including a visit to the home. EVIDENCE: There are systems in place for service users to express their concerns and make a complaint if they wish to. The owner says that there are always opportunities to sit and talk and the relationships have developed over time in that residents will come and talk to her. The owner explained that she usually knows when something is wrong or someone is unhappy by a change in his or her attitude, behaviour or through facial or body language. There has only been one occasion when a concern had to be addressed formally. This incident was sometime ago and was very much a family issue as the resident is part of the family. All concerns were resolved to resident’s satisfaction through family discussion and input from social services. Discussion with one of the residents evidenced that they were aware of how and to whom to make complaints. The resident said that if they were unhappy they would “Tell Elaine” but could not express whom they would speak to outside of the family home. Discussions with the owner demonstrated that they had a good understanding of the residents in their care and there was a concern that they could not deal with they would involve social services. 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 16 In discussions with resident they expressed that they felt safe in the home. Observation during the course of the inspection the resident looked relaxed in their environment and at home. Discussions with the owner of the home identified that a Criminal Records Bureau check has not been completed for the temporary carer used to provide relief cover when the family are away. In the absence of this the owner cannot be sure that the residents are in safe hands at all times. 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30 Quality in this outcome group is good. The standard of the environment provides residents with a safe, clean, comfortable and homely place to live. This judgement has been made using available evidence including a visit to the home. EVIDENCE: The home is situated in a residential setting and the owners of the home provide accommodation and support services for adults with learning disabilities. The home is near to shops and other local facilities. The home provides a homely environment whilst meeting the needs of the resident’s that live there. Residents have their own bedroom and one resident allowed the inspector to view their bedroom. This was furnished to the residents individual taste and the resident shared items of interest these include post cards and photographs. The resident said that she liked her bedroom. The resident also showed the inspector the bathroom they used. 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 18 There are three residents living in the home each have their own bedroom, one on the first floor of the home and two on the ground floor. The remainder of the home is shared communal space for all the family and residents. The home is well maintained and provides a homely and welcoming environment. 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 34 Quality in this outcome group is adequate. The absence of information on the recruitment of temporary staff does not ensure that residents are in safe hands at all times. This judgement has been made using available evidence including a visit to the home. EVIDENCE: The majority of the standards in this section do not apply, as the owner does not employ staff on a permanent basis and the home operates very mush as a family home. The owner employs one carer who provides a service to the residents when the family are away. Support could be required for all three residents or some of the residents dependent on if the family have taken all or some of the residents on holiday with them. Records were not available for this employer and therefore could not be checked. The owner advised that a Criminal Records Bureau check has not been completed. This practice does not ensure that residents are in safe hands at all times. 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 Quality in this outcome group is good. Resident’s benefit from living in a home that is organised and considers their best interests. This judgement has been made using available evidence including a visit to the home. EVIDENCE: This home provides a family and homely environment for the residents who live there. In this respect the home is not operated around policies and procedures. There are procedures in place, which support the home to run well and ensure that all the residents and family members have some guidance as to acceptable practices and behaviour in the home. For example areas related to privacy and respect for each other. The resident present in the home at the time of the inspection said that they felt comfortable in the home and a positive relationship was observed between all the family members present on the day of the inspection. 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 21 The owner says that she receives support from social services and psychology services. There are close links with day services and other community services such as community learning disability nurses and GP’s. Support received from these external agencies ensures that the individual holistic care needs of the residents living in the home are actioned, monitored and reviewed with input from the resident and the family. Observation of the environment during a tour of the home, care practices and discussion with resident’s and staff evidence that the premises were safe and secure and the safety and welfare of residents is being promoted and protected. People were seen to move around the home safely and easily and had the aids and adaptations necessary to do so. Fire procedures have been reviewed in the home with the support of the local fire department. The owner has developed a quality survey from which to determine the views of people that use the service she offers. Positive feedback has been received from family members of the residents and specialist involved in the care of the residents. 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 22 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 2 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 3 23 2 ENVIRONMENT Standard No Score 24 4 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000004332.V323731.R01.S.doc 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 15 Sorrel Drive Score 3 3 3 3 3 3 3 X X 3 X Version 5.2 Page 23 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 YA1 Regulation 4 Requirement Timescale for action 31/05/07 2 YA1 5 3 YA23 YA34 19, Sch 2 The registered person must produce and supply a copy of the Statement of Purpose in an accessible and suitable format for service users living in the home. The registered person must 31/05/07 produce and supply a copy of the Service User Guide in an accessible and suitable format for service users living in the home. The registered person must not 31/03/07 employ someone to work in the home unless they are fit to do so. A Criminal Records Bureau check must e carried out and a copy of the outcome maintained in the home 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. Refer to Standard Good Practice Recommendations 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 24 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB National Enquiry Line: 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 © 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 15 Sorrel Drive DS0000004332.V323731.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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