Inspection on 09/11/05 for 16 Vista Road

This inspection was carried out on 9th November 2005.

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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

16 Vista Road 19/05/07

16 Vista Road 04/07/05

16 Vista Road 15/02/05

16 Vista Road 05/10/04

16 Vista Road 27/11/03

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Vista Road (16) 16 Vista Road Wickford Essex SS11 8EJ Lead Inspector Mrs Valerie Buckle Unannounced Inspection 9th November 2005 10:00 Vista Road (16) DS0000018028.V263330.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 Vista Road (16) DS0000018028.V263330.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. Vista Road (16) DS0000018028.V263330.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Vista Road (16) Address 16 Vista Road Wickford Essex SS11 8EJ 01268 767210 01268 767210 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) Estuary Housing Association Limited Mr Simon Jonathon Pledger Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Vista Road (16) DS0000018028.V263330.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No more than three (3) Younger Adults with a learning disability to be accommodated. Accommodation and personal care to be provided for one named service user who is diagnosed with Alzheimer`s Disease. Date of last inspection Brief Description of the Service: The home provides 24 hour residential care accommodation for up to three adults with a learning disability. The home is situated close to the towns of Basildon and Wickford.The homes facilities include a large lounge/games area, a dining room, one bathroom/toilet on the first floor, one shower/toilet facility on the ground floor, three single bedrooms, an office and a garden to the rear of the property. In addition the home provides some off street parking. Residents within the home access a limited range of formal and informal day care provision/activities. The home has its own vehicle to enable residents to access the local community. Vista Road (16) DS0000018028.V263330.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection and took place over two hours and 30 minutes. Not all the standards were inspected at this inspection, standards not covered during this inspection will be inspected at the next inspection. A sample of records, practices, policies and procedures have been inspected at future inspections other issues may come to light when different items are sampled or different people spoken to. The Registered Manager assisted in the process of the inspection. Documents and records were inspected and all the rooms in the home were seen. Fourteen of the sixteen requirements from the last inspection had been met, two requirements are in the process of being met. Five of the seven good practice recommendations had been met. What the service does well: What has improved since the last inspection? What they could do better: A planned improvement to the home is to redecorate the hallway and stairs. The resident’s bedroom downstairs is shabby and needs to be redecorated. The two broken drawers in the wardrobe need to be fixed. Formal staff supervision should take place at least every two months. Yearly information gathered from the samples on Quality Assurance should be written up into a report and copy sent to the CSCI. Vista Road (16) DS0000018028.V263330.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. Vista Road (16) DS0000018028.V263330.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 Vista Road (16) DS0000018028.V263330.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): 1,3,4 & 5 Prospective residents have the appropriate information to have a choice about living in the home. EVIDENCE: Detailed assessments are made before residents are admitted to the home. The homes Statement of Purpose and service users guide, include all the required information and reflects the change in the homes registration to include dementia for a specific resident. The information is to be changed again as the resident with dementia has since moved into a nursing home. The home now has a vacancy for a younger adult with a learning disability. The homes policies and procedures showed that a full and detailed assessment would be carried out before my new resident came to live at Vista Road. All admissions to the home are planned and prospective residents have the opportunity to visit the home at meet the other residents and staff to see if the home is suitable to meet their needs, before making a choice to live there. Each resident’s file had a contract in pictorial format, these were seen to be signed and dated. Vista Road (16) DS0000018028.V263330.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): 8 Residents are involved in the running of the home and included in daily tasks. EVIDENCE: Care plans seen evidenced residents likes and dislikes and their needs and wishes. They were seen to be well organised and provided staff with clear instructions on how to meet each area of the residents assessed needs. Care plans included detailed risk assessments. Vista Road (16) DS0000018028.V263330.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): 14,15,16 & 17 The home provides activities and opportunities daily, which meet the care needs of the residents. EVIDENCE: During the week, resident’s access day care facilities due to the complex needs of the resident’s employment or adult education is not a suitable option. Daily activities include art and crafts, ceramic classes, shopping and using the hydrotherapy pool. Leisure activities during the week and at weekends vary and depend on the choices of residents, some choices are going to the pub, playing pool in the games room, drives out into the country and meals out. The manager said that although the current residents living at the home have limited family involvement, they both have people they know at the day centres and have good relationships with staff. Vista Road (16) DS0000018028.V263330.R01.S.doc Version 5.0 Page 11 There was no formal planned menu at the home, the menu was based daily on residents likes and choice. Daily records of residents foods were seen to be wholesome and provided variety. Vista Road (16) DS0000018028.V263330.R01.S.doc Version 5.0 Page 12 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): 20 & 21 Policies and procedures are in place to ensure the safe use of storage and medicine. Information and guidance is in place on end of life issues. EVIDENCE: Neither of the two residents living at the home self-administer their medication. Policies, procedures and records of medication seen were appropriately recorded and up to date. Medication was stored safely in the office. All staff employed at the home have carried out training in the safe use of medication. Some staff are awaiting their certificates. Individual care plans contained some information on resident’s last wishes. The manager said that staff and residents had recently attended a funeral, but explained that the residents had limited understanding about death. Staff were sensitive in their approach at this time, residents were given a simplistic explanation. A procedure is in place at the home if a resident becomes ill, extra staff support is given. Staff counselling and guidance is offered if a resident in the home dies. Vista Road (16) DS0000018028.V263330.R01.S.doc Version 5.0 Page 13 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 All staff are aware of the issues relating to the protection of Vulnerable Adults, policies and procedures relating to protecting residents were known and available to staff. Systems are in place to protect residents from abuse. EVIDENCE: The home has a good complaints procedure, which is accessible to residents, each resident has a copy of this procedure on their file, a copy is also displayed in the office. This procedure is in pictorial form so that it is easier for the residents to understand. Policy and procedure on The Protection of Vulnerable Adults and on physical intervention were seen, all staff have completed training in physical responses to challenging behaviours and all but one new staff member have completed training on The Protection of Vulnerable Adults. Evidence was seen in staff files and the training plan. Vista Road (16) DS0000018028.V263330.R01.S.doc Version 5.0 Page 14 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): 24,26,27 & 30 Vista Road provides care and accommodation to three younger adults with a learning disability within a homely environment. There are some outstanding redecorating issues. EVIDENCE: The home is clean, safe, reasonably decorated, generally well maintained and comfortably furnished. Some areas need repainting and the carpet in the lounge is stained. One resident’s room was personalised and attractively decorated. One residents room was seen to be quite sparse and needed redecoration and two of the drawers in the wardrobe were broken and need to be repaired. The third bedroom was currently vacant. There were sufficient toilets and bathing facilities available. The washing machine sited in the kitchen has recently been moved to the very end of the kitchen near to the door. The manager said that Environmental Health have visited the home and approved the position of the washing machine. The washing machine has first sluice cycle and a normal cycle is used. Vista Road (16) DS0000018028.V263330.R01.S.doc Version 5.0 Page 15 Staff are supplied with appropriate protective clothing and soluble linen bags. The kitchen was seen to be well equipped and very clear and hygienic. The manager explained that the organisation has a rolling programme for redecoration and furnishing to the home. Redecoration is due this month for the hallways and stairs, and a new carpet is planed for the lounge next year. Vista Road (16) DS0000018028.V263330.R01.S.doc Version 5.0 Page 16 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): 31,32,33,35 Staffing levels at the home are sufficient to meet the needs of the residents living at the home. The organisation provides opportunities for all staff to attend training courses. Staff are regularly supervised and supported by the manager. EVIDENCE: All staff employed at the home are experienced and competent in working with adults with learning disabilities. They have all completed mandatory training as well as specific courses to meet the complex needs of the residents. Currently three staff members are undertaking NVQ level 3 and the manager is undertaking NVQ level 4. Staff training records and certificates were seen, a staff training plan is also in place, this was seen to be comprehensive and up to date. The manager stated that staff members are supervised daily as they work with the residents, but agreed that a more structured approach to supervision should be in place. This formal approach to supervision will be implemented shortly. Vista Road (16) DS0000018028.V263330.R01.S.doc Version 5.0 Page 17 Regular staff meetings take place and residents are consulted daily on issues arising at the home, which would include, choice of food, clothing, activities and daily tasks. Vista Road (16) DS0000018028.V263330.R01.S.doc Version 5.0 Page 18 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): 39,41,42 Vista Road is well managed and provides a safe, clean and comfortable environment for the residents. EVIDENCE: Quality Assurance audits are carried out with the organisation. A sample of homes, residents and staff are consulted about the care provided in their home. A summary of these views should be formulated into a report and a copy of this report sent to the CSCI. Monthly Reg 26 Visits by a manager from the organisation are carried out, the report following this inspection is forwarded to the CSCI. Financial records held at the home were seen to be kept safe, and updated monthly. Records of resident’s monies were well documented. Individual bank account records were seen and records of expenditure, these were appropriately recorded and kept safe in a locked cupboard. A sample of records were seen, these were up to date and easily accessible to staff. Vista Road (16) DS0000018028.V263330.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 3 X 3 3 3 Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 2 X 3 X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Vista Road (16) Score X X 3 3 Standard No 37 38 39 40 41 42 43 Score X X 2 X 3 X 3 DS0000018028.V263330.R01.S.doc Version 5.0 Page 20 YES 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 YA24 Regulation 23(2) (d) Requirement The Registered person must ensure that all parts of the care home are kept reasonably decorated, in particular one residents room on the ground floor. Broken wardrobe drawers in residents room must be repaired. The rota must contain the full name of all persons employed at the care home. Not assessed at this inspection Timescale for action 31/12/05 2. 3. YA26 YA33 23(2) (d) 17(2) 31/12/05 31/12/05 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. 2. 3. Refer to Standard YA23 YA35 YA39 Good Practice Recommendations The homes whistle blowing policy should be written in plainer language. Certificates relating to medication training schedule available on each staff members file. A summary of the findings of the Quality Assurance Survey should be forwarded to the CSCI DS0000018028.V263330.R01.S.doc Version 5.0 Page 21 Vista Road (16) Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Vista Road (16) DS0000018028.V263330.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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