Inspection on 02/11/06 for 17 Swan Way

This inspection was carried out on 2nd November 2006.

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 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

17 Swan Way 08/11/05

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 17 Swan Way 17 Swan Way Coalville Leicestershire LE67 4BU Lead Inspector Lee West Unannounced Inspection 2nd November 2006 11:00 17 Swan Way DS0000063098.V317844.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 17 Swan Way DS0000063098.V317844.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. 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 17 Swan Way Address 17 Swan Way Coalville Leicestershire LE67 4BU 01530 831 684 01530 831 684 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) Ruach Care Limited Mr Andrew Royston Matthews Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Dual Category Only No person falling within category MD may be admitted to the home unless that person also falls within category LD, i.e. dual disability Total Admissions No person to be admitted to the home in categories LD/MD when 3 persons in total of these categories/combined categories are already accommodated in the home Service user numbers The number of service users must not exceed 3 in number 8th November 2005. 3. Date of last inspection Brief Description of the Service: Ruach Care Home is registered to provide care for three younger adults, aged between 18 and 65 years, who have a learning disability including, Aspergers Syndrome, and may have a mental disorder. The home is located close to the town centre of Coalville, with good access for public and private transportation. Residents have access to a variety of shops and other amenities in Coalville town centre. The home consists of two floors for residents use, including three single bedrooms, which are accessible by use of the stairs. The outside of the home blends in with the other properties within the vicinity and the gardens front and rear are pleasantly set out. There are sufficient toilet and bathroom facilities on the premise based on the number of residents registered to be cared for in the home. Fees charged by this service are individually negotiated but are between £950 and £3800, according to the level of dependency of the service user. 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took place on the 3rd November 2006. The method used was Case Tracking, where Service users were spoken with about their experiences and expectations of living at the home, with analysis of the records, and, talking with members of staff to ensure that those living at the home have their needs met and their health and welfare maintained appropriately. There is now one service user in residence. The premises are well maintained and suitable for the needs of the service user. The registered manager was not present during the inspection, but was spoken with, by telephone, during the evening, to assist with information not obtained from the carer and service user during the time at the home. What the service does well: What has improved since the last inspection? What they could do better: Duty rotas must show everyone working within the establishment, not just an individual rota for each carer. This should be available at all times, to ensure that all shifts are covered and the needs of the service user are met. 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 Page 6 The toilet on the ground floor is “wobbly” and requires repair to maintain the appropriate number of toilet facilities within the home and to ensure the safety of the service user. 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. 17 Swan Way DS0000063098.V317844.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 17 Swan Way DS0000063098.V317844.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): 2 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The individual aspirations and needs of the service user are assessed. EVIDENCE: The assessment records and care plan were seen during the inspection. The assessment records were thorough and identified the various needs and strengths of the service user. The care plan, produced from the assessment records, was seen and showed the service user’s aspirations and needs and how they are being met. The service user said “I was asked about what help I needed and what I like to do.” The variety of activities, seen within the plan, evidence the input from the service user. 17 Swan Way DS0000063098.V317844.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, 9 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The service user care plan reflects personal goals and the opportunities for making independent decisions. The service user is also supported to take risks as part of an independent lifestyle. EVIDENCE: The service user said that the care plan was appropriate and that “I can make my own decisions.” The care plan showed that despite the disabilities of the service user, opportunities were available for making decisions and taking risks. Finances were maintained by the service user, responsible for whatever this is spent on. 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The service user plays an active part in the local community and maintains family and personal relationships. Rights and responsibilities are respected. Mealtimes are enjoyed and a healthy diet is offered. EVIDENCE: The service user plays an active role within the local community, the jazz club, local IT groups in Leicester and family visits are important. “I enjoy going to the jazz club and sometimes help out.” The care plan sets out the numerous and varied activities that are organised by and for this service user, as well as identifying family visits. 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 Page 11 There was a positive rapport between the service user and the carer on duty, shown, during this inspection, by the communication between them, which was supportive and encouraging. This enabled the service user to make decisions and be aware of the consequences of the decisions. The inspector spent time with the service user, who said, “I am very happy here.” “I have all my equipment and can do what I choose.” The carer on duty said that the service user was encouraged to participate in the shopping for food and drinks and assisted with preparation of food and drink. There was a variety of fresh fruit seen on the dining room table, and the service user said, “I choose the things I like to eat.” Mealtimes are flexible to fit in with the day’s activities. 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The personal support is what the service user prefers and addresses the physical and emotional health needs. The service user does not have any medication, but processes are in place for those who may have. EVIDENCE: The care plan demonstrated the level of personal support required by this service user and identified the way this was preferred. The plan reflected the emotional needs as well as physical. The service user said, “I am looked after well here and have the help I need.” This service user does not have any medication, but there are facilities for appropriate storage for any medication. 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. At the time of inspection there have been no complaints made. Procedures are in place for protection of service users from any abuse. EVIDENCE: The home does have a complaints procedure. However, there have not been any complaints made. The service user said “the only thing I have to complain about is the electricity keeps going off when I use my equipment.” This was due to the service user having a large number of electronic gadgets working simultaneously the staff were observed prompting not to use everything at once to try to avoid this. Staff on duty have received training which included Aspergers Awareness and Challenging Behaviour to help with the protection of service users. 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The environment is homely, comfortable and supports the needs and lifestyle of the individual. Clean, hygienic, well furnished and decorated, there are sufficient toilet facilities, but repairs are needed in the ground floor toilet. EVIDENCE: The premises were well-maintained, and homely. The outside blending in with surrounding properties, with neat and tidy back and front garden areas. The service users’ bedrooms suit their needs and lifestyles and the service user said, “I am really happy with this room. I can get all my equipment in and there’s room for me to get around.” 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 Page 15 All the communal rooms were well maintained and suitable for this service user to maintain independence. This was observed during the inspection as the service user was seen using the facilities independently. The bathroom was seen to be clean and hygienic. But, the ground floor toilet was, as the service user said, “wobbly” and in need of attention. The kitchen was clean and hygienic, as were all the rooms within the house. 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34,35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The staff team are competent and appropriately trained. Recruitment practices protect the service users. The structure of the team is not clearly shown on duty rotas. EVIDENCE: The service users are supported by staff recruited following robust procedures and practices to ensure anyone working within the home is suitably checked. The carer on duty had been trained in Aspergers Awareness, Moving and Handling, Food Hygiene, Fire Safety, First Aid and Challenging behaviour and undergoing National Vocational Qualification in Independence at Level 3. There was no rota available at the time of the inspection to indicate who was on duty after the carer now working finished work at 5.00p.m. Having no overall schedule of who is working and when, could lead to carers not being present when needed, leaving the service user at risk. 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 Page 17 A duty rota, showing the staff covering each shift, including the sleepovers, should be available within the home. During the inspection only individual staff rotas were seen. Although the registered manager lives on the premises, the duty rota should show if he is on duty or working the sleepover shift, or who is covering if the manager is not working. The staff team, at present, is small, consisting of the registered manager, a team leader and carer. When new service users join the home then staff numbers should be reviewed. But, at present the service user spoken with said “the people here are very helpful and caring.” 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42, Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. The home is well run and the ethos and management approach of the home is to ensure it is run in the best interests of service users, that their views are taken into account and that their health and welfare is protected. EVIDENCE: The service user spoken with said, “I moved in recently and feel that everyone helps me to do what I want and help me with things I can’t manage. “ The staff spoken with also confirmed that their role was to enable the service users to be as independent as possible. The records seen show that the service user’s views are taken into account, and that risk assessments are in place to promote their health safety and 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 Page 19 welfare, whilst enabling them to take risks within day to day and leisure activities. 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 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 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 2 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 x 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 Page 21 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. Standard Regulation Requirement Timescale for action 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 Refer to Standard YA27 YA33 Good Practice Recommendations The registered person to have the ground floor toilet repaired. The registered manager to prepare a duty rota which shows who is working a shift and who is working the sleepover time. This is to be kept within the home to reflect the team working within the home and to identify any times when cover is not required. 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 17 Swan Way DS0000063098.V317844.R01.S.doc Version 5.2 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. 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