Inspection on 28/11/07 for 18 Leafdown Close

This inspection was carried out on 28th November 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 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

18 Leafdown Close 05/01/07

18 Leafdown Close 07/02/06

18 Leafdown Close 30/09/05

18 Leafdown Close 01/02/05

18 Leafdown Close 06/09/04

18 Leafdown Close 17/02/04

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 18 Leafdown Close Hednesford Cannock Staffordshire WS12 2NJ Lead Inspector Dawn Dillion Key Unannounced Inspection 28th November 2007 14:15 18 Leafdown Close DS0000005089.V356374.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 18 Leafdown Close DS0000005089.V356374.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. 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 18 Leafdown Close Address Hednesford Cannock Staffordshire WS12 2NJ 01543 425637 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 Valerie Bullman Mrs Valerie Bullman Care Home 1 Category(ies) of Learning disability (1) registration, with number of places 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2007 Brief Description of the Service: Leafdown Close is a residential home located in Hednesford, Staffordshire; the home is registered to provide a service for one adult, category of registration learning disability. The two-storey semi detached property comprises of a lounge, leading to a dinning area and a fitted kitchen. On the first floor level there are three single occupancy bedrooms and a bathroom that is equipped with a toilet, washbasin and a shower. There is a well-maintained garden at the rear of the property, adequate car parking facility is provided at the front of the premises. Leafdown Close provides a warm and welcoming atmosphere with a positive emphasis focused on normalisation, providing the necessary support and assistance to ensure that the person living in the home has access to leisure facilities and to have a valued role within her local community. All healthcare services are accessible to the individual, to ensure and maintain all healthcare needs. The Registered Manager provides support and supervision on a daily basis to meet the assessed needs of the individual. The fees chargeable for the service and provisions provided at Leafdown Close is £407.00p per week. 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced key inspection of 18 Leafdown Close was conducted within three hours; the Registered Manager was present throughout the course of the inspection. The methodologies used to establish the quality of the care and the general service delivery, involved the examination of records and systems that demonstrated the effectiveness of the management of the service, to ensure compliance with Care Homes Regulations and the Care Standards Act 2000. A tour of the premises was undertaken to ensure that the environment was suitable to meet the needs of the person living in the home. Discussions with the person accessing the service were undertaken, to establish her experience of living at 18 Leafdown Close. Leafdown Close is registered to provide a service for one person, a high standard of care was provided within the home, with a positive emphasis focused on providing opportunities to learn new skills and to engage in meaningful activities. What the service does well: The routine and practices within the home promoted the rights, choice and independence of the person accessing the service. Discussions with the person living in the home confirmed that she was offered the necessary support and assistance, to live a lifestyle of her choice. There was a positive emphasis focused on stimulating activities and social inclusion. 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 6 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. 18 Leafdown Close DS0000005089.V356374.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 18 Leafdown Close DS0000005089.V356374.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, 2 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homes admission process, ensured that people wishing to access the service, would be provided with relevant information, to enable them to have a choice to where they live. EVIDENCE: The previous inspection report identified that the homes Statement of Purpose provided relevant information, relating to the service and provisions available. 18 Leafdown Close was registered to provide a service for one person, who had been in residence for 6.5 years. Discussions with the Registered Manager demonstrated her understanding of the necessity of a Care Management Assessment (Pre admission Assessment), for any future prospective person wishing to access the service. Discussions with the person accessing the service confirmed that she was offered relevant support and assistance to live a lifestyle of her choice. She also informed the Inspector that she continues to attend church services on a 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 9 regular basis and still maintains contact with her self-advocate based at the day care centre. A formal contract relating to the terms and conditions of residency was issued to the person accessing the service, which was signed and dated by the relevant parties. 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 10 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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the service provided a positive ethos on normal daily living, promoting the rights and choice of the individual, to enable her to live a lifestyle reflecting her cultural and religious needs. EVIDENCE: General discussions with the person accessing the service confirmed that she was actively involved in the development and review of her care plan. The format of the care plan reflected the individual’s aspiration and targeted goals to achieve. 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 11 The person accessing the service was integrated within a family setting, discussions with both her and the Registered Manager confirmed that she was provided with the necessary support and assistance to maintain an independent lifestyle and was able to make decisions, affecting her daily routine and welfare. The individual informed the Inspector that she continues to attend day care services and had access to a key worker and a selfadvocate. With reference to the person’s financial affairs, she informed the Inspector, that she was able to access the bank independently, to manage her own finances. A small element of support was required within this area, which, was provided by the Registered Manager. There was a risk assessment in place that identified potential hazards, the risk assessment provided information relating to the appropriate control measures to reduce or eliminate the identified risk. It was pleasing to see that there was a positive approach to enable the individual to take an informed risk, to enable her to live a fulfilled lifestyle. 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 12 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 area is excellent. This judgement has been made using available evidence including a visit to this service. The person accessing the service was able to make choices relating to her lifestyle to reflect her needs and expectations. EVIDENCE: The Registered Manager practices and approach ensured that the person living in the home lived a fulfilled lifestyle, with stimulating and meaningful life experiences and encouraged her to be actively involved in tasks throughout the home, to promote and maintain her daily living skills. The person accessing the service, informed the Inspector that she was looking forward to forthcoming social events leading up to Christmas “ I’m going to a Christmas party and out for my Christmas dinner.” 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 13 The individual attended a dance club and informed the Inspector that, “I do freestyle and tap dancing.” She also told the Inspector of her performance in a musical variety show with Chase Theatre Croft, showing the Inspector the cover of the DVD (digital video disc) of the performance. She continued to inform the Inspector of her holidays in the past twelve months, which, consisted of visits to Spain with a group of friends, Weymouth with the swimming club and a short break to South-Shields. The individual confirmed that she attend day care services four times during the week and worked on a voluntary basis at a drop in centre. She had also obtained paid employment at a café one day a week. The routine within the home was relaxed, where the individual was able to engage in pastimes of her choice. “I go to my friends house for tea and see my sister sometimes.” “ The food is good and I help with the food shopping and cooking.” On the day of the inspection, she had arrived home from the day care centre and had brought some vegetables that had been requested by the Registered Manager prior to her leaving the home that morning. 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 14 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The person accessing the service was provided with the necessary support and assistance to maintain her general health and personal care, in accordance to her assessed needs. EVIDENCE: 18 Leafdown Close is normal domestic dwelling; the Registered Manager provided the necessary care and support. Discussions with the person living at the home, confirmed that she had access to a dentist, optician and a general practitioner, information of which was recorded. She also informed the Inspector that she continued to self administer her medication and provided evidence to the Inspector of a record that she maintained of when she had taken her tablets, she also confirmed that her medication was regularly reviewed by the general practitioner. 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 15 The individual was fairly independent and mobile and there were no requirements for any specialist aids or adaptations. Discussions with the person living in the home confirmed that she was happy with the care and service provided and wished to remain at 18 Leafdown Close indefinitely. 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 16 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 area is good. This judgement has been made using available evidence including a visit to this service. The homes complaint procedure was available to the person living in the home, access to a key worker and a self-advocate ensured that the individual would be able to share any concerns with other people outside the service. Appropriate measures were taken to ensure the protection of the person accessing the service. EVIDENCE: There was a complaints procedure in place of which was accessible to the person living in the home, information relating to the Commission For Social Care Inspection and contact details for Social Services was identified on the document. The person accessing the service informed the Inspector that if she had any concerns, “I would tell you or my self advocate.” “I have no complaints at present.” The Commission For Social Care Inspection has not received any complaints relating to the home in recent years. 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 17 Two friends of the family very occasionally provide some support, previous examination of records identified that they had both been subject to a Criminal Record Bureau clearance. 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 18 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 and 30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The design and layout of the property was suitable in meeting the needs of the person accessing the service. EVIDENCE: Leafdown Close is located in Hednesford, Staffordshire and is accessible via public transport. The semi-detached property was in keeping with the local community and provided three single occupancy bedrooms (registered to provide residential care for one). En suite facility was not provided; the bathroom was located in close proximity to the bedroom. 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 19 The bathroom was situated on the first floor, equipped with a bath, toilet, washbasin and shower. On the ground floor there was a lounge area, which provided a comfortable area for relaxation. Leading from this area was a separate dinning room. There was an attractive fitted kitchen in place. The garden at the rear of the property was well maintained. Adequate parking facility was provided at the front of the property. The general cleanliness and hygiene of the home was of a very high standard. Smoke detectors were installed throughout the home and records confirmed that fire-fighting equipment were serviced on a regular basis. The person living in the home showed the Inspector around her bedroom, the bedroom was tastefully decorated and was equipped with essential furnishings and items to provide a comfortable area. Adequate heating, ventilation and natural lighting were provided throughout the home. Leafdown is a normal domestic dwelling and there were no specific systems in place with regards to infection control. As previously identified the cleanliness and hygiene within the home was of a very high standard. There were no specialist systems or adaptations required, past discussions with the Registered Manager confirmed that if and when necessary, every effort would be made to provide the necessary adaptation to meet the needs of the person accessing the service. 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 20 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, 34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The level of support and assistance provided to the person living in the home was appropriate to meet her assessed needs. EVIDENCE: As previously identified within the contents of this report, Leafdown is a normal domestic dwelling; there was no management structure or permanent staffing. The Registered Manager provided the necessary support and assistance to ensure that the individual’s needs were met in accordance to her plan of care. The Registered Manager was experienced within social care and had obtained the National Vocational Qualification, level 2 in care. Discussions with the Registered Manager confirmed that she does not undertake periodical training 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 21 with reference to her roles and responsibilities; however this had not impinged on the quality of the service delivery. Two friends of the family provided additional support, if and when necessary and previous examination of records identified that a Criminal Record Bureau check had been undertaken for both. 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 22 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 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The conduct of the Registered Manager was open and transparent, promoting the rights and independence of the individual accessing the service. EVIDENCE: The Registered Manager was experienced in social care and demonstrated a sound knowledge of the needs of the individual. 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 23 Observations during the process of the inspection evidenced, that she was proactive in promoting the rights of the individual and encouraged her participate in all activities within their home. With regards to systems and practices that promote the health, safety and the welfare of the individual accessing the service, all safety records were up to date and well maintained. With reference to health and safety the examination of records evidence that the home was proactive in ensuring the systems and appliance were inspected/serviced by a qualified engineer. 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 24 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 3 2 3 3 X 4 X 5 3 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 3 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 4 14 4 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X X X X 3 X 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 25 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. Refer to Standard YA39 Good Practice Recommendations To ensure that the quality assurance questionnaire reflects the current service provided and to distribute the questionnaires to the appropriate agencies. Training relating to fire awareness and first aid should be undertaken by the Registered Manager. 2. YA32 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 18 Leafdown Close DS0000005089.V356374.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!