CARE HOME ADULTS 18-65
2 Speke Court Speke Close Ilminster Somerset TA19 9BJ Lead Inspector
Belinda Heginworth Unannounced 4 October 2005
th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 2 Speke Court D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service 2 Speke Court Address Speke Close, Ilminster, Somerset, TA19 9BJ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01404 57397 Mr Matthew Manders, 10 Station Road, Ilminster, Somerset, TA19 9BJ Mr Matthew Manders Care Home 3 Category(ies) of LD - Learning Disability (3) registration, with number of places 2 Speke Court D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: No conditions Date of last inspection 16/01/2005 Brief Description of the Service: 2 Speke Court is registered to provide a residential service to up to three people with good independent skills who have a learning disability. It is one of two small homes owned by Mr and Mrs Mathew Manders and is situated in the country town of Ilminster. Miss Amanda Barthorpe is the registered manager of the other home Shipley House and is responsible for the day to day care of the residents in both homes. Mr Manders the proprietor suports the manager and oversees work placements and day services, and runs the business. The staff team work across both houses. Staff support residents in this house, and there are many times when they are left at home without a staff member. The main aim of Speke Court is to support residents to develop to the full extent of their abilities and have full and happy lives. 2 Speke Court D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place in the early evening. Two and a half hours were spent between Shipley House and 2 Speke Court. The manager of Shipley house was present throughout the inspection. All residents living in the two homes were consulted and their views on the homes discussed. The inspector looked around parts of the buildings and grounds, and some records were read. What the service does well: What has improved since the last inspection? What they could do better:
No requirements and recommendations were made on this inspection. Discussions took place with the manager of Shipley House about developing a plan that summarises the home’s methods
2 Speke Court D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 Page 6 of reviewing the quality of care provided to residents. This will also be relevant to Speke Court. This will be looked at during the next inspection. 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. 2 Speke Court D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 2 Speke Court D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 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 standard(s) 0 Not inspected on this occasion. EVIDENCE: 2 Speke Court D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 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 standard(s) 6, 7 & 9 Resident’s benefit from knowing about the written information that helps to meet their needs effectively and safely. EVIDENCE: Residents are consulted and contribute to their care plans and assessments of risk. The plans have detailed information that highlights care and health needs clearly. Any risks associated with residents’ needs or care is assessed and the action necessary to reduce the risks is clearly explained. Residents attend regular care plans reviews with the providers and the manager. Residents said they are consulted about all aspects of their live and supported to make decisions. The residents at Speke Court are on there own most of the time. Staff from Shipley House visit to support and help them. The residents said they knew how to contact Shipley House at any time and felt happy and confidant living independently. It was clear throughout the inspection that residents are included in decisions about the running of the home. The atmosphere is fun, friendly and inclusive. 2 Speke Court D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14, 15 & 16 Residents use the local and surrounding community for leisure pursuits. EVIDENCE: Residents were keen to talk about the educational and leisure pursuits they attend. These ranged from college courses, swimming, shopping, drama, cinema and many more. The residents use the local pub and are very much part of the local village. Annual holidays are chosen through residents’ meetings between both Shipley House and Speke Court. The holidays are taken together as a group. All residents clearly enjoyed their holidays and spending time with each other. This year they all chose to go to Weymouth for a caravan holiday. The residents said they are supported to maintain contact with family and friends. Many residents go on holiday with their families and every six weeks all residents from both houses go home for the weekend. This is a flexible arrangement that can be changed. 2 Speke Court D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 Page 11 2 Speke Court D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 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 standard(s) 18 & 19 Residents are supported in a way they prefer and their health care needs are well met. EVIDENCE: Residents said they felt they were well taken care of and there health care needs were met. The manager demonstrated a good understanding of residents’ health care needs. Care plans provided further evidence that health care needs were assessed, monitored and met. 2 Speke Court D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 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 standard(s) 22 Resident’s benefit from a good complaint’s procedure. EVIDENCE: Residents said they felt they were listened to and if action was necessary it was acted upon. They knew about the complaint’s procedure but said they would talk to the staff, manager or provider in the first instance. Regular house meetings are held with residents where their views are recorded and action is taken when necessary. 2 Speke Court D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 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 standard(s) 24 Resident’s benefit from a comfortable environment. EVIDENCE: Residents were keen to show the inspector round the home and each resident showed their bedroom. The house is bright, spacious, clean and decorated and furnished to a good standard. The bedrooms seen were furnished and decorated to residents’ tastes and preferences. The atmosphere throughout the house is warm and homely. 2 Speke Court D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 Page 15 Staffing
The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 0 Not inspected on this occasion. EVIDENCE: 2 Speke Court D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 Page 16 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 0 Not inspected on this occasion. EVIDENCE: 2 Speke Court D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 Page 17 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 x x x x x Standard No 22 23
ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 3 x 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
2 Speke Court Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 Page 18 N/A 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 Regulation None 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 None Good Practice Recommendations 2 Speke Court D54-D06 16244 2 Speke Court 248113 041005 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Exeter Office, Suites 1 & 7, Renslade House Bonhay Road Exeter, EX4 3AY Tel: 01392 474350 National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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