Inspection on 18/06/07 for 24 Stand Road

This inspection was carried out on 18th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

24 Stand Road 26/01/06

24 Stand Road 29/09/05

24 Stand Road 21/03/05

24 Stand Road 20/10/04

24 Stand Road 01/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Stand Road (24) Off Whittington Moor Chesterfield Derbyshire S41 8SW Lead Inspector Nancy Bradley Unannounced Inspection 18th June 2007 09:00 Stand Road (24) DS0000020096.V343757.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 Stand Road (24) DS0000020096.V343757.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. Stand Road (24) DS0000020096.V343757.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Stand Road (24) Address Off Whittington Moor Chesterfield Derbyshire S41 8SW (01246) 455025 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) ccservices01@btconnect.com Community Care Services Donna Clayton Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Stand Road (24) DS0000020096.V343757.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. LD Learning disability not falling within any other category Date of last inspection 26th January 2006 Brief Description of the Service: The Home is a semi-detached house in a residential area of Chesterfield. There are accessible local facilities and a bus route into the town centre nearby. The house is set back from the road with a garden to the front and rear. Some parts of the Home are quite compact though there is a good-sized lounge and satisfactory bathroom and toilet facilities. The Home is run on domestic lines and accommodation is in single bedrooms. A range of activity and personal development programmes are developed with residents, which include the regular use of local amenities. Stand Road (24) DS0000020096.V343757.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key unannounced inspection and took place over three hours. The inspector spoke with the Registered Manager, care staff and made a tour of the building. Records were examined relating to three service users and the general operation of the home. Additionally, time was spent in preparation for the visit, looking at the pre-inspection questionnaire. There has been on change in the service users living at the home. No family or relatives were present during this visit. At the time of the inspection none of the service users are able to manage their own financial affairs, their financial affairs are subject to Power of Attorney. All three service users completed and returned the “ Have Your Say” questionnaire stating they were very settled, happy at the home, good activities were provided, they liked the staff and they usually listened to them. The care staff assisted the service users in completing the forms. The homes Statement Of Purpose and Service User Guide are displayed in the main entrance with all service users having their own copy. The last inspection report from the Commission for Social Care Inspection was not displayed. This is due to limited amount of space within the main entrance. All of the service users were able to contribute to the inspection and during the tour of the home spoke with the inspector about life at 24 Stand Road and the activities they are involved in. What the service does well: What has improved since the last inspection? What they could do better: Stand Road (24) DS0000020096.V343757.R01.S.doc Version 5.2 Page 6 There are no major issues for improvement however some aspect of recording requires attention. The home should make arrangements for staff to have formal supervision as required under standard 36:4. 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. Stand Road (24) DS0000020096.V343757.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 Stand Road (24) DS0000020096.V343757.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): Standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that service users needs are fully assessed and met prior to admission this ensures that all potential service users holistic needs are appropriately met. EVIDENCE: All three residents have been at the home for a long time and there are no plans for any further admissions at this stage. There was evidence on file to show that the care needs assessments of the service users were are being reviewed by the referring agency. However the Registered Manager reported that they do have difficulties with one referring agency Stand Road (24) DS0000020096.V343757.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): Standards 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a care planning and review system in place, which ensures that service users individual needs are met. EVIDENCE: During the visit care plans of all three-service users were examined. The care plans for each service user have been compiled by the care staff and evidence was seen of care plans being reviewed on a regular basis. However this is not being formally recorded. Care plans showed service users’ individual lifestyle preferences, choices, and the interventions prescribed by outside healthcare professionals. It was evident from examination of care plans, and from discussions with staff and talking with service users that the staff consult with them about their care plans. Detailed risk assessments were in place and these included actions to be taken by staff. The Registered Manager recognised the need for these to be updated and reviewed in line with care plans. Stand Road (24) DS0000020096.V343757.R01.S.doc Version 5.2 Page 10 Service users are encouraged to be as independent as possible taking responsibility for some of the household tasks, such as their own laundry, cleaning and shopping for food. Service users’ views and wishes are taken into account when the house requires decorating and in planning the menus. Stand Road (24) DS0000020096.V343757.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): Standards 12,13,15,16, and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There were arrangements in place to enable service users to maintain and develop appropriate relationships, and to participate in activities both in the home and outside in the wider community in accordance with their preferences and wishes. EVIDENCE: The care records of all three-service users provided details of care planning and risk assessments on their social, recreational, educational and occupational activities both within the home and outside in the community. The home has purchased a computer for service users and as discussed with the Registered Manager service users could be enrolled on a computer skills course. On the day of the visit service users were involved in house tasks and looking forward to having lunch out followed by football at the local park. All service users enjoy music have their own CD player with one service user regular being the ‘DJ’ for the social events. All service users access the local day centre one day per week. The home takes service users out on trips and they are due to go on a week’s holiday. In the past the staff have taken service users on holiday aboard. Stand Road (24) DS0000020096.V343757.R01.S.doc Version 5.2 Page 12 The daily routines are flexible with the service users being able to make their own decisions about how they spend the day. The relationships observed between care staff and service users were open and good-humoured. The service users are encouraged to take pride in their appearance and their preferred style of dress is respected. Information on service users’ records indicated that contact with family and friends were appropriate. Any restrictions on contact are recorded in care plans. Service users comments about the meals were positive and from discussions with service users and from completed questionnaires it is clear that they are involved in planning the weekly menus. There are no special dietary requirements although the home monitors service users’ weight. Stand Road (24) DS0000020096.V343757.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): Standards 18.19 20 and 21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal and health care support in a way, which promotes their independence and is in accordance with their preferences and beliefs. EVIDENCE: From discussion with staff and from direct observations it was evident that there was a commitment to the welfare of the service users and an awareness of their rights. All services users have access to the Advocacy Service. Staff relationships and interactions were friendly and warm with service users being relaxed in the company of the staff. Service users were all dressed in clothes appropriate to their age and personal preference. Discussions with service users confirmed that they are involved in the choice and purchasing of their clothes with staff support. From records examined and from discussions with staff, service users’ health and personal needs are being met Service users are generally healthy and records showed that staff promptly contact the appropriate medical services. Stand Road (24) DS0000020096.V343757.R01.S.doc Version 5.2 Page 14 All service users attended services within the community including doctor’s optician, podiatry, dentist, and audiologist. All service users have regular medical reviews at Ash Green. The home operates and monitors service users’ medication. None of the service users are able to administer their own medication. All staff have received training on medication training procedures. The arrangements for receipt, storage, administration and disposal of medication were also examined and found to satisfactory. The home has their medication supplied from the local pharmacy, which carries out regular inspections. One-service user had an “ End of Life Plan” showing both the families and service user wishes. As discussed with the Registered Manager all service users should have an end of life plan in place. The plan should cover how they wanted to be cared for and funeral arrangements. Stand Road (24) DS0000020096.V343757.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): Standards 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to safeguard service users’ welfare and ensure that their concerns are listened to and acted upon. EVIDENCE: Service users are made aware of the home’s complaints procedure through the service user guide; also a copy is displayed on the main notice board. In consultation with the Derbyshire Advocacy Service the Registered Manager is looking to develop a user-friendly complaint form for service users. Any concerns and complaints made by service users are investigated within the agreed time scales. The Registered Manager maintains a record of all complaints made by service users, details of the investigation action and outcome. The procedure contains the current contact details of the Commission for Social Care Inspection and informs the complainants that they are able to contact the Commission at any stage of the complaints process if they wish to do so. Records seen indicated that no complaints had been received from service users or their representatives about their care since the last inspection. The Commission for Social Care Inspection has not received any complaints about this service since the last inspection. Examination of records and discussions with the Registered Manager indicate there has been no reported incident under the Safeguarding of Adults. Stand Road (24) DS0000020096.V343757.R01.S.doc Version 5.2 Page 16 The home has a comprehensive vulnerable adult protection policy and procedures however this does not make reference to local procedures, or reflect the change of policy to the Safeguarding of Adults. Staff training records confirmed that staff have received training in adult protection. However as discussed with the Registered Manager staff may need to up date their knowledge. Stand Road (24) DS0000020096.V343757.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): Standards 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable, homely and safe environment, which meets their needs and aspirations EVIDENCE: The Inspector carried out a full tour of the home, accompanied by the service users and Registered Manager. All communal areas were inspected. Service users’ bedrooms were inspected with their agreement and all rooms had been decorated and furnished to their personal choice and were being personalised. The home is a three bedroom semi-detached house with a separate bathroom and toilet. All were decorated to a satisfactory standard. The Registered Manager reported that service users along with the service users clean the house. The home was free of any unpleasant odours or smells on the day of the visit. The home has effective infection control procedures in place. Stand Road (24) DS0000020096.V343757.R01.S.doc Version 5.2 Page 18 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): Standards 32,34, and 35. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has robust recruitment procedures and practices in place which ensure the safety and protect the service users. The staff are supported in their day-to-day work however the development of a formal system of supervision will benefit staff development. EVIDENCE: The home has a complement of three staff and there has been one change in the staff group since the last inspection. The staff work flexibly to meet the development and social needs of the service users. Rotas showed that two staff work in the day with one covering the evening and night sleep-in. The Registered Manager reported that the staff are registered for the NVQ level level2. The home has recruitment procedure in place, which ensures that their staff are suitable to work with vulnerable people. However staff recruitment records could not be checked. The staff recruitment records are kept on site and the Registered Manager that stated that her manager keeps the key. The home requires all staff to have an updated Criminal Records Bureau check to an enhanced level. Resent Criminal Records Bureau checks confirm this. Stand Road (24) DS0000020096.V343757.R01.S.doc Version 5.2 Page 19 Training records were seen confirming that staff had undertaken the mandatory training. Details of staff training together with training planned were provided by way of the pre-inspection questionnaire. As discussed with the Registered Manager staff may need to update their knowledge on the Safeguarding of Adults. The Registered Manager stated that staff appraisals are conducted on an annual base however staff do not receive formal supervision as required under Standard 36:4. However being a small staff team staff do receive informal supervision on a day-to-day base. Stand Road (24) DS0000020096.V343757.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): Standard 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was generally well managed, with staff seeking the views of the service users on the running of the home EVIDENCE: The Registered Manager has the NVQ level 2, several years experience working at the home and the NVQ level 4 in management. The home has a relaxed and friendly atmosphere with clear management systems in place. The Registered Manager has a relevant job description setting out her roles and responsibilities. The Registered Manager stated there is no formal system for reviewing the quality of care provided. The Registered Manager meets with the service users on a regular base and questionnaires are given family members. However they do not always respond. Stand Road (24) DS0000020096.V343757.R01.S.doc Version 5.2 Page 21 As discussed with the Registered Manager quality assurance procedures could be improved with further consultation being undertaken with stakeholders. A sample of service/maintenance records was examined (including gas and electricity services) and there was confirmation that all the equipment had been properly maintained. Evidence of checks having been carried out was provided to the Commission for Social Care Inspection. Systems were in place for the monitoring and maintaining the hot water temperatures. These were examined and found to be within a safe range. Stand Road (24) DS0000020096.V343757.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 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 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 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X 2 X X 2 X Stand Road (24) DS0000020096.V343757.R01.S.doc Version 5.2 Page 23 No 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 YA23 Regulation 15 Requirement The homes policy on adult protection must be revised and updated to reflect current practice and make reference to local procedures. All staff personnel records must be made available for inspection All staff must be appropriately supervised as required under Standard 36:4. As part of assessing the quality of care provided by the home consultation with stakeholders and service user representatives must be undertaken. Timescale for action 31/07/07 2. 3. 4 YA34 YA36 YA39 18 and Schedule 2. 18 35 31/07/07 31/07/07 31/07/07 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 YA6 YA6 Good Practice Recommendations The home should formally record on service users records when a review has taken place. The service user or their representative should sign all DS0000020096.V343757.R01.S.doc Version 5.2 Page 24 Stand Road (24) care plans. 3. 4. 5. YA12 YA21 YA23 Service users should be enrolled in a computer skills course All service users should have an End of Life Plan All staff should undertake a refreshing course in the Safeguarding of Adults Stand Road (24) DS0000020096.V343757.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Stand Road (24) DS0000020096.V343757.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. Re-publishing this information is in breach of the terms of use of that website. 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