Inspection on 26/01/06 for 24 Stand Road

This inspection was carried out on 26th January 2006.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

24 Stand Road 18/06/07

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 Ray Coonan Unannounced Inspection 26th January 2006 2:00 Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 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.V279367.R01.S.doc Version 5.1 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.V279367.R01.S.doc Version 5.1 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) Community Care Services Vacant Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. LD Learning disability not falling within any other category Date of last inspection 29th September 2005 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.V279367.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a period of just under three hours on the 26th January. The manager, Donna Clayton was present throughout the visit and there were discussions with other staff on duty. There was also the opportunity to spend some time with all three of the Home’s residents. A variety of documentation was viewed such as care plans, relevant policies and procedures and staffing records. A full inspection of the premises was not undertaken on this occasion. What the service does well: What has improved since the last inspection? What they could do better: There were no major issues for improvement though some aspects of health and safety recording and staff training require attention. Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 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.V279367.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1. There is satisfactory information on the services available to residents at the Home. EVIDENCE: Following the last inspection the Home’s Statement of Purpose has been updated and provides the necessary information regarding services at the Home. All three residents have been at the Home for nine years and there are no plans for any further admissions at this stage. Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. The independence of each resident was appropriately promoted within a framework of responsible risk assessment and their care was planned in a manner that clearly reflected their individual abilities, overall needs and established interests. EVIDENCE: The individual care plan for each resident was examined during this inspection visit. The plans were satisfactorily organised with overall needs assessments done on a regular basis. These covered a variety of areas such as health, social interests, communication abilities and any behavioural issues. Relevant risk assessments were included and these informed care intervention programmes, which were now regularly monitored. There were specific behavioural programmes with clear guidelines for staff evident. Activity programmes were also kept on file. Care files were usually reviewed on a six monthly basis. It was evident from viewing care plans, from discussions with staff and talking to residents that their opinions were respected and listened to in the planning of overall care. Staff were also sensitive to issues that residents might have some difficulty in expressing their views openly and contact was maintained with independent advocacy services. Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 Page 10 Independence around the Home was encouraged with residents using the various parts of the Home as they wished and taking on responsibility for some domestic tasks such as their own laundry, with support from staff as necessary. One resident was particularly interested in cooking and helped prepare and cook meals. The differing communicative abilities of each resident were well understood by staff and residents’ specific interests and preferences were reflected in Care Plans, for example in the planning of social and developmental activities. Their views had also been taken into account in the redecoration of their rooms and from residents’ comments it was clear that they were involved in menu planning and food shopping. Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. Residents continue to have their general living skills and personal development actively promoted at the Home, and enjoy a stimulating environment based on their individually expressed interests and capabilities. Family and social contacts are facilitated appropriately. Residents were positive about the meals they had at the home. EVIDENCE: Care plans detailed the daily living routines, social, recreational and educational activities, which were developed in relation to each resident’s capabilities and interests. Residents would also help in domestic activities such as some food preparation, cleaning and shopping trips as part of enhancing living skills and independence All residents had lived in the neighbourhood for several years and regularly used local amenities such as shops, pubs, visiting ‘flea’ markets in town and car boot sales. One resident was friendly with and visited the immediate neighbours and this, together with the use of other amenities, was assessed and monitored on care plans. Residents participated in a wide range of Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 Page 12 recreational activities, including the swimming baths, cinema, and bowling. One resident was also looking to join a local gym shortly. All residents enjoyed music, had their own C.D. players, and one resident would regularly ‘D. J.’ at small social events. T.V./video facilities were also available in the Home. Some individual activities were arranged such as day classes in woodwork, cookery and keep fit at local community education centres. All three residents also accessed day centre provision on one day a week. Residents had regularly holidays and day outings supported by staff. Family contacts were actively encouraged at the Home and these were assessed and monitored on care plan documentation. Visits to family were arranged and this was confirmed in discussions with residents. Arrangements were also made for two friends to visit on a regular basis. The sexual aspirations and understanding of each resident was assessed and monitored. Residents were positive about the meals at the Home and their comments indicated that they were very much involved in planning menus for each week and helped with shopping tasks. There were no special dietary needs amongst the resident group though staff were aware of nutrition issues and kept an eye on weight gain if necessary. Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Residents’ rights and individual interests were respected at the Home and any physical and emotional health needs were suitably monitored and promoted. EVIDENCE: From discussions with staff and personal observation it was clear that there was a commitment to the welfare of residents and awareness of their rights. Contact with advocacy services was also maintained. Staff interactions were friendly and warm and residents came over as relaxed in the company of staff. Care plans reflected the individual preferences and personality of each resident and adequately detailed any personal care needs, though these were not of a particularly high level. Residents confirmed that they were involved in purchasing their clothing with staff support, and their appearance reflected personal taste and was age appropriate. Residents were registered with a local G.P. practice and had regular check ups. All residents were in touch with Ash Green Hospital for ongoing reviews. Advice and support regarding any behavioural and/or psychological issues was also obtained. Care plans contained records of any medical appointments with such Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 Page 14 services as dentist, chiropodist, audiologist, and optician. Any specific health needs were clearly monitored and recorded on care plans. None of the residents administered their medication, which was stored securely. Medicine administration and recording processes were examined and were satisfactory. Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22. The Home was responsive to the views of residents, though the complaints policy was not in a format that would readily help their understanding of the process. EVIDENCE: The Home had a Complaints policy and procedure in place. However, the policy had not been adapted to a format that would assist residents’ understanding of the process. The current address of The Commission had now been included in the policy statement. It was stated that there had been no formal complaints since the last inspection and any issues raised by the residents were recorded on the daily notes. Conversations with residents indicated that their views were responded to. No direct complaints have been made to the Commission Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards in this section were not fully assessed on this occasion. EVIDENCE: Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 35 and 36. Residents benefit from a consistent and well supported staff group who provide a flexible service in line with residents’ needs. EVIDENCE: The Home has a complement of four staff and there have been no changes for over a year. Rotas indicated that residents received a flexible level of support that assists their developmental needs and social activities. Those staff without NVQ training are due to start courses in the next week. A good range of internal training programmes were provided and individual training records maintained. Basic mandatory care courses were covered and some training regarding adult protection had taken place with further input planned. It was noted that training in working with aggression and restraint had yet to take place. Staff confirmed that they received regular supervision time and appraisal in their role Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40 and 42. Residents enjoy a relaxed atmosphere at the Home, which is run in an overall effective manner. Services are suitably monitored and residents’ safety is generally promoted well. EVIDENCE: The acting manager has recently had a successful interview as a fit person to manage a care home and has been formally approved in this role. The manager has enrolled on NVQ level 4 in Care ad Management. The Home has a relaxed atmosphere, though it is effectively run with clear and structured management systems in place. However, the manager does not yet fully take responsibility for several areas of managerial responsibility such as supervision of staff, setting objectives and other aspects of quality assurance processes. The Home has a full range of necessary policies and procedures though these were not always easily accessible. The Providers have developed a systematic approach for auditing and evaluating the services at the Home’ which is ongoing throughout the year and involves regular consultation with staff and residents. Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 Page 19 Appropriate health and safety policies and procedures were in place and checks on all utilities were up to date, though records of water temperatures should be kept as well as those for use of the food probe. Fire safety checks were regularly maintained and staff received relevant instruction. Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 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 3 2 X 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 2 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 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 3 3 2 X 2 X Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 Page 21 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 YA22 Regulation 22 Requirement The manager must ensure that the Complaints policy and procedure is adapted to a form that assists residents’ understanding. Training in working with aggression and restraint must be arranged for all care staff. Timescale for action 31/03/06 2. YA35 18 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard YA37 YA40 YA42 Good Practice Recommendations The manager should look to further develop experience in managerial responsibilities relating to Quality Assurance. The Home’s policies and procedures should be more organised. Aspects of health and safety recording, as identified in the main body of the report, should be maintained. Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Stand Road (24) DS0000020096.V279367.R01.S.doc Version 5.1 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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