Inspection on 29/09/05 for 24 Stand Road

This inspection was carried out on 29th September 2005.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 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 26/01/06

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 29th September 2005 12:00 Stand Road (24) DS0000020096.V252466.R01.S.doc Version 5.0 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.V252466.R01.S.doc Version 5.0 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.V252466.R01.S.doc Version 5.0 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.V252466.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. LD Learning disability not falling within any other category Date of last inspection 21/03/05 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.V252466.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection took place over a period of two and a half hours on the 29th September. There was the opportunity to meet and talk with all three residents as well as the care staff member on duty. The acting manager, Donna Clayton, was also present throughout the visit. A variety of documentation was examined such as care plans and staffing records. Most parts of the premises were also viewed. What the service does well: What has improved since the last inspection? What they could do better: Formal staff training opportunities, such as NVQ, needed progressing. Stand Road (24) DS0000020096.V252466.R01.S.doc Version 5.0 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.V252466.R01.S.doc Version 5.0 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.V252466.R01.S.doc Version 5.0 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 and 3. The Home is adequately resourced to meet the general needs of residents and any specialist support required is obtained appropriately. EVIDENCE: The Home has a Statement of Purpose that details the values underpinning services and the support provided for residents. However, some areas were out of date such as the address of the proprietor’s offices. Discussions with staff, residents and care planning documentation indicated that the Home is able to meet the needs of the resident group on a variety of levels. The social, emotional and physical needs of residents were thoroughly assessed and the advice and support of specialist community resources were obtained as appropriate. All of the residents have been at the Home for several years. Stand Road (24) DS0000020096.V252466.R01.S.doc Version 5.0 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, and 9. Residents’ care was assessed and planned in a manner that satisfactorily reflected their individual abilities, overall needs and established interests. However, some aspects of care intervention programmes were not fully up to date. EVIDENCE: Each resident had a care plan and a sample of these 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, though the latter was not always fully up to date and monitored appropriately. 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. 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. The differing communicative abilities of each resident Stand Road (24) DS0000020096.V252466.R01.S.doc Version 5.0 Page 10 were well understood by staff and residents’ specific interest and preferences were reflected in Care Plans. Their views were also taken into account in the redecoration of their rooms and arranging social activities. Stand Road (24) DS0000020096.V252466.R01.S.doc Version 5.0 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 and 16. The Home had a positive approach to enhancing residents’ general living skills and personal development, providing a stimulating environment and busy lifestyle based on individually expressed interests and capabilities. 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 and pubs. 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 recreational activities, including the swimming baths, cinema, and bowling. 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 Stand Road (24) DS0000020096.V252466.R01.S.doc Version 5.0 Page 12 arranged such as day classes in woodwork and keep fit at local community education centres. One resident mentioned that he is just starting cookery classes, which he enjoys. 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 facilitated and this was confirmed in discussions with residents. Stand Road (24) DS0000020096.V252466.R01.S.doc Version 5.0 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 and 19. 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. Care plans contained records of any medical appointments with such services as dentist, chiropodist, audiologist, and optician. Any specialist health needs were clearly monitored and recorded on care plans. Stand Road (24) DS0000020096.V252466.R01.S.doc Version 5.0 Page 14 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 and 23 The views of residents were taken seriously at the Home and policies, procedures and staff training provided a suitable framework for their protection. EVIDENCE: The Home had a Complaints policy and procedure in place. It was noted that this did not include the address of The Commission. 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 and conversations with residents indicated that their views were responded to. Appropriate policies and procedures relating to adult protection were in place. The Proprietor/ Responsible Individual for the Home had attended local interagency training for the protection of vulnerable adults. The acting manager and one the care staff had now attended adult protection training and it was said this had been arranged for other staff later in the year. Some staff had also attended courses concerning restraint and working with aggression Stand Road (24) DS0000020096.V252466.R01.S.doc Version 5.0 Page 15 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): 24, 25, 26, 27, 28 and 30. Residents benefit from a homely and comfortable environment that is satisfactorily maintained and clean with no immediately identifiable hazards. EVIDENCE: The Home is conveniently located for local amenities and bus routes into town. The premises are congruent with neighbouring houses and are generally well maintained. Since the last inspection the lounge has been redecorated and refurnished. New dining room furniture and curtains have been purchased and the kitchen has also been upgraded with new units, work surfaces and flooring. New carpeting has been fitted throughout the home since the last inspection visit. Bedrooms are of a satisfactory size, suitably furbished and personalised, reflecting individual tastes and interests. There are adequate toilet and bathroom facilities with a new bathroom door now fitted. The Home was clean and hygienic. Domestic laundry facilities are available and residents take care of their own laundry with support from staff. The Home has relevant procedures regarding infection control. A Fire risk assessment of the premises has been developed and fire safety records and checks were up to date. Stand Road (24) DS0000020096.V252466.R01.S.doc Version 5.0 Page 16 Externally the Home is satisfactorily maintained with accessible garden areas to the front and rear. Stand Road (24) DS0000020096.V252466.R01.S.doc Version 5.0 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): 31, 32 and 33. Residents benefited from a consistent staff group who provided a flexible service in line with residents’ needs. However, opportunities for formal NVQ training had not been sufficiently promoted. EVIDENCE: Satisfactory job descriptions were viewed and discussions with staff indicated they had a clear awareness of their roles and responsibilities. Of the four staff only the acting manager had done any NVQ training. However, there was a good range of internal training programmes available to staff. Staff rotas were satisfactorily maintained with suitable staffing levels and deployment evident. There were no current vacancies or long - term sickness absence. Stand Road (24) DS0000020096.V252466.R01.S.doc Version 5.0 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): Standards in this section were not assessed on this occasion. EVIDENCE: Stand Road (24) DS0000020096.V252466.R01.S.doc Version 5.0 Page 19 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 2 X 3 X X Standard No 22 23 Score 2 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 N/A 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 2 3 X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stand Road (24) Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000020096.V252466.R01.S.doc Version 5.0 Page 20 YES 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. 2. 3. 4. Standard YA1 YA6 YA22 YA23 Regulation 4. Schedule 1 15. 22 18 Requirement The up to date address of the Providers must be included in the Statement of Purpose. Care intervention programmes must be regularly monitored and kept up to date. The address of The Commission must be included in the complaints policy and procedure. All staff must receive further training in Adult Protection relating to local interagency procedures. (Previous timescale of 30/9/05 not met.) The Home must further progress NVQ training for care staff. (Previous timescale of 30/9/05 not met.) Timescale for action 30/11/05 30/11/05 30/11/05 31/12/05 5. YA32 18 31/12/05 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 YA23 Good Practice Recommendations Training in working with aggression and restraint should be DS0000020096.V252466.R01.S.doc Version 5.0 Page 21 Stand Road (24) considered for all care staff. Stand Road (24) DS0000020096.V252466.R01.S.doc Version 5.0 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. 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