Inspection on 30/05/07 for 24a Corporation Road

This inspection was carried out on 30th May 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 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

24a Corporation Road 06/07/06

24a Corporation Road 31/01/06

24a Corporation Road 04/07/05

24a Corporation Road 03/03/05

24a Corporation Road 04/01/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 24a Corporation Road Chelmsford Essex CM1 2AR Lead Inspector Brian Bailey Key Unannounced Inspection 30th May 2007 08:25 24a Corporation Road DS0000017731.V341845.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 24a Corporation Road DS0000017731.V341845.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. 24a Corporation Road DS0000017731.V341845.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 24a Corporation Road Address Chelmsford Essex CM1 2AR 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) 01245 495010 corporation.rchl@btinternet.com Redbridge Housing Association Mr Brian Hollinshead Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (2), Physical disability (4) of places 24a Corporation Road DS0000017731.V341845.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Eight persons of either sex, under the age of 65 years, who require care by reason of a learning disability, of whom four also have a physical disability The total number of service users accommodated in the home must not exceed 8 persons 6th July 2006 Date of last inspection Brief Description of the Service: 24a, Corporation Road is a modern, purpose built, single storey property situated in a quiet residential area close to Chelmsford town centre. The registered proprietor is Redbridge Community Housing Limited, a voluntary organisation and the registered manager is Brian Hollinshead. The home provides accommodation and care for 8 adults with learning disabilities and physical disabilities who have medium to high dependency needs. The home aims to empower service users to maximise their independence and to integrate into the local community. The property is divided into two separate living units each with four single bedrooms, bathrooms, toilets and communal facilities. Specialist equipment, including baths and hoists, are provided and all bedrooms are suitable for wheelchair users. The grounds are private and secure with adequate parking facilities available to the front of the property. The home is situated on a bus route although the town itself is within walking distance. A copy of the previous inspection reported produced by CSCI was accessible to service users, visitors and staff. Inspection reports are also available from our Owing to the manner in which the fees are broken website www.csci.org.uk down the service was not able to provide precise information regarding the range of fees payable for the care, support and accommodation package. 24a Corporation Road DS0000017731.V341845.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 looking at the core standards for the care of adults. This report is based on a range of information that has been accumulated from our inspection records, a site visit to the home that took place on 30th May 2007 at 8.25, a tour of the property, discussions with the manager, deputy, staff, service users and the records kept at the home. Since July 2006 when the home was last inspected, a new manager was appointed whom we subsequently registered. This current assessment shows that the manager and the staff team have worked hard over the past year to remedy the deficiencies raised at the last inspection and much has been achieved. Plans are in place to make further changes, such as a more personalised care planning system that will enhance the lifestyles of people at the home Service users spoken with were complimentary about the service, the staff and the opportunities available to them. What the service does well: What has improved since the last inspection? New carpets have been fitted in the communal areas, which has improved their appearance and a new hoist has been provided. The garden has been redeveloped to encourage service users to make more use of the facility The activities room has been reorganised to make it more available and accessible to service users and improvements made to a filing system. “Person Centred Planning” that is personalised according to the abilities of each person is gradually being developed. 24a Corporation Road DS0000017731.V341845.R01.S.doc Version 5.2 Page 6 Staff away days are being held to develop and improve team work and enable staff to understand the future needs of the service. 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. 24a Corporation Road DS0000017731.V341845.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 24a Corporation Road DS0000017731.V341845.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 and 2. Quality in this outcome area is good. An effective assessment process ensures that prospective service users’ individual needs are assessed before they make the decision to enter the home permanently. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home’s Statement of Purpose and Service User Guide that detail the facilities, support and personal care to be provided at 24a, Corporation Road are provided to service users and their relatives. No new service users had been admitted to the home since the last inspection visit in July 2006. Apart from one person, all other service users have lived at Corporation Road for several years. The care records of two people were looked at during this visit. Evidence was available to show that senior staff at the home carryout pre-admission assessments and reports from the placement authority are obtained. The information obtained regarding each person’s physical, emotional, social needs and preferences formed the basis of the each person’s care plans. Potential risks to their health, safety and well-being were identified during the assessment process. It is the home’s policy for prospective service users to visit the home to see whether it will be suitable and able to meet their needs. The manager would also want to be certain that any prospective person was compatible to live with the existing service users. Evidence was available to 24a Corporation Road DS0000017731.V341845.R01.S.doc Version 5.2 Page 9 confirm that the person most recently admitted was offered trial visits varying from an afternoon visit to staying for a few days and that existing service users were involved in the process of selecting a new person to share their home. 24a Corporation Road DS0000017731.V341845.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 & 9. Quality in this outcome area is good. Service users are enabled and encouraged to contribute to the daily life and routines of the home. Service users could be certain that their care plans were sufficiently detailed to enable staff to meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each person has an individual care support plan. These records were kept in a locked cupboard to ensure confidentiality is maintained; they were well laid out and information easily retrieved. Two care records were selected at random; they were detailed and identified a good range of care needs including guidance as to how the needs were to be met. Care plans were reviewed periodically, signed and dated by the staff member and the service user and from those checked, the reviews were up to date. Daily care records showed that staff were working in accordance with the objectives stated in the care plans. There was evidence to confirm where individuals had been consulted and involved with developing their support plans. The care plan of the most 24a Corporation Road DS0000017731.V341845.R01.S.doc Version 5.2 Page 11 recent admission to the service had now been developed from the preadmission assessment documents. Risk assessments community. were available for activities including accessing the Staff spoken with were able to demonstrate that they were in the process of exploring a range of methods that will be used to develop care plans that are more meaningful and relevant to each individual. From the evidence available, staff are being imaginative in their thinking as to how information is presented and with the involvement of service users, the results will be of benefit to them. Service users spoken with on the day of inspection provided an opinion about their participation at the home and the degree of independence that they are able to enjoy. They were pleased with their private rooms and of the way they were furnished and decorated. Several people were observed to visit their rooms and to make use of the facilities in the house. Service users were observed in all areas of the home and to chat freely with staff. 24a Corporation Road DS0000017731.V341845.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): 12, 13, 15, 16 & 17. Quality in this outcome area is good. Service users benefit from being enabled to enjoy their life experiences both inside and outside the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: None of the people living at 24a, Corporation Road undertook paid employment, although one service user does voluntary work in the community. From observation and discussion it was evident the home promotes a policy of ensuring people’s rights to independence and choice are respected. Service users were observed to come and go as they pleased throughout the house without restriction. Some people were seen to spend time on their own, whilst others clearly sought and enjoyed the company of staff. Service users felt able to visit the office and talk to the staff. All contact with staff was observed as friendly, supportive and an opportunity to have fun. The buildings are very homely in appearance and people have access to all areas except for the need to respect other people’s rights to privacy. All the bedrooms seen were 24a Corporation Road DS0000017731.V341845.R01.S.doc Version 5.2 Page 13 cheerfully decorated and had been personalised and contained many private possessions according to the wishes of the individual. Care records and the home’s timetable showed that the home provides an interesting range of educational and social activities to all people at the home. Each person has a programme arranged to meet his or her needs. The home has a mini bus, which is in use daily to take people out. On arrival at the home on the day of inspection, one person was out for a walk, one person was waiting to be collected to go out for the day, another person was having breakfast cooked and others had already left the house to attend various activities. The atmosphere was relaxed and friendly yet everyone was busy preparing for the day. Previous inspection reports identified that service users had not received an annual 7-day break away from the home as part of the basic contract price. The organisation had now agreed that each service user is entitled to a sum of money towards a holiday. Menus and good food stocks were available that showed the home was able to provide service users with a varied and healthy diet. Records were available to show when a person had selected an alternative to the menu. Although meals were not observed, people spoken with said they liked the food. 24a Corporation Road DS0000017731.V341845.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 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People’s care needs are well documented and individual risk assessments are in place so that staff are clear about what is required and how the persons needs are to be met. Procedures are in place to ensure that medication is administered appropriately. EVIDENCE: Care records showed that people are supported to make sure their health care needs are met. The personal care needs for people varied from being semiindependent to being more dependent on staff for assistance. Staff were aware of people’s preferences in terms of whom they preferred to assist them. Records showed that for some people, assistance was limited to prompts for maintaining personal hygiene. Information about a person’s health care needs and medical history is obtained at the initial and subsequent assessments. Records showed that a wide range of information had been obtained and that appointments with health care professionals were maintained. The home operates a key worker system and records showed that each person had been allocated a member of staff. 24a Corporation Road DS0000017731.V341845.R01.S.doc Version 5.2 Page 15 The home has an up to date policy on the administration of medication. Medication is kept in a locked storage unit. Training records showed that staff designated to administer medication had been assessed to determine their knowledge and competency. The home uses a monitored dosage system. It was noted that an error had occurred during the previous week however, staff were aware and had taken appropriate action. The manager confirmed that the matter had been taken up with the member of staff that had been on duty. 24a Corporation Road DS0000017731.V341845.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 & 23. Quality in this outcome area is good. Service users are able to live in a safe and secure setting. Staff training and procedures are in place, which are designed to protect people living at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home had policies on Adult Protection and Prevention of Abuse, Whistle Blowing, Bullying and a copy of the Essex Protection of Vulnerable Adults (POVA) Guidance. The home’s adult protection policy covered appropriate issues. All staff had attended training in the Prevention of Abuse within the past two years; the topic is also included in the induction training that many of the staff have completed and some in the process of. Evidence was available at the home to show that the organisation follows procedures by taking appropriate action to investigate any allegations and complaints made about staff. The home has a complaints procedure and all complaints and compliments are recorded. The complaints register showed that six had been received since the last inspection. The information provided by the manager demonstrated that staff listen to issues raised by service users and ensure they are addressed. Relatives and service users at the home that had returned survey forms to the organisation indicated they were they are aware of the procedure and of how to make a complaint. Service users spoken with said they knew how and to whom they would make a complaint. 24a Corporation Road DS0000017731.V341845.R01.S.doc Version 5.2 Page 17 The policies and procedures relating to recruitment promoted the safety of residents by including obtaining enhanced Criminal Records Bureau disclosures and two written references before a new staff member starts work at the home. 24a Corporation Road DS0000017731.V341845.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, 27, 28 and 30. Quality in this outcome area is good. Service users benefit from living in a safe environment and where they have been able to influence its appearance. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The property consists of two separate units linked by a corridor where the office and a communal activities room are located. All rooms were checked and assessed as a safe place to live. Since the last inspection, the previously identified stained carpet in the communal areas and an overhead hoist in a bathroom have been replaced. The replacement floor covering in the bathrooms was still outstanding, however the rooms had been surveyed and work was due to be carried out in June 2007. The activities room had been reorganised and staff said the room was now more accessible and available to service users. A filing cabinet and computer had been removed from the room. Discussions were held with the manager around the provision of specialist computer programmes for the service users’ use. 24a Corporation Road DS0000017731.V341845.R01.S.doc Version 5.2 Page 19 Service users’ personal rooms were pleasantly decorated and personalised, but some of the communal hallways were now marked and a programme for their redecoration needs to be planned. The rear garden at had been reorganised and appeared a far moor interesting place for service users to spend time in. Overall the house appeared clean and fresh with no unpleasant odours. All the members of the staff team had now received training in the control of infection. 24a Corporation Road DS0000017731.V341845.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 & 35. Quality in this outcome area is good. People at the home benefit from being supported by a team of trained and motivated staff that are recruited appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two staff recruitment files were checked at this inspection. Both contained evidence that appropriate recruitment checks had been made and the home’s recruitment policies and procedures had been followed. Files contained application forms, two written references, Criminal Record Bureau (CRB) disclosure checks; induction training, any disciplinary actions, and notes of supervision, which takes place every six weeks. Since the last inspection, a training log had been compiled listing all training that each member of staff had attended and where refresher courses are required. Records were available to confirm that staff had attended all areas of training such as moving and handling, first aid, food hygiene and infection control. Training had also been booked for staff to attend during 2007. Training in other areas including induction and courses relevant to supporting people at the home. Records also confirmed that training and development were discussed at regular staff supervision sessions. 24a Corporation Road DS0000017731.V341845.R01.S.doc Version 5.2 Page 21 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, 39 and 42. Quality in this outcome area is good. Service users can be confident that the management and staff team run the home effectively and have procedures in place to protect them. Service users, relatives and others are involved in providing feedback, which helps to influence the way the home is run. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Since the last inspection, the new manager, Brian Hollinshead, has been registered by CSCI. The manager has the necessary managerial and supervisory experience and is currently undertaking the Registered Managers Award. Staff meetings are held on a regular basis and minutes are taken of discussions. 24a Corporation Road DS0000017731.V341845.R01.S.doc Version 5.2 Page 22 The organisation operates a system of monthly ‘person in control’ visits that involves a check of the building, records, staff and an assessment of how service users are being supported. A report of the visit is made and copy is submitted to us each month. The home was able to demonstrate good compliance with health and safety matters. Information provided by the manager showed that equipment and services such as gas, electricity and the fire detection systems are serviced regularly. The manager and deputy had compiled a log of all training undertaken by staff. This showed that staff had been provided with health and safety training that included food hygiene, first aid, manual handling and fire safety. Staff spoken with confirmed they attended these courses. Evidence was available in the front entrance hall that a Quality Assurance audit had taken place in January 2007. The results of a recent survey of service users had been summarised in a pictorial format and indicated positive outcomes. A survey of relatives and other people with an interest in the home was carried out the autumn of 2006. Fifteen questionnaires were returned, which is a good response; these also indicated a positive feedback although the organisation has taken account of suggestions and any criticisms. The organisation is currently trying to assess how service users can become more involved in the planning and participating in the Quality Assurance system process. 24a Corporation Road DS0000017731.V341845.R01.S.doc Version 5.2 Page 23 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 X 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 2 25 3 26 X 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 X 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 X 3 X 3 X X 3 X 24a Corporation Road DS0000017731.V341845.R01.S.doc Version 5.2 Page 24 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 Standard YA24 Regulation 23(2)(d) Requirement The hallways must be redecorated so that service users can live in clean and pleasant surroundings. The floor covering in the bathrooms must be replaced to make the rooms more agreeable and welcoming for service. 01/12/07 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. Refer to Standard Good Practice Recommendations 24a Corporation Road DS0000017731.V341845.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 24a Corporation Road DS0000017731.V341845.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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