Inspection on 14/07/05 for 3 Clareville Road

This inspection was carried out on 14th July 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

3 Clareville Road 01/10/07

3 Clareville Road 30/10/06

3 Clareville Road 25/04/06

3 Clareville Road 30/01/06

3 Clareville Road 07/11/05

3 Clareville Road 27/09/04

3 Clareville Road 04/05/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 3 Clareville Road Caterham Surrey CR3 6LA Lead Inspector Mavis Clahar Announced 14 July 2005 @ 9:00am th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 3 Clareville Road H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 3 Clareville Road Address Caterham Surrey CR3 6LA Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01883 340181 The Regard Partnership Limited Mrs Christine Tinson CRH - Care Home 10 Category(ies) of LD - Learning Disability (10) registration, with number MD - Mental Disorder (2) of places 3 Clareville Road H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 - The age/age range of the persons to be accommodated will be 18 - 65 years. 2 - Two named individuals may be accommodated who are 17 years of age. 3 - Of the ten service users accommodated two named service users currently in residence may also fall within the category MD Mental Disorder in addition to LD Learning Disability. Date of last inspection 27th September 2004 Brief Description of the Service: 3 Clareville Road, Caterham is a detached three storey house within the Regard Partnership Ltd developed to provide accommodation for 10 service users with with learning disabilities. The home is sited in a reaidential road with similar properties, and is within walking distance to local shops and amenities in the town centre of Caterham. Service users bedrooms all with wash hand basins are situated on the ground and upper floors. There is a toilet on the ground floor, and all bathing and showering facilities are situated on the upper floors. This would limit the homes suitability for less mobile service users. Communial and recreational areas are situated on the ground floor. 3 Clareville Road H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. The inspection was announced and was carried out on the 14th July 2005. The inspector in allowing sufficient time to get to Caterham had a good journey and arrived at the home at 8am. The Inspector is very grateful to the manager, staff and service users for the warm welcome, which was extended, and the invitation to commence the inspection an hour earlier than planned. The inspector was able to observe the hand over from the night staff to the day staff, which included the rigorous counting and signing for service users pocket money. The inspector was invited to view the recently (last night) finished snooze room that the night staff completed. This is truly a pleasant room in which service users will spend many calming and relaxed hours. The first part of the inspection was spent in discussion with the manager and deputy manager informing them of the new style reports, followed by reviewing a random selection of service users files, daily record books, care plans and medication records. This was followed by a review of care staff folders. The second part of the inspection was spent talking to service user and care workers and touring the home and gardens. Generally, the staff and service users spoken to on the day of inspection were aware of the inspection, were happy about the home and management and spoke about the home with pride. The last part of the inspection was spent talking about the findings of the inspection with the manager, deputy manager and the area manager. 3 Clareville Road H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 6 What the service does well: What has improved since the last inspection? 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. 3 Clareville Road H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 3 Clareville Road H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1 2 The open management style of the manager empowers service users and care workers to have up to date and adequate information about the home. Arrangements are in place to ensure full assessment takes place prior to service users being admitted to the home. EVIDENCE: One service user told the inspector he was going shopping to buy a present for another service user, who was having a birthday party tomorrow, but it was a secret and the inspector should not let the service user know about the party. Review of randomly selected service users files demonstrated that pre admission assessment took prior to the service users being admitted to the home. This assessment is then followed by a more comprehensive assessment of care and social needs in which the service user, the relative or social worker and the key worker work together to plan and agree how to meet the assessed needs. The homes statement of purpose and service user guide needs to be updated in line with Care homes regulation 2001 Schedule 1. A requirement was issued on this standard. 3 Clareville Road H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 9. The home continues to encourage, support, and enable service users to make decisions and take risks in order to live active and full lives with the support of care workers as needed. EVIDENCE: Care plans included daily living activities of house keeping, personal care, shopping, bowling and other activities suitable for their age range. The observed close bond of the service users at Clareville road enables them to help and support each other with some tasks they might find challenging or do not particularly have an interest in doing e.g. dusting or vacuuming. The service users who have the skills and interest support each other in a companionable way. Care workers are always at hand to support and offer supervision to any service user who needs help whilst at the same time being mindful of the service users choice. The inspector observed good risk assessment being carried out for service users, but service users or relative did not sign these or social services to denote consultation had taken place and agreement reached. A requirement was issued on this standard. 3 Clareville Road H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 13 The home offers opportunities for the service users to make choices about their lifestyles, encourages and supports service users to have a wide variety of social contacts, which enhances their self worth and achievements EVIDENCE: The observed relationship between service users and care workers was relaxed and friendly, creating a warm and homely feeling. Service users were encouraged and supported to be as independent as they were able and they all appears to lead busy and interesting lives which includes attending college, day care, leisure activities shopping, swimming, bowling home time for skils development and church. One of the service users was packed ready to go home for the long weekend with her family. Evidence indicated that service users rights were only limited where risk were assessed as being unacceptable. Service users confirmed that care workers helped them to keep in touch with their relatives and friends. 3 Clareville Road H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 20 The home continues to offer individualised care to the service users to ensure that their needs are met in a person centred way. EVIDENCE: Care plans reviewed included clear guidelines on any intervention of support each service user required with personal care. Physical and emotional needs of the service users were also detailed in the care plans and daily records book, which included visits to the doctor, dentist and review of care on a yearly basis. The homes medication system including the policies is in place. No service user at this home is assessed as capable of self-administrating their medication. 3 Clareville Road H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 The home operates in a manner that supports residents to air their views and talk about concerns or issues that they are not happy about. EVIDENCE: The home has a complaint policy, which needs to be updated to include CSCI, address and telephone number. A requirement was issued on this standard. The home has not received any complaints since the last inspection. 3 Clareville Road H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 30 The home continues to offer a homely comfortable and safe environment for the service users. EVIDENCE: The home is clean and is maintained by service user supported by care workers. There is a sense of service users ownership of the home, and their individual bedrooms reflect their lifestyles and preferences. The service users keep their rooms clean and were happy to show their rooms and special items such as microwave (this has been risk assessed as safe) pictures photos TV and musical systems The toilets and bathrooms in the home were clean and well maintained and offered privacy. The communal areas in the home enabled service users to have choice in where to relax and watch TV, eat and use the telephone and any other activity they wish to do including the large back garden. 3 Clareville Road H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The home continues to employ a stable and efficient staff team who provide a competent quality of care to the service users. EVIDENCE: The staff team at Clareville Road are well supported by the managers and they have regular staff meetings to discuss the ongoing care needs of the service users and the home generally. Minutes of these meetings are recorded and documented. Regular supervision of care workers occurs and this is recorded in the care workers’ files. Care workers training and updating are up to date and certificates to support these training are included in their personal files. Review of the staff rota demonstrated a good skills mix of staff on duty over the twenty-four hour period. 3 Clareville Road H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The management of the home is efficient and effective. The safety and welfare of the service users are promoted and protected. EVIDENCE: The Registered manager holds a nursing qualification and has considerable experience of working with vulnerable service users. The introduction of Essential Lifestyle planning training and development of care workers have all helped to maintain the stability of the home and enhances the safety and well being of the service users. 3 Clareville Road H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 16 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 3 x x x Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x x x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 3 Clareville Road Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 17 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. 2. Standard 1 9 Regulation 4 15 Requirement To up grade the statement of purpose to include CSCI address and telephone number Demonstrate by getting service user or their representative to sign the care plans and risk assessment to show consultation has occurred and agreement has been reached. Update the complaints policy to include the name address and telephone number of the Commission. Timescale for action 14.09.05 14.10.05 3. 23 22 14.09.05 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 Good Practice Recommendations No reccommendations were made on this inspection. 3 Clareville Road H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 3 Clareville Road H58 H09 S13483 Clareville Rd V225687 140705 Stage 4.doc Version 1.40 Page 19 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!