Inspection on 05/07/06 for 3 Storer Close

This inspection was carried out on 5th July 2006.

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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

3 Storer Close 12/02/09

3 Storer Close 28/02/07

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 3 Storer Close 3 Storer Close Sileby Loughborough LE12 7UD Lead Inspector Keith Williamson Unannounced Inspection 4th July 2006 09:00 3 Storer Close DS0000062844.V302785.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 3 Storer Close DS0000062844.V302785.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. 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 3 Storer Close Address 3 Storer Close Sileby Loughborough LE12 7UD 01509 815285 01509 815285 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) www.heritagecare.co.uk Heritage Care Mrs Sharon Bryan Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service User Categories No person to be admitted to the home in categories LD or LD (E) when 5 persons in total of these categories/combined categories are already accommodated in the home Date of last inspection Brief Description of the Service: 3 Storer Close is situated in a residential are of Sileby adjacent to the doctor surgery in Storer Close. The home is one of two bungalows owned and operated by Heritage Care, and provides residential accommodation for upto five service users within the LD (learning disability) and LD (E) (learning disability over 65 years of age). The purpose built home provides a large lounge/dining area, all bedrooms, kitchen luandry and toilet and bathing facilities; one of the bedrooms is slightly undersized, details of which are enclosed in the homes Statement of Purpose. The rear of the property has a garden area. The home is close to the local train station and bus service between leicester and Loughborough. The home is “non-smoking” and has a large, open plan lounge/dining room. There are small garden areas to the front and side, that is predominantly paved and a larger garden area to the rear of the property. There are no privately funded service users in the home, no fees are charged as the company has a contract with the Leicester City and Leicestershire County Councils to provide care and support services for the service users. 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting clients and tracking the care they received through looking at their records, talking with them where possible, and looking at their accommodation, on this occasion no service user commented on the home. This inspection took place over one weekday, commencing at 9.00am took three and one half hours to complete, and was assisted by the manager. An opportunity was taken to look around the home, view records, policies and care plans. What the service does well: The home offers service users a well maintained and comfortable environment. Elements of care are inclusive of good practice, with all care plans having been reviewed regularly. Pre-admission assessments are in place, and directly inform the care of service users in the home. The medication process is secure, with no errors or omissions in the process. Risk assessments are in place, which details how care is to be delivered, this promotes the health and welfare of both resident and care staff. Health care is well monitored, with residents having the choice of visiting the General Practitioner at the surgery, or being visited in the home. The final wishes of service users are dealt with appropriately in each of the case tracked service users plans of care. The home has the necessary complaints procedure and policies in place. Staff spoken with have a good awareness of the policy content and how the procedure was operated. There have been no complaints recorded since the last inspection of this service Detailed examination of the adult protection policy indicated that sufficient information is contained in the document for staff members’ guidance on how to prevent elder abuse in the home. The home is clean and hygienic, with staff having protective clothing available, enabling protection of service users and staff in the home. Staff training is assessed through the annual appraisal basis and staff supervision is in place. The manager communicates appropriately with official bodies such as the Environmental Health Officer, Fire Officer and the Commission for Social Care Inspection. Safe working practices were evident throughout the inspection, with evidence of a number of routine tests of fire safety equipment being made on a regular 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 Page 6 basis. A number of other tests are performed regularly to ensure service users’ safety in the home. 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 Storer Close DS0000062844.V302785.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 3 Storer Close DS0000062844.V302785.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, & 5. Quality in this outcome area is poor. This judgement has been made using the available evidence including a visit to the service. The admission process is detailed and effective, though the inaccuracy of information for residents detracts from the process. EVIDENCE: The Statement of Purpose is not yet inclusive of all the information required to ensure prospective residents make an informed choice of living in the home. It is recommended this document is reviewed and updated information be enclosed. Similarly with the service user contract, these have yet to be completed detailing the specific bedroom allocated and specific details of the fees charged, these should then be signed by the resident or representative. Pre admission assessments are used by the home for all admissions, though none have been completed recently, as no new service users have been introduced to the home. 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 & 10. Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. Residents are looked after well in respect of their health, medication and personal care needs, areas of risk are assessed appropriately. EVIDENCE: The care plans and records of two service users were viewed. Care plans contained information as to how the care needs of the service users were to be met. Care plans are negotiated with residents in the home; again the resident or a representative should sign these. Decision making and autonomy is promoted in care plans, and pointers are given to staff how to promote resident choice. Sensitive information is appropriately secured. Risk assessments are in place, which details how care is to be delivered, this promotes the health and welfare of both resident and care staff. Health care is well monitored, with residents having the choice of visiting the General Practitioner at the surgery, or being visited in the home. 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 14, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. Service users are supported in maintaining their relationships. EVIDENCE: Service users personal development is recognised in the individual care plans seen on the day with service users participating in self-care and practical life skills to varying degrees. The possibilities for residents to continue education are limited by what is offered within the community, though this is again recognised in the plans of care. Social inclusion is recognised within the plan for activities; if the plan is not followed for any reason, a separate record is compiled and an explanation recorded by staff for any deviation form the original plan. Meals are varied and flexible, and cater for specialist diets in line with an appropriate speech and language referral. 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 Page 11 Service users elect their hopes and wishes in advance, this is recorded in the plan, and acted on accordingly, evidence to suggest annual holidays and breaks are planned this way, was evident in the plans. Throughout the inspection process staff were observed speaking with service users in a sensitive manner, with consideration being given to the promotion of their privacy and dignity. One service user had the option of a front door key, but declined the opportunity. 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 Page 12 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, 20 & 21. Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. Service users health and personal care needs are met on an individual basis. EVIDENCE: Personal support is offered on a flexible basis, care plans reflect what abilities service users have; the plans are regularly reviewed and updated. The monitoring of residents weights is not regularly undertaken, though visits from medical staff and General Practitioners is undertaken flexibly. Medication is administered appropriately, the staff when spoken with, showed a good awareness of administration techniques. Medication is stored securely, the medication administration records (mar charts) being up to date and signed appropriately. The final wishes of service users are dealt with appropriately in each of the case tracked service users plans of care. 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. Residents are protected by the policies and procedures regarding complaints and adult abuse, produced by the home. EVIDENCE: The home has the necessary complaints procedure and policies in place. Staff spoken with have a good awareness of the policy content and how the procedure was operated. There have been no complaints recorded since the last inspection of this service Detailed examination of the adult protection policy indicated that sufficient information is contained in the document for staff members’ guidance on how to prevent elder abuse in the home. 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 Page 14 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, 26 & 30. Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. Residents live in a homely, comfortable and clean environment. EVIDENCE: The environment of the home is excellent with a plan of refurbishment in place. Bedrooms are individually decorated, with some service users purchasing their own bedroom furniture. Service users also had a range of personal electrical equipment, for use in their rooms and public areas of the home. During the inspection the appropriate use of safety equipment was observed. The outdoor area offers a large paved and grass area though the garden area is largely unattractive, with no border plants, trees or external garden furniture. Maintenance and upkeep of the home throughout is of a very high standard. 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 Page 15 Staff spoken with on the day were aware of the Control of Substances Hazardous to Health (COSHH) procedures and indicated a good knowledge of cross contamination issues and how to effectively use protective clothing, of which a plentiful supply is on offer in the home. 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 Page 16 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): 33, 34, 35 & 36. Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. Staffing levels, supervision and recruitment practices are positively affecting the safety of service users and the quality of support they receive. EVIDENCE: Two members of staff support residents at all times during the day, with a further member of staff employed specifically to be with one resident. One waking member of care staff supports residents during the night, though this is due to be reviewed. All care staff “multi task” and are expected to provide cleaning tasks as well as caring throughout their working day. The Inspector could not view any staff recruitment records, as these are held centrally at the head office, though the manager stated all necessary employment checks, are completed prior to staff commencing in the home. A record of Criminal Record Bureau numbers were available for inspection. Evidence of staff supervision and annual appraisals, are in place these being used for planning outstanding staff training. The inspector also viewed a record of staff training. 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 Page 17 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, 39 & 42. Quality in this outcome area is poor. This judgement has been made using the available evidence including a visit to the service. The management approach promotes effective care practice in the home for residents’ care and protection however improvements to Quality Assurance are required to safeguard service users’ interests. EVIDENCE: The manager is currently working toward the Registered Managers award and will shortly undertake the National Vocational Qualification level 4 award. The registered provider must ensure that quality assurance is introduced into the home, by issuing unidentifiable questionnaires to residents, their relatives and representatives, and visiting professionals in an effort to enable the comments to be made honestly. 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 Page 18 Safe working practices were evident throughout the inspection, with evidence of a number of routine tests of fire safety equipment being made on a regular basis. Fire records were examined; a current fire risk assessment is in place. A number of other tests are performed regularly to ensure service users’ safety in the home, evidence of visiting professionals assisting in this process was seen by the inspector on the day. 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 X 4 X 5 3 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 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 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 3 3 X 2 X X 3 X 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 Page 20 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 YA39 Regulation 24 Requirement The registered person shall establish and maintain a system for – reviewing at appropriate intervals and improving the quality of care at the home. Timescale for action 04/10/06 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 Refer to Standard YA6 YA17 Good Practice Recommendations It is recommended that the registered person shall, keep under review and, where appropriate, revise the Statement of Purpose and service user guide. It is recommended that all service user contracts be completed and signed prior to a copy being placed on the service users’ file. 3 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Storer Close DS0000062844.V302785.R01.S.doc Version 5.2 Page 22 - 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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