Inspection on 15/02/06 for 3 Water Meadows

This inspection was carried out on 15th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

Other inspections for this house

3 Water Meadows 08/06/07

3 Water Meadows 25/10/05

3 Water Meadows 24/11/04

3 Water Meadows 21/07/04

3 Water Meadows 23/02/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 3 Water Meadows 3 Water Meadows Cullompton Devon EX15 1QS Lead Inspector Louise Delacroix Unannounced Inspection 15th February 2006 9:25 3 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 3 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 3 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 3 Water Meadows Address 3 Water Meadows Cullompton Devon EX15 1QS 01884 34287 01884 34806 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) The Disabilities Trust Mrs Christine Mary Chitty Care Home 2 Category(ies) of Learning disability (2), Physical disability (2) registration, with number of places 3 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th October 2005 Brief Description of the Service: 3 Water Meadows is a three bedroomed house situated in a residential area of Cullompton. The house has a lounge, a kitchen / dining room and a toilet on the ground floor and on the first floor there is a bathroom/ toilet, the service users’ bedrooms and an office/sleep-in room. There is garden at the front of the property and a small-enclosed garden to the rear. The home provides rehabilitation care for two service users who have an acquired brain injury. The staff support the service users to re-establish their independent living skills and the home is seen very much to a step onwards for service users from The Woodmill, which is the main unit situated not far from the home. Prospective service users may also come from their own homes after a detailed pre-admission assessment. Whilst the home has its own staff team it is also able to make use of the multi-disciplinary staff team based at The Woodmill. 3 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place in the morning before both service users went out on their chosen activities. During the visit, both service users (who were spoken to individually in their rooms) were positive about the service and the support provided by staff. A member of staff also contributed to the inspection. People living at the home and staff spoke about the broad range of activities that the service users choose to be involved in. The service recognises the individuality of service users. The inspection included looking at the home’s records, care plans and a tour of the building. This report should be read in conjunction with the inspection report for 25th October 2005 where the majority of standards were inspected. 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 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 6 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 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 7 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): EVIDENCE: Standards 2,4,5 were inspected and met on the last inspection. 3 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 8 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): EVIDENCE: Standards 6,7,9 were inspected and met on the last inspection. 3 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 9 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): 14 Progress is being made towards the provision of a holiday for service users, which they will be involved in arranging. EVIDENCE: Since the last inspection, steps have been taken by centrally by the organisation for the provision of a seven-day holiday for service users. The staff support service users with their choice of holiday but holidays are not currently part of the basic contract price. 3 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 10 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): EVIDENCE: Standards 18,19,20 were inspected and met on the last inspection. 3 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 The systems for service user consultation in this home are good with a variety of evidence that indicates that service users’ views are sought and acted upon. EVIDENCE: One service user was positive about the service but did not wish to comment further. However, the second service user said that they felt they could make their views known to staff and gave an example. Discussion with a staff member confirmed that action was being taken to meet this identified need and that information had been provided to the service user as to how this was progressing. Service users attend their own reviews as evidenced on the minutes for these meetings, which gives them an opportunity to feedback their views on the service. They also have the opportunity to spend time with the unit’s clinical psychologist to discuss issues of concern, and staff members will also raise concerns or queries on behalf of service users at clinical meetings or staff group meetings. The staff member gave examples of issues raised and minutes were seen from staff meetings. 3 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: Standards 24,25,26,27,30 were inspected and met on the last inspection. 3 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 13 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): 34 Current staff recruitment practices have the potential to put service users at risk. EVIDENCE: Three staff recruitment files were looked at. One reference had been received after the person had started work. There was no reference from their last position in care and this job had not been documented in their work history on their application form. Appropriate forms of ID were in place. The second file did not contain a reference from their last care position. However, an appropriate CRB was in place, as were the forms of identification. The third file held the required information. 3 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 14 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 The manager is accessible and approachable to both residents and staff. Service users’ identified needs are central to the development of the service. EVIDENCE: The registered manager has many years of experience in care work. She is also the deputy manager at The Woodmill. This is where she is based. She is currently in the process of completing her NVQ 4 in management, which she plans to have completed by the end of 2006. The House Leader takes charge of the day-to-day management of the home, with The Woodmill and manager as support and back up. The home is well run with up to date records. Staff confirmed that the manager was always accessible even though she is not based at the home. She regularly oversees the well-being of one service user through check visits and through monitoring the medication for both people living at the home. The home does not have a formal quality assurance and quality monitoring plan but does have a systems that ensure quality of care is monitored, through service users’ reviews, regular house meetings, clinical meetings, safety checks, staff training, staff supervision and responsible individual visits. 3 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 15 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 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 1 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 2 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X 3 X X X X 3 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 16 No. Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA34 Regulation 19 (4) Requirement The registered person shall not allow a person to work at the home unless the employer has obtained in respect of that person the information and documents specified in paragraphs 1 – 9 of Schedule 2. (Staff files must include all the relevant checks at the appropriate timescales, full employment history, and written information i.e. two references, including from their last care position). Timescale for action 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA14 Good Practice Recommendations Service users in long-term placements have as part of their basic contract price the option of a minimum sevenday annual holiday outside of the home, which they help choose and plan. DS0000021846.V273937.R01.S.doc Version 5.1 Page 17 3 Water Meadows Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Water Meadows DS0000021846.V273937.R01.S.doc Version 5.1 Page 18 - 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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