Inspection on 11/07/05 for 33 Station Road

This inspection was carried out on 11th July 2005.

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

The inspector 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

33 Station Road 13/10/06

33 Station Road 14/12/05

33 Station Road 23/02/05

33 Station Road 04/08/04

Similar services:

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

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

CARE HOME ADULTS 18-65 33 Station Road Brimington Chesterfield Derbyshire S43 1JU Lead Inspector Marie Bonynge Unannounced 11 July 2005 12:00 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. 33 Station Road C52-C02 S20099 33 Station Road (33) V238408 110705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 33 Station Road Address Brimington Chesterfield Derbyshire S43 1JU 01246 205801 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) United Response Mrs Janice Ashmore CRH PC Care home only 6 Category(ies) of LD Learning disability - Gender both registration, with number of places 33 Station Road C52-C02 S20099 33 Station Road (33) V238408 110705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: NONE Date of last inspection 23rd February 2005 Brief Description of the Service: 33 Station Road is a large semi detached house congruent with the surrounding residential area and close to local amenities. There is a regular bus route to Chesterfield town centre. The home has a large and well-maintained garden area that is accessible for residents. Accommodation comprises of 6 single bedrooms and there are domestic style lounge and dining areas. The home is satisfactorily resourced with bathroom and toilet facilities. Care programmes are developed with each resident and external specialist support obtained as required. The advanced age of several of the residents is assessed and necessary aids and adaptations provided. A passenger lift is also provided. 33 Station Road C52-C02 S20099 33 Station Road (33) V238408 110705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over one day in July 2005. It found that the one requirement and one recommendation made at the last inspection had been met. All of the standards assessed on this visit were met. Inspection methods used included the examination of care plans, sampling of certificates of maintenance, staffing rotas and a tour of the building. Discussions were held with residents, the staff on duty and the manager. 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. 33 Station Road C52-C02 S20099 33 Station Road (33) V238408 110705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 33 Station Road C52-C02 S20099 33 Station Road (33) V238408 110705 Stage 4.doc Version 1.40 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 standard(s) 2, 3, 4 and 5 Residents can be assured that their needs will be assessed prior to their admission and that these processes will contribute to their needs being met. EVIDENCE: Three residents care plans were examined. Detailed assessment information had been obtained for each resident prior to admission to the home. This included information about each person’s preferred daily routines and family and social contact and support. Relevant information was provided by social services or community health as was appropriate. The information informed the ongoing development of care. Residents were supported to participate in the development of the care plan and evidence of this was recorded. Specialist input was also recorded. The statement of terms and conditions had been updated on residents’ files. Discussion with residents indicated that they had been given the opportunity to visit the home to assist them in making an informed choice about whether to live there. 33 Station Road C52-C02 S20099 33 Station Road (33) V238408 110705 Stage 4.doc Version 1.40 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 standard(s) 6, 7 and 9 Residents are supported in making decisions and choices that affect their daily lives and the care plans underpin this philosophy. EVIDENCE: Each resident had an individual plan of care. Three care plans were examined and were found to be well ordered, easy to navigate and up to date. Any changes in an individuals needs was recorded and the care plan reviewed in accordance with those changes. Discussions with residents indicated that they felt they were supported in making decisions that affected them and links with advocacy services were established. Comprehensive risk assessments had been completed for each person and these included a behavioural plan as well as risks to personal safety. 33 Station Road C52-C02 S20099 33 Station Road (33) V238408 110705 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14, 15, 16 and 17 Residents have access to and choose from a wide range of leisure activities that are appropriate and meet with their expectations. EVIDENCE: All of the residents spoken with on this visit said that they had a wide range of social and leisure activities. These included various clubs, trips into the town centre, tea dancing and support to attend church. Residents were afforded suitable opportunities to develop their personal and independent living skills. Programmes were based around each individual’s preferences and residents said that this was one of the best things about the home. The care plans clearly evidenced that family contact was encouraged and residents were enabled to visit friends and family. This visit took place over one lunch-time and residents commented positively about the food provided. The meal was relaxed and unrushed in a pleasant dining room. 33 Station Road C52-C02 S20099 33 Station Road (33) V238408 110705 Stage 4.doc Version 1.40 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 standard(s) 18 and 19 Personal support is provided in accordance with residents recorded preferences and health care needs are generally met. EVIDENCE: Observations of and discussions with staff indicated that personal support was given to residents in a dignified manner with respect for privacy and dignity. Residents said that they felt they received assistance with the care they needed and the care records contained detailed information about personal care needs. Health care records were examined that indicated residents had access to professions allied to medicine such as the dentist, chiropodist and optician. Health care needs were also monitored via the local specialist hospital for learning disabilities and community health services. 33 Station Road C52-C02 S20099 33 Station Road (33) V238408 110705 Stage 4.doc Version 1.40 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 standard(s) EVIDENCE: These standards were not assessed on this inspection. 33 Station Road C52-C02 S20099 33 Station Road (33) V238408 110705 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 26, 28 and 30 Generally clean, well maintained and comfortable accommodation is provided that meets with the identified needs of residents. EVIDENCE: The home is located in a residential area close to a good range of local amenities. There is a direct bus route into the town centre. The home was generally well maintained, comfortable and provided for a homely and welcoming atmosphere. Furniture, fixtures and fittings were of good quality and residents said that they liked the way in which the home was furnished. There have been no changes to the sizes of rooms. Bedrooms were highly personalised and met with the preferences of the person. Two lounge areas are provided downstairs. Some minor redecoration was needed in the hallway to repair scuff marks and there was a broken tile on the fireplace. Arrangements had been made for these to be repaired in the next few days. The home was clean throughout. 33 Station Road C52-C02 S20099 33 Station Road (33) V238408 110705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 The home was appropriately staffed according to the assessed needs of residents. EVIDENCE: A sample of staffing rotas was examined. This indicated that sufficient numbers of staff were on duty to meet with the individual and collective needs of residents. Discussions with staff indicated that the hours were flexible in order to support the social and leisure interests of residents. There was a positive atmosphere in the home and staff demonstrated effective team work. On call arrangements were in place to cover for emergencies. 33 Station Road C52-C02 S20099 33 Station Road (33) V238408 110705 Stage 4.doc Version 1.40 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 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) 38, 41 and 42 The systems in place assist in promoting the health, safety and welfare of residents. EVIDENCE: Discussions with residents clearly indicated that they felt the manager and staff were approachable and that they could voice their concerns or worries if they had any. Residents also said that they felt their suggestions were listened to. An example of this was the forthcoming summer fair. The atmosphere of the home appeared to be generally relaxed and informal. Certificates of maintenance were examined including gas safety, electrical systems and fire records. These were generally satisfactory. Records were well kept, up to date and secure. 33 Station Road C52-C02 S20099 33 Station Road (33) V238408 110705 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 4 4 3 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 33 Station Road Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x 3 x x 3 3 x C52-C02 S20099 33 Station Road (33) V238408 110705 Stage 4.doc Version 1.40 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 Regulation Requirement 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. 1. Refer to Standard YA24 Good Practice Recommendations The broken tile in the fireplace and minor scuffs to paintwork should be made good. 33 Station Road C52-C02 S20099 33 Station Road (33) V238408 110705 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection South Point, Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 33 Station Road C52-C02 S20099 33 Station Road (33) V238408 110705 Stage 4.doc Version 1.40 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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