Inspection on 23/11/05 for 4 Laurel Drive

This inspection was carried out on 23rd November 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

4 Laurel Drive 26/01/07

4 Laurel Drive 05/07/05

4 Laurel Drive 24/01/05

4 Laurel Drive 11/08/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 4 Laurel Drive Nailsea North Somerset BS19 2EZ Lead Inspector Paul Grey Announced Inspection 23rd November 2005 09:30 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 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 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 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. 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 4 Laurel Drive Address Nailsea North Somerset BS19 2EZ 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) 01275 790073 0117 9699000 The Brandon Trust Mr Norman Birch Care Home 5 Category(ies) of Learning disability (5), Old age, not falling registration, with number within any other category (5) of places 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 5 persons aged 35 years and over Date of last inspection 5th July 2005 Brief Description of the Service: Laurel Drive is a residential home for up to five people with a Learning Disability and additional support needs e.g. communication difficulties. It is a large family house in a quiet cul de sac in Nailsea, and is situated near all local amenities. It does not offer nursing care. 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection was carried out in the presence of the home’s manager and 2 service users. The inspector found a clean, well presented environment with content well cared for service users. Service user feedback about care at the home was positive, and service users felt valued and important within the home. The inspector commends the manager and staff on a pleasant, homely service. 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. 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 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 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 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): 1, 4, 5. Service users considering this service are provided with sufficient information to make an informed choice. Potential service users have an opportunity to visit and to test drive the home prior to committing themselves. Service users are provided with an individual written contract or statement of terms and conditions about the home. EVIDENCE: The inspector reviewed the homes statement of purpose and service user guide. The homes statement of purpose clearly set out the aims and objectives of the home. It also contained a concise summary of facilities at the home and accommodation provided. The inspector discussed a number of minor points with the manager, which would benefit the statement of purpose if they were to be included. Service users are invited to trial visit the home prior to moving in. The manager informed the inspector that this trial visit with normally include a meal all some social time to allow a potential new service user to meet the existing service user group. The home allows new service users are reasonable settling in time, which would very of to the needs of the service user. 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 Page 8 Service users are provided with the written and costed statement of terms and conditions. The statement of terms and conditions meets national minimum standards. The inspector clarified a number of minor issues with the manager regarding the commission’s expectations regarding documentation of this. 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 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, 9. The home assesses the service users changing needs and reflects the service users goals and needs in their individual plan. Service users are assisted to make decisions about their lives was staying at the home. Service users are supported to take reasonable risks in offer to live and into lifestyle. EVIDENCE: The inspector audited three care files. The home uses the Brandon Trusts person centered planning package. The inspector read through service user’s person centered planning, and noted that all files sampled had been developed with the service user. The person centered planning clearly originated from the assessment process carried out by the home. The inspector noted no restrictions on service users freedoms within these care plans. The home have endeavored to make the plans available in a format that the service users can understand. Service users were each allocated a key worker. On auditing files, the inspector noted no restrictions on service users rights to make the decision. The inspector noted that the person centered planning 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 Page 10 former that was very service user based and encouraged both staff and service users to negotiate individual decisions affecting service users lives. The inspector noted a range of up-to-date risk assessments. Risk assessments were maintained up-to-date and appeared to be comprehensive. The inspector noted clear actions to be taken part of staff in order to reduce risk to service users. Risk assessments did not appear and duly prohibitive and appeared structured to encourage service users to participate in independent living to their maximal extent. 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 Page 11 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): 11, 13, 16. Laurel Drive supports service users to develop opportunities for personal growth. Service users are supported by the home to become part of the local community. Laurel Drive supports service users in establishing and maintaining personal, family and sexual relationships. Service users rights are respected by the home in the service users daily lives. EVIDENCE: The staff team, in co-operation with local daycare support, encourage and support service users with a range of activities inside and outside of the home. Inside of the home, service users are encouraged and supported to participate in communal tasks such as help with shopping, light to domestic cleaning and assisting with the house shopping. Service users would also be supported with cleaning their own rooms when necessary. Service users also attend the local activity and resource centre where a range of clubs and activities can be encountered in the day. Some service users are also supported in the 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 Page 12 community on a one-to-one basis to achieve certain activities. Service users have participated in a range of community activities locally and have been away on holiday to Butlins, participated in swimming, and one service user has access to a community snoozelam. The home also runs flexi time program to efficiently facilitate staff time to enable service users to have time outside of the home, troops etc. The use of this flexi time has enabled staff to take service users on trips such as Bristol Zoo. Given the level of disability experienced by service users, service users are not generally politically active so the home has not identified this as a specific need. The inspector spoke with service users and staff. As previously mentioned, service users have a range of light domestic duties, chores, which they all participated. During inspection the inspector noted that staff knock on the handles prior to entry. Service users make the key to their rooms subject to risk assessment. Service users informed the inspector that staff do not open their mail. Given the domestic nature of the home, service uses of unrestricted access to all parts of the home with the exception of other service users bedrooms 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 Page 13 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. The home helps service users with personal support in the manner which they prefer. Staff at the home meet service users physical and emotional needs. EVIDENCE: Staff at the home provide personal support when necessary. Personal support May be with address hygiene or even behavioral issues, evidence from staff statement and documentation indicates that staff are aware of the individuals need for privacy and dignity. Service users informed the inspector that staff are very kind and listen to what the service user feels they need. Service users are encouraged to choose the gender of staff working with them for such matters. Where service user’s assessed needs indicate, a specialist such as a physiotherapist, speech therapist, all psychologist, is used to help support service users specialists needs. Service users at the home are registered with a GP, and supported with dental care or other specialist care if need be. Service users are also supported with access to local NHS facilities should they need it. The home monitors service users’ help needs and will support them obtaining the help needed. 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 Page 14 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, 23. The home listens to service users views and acts upon them. The home protects its service users from abuse, neglect or harm. EVIDENCE: The inspector noted the home has a clearly laid out and effective complaints procedure. Service users spoken with understood who they should complain to if they are unhappy at the home. In the service users guide, the inspector noted an outline of complaints procedure in a format designed to be understood by the service user. The home will document any complaints, at the time of inspection there were none. A record is kept of any complaints. Service users at the home are safeguarded by the homes policies and procedures. The home has policies and procedures outlining the actions of staff should they see or suspect abuse. The trust also provides a good standard of training for care staff and managers regarding potential abuse. The home has appropriate policies and procedures regarding whistleblowing and the inspector noted the Somerset ‘No secret’ document. The Brandon Trust provide staff with training to understand the causes of physical aggression toward staff. The trust has a good program of training to cover this eventuality. 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 Page 15 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, 25, 28, 30. Service users at the home live in a comfortable and safe environment. Service users have bedrooms, which are personalised and meet their needs. Communal spaces at the home are pleasant, homely and compliment service users’ private space. The home is clean and fresh throughout. EVIDENCE: The premises are safe, clean and light throughout. Laurel Drive is domestic in scale and feels generally homely. The home has a planned maintenance schedule but was subject to three requirements regarding the laundry. The inspector requires both laundry doors and the laundry floor covering be replaced. The inspector was shown the service users’ bedrooms. All met size requirements and were sufficient in size for individual service users. 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 Page 16 The inspector checked the premises internally and externally. The inspector noted that the home and garden are of sufficient size for the staff and service user group. The home was clean throughout and had no offensive odours. 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 Page 17 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): 31, 34, 36. The staff team have clearly defined roles within the home. The home’s recruitment policy and procedures meet National Minimum Standards. EVIDENCE: Brandon Trust have clear job descriptions and a training and induction package that enables staff to clearly understand their own, role and limitations within the service. Staff recruitment ensures proof of ID, CRB, and appropriate references are obtained and stored centrally. Staff receive appropriate supervision from trained colleagues. This is clearly documented and meets National Minimum Standards. 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 Page 18 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, 38, 40. Service users at The Laurels benefit from a well run home. Service users’ benefit from the homes general ethos and management approach. Service users are safeguarded by the homes policies and procedures. EVIDENCE: The manager is a qualified nurse with 34 years experience in this area. The manager has completed the Registered Managers Award and is awaiting external verification of the award. Staff and service users communicated a clear sense of community. The manager is well established at the home and has a clear sense of direction and underlying philosophy of care. The management of staff and general day to day running of the home are open and transparent. The inspector sampled three policies at random. All were found to be present and up to date. 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x 3 x 3 LIFESTYLES Standard No Score 11 3 12 x 13 3 14 x 15 x 16 3 17 Standard No 31 32 33 34 35 36 Score 3 x x 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 4 Laurel Drive Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x x x DS0000008085.V256370.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? No. 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. 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. Refer to Standard Good Practice Recommendations 4 Laurel Drive DS0000008085.V256370.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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. 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