Inspection on 05/07/05 for 4 Laurel Drive

This inspection was carried out on 5th 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

4 Laurel Drive 26/01/07

4 Laurel Drive 23/11/05

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 Unannounced 5th July 2005 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. 4 Laurel Drive D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 4 Laurel Drive Address Nailsea, North Somerset, BS19 2EZ 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) 01275 790073 0117 9699000 The Brandon Trust Mr Norman Birch Personal Care Home only 5 Category(ies) of Learning Disability (5) registration, with number Old Age (5) of places 4 Laurel Drive D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 5 persons aged 35 years and over. Date of last inspection 17th March 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 D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection conducted whilst the manager was on duty. The inspector found the home well organised, clean and well presented. Documentation was appropriate for the needs of the service users and up to date. The inspector made 2 requirements. 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 D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 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 4 Laurel Drive D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 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) ,1,2 Prospective service users are able to make an informed choice about the home. The home assesses individual service users needs prior to admission. EVIDENCE: There has been no change in the service offered at the home. The statement of purpose remains appropriate meeting National minimum standards. The inspector noted detailed and comprehensive assessments in 3 care files meeting the requirements of the National Minimum Standards. 4 Laurel Drive D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 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) 6,7,8 Service users are assessed and any changing needs are reflected in their individual plan of care. The home supports service users to make decisions affecting their lives. Service users are consulted on aspects of care and life within the home. EVIDENCE: The inspector sampled 3 files. All contained an appropriate plan of care drawn up from the service user assessment. The home is implementing Brandon’s person centred planning documentation. This is good practice. The inspector noted documentary evidence outlining staff support of service users to make decisions. The inspector noted no obvious limitations on service users rights. One service user informed the inspector that staff were very kind and did “not boss her about”. The same service user informed the inspector that staff asked her what she thought about things such as food or her room. The home meets National Minimum Standards. 4 Laurel Drive D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 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) 15,17 Service users have appropriate relationships with those around them. Service users have a healthy and varied diet. EVIDENCE: Staff spoken with outlined that the home endeavours to support service users maintain relationships with family or friends. Staff were able to give a number of examples such as support with sending cards, visits and birthday cards. Service users can choose who visits them and can see visitors in their own rooms if they wish. One service user informed the inspector that food was nice and she helped choose the food offered. If the food on the menu was something she disliked, the service users could have an alternative. The fridge was well stocked and a rotating menu sheet was present. 4 Laurel Drive D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 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, 19 Service users receive personal support in the way they prefer. Service users assessed needs are met within the home EVIDENCE: The home offers service users a flexible daily routine. Service users are encouraged to be up in the weekdays due to the day care program but otherwise service users are free to go to bed and get up as they wish. Personal support is provided by staff discretely, usually in service users own bedrooms or the bathroom. This may take the form of prompting daily hygiene discretely in a bedroom. Service users can choose staff to a limited degree, and may choose a particular gender staff member to help them. The inspector noted extensive documentary evidence of a comprehensive assessment of service users needs. These were comprehensive, in depth and met National Minimum Standards. 4 Laurel Drive D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 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) 22, 23 Service users views are acted upon. Service users are protected from abuse and neglect. The home meets National Minimum Standards. EVIDENCE: The inspector noted evidence of a clear and comprehensive complaints procedure which complies with the National Minimum Standards. No complaints have been received by the commission. The inspector noted clear policies and procedures for staff to voice concerns regarding the potential abuse or neglect of service users. Staff are provided with a good level of training by the Brandon Trust regarding the identification of, and procedure to deal with abuse. Appropriate training is provided to staff regarding the understanding and management of physical aggression. 4 Laurel Drive D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 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) 24,30 The home provides a pleasant, homely environment for service users. The home was clean and hygienic throughout. EVIDENCE: Laurel Drive is built on a domestic scale and is a pleasant homely environment. The garden at the rear has been adapted to allow easy access for all service users. Furnishings and fittings are of acceptable quality although some were subject to requirement as they had become worn and grubby. See requirements. The premises was clean and hygienic throughout. The inspector noted no offensive odours. The inspector noted the home has a washing machine capable of washing at 65 degrees or above. The home met National Minimum Standards. 4 Laurel Drive D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 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) 33,34,35 Service users in the home are supported by staff in sufficient numbers to meet service users needs. In accordance with the Brandon Trust policy employee records are not stored in the home contrary to schedule of the care standards act. This is subject to requirement. EVIDENCE: At the time of inspection there was 1 service user on the premises, (others were attending daycare). There were 2 staff members available for the remaining service user. Day care activities supplement the homes staffing ratio. The inspector noted low rated of staff illness. The home does not store evidence of employee checks such as CRB etc. This is subject to requirement. The Brandon Trust offers an extensive range of staff training easily meeting the requirements of the National Minimum Standards. Training includes the range of statutory training, (fire, lifting health and safety food handling) in addition to more specialised courses on identifying abuse, communication or dealing with aggression. 4 Laurel Drive D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 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) 38,40,41 The home is well run for the benefit of its service users. The homes records and procedures comply with current legislation. Service users best interests are protected by policies and procedures within the home. EVIDENCE: The home has an open inclusive environment. Staff statement indicated staff were aware of the managers expectations and that a common sense of direction existed within the home. The processes of managing the home appeared open and transparent. The inspector sampled the homes policies and procedures at random, (whistleblowing and aggression towards staff). Both were up to date and sufficient for the needs of the national minimum standards. 4 Laurel Drive D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 Page 15 The inspector noted records were maintained in good order were up to date and appeared accurate. Data was stored appropriately and in accordance with the data protection act. 4 Laurel Drive D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 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 3 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x x x 3 x 3 Standard No 31 32 33 34 35 36 Score x x 3 1 3 x CONDUCT AND MANAGEMENT OF THE HOME 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 x 3 x 3 3 x x D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 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. Standard 24 Regulation 23 2 b/d Requirement The sofa and chairs located near the kitchen are soiled and worn. The inspector requires these are replaced. The Home must have documents as outlined under schedule 2 on the premises. Timescale for action 30.1.05 2. 34 19 b 9.9.05 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 4 Laurel Drive D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI 4 Laurel Drive D53-D02 S8085 4 Laurel Drive V233283 050705 Stage 4.doc Version 1.30 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. 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