Inspection on 06/03/06 for 40 St Clement`s Drive

This inspection was carried out on 6th March 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

40 St Clement`s Drive 14/05/07

40 St Clement`s Drive 21/06/05

40 St Clement`s Drive 20/01/05

40 St Clement`s Drive 01/10/04

40 St Clement`s Drive 16/02/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 St Clement`s Drive (40) 40 St Clement`s Drive Leigh On Sea Essex SS9 3BJ Lead Inspector Ms Sarah Buckle Unannounced Inspection 6th March 2006 3.00 St Clement`s Drive (40) DS0000015467.V285425.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 St Clement`s Drive (40) DS0000015467.V285425.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. St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Clement`s Drive (40) Address 40 St Clement`s Drive Leigh On Sea Essex SS9 3BJ 01702 479842 01702 419842 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) H4037@mencap.org.uk Royal Mencap Society Mrs Pamela Francis Boughton-Smith Care Home 6 Category(ies) of Learning disability (6) registration, with number of places St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Care Home for adults with a learning disability 6. Date of last inspection 21st June 2005 Brief Description of the Service: St Clements Drive provides care for six adults who have a learning disability. The premises are owned by Dimensions (UK) Ltd formerly New Era Housing Association and managed and registered by Royal MENCAP. The house is a two storey family style house in a residential area of Leigh-onSea. Each resident has single bedroom accommodation and shares the use of the lounge, separate dining room and the conservatory. The home does not have a shaft lift. Bedrooms and a bathroom are sited on both floors. There is a small back garden and parking area at the front of the house. Residents have access to a pleasant back garden, which has both lawn and decked area. St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over two hours. The home was previously inspected on 21st June 2005, and at that time, all but one of the National Minimum Standards for Care Homes were inspected and all but three of these were met with no shortfalls. During the course of the inspection, the standards that were not previously met were examined, along with records and documents. A tour of the downstairs half of the premises was undertaken and repairs to the outside of the building were noted. The registered manager was spoken with and residents and other staff members were observed within the home. What the service does well: What has improved since the last inspection? Since the last inspection, the registered manager has sourced a new style of licence agreement, which is more user-friendly. The exterior of the house has been painted, repairs have been undertaken, redecoration has taken place within the home and new flooring has been laid. The registered manager has achieved her NVQ4. St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 Page 6 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. St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 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 St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 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): 5 Occupancy Agreements were of a good standard. EVIDENCE: A new Occupancy Agreement has been introduced to the residents at St Clements, which is more pictorial than the original contract. The agreement is written in user-friendly language and is more understandable. The agreement identifies the help and support available to the residents. St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 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 and 8 Care plans clearly identify the abilities and support needs of residents. EVIDENCE: One support plan was sampled during the inspection and this was seen to contain a clear and instructive daily routine, photographs, long-term goals, help needed to achieve these goals, any problems that may prevent this, and the people responsible for aiding achievement of the goals. A pen picture was also sampled which clearly and comprehensively outlined all of the residents daily activities and their preferences including how they like their hot drink made, their medication needs, preferred time to wake up etc. The appendices included risk assessments, medication sheets and telephone numbers of medical advisers. The support plan and pen picture clearly demonstrated that the residents were assisted to make decisions and to participate in all aspects of life within the home. St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 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): 11, 12, 13, 14 and 16 The residents at 40 St Clements have adequate opportunities for personal development and to access the local community. EVIDENCE: Since the closure of Maybrook all of the residents within the home have undergone changes in their daily routines and activities. The registered manager explained that two of the residents attend AVRO on a daily basis, and that the other residents attend for four days, and spend one day at home. She stated that the residents have access to the local community college and that they have ‘community days’, where each resident has the opportunity to try out new activities and to explore what they like to do. One resident likes to go swimming and another enjoys potting bulbs. The residents are also trying out such activities as bowling, going to the library, having manicures, keep fit etc. St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 Page 11 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): Not inspected. All of these standards were inspected and met at the previous inspection. EVIDENCE: Not inspected. All of these standards were inspected and met at the previous inspection. St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 Page 12 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 and 23 Residents are adequately listened to within the home and they are protected from harm and abuse. EVIDENCE: There have been no complaints since the last inspection. Staff training is comprehensive. Two files sampled had evidence of training in adult abuse and people moving during 2005. The registered manager explained that POVA training was also a key part of the induction process. St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 Page 13 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 and 30 40 St Clements Drive is a safe and homely environment, however, there are some maintenance issues. The home is clean. EVIDENCE: It was positive to note that since the last inspection a number of repair and redecoration issues have been resolved. The exterior of the house has been restored to a good standard, and redecoration of all the communal areas within the home has been completed. New carpets have also been laid within the communal areas, and damp problems have been addressed by the installation of wall fans. On the day of the inspection it was noted that one section of the newly repaired crazy paving had been damaged, however the registered manager stated that this had been reported to the maintenance team. One of the resident’s bedroom was looked at during the inspection and was seen to be shabby and in need of redecoration. The registered manager explained that one resident within the home was no longer able to have a bath, and that with specialist involvement ‘costings’ were St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 Page 14 being undertaken regarding the installation of a shower/wet room in order to meet her changing needs. St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 Page 15 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): 35 Training of staff within the home is of a good standard. EVIDENCE: The two newest recruited staff members training files were sampled and both of these demonstrated that satisfactory mandatory training had been undertaken, and that this was in date. It was positive to note that some specialist training had also been undertaken in areas such as epilepsy, dementia, person-centred planning and risk assessments. St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 Page 16 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): 39 The quality assurance system within the home is satisfactory. EVIDENCE: The registered manager stated that feedback questionnaires were sent to parents/ relatives and health professionals and that a report has been compiled as a result of this, which has been forwarded to the Commission. St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 Page 17 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 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X 3 X X X X St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 Page 18 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 YA24 Regulation 23(d)(n) Requirement The registered person must ensure that all parts of the home are decorated to a reasonable standard and that suitable adaptations are made to the home as required to meet the changing needs of the residents. This is in relation to the décor in resident’s bedrooms being shabby and worn and to the change in need of a resident, which means they now require a shower/wet room rather than a bath. Timescale for action 01/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 St Clement`s Drive (40) DS0000015467.V285425.R01.S.doc Version 5.1 Page 20 - 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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