Inspection on 10/05/05 for 42 Stadon Road

This inspection was carried out on 10th May 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

42 Stadon Road 05/11/07

42 Stadon Road 27/11/06

42 Stadon Road 04/10/05

42 Stadon Road 16/02/05

42 Stadon Road 05/05/04

Similar services:

St Marys Nursing Home

Thornham Grove

Chater Lodge

Conifer Lodge

Tixover Care Home

Toynton College (Cluster Five)

Egerton Lodge Care Home

Cedar Court Nursing and Residential Home

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

CARE HOME ADULTS 18-65 42 Stadon Road 42 Stadon Road Anstey Leicestershire LE7 7AY Lead Inspector Kim Cowley Unannounced 10 May 2005 10:00 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. 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 42 Stadon Road Address 42 Stadon Road Anstey Leicestershire LE7 7AY 0116 2352457 None None Leonard Cheshire Foundation 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) Ms Shirley Harriman Care home only 6 Category(ies) of PD Physical disability (6) registration, with number of places 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 18.05.05 Brief Description of the Service: 42 Stadon Road was pupose-built in 2001 to provide care fo six younger adults with physical diasabilities. It is situated close to the centre of the Anstey. All bedrooms are single and have their own ensuite facilities. Ther are two lounges, a dining rooom/kitchen, and a secluded garden. The home has a range of aids and adaptations and is wheelchair-accessbile throughout. 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 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 that took place on a weekday. The inspector met with three residents, two of the care staff, and briefly with the Manager and Service Manager. The premised were toured. Care records were examined. There were no requirements outstanding from the last inspection, and no new requirements were made. The care plans, premises, and staff team are commended. What the service does well: This home provides good quality care to younger adults with physical disabilities in a spacious and homely environment. All residents interviewed made many positive comments about the home including: ‘The best thing about this place is that you can have choice in everything that you do.’ ‘I’m very, very happy here.’ ‘It’s brilliant here.’ ‘My family love it here – they think it’s the best place I’ve been in and I do to.’ Care records are comprehensive and detailed, and show evidence of ongoing consultation with residents. All residents interviewed said they were satisfied with the care they received. One said ‘Nothing could be improved in terms of care.’ Another commented ‘The people who work here understand the way we like things. We are treated as individuals.’ Residents have the opportunity to take part in individual or group recreational, educational and vocational activities. On the day of inspection two residents were at college and one was doing a voluntary job. The home has its own three-seater mini-bus. Some residents are going on holiday together this year. Meals are served in the kitchen/dining room and residents can eat together if they wish. Care staff prepare and serve the food. Residents usually set the table for meals. The home was purpose-built in 2001 and the interior is spacious and light. All areas are wheelchair-accessible. Residents’ bedrooms are single and a good size and those inspected were homely and personalised. Residents made many positive comments about the environment including: ‘This home is kept very clean by the staff.’ ‘I like the size of this home. Six beds is about right.’ 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 Page 6 ‘This building knocks the spots of everywhere else I’ve been.’ ‘The location is brilliant. We can be part of the local community.’ The staff on duty were friendly and professional and appeared to have good relationships with residents. All residents interviewed were pleased with the staff team. One commented ‘The staff are excellent, you can have a laugh with them.’ Another said ‘The staff are very flexible and try and get us what we want.’ 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. 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 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 standard(s) These Standards will be inspected at the next inspection. EVIDENCE: 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 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 standard(s) 6, 7, 8, 9, 10 Residents are consulted about how they like to be cared for and staff respect their wishes. Care plans are of good quality and show residents being treated as individuals. Residents have the opportunity to participate in the running of the home. EVIDENCE: All residents interviewed said they were satisfied with the care they received. One said ‘Nothing could be improved in terms of care.’ Another commented ‘The people who work here understand the way we like things. We are treated as individuals.’ Three residents’ files were inspected. These are kept in a locked office, although copies of care plans stay in residents’ bedrooms so they are easily accessible to residents and staff. Staff asked permission from residents for the inspector to view their records. Weekly records and daily care plans are written in the first person. This is because residents dictate them to staff or confirm what staff have written. 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 Page 10 Residents sign agreements to authorise aspects of their care, for example medication administration and checks at night. All records inspected were comprehensive and detailed. All showed evidence of consultation with residents. Care plans are reviewed at least every six months. Care plans gave clear instructions to staff about how best to meet residents’ needs. Risk assessments are in place where necessary. Care plans are commended. Residents can get involved in the running of the home if they wish. They can participate in staff and management meetings and staff interviews. They can also attend the Area Forum, run by the Owning Body. Advocacy services are available via Fairdeal. . 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 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 standard(s) 11, 12, 13, 14, 17 Opportunities are available for residents take part in leisure, educational, and vocational activities in the community. Residents are generally satisfied with the food although two said they would like to try some different dishes. EVIDENCE: On the day of inspection two residents were at college and one was doing a voluntary job. The home has its own three-seater mini-bus. A programme of in-house and external activities is in place. Residents are encouraged to pursue their own hobbies and interests, although some group activities also take place. Some residents are going on holiday together this year. One resident commented, ‘I’m going on holiday to Norfolk for seven nights. Three of us are going and we’ll have day trips to places like Cromer.’ Another said ‘I get out and about a lot. You can do that at this home because we’ve got the minibus and staff to take us.’ Residents are encouraged to help out in the home, for example by assisting in the preparation of meals and taking their laundry to the laundry room. 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 Page 12 Meals are served in the kitchen/dining room and residents can eat together if they wish. Care staff prepare and serve the food. Residents usually set the table for meals. Breakfast is cooked or continental, lunch tends to be a light snack, and the main meal of the day is served in the evening. Records are kept of the actual choices residents make. Residents’ comments about the food included: ‘The food is excellent. It’s better than the last place I was in.’ ‘The food is OK but sometimes it gets a bit boring. I’d like a change.’ ‘I’d like to try some different dishes.’ ‘I’ve no complaints about the food, we always have a choice at meals.’ Some of these comments indicate that menus should be reviewed in conjunction with residents to see if any improvements can be made. 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 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 standard(s) These Standards will be inspected at the next inspection. EVIDENCE: 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 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 standard(s) 22, 23 Residents are aware of the complaints procedure, which is readily available. Staff know how to protect residents from abuse. EVIDENCE: The complaint procedure is displayed in the home. Those residents interviewed said they were aware of this. All said they would speak to a member of staff if they had any concerns. One commented ‘If I had a complaint Shirley (the Manager) would be my first port of call.’ Policies and procedures are in place to protect resident from abuse and the staff on duty were familiar with these. 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 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 standard(s) 24, 25, 26, 27, 28, 29, 30 The purpose-built premises are of a high standard and easily accessible to wheelchair users. All rooms are light, airy and well decorated and maintained. Residents’ bedrooms are large, homely and personalised and have ensuites and moving and handling equipment built in. EVIDENCE: The home was purpose-built in 2001. The interior is spacious and light. Furniture is arranged so as not to interfere with wheelchair access. The entrance hall leads into the main lounge, which has a television and a computer. There is a large family kitchen/diner with a dining table that seats six. Kitchen work surfaces and the sink have adjustable heights so wheelchairusers can access them. There is a tea/coffee making facility with an adapted kettle so residents can make their own hot drinks. The home has a dishwasher. Residents’ bedrooms are all single and a good size. They have their own ensuite toilets, showers, and washbasins. Those bedrooms inspected were homely and personalised. All bedrooms have French doors leading outside. 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 Page 16 There is a small courtyard garden with seats and a raised flowerbed. The premises are commended. This is a small smoking lounge which overlooks the patio garden. As none of the residents smoke this is surprising. It is suggested that residents are asked whether they wish this room to be a smoking lounge, or whether they would prefer it to be used for something else. At present this lounge does smell of smoke, which might make it unpleasant for non-smokers to use. In this lounge there is a TV and a shelf of books (large and small print and ‘talking’). A visiting librarian changes these every month. All bedrooms, ensuites, and communal bathrooms have ceiling hoists. A manual hoist is also kept for use in emergencies. There is a Parker bath. There is a sluice room and a laundry room. Residents’ comments about the environment included: ‘I like it here because we’re not in the middle of nowhere.’ ‘We’ve got banks, clubs and shops nearby.’ ‘It’s lovely here because the home is nice and flat and it’s easy to get about.’ ‘It’s all on one floor and I can get everywhere.’ ‘The access inside is very good.’ ‘This home is kept very clean by the staff.’ ‘I like the view from my window - I can see into the garden.’ ‘I like the size of this home. Six beds is about right.’ ‘This building knocks the spots of everywhere else I’ve been.’ ‘The location is brilliant. We can be part of the local community.’ One resident pointed out there was a kerb outside the home which caused difficulties for wheelchair-users. This issue should be addressed and action taken to see if the kerb can be lowered or a ramp created. Care staff do the cleaning, sometimes helped by the residents. All areas inspected were clean, fresh and tidy and this is commended. Radiators are covered and water temperatures are thermostatically controlled to reduce the risk of scalding 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 33 The home is well staffed by a team of friendly and professional care workers who were praised by the residents. EVIDENCE: At the time of inspection two staff were on duty and there were three residents in the home. The person in charge said there are usually two staff on duty during the day, and one waking and one sleeping at night. Care staff are also responsible for cooking and cleaning. The staff on duty were friendly and professional and appeared to have good relationships with residents. Residents made the following comments about the staff: ‘The staff are excellent, you can have a laugh with them.’ ‘The staff are all kind and friendly.’ ‘We have an excellent team of staff – all of them.’ ‘Although the staff are here as professionals they’re also our friends.’ ‘The staff are very flexible and try and get us what we want.’ The staff team are commended. 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 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 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) These Standards will be inspected at the next inspection. EVIDENCE: 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 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 x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score 3 x 4 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 42 Stadon Road Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 Page 20 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. 2. 3. Refer to Standard 17 28 29 Good Practice Recommendations It is recommended that menus are reviewed in conjunction with residents to see is any improvements can be made. It is recommended that residents are consulted as to whether they want the small lounge to continue as a smoking room or be used for something else. It is recommended that the issue of the kerb outside the home which causes difficulties for wheelchair-users is addressed and action taken to see if the kerb can be lowered or a ramp created. 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 Page 21 Commission for Social Care Inspection The Pavilions, 5 Smith Way Grove Park, Enderby Leicester LE19 1SX 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 42 Stadon Road C51 C01 S1828 Stadon Road V222685 100505 STAGE 4.doc Version 1.30 Page 22 - 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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