Inspection on 27/11/06 for 42 Stadon Road

This inspection was carried out on 27th November 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

42 Stadon Road 05/11/07

42 Stadon Road 04/10/05

42 Stadon Road 10/05/05

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 Anstey Leicestershire LE7 7AY Lead Inspector Joanna Carrington Key Unannounced Inspection 27th November 2006 10:00 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 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 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 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. 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 42 Stadon Road Address Anstey Leicestershire LE7 7AY 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) 0116 2352457 0116 2352457 www.leonard-cheshire.org.uk Leonard Cheshire Ms Shirley Harriman Care Home 7 Category(ies) of Physical disability (6), Physical disability over 65 registration, with number years of age (1) of places 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 42 Stadon Road Care Home is registered to provide personal care to male and female service users who fall within the following categories: Physical Disability (PD) 7 Physical Disability over the age of 65 years PD(E) 1 To accommodate the 2 named persons of category PD(E) identified in correspondence dated 25th October 2001 The maximum number of persons to be accommodated at 42 Stadon Road is 7 4th October 2005 2. 3. Date of last inspection Brief Description of the Service: 42 Stadon Road was purpose-built in 2001 to provide support and accommodation for up to six younger adults with physical disabilities. The home is now registered for seven places. The home is situated close to the centre of Anstey, a village on the outskirts of Leicester. All bedrooms are single and have their own en-suite facilities. There are two lounges, a dining room/kitchen, and a secluded garden. The home has a range of aids and adaptations and is wheelchair-accessible throughout. The fees for living at the home vary depending on individuals assessed needs. At the time of the inspection the minimum to maximum weekly fee is £734 to £908.66. 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the home’s key inspection and took place over six hours on 27th November 2006. The main method of inspection was ‘case tracking’ which meant selecting three service users and tracking the quality of their care by checking records, discussion with them and with staff and observation of care practices. Altogether, four service users and two staff members were spoken with during the course of the inspection. Staff records were looked at and a partial tour of the premises also took place in order to assess environmental standards. Information gathered prior to the inspection has also been used to reach judgements about the quality of care. The registered manager was available for discussion and feedback throughout the inspection. Overall the inspection found there to be very positive outcomes for service users. What the service does well: The service does well at ensuring prospective service users have enough information about the home so that an informed decision can be made about moving there. The needs of any prospective service users are assessed before a place is offered, to ensure that the home is suitable. Staff members work alongside service users in developing care plans. This is so that service users know that their support will be given in the way they prefer and require. Service users are supported in being independent and in control of their own lives and to follow their own interests. Service users have active social lives, going to college, volunteering and going out on the trips they have organised. A service user commented, “I get out more and see people more”. Service users are consulted over the running of the home and of any changes to the service. There are regular meetings including weekly menu planning. Recently the service users and staff team together ran an autumn fair in which the local community, family and friends were invited to come along. Service users are assured that their concerns and complaints are taken very seriously and acted on appropriately in line with the Complaints Procedure. The staff team know what to do if there is any allegations or suspicion of abuse, which is very important for the protection of service users. Recruitment practices in the home ensure the protection of service users because the necessary checks are carried out before new staff members commence their employment. Service users feel safe in the hands of the staff team. The staff team were described as “brilliant” and “a cracking team of people”. The staff team are well trained and get good support from the manager, who was described as being “approachable” and “fair”. 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 Page 6 There are excellent systems for monitoring the quality of the service. The organisation carry out full internal audits that include talking with service users. Unannounced visits take place every month to monitor the service. 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. The summary of this inspection report can be made available in other formats on request. 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 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 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5 Quality in this outcome area is good. The admissions procedure is good in ensuring there is enough information for prospective service users to choose to move to the home and to ensure the home is suitable in meeting their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The seventh bedroom is not yet occupied on a permanent basis. The bedroom has been used to accommodate a disabled person in need of a short break. The placing authority’s community care assessment and care plan was seen and this information was used to decide whether the placement would be suitable. Service users spoken with confirmed that they will be involved in deciding who will move in on a permanent basis, to ensure the person is compatible with people that already live at the home. The Statement of Purpose was updated in September 2006 so all of the information is current. All service users spoken with said they have their own copy of the Service User Guide. Signed contracts were seen on service users files, which state their terms and conditions of residency. 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. There are good arrangements for ensuring that needs and choices are met. Risks are assessed and independence encouraged. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users spoken with confirmed that they are involved in the development and review of their care plans and they retain a copy of it in their bedrooms. One service user spoken with expressed their reluctance to have a care plan because it means having information written about them. The service user explained they are able to communicate directly about how they wish their support to be given and is very happy with the quality of support provided. The care plans seen are written in first person and cover all aspects of personal, health and social care needs. In addition to daily records key workers sit with service users and write a weekly summary of significant events, such as appointments, activities and any difficulties. This information is helpful in reviewing care plans, to ensure there are no changes. Evidence of reviews, however was lacking in the care plans seen. Care plans have not 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 Page 10 been reviewed for over six months. A recommendation is made in respect of this. A staff member spoken with explained how the home is run in a way, which enables service users to “be in control of their own lives”. There are regular service user meetings where service users are informed of any changes to the service and where they can communicate their ideas for example, on future activities and meal planning. A service user spoken with said that since living at the home “[he] can get out more and see people more”. “I feel free”. On this service user’s care plan there was a risk assessment in place that identified measures to enable the service user to go out safely and enjoy the activities that he expressed as being very important to him. 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. There is a commitment from the staff team in promoting residents’ rights and enabling residents to experience a fulfilling quality lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: On the day of the inspection four of the service users were out at either day centres or colleges. A service user spoken with volunteers at a nearby school and is also heavily involved in projects at their local church. All of the service users spoken with have their own active social lives and also enjoy going out on the organised trips. Daily records show this year there have been visits to the Zoo, Rutland water and nights out to concerts and a sixties show. In October service users and staff together ran an Autumn Fair, which was opened to the local community. Families and friends were also invited along to enjoy the day. Staff spoken with explained how they support service users to maintain contact with their family by assisting them to use the telephone and 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 Page 12 sending birthdays and Christmas cards. A service user commented on occasions when his girlfriend has visited him at the home. Service users spoken with confirmed that “staff respect [them] as individuals.” Staff spoken with demonstrated a real commitment to promoting service users rights to “freedom and independence”. Some service users help with household chores if they choose to. Menu records indicate that nutritious and varied meals are provided, with always at least two choices available. Service users plan the menus on a weekly basis. On the day of the inspection the two choices were shepherds pie and sausages and mash. A range of vegetables was observed in stock. 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. The health and personal support needs of residents are well met. Tighter stock control of medication will promote safer medicine management. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users spoken with confirmed there is flexibility with when personal support is given, subject to their individual wishes, such as when they wish to get up and go to bed. Care plans state in first person individuals’ preferences. For example “I prefer to be washed on the bed.” On both care files seen there is a moving and handling assessment that is regularly reviewed and weight is monitored and recorded, for promotion of good health. The care plans seen also indicate that the relevant health care professionals such as dieticians, occupational therapists and district nurses are involved in service users care, when appropriate. Medication Administration Records (MAR) give clear instructions for administration and the medication cabinet was organised. Medication supplied in blistered packs known as Multiple Dosage Systems (MDS) are administered as prescribed. No errors were seen on the MAR sheets. A recommendation is 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 Page 14 made with regards to stock control. Quantities of boxed medicines remaining from the previous cycle are not being carried over onto the current MAR sheet. This means there are drugs unaccounted for in the home and there is no audit trail for checking that medicines signed on the MAR have actually been given. There are medicines in the cabinet no longer in use and removed from the MAR. These drugs must be returned as these quantities are also unaccounted for. 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Service users concerns and complaints are taken seriously and acted on. Staff understand their responsibilities under Safeguarding Adults procedures, which helps ensure service users are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been three complaints made by service users since the last inspection. Records have been maintained including what relevant action has been taken. These records show that complaints are taken seriously and responded to in a timely fashion. Service users spoken with know how to complain and feel confident their complaints are addressed. There have been no Safeguarding Adults investigations at the home. Staff members spoken with were asked how they would respond in a given scenario and all answered appropriately, demonstrating an understanding of the issues of confidentiality and a duty of care to alert the manager of alleged abuse and to whistle-blow. Service users spoken with reported that they access and spend their own money when they wish and can keep it securely in their bedrooms. 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27 and 30 Quality in this outcome area is good. Service users live in a well maintained, clean and comfortable home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All service users have their own en-suite shower and there is also an assisted bath. There are two homely lounge areas and a dining area, where service users can congregate, and bedrooms are spacious enough for service users to spend time relaxing in. The bedrooms seen are personalised reflecting individuals’ tastes and interests. On a tour of the premises the décor appeared generally maintained throughout and service users spoken with confirmed that any repairs or maintenance work is carried out when required. The environment appears clean and hygienic. Staff spoken with explained that there is a cleaning rota, to prompt when certain cleaning tasks need doing. 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. Service users’ benefit from an effective, well-trained and well-supported staff team. Recruitment practices protect service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Three staff files were randomly selected, two being for staff members that have commenced employment since the last inspection. All three files contained evidence that for each staff member two written references and a criminal record bureau check was obtained before their employment commenced. Training records show that there is an excellent training programme for staff, that as well as all of the mandatory health and safety training includes training that helps staff understand disability issues. Courses include ‘Disability and the Law’ and ‘Disability and You’. There is a comprehensive induction package which new staff complete. The pre-inspection questionnaire states that eighty-one percent of the staff team are qualified to at least National Vocational Qualification level 2. Both staff members spoken with are happy with the level of training and the support 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 Page 18 they get in order to fulfil their role. All three staff files looked at contained records of regular supervision sessions. All service users spoken with made very positive comments about the staff team and the support they provide. Comments include: “It is a cracking team of people” “Every staff member is able to put themselves in our shoes.” “The staff are great.” 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. The home is well run and systems for monitoring the quality of care are in place, to ensure the home is run in the best interest of service users. Further steps are required to improve fire safety, to fully promote the health and safety of service users. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Policies and procedures for monitoring quality are excellent. Leonard Cheshire carries out full service audits, which include seeking the views of service users. The results of the audit are then used to identify ways to improve the service. Action taken is then reviewed periodically. An audit has been undertaken since the last inspection. Service users spoken with confirmed that they feel their views are taken seriously and underpin how the service is run. At the last inspection a recommendation was made to address the issue identified in the Fire Officer’s report of May 2005. The report identifies that 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 Page 20 “escape routes do not lead to a place of safety”. The required work to make the building safe is still outstanding therefore the recommendation is now made a requirement. The fire risk assessment must be updated to reflect this problem. The fire log shows that all fire alarm tests are carried out as required. The pre-inspection questionnaire states that the servicing of equipment, gas and electrical systems are up to date. 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 Page 21 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 3 2 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 4 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 4 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 4 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 4 X X 2 X 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 Page 22 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. 1. Standard YA42 Regulation 23(4) Timescale for action The registered person shall, after 28/02/07 consultation with the fire authority, take adequate precautions against the risk of fire and provide adequate means of escape. Action must be taken to address the issue in the Fire Officer’s report of May 2005. Requirement 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. Refer to Standard YA6 YA20 Good Practice Recommendations Ensure care plans are reviewed with service users, at least every six months. Ensure that all stocks of medication are accounted for in the home. This can be achieved by carrying forward quantities of medication onto the next cycle’s Medication Administration Record and ensuring that any medicines that have been stopped are returned to the pharmacy. Update the Fire Risk Assessment, in accordance with Fire Safety legislation. 3. YA42 42 Stadon Road DS0000001828.V319711.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000001828.V319711.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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