Inspection on 04/10/05 for 42 Stadon Road

This inspection was carried out on 4th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 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 Kim Cowley Unannounced Inspection 4th October 2005 12:00 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 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 shirley.harriamn@ic_uk.org Leonard Cheshire Ms Shirley Harriman Care Home 6 Category(ies) of Physical disability (6) registration, with number of places 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To be able to admit the two named persons of category PD/E as identified in correspondence with the previous registration authority dated 25/10/2001. 10th May 2005 Date of last inspection Brief Description of the Service: 42 Stadon Road was pupose-built in 2001 to provide care fo six younger adults with physical disabilities. It is situated close to the centre of the Anstey, on the outskirts of Leicester. 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 wheelchairaccessible throughout. 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 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. When undertaking inspections the Commission for Social Care Inspection (CSCI) focuses on the outcomes for residents living in a home. In order to do this, the inspector ‘case tracked’ three residents. This means the inspector checked their care records and met with them. In addition the inspector talked to the Manager and one of the carers. Further care and other records were examined. The following were commended: care plans, the staff team, the quality of the Manager’s work, and resident involvement in the running of the home. Three recommendations were made regarding the premises. What the service does well: 42 Stadon Road is a spacious purpose-built care home for younger adults with physical disabilities. It offers an excellent all-round service and the three residents interviewed made many positive comments about the home including, ‘You will not find a better home than this’, ‘We are looked after supremely well here’, and ‘This home is ten times better than the last place I was in.’ All residents have their own ISPs (Individual Service Plans), which set out how they would like their personal care to be given. Residents write these themselves or dictate them to their key workers. This is commended. Residents’ comments included, ‘I’m happy with my care. I say what I want and the key worker writes it down’, and ‘The staff know my routine.’ Staff at the home are well trained, professional and friendly. They complete a comprehensive four-week induction provided by the Owning Body, followed by NVQ training. All residents interviewed praised the staff team and the following comments were made, ‘The staff know exactly what they’re doing. They are very well trained’, ‘The staff are professionals but they are also our friends’, and ‘They only let people who are trained look after me.’ The staff team is commended. The Manager, who is an experienced carer, runs the home along noninstitutional lines with the emphasis on resident choice. The result is a homely environment with residents who are confident about speaking out and determining their own care and lifestyles. The residents made many positive comments about the Manager including, ‘Shirley is very, very kind, and very, very, fair’, ‘Shirley will always fight our corner’ and ‘If I wasn’t happy with something I’d talk to Shirley – she’d try and sort it out.’ The Manager is commended for her work. 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 Page 6 Residents are directly involved in the running of the home. Monthly and weekly meetings enable them to have a say when any decisions are made. The Manager also said that residents can also approach her or any of the other staff at any time. She said ‘It’s their home and we keep them informed of any changes or plans that are being discussed. Also, our residents are confident – they can all speak out at meetings and tell us what they think.’ The procedures for consultation with residents are commended. What has improved since the last inspection? What they could do better: At the last fire inspection on 15.04.05 the Fire Officer made two requirements regarding the laundry door and access around the outside of the building, but also said that if a sprinkler system was fitted these requirements would not be necessary. Estimates are being sought and the Manager said she is waiting for approval from the Owning Body to fit a sprinkler system. It is recommended that a sprinkler system is fitted as soon as possible to maximise fire safety in the home. The Manager said the Environmental Heath Officer inspected the home this year, but she was unable to find the letter that followed the visits. This should be located and action taken where necessary. One resident said that her radiator was making a knocking sound, which kept her awake at nights. This was discussed with the Manager who said she was aware of the problem and had put it in the home’s Maintenance Book for the handy man to attend to. This should be done promptly. 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 Page 7 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 DS0000001828.V254528.R01.S.doc Version 5.0 Page 8 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.V254528.R01.S.doc Version 5.0 Page 9 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): 2 A sound procedure, including consultation with existing residents, is in place to ensure residents’ needs are fully assessed prior to admission. EVIDENCE: There have been no recent admissions. The current six residents have been at the home since 2001 when they transferred from Roecliffe Manor, which was closing down. The Manager said that if a room became vacant and a new referral was made staff would use the Owning Body’s assessment process. This was inspected and found to be satisfactory. The Manager said that current residents would be involved in any new admission. The potential resident would be invited to the home for a get together and a meal with the occupants to see if everyone got on. The Manager said ‘Our residents are settled and we would need to make sure that anyone new was compatible with them. Existing residents would have a say when a decision was made.’ 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 Page 10 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): EVIDENCE: These Standards were inspected at the last inspection on 10.05.05. 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 – 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15, 16 Staff support residents in maintaining family links and other relationships. Residents are encouraged to determine their own lifestyles and be independent. EVIDENCE: Policies and procedures are in place to enable staff to support residents in maintaining family links and other relationships. Records showed that residents have interests and friendships in the wider community, and access groups and activities that are not aimed specifically at people with disabilities. Relatives and friends can visit the home at any time providing the residents want them to. Staff are there for residents if they need support with regard to personal relationships. There are few rules in the home and residents are encouraged to determine their own lifestyles and be independent. Some residents help with household chores. One resident has taken over responsibility for ordering the home’s groceries. 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 Page 12 Residents’ comments on the above included: ‘I do my own thing here.’ ‘I wake up when I want and then I ring for the staff to help me get up.’ ‘It’s easy for relatives to come and see me here because there’s good local transport.’ ‘I like it here because I can get out and about.’ 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Residents choose how they would like their personal care given. Local health care professionals provide services to the home. Medication is securely kept and properly administered. EVIDENCE: All residents have their own ISPs (individual service plans), which set out how they would like their personal care given. Residents write these themselves or dictate them to their key workers. This is commended. Once a week these are reviewed by the resident and key worker together and changes made where necessary. Residents comments included, ‘I’m happy with my care. I say what I want and the key worker writes it down’, and ‘The staff know my routine.’ Residents’ health needs are mostly met in the local community. Residents use a nearby GP practice, dentist, and optician, all of which have wheelchair access. A physiotherapist provided by the Owning Body comes to the home once a week to assist residents with their mobility. One resident looks after and administers all her own medication supported by the Manager, who reviews her progress monthly. Staff are responsible for other residents’ medication and follow the home’s policies and procedures. Medication training is provided by the home’s contact pharmacist, who also 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 Page 14 carries out inspections of the home’s medication systems. The last inspection was on 9.06.05 when no requirements or recommendations were made. The Manager said she checks medication records every week to ensure they have been correctly made. All residents’ medication is reviewed by their GP annually at the home’s request. 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These Standards were inspected at the last inspection on 10.05.05. 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These Standards were inspected at the last inspection on 10.05.05. 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 35 Staff are well trained and professional and all residents interviewed praised them. EVIDENCE: All new staff undertake the ‘Learning Journey’, a four-week induction provided by the Owning Body. This comprehensive introduction to working for Leonard Cheshire includes all the mandatory training (for example, moving and handling, health and safety, infection control, etc), protection of vulnerable adults training, and an introduction to key working/ISPs. During their induction new members of staff are allocated a trained mentor from amongst the staff at the home where they will be working. Following their induction staff go onto NVQ Level 2 or 3. All residents interviewed praised the staff team and the following comments were made: ‘The staff know exactly what they’re doing. They are very well trained.’ ‘The staff are professionals but they are also our friends.’ ‘They only let people who are trained look after me.’ ‘The staff are always polite and respectful.’ The staff team are commended. 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 The home is run and managed in the best interests of residents by an experienced manager. Consultation with residents is central to this process. Some action needs to be taken with regard to the health and safety of the premises in order to best protect residents. EVIDENCE: The Manager, who is an experienced carer, runs the home along noninstitutional lines with the emphasis being on resident choice. The result is a homely environment with residents who are confident about speaking out and determine their own care and lifestyles. All residents interviewed made positive comments aoub the Manager including: ‘Shirley is very, very kind, and very, very, fair.’ ‘Shirley will always fight our corner.’ ‘If I wasn’t happy with something I’d talk to Shirley – she’d try and sort it out.’ The Manager is commended for her work. 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 Page 19 Monthly formal meetings are held with them chaired, at the residents’ request, by the Manager. These are minuted and attendance is good. In addition there are weekly informal meetings to discuss the menus. The Manager said that residents can also approach her or any of the other staff at any time if they wish. The Manager said ‘It’s their home and we keep them informed of any changes or plans that are being discussed. Also, our residents are confident – they can all speak out at meetings and tell us what they think.’ However if residents do need an advocate Fair Deal can be contacted – posters for this organisation are displayed in the home. The Owning Body carries out an annual survey of residents’ views. The procedures for consultation with residents are commended. The home’s Responsible Individual oversees the maintenance of the home in conjunction with the Manager. The Manager carries out a weekly premises audit. Any jobs that need doing are recorded in the Maintenance Book for the home’s handyman (who is shared with another home) to attend to. At the last fire inspection of 15.04.05 the Fire Officer made two requirements regarding the laundry door and access around the outside of the building. However she said the Fire Officer has also said that if a sprinkler system was fitted these requirements would no longer be necessary. Estimates are being sought and the Manager said she is waiting for approval from the Owning Body to fit a sprinkler system. It is recommended that a sprinkler system be fitted as soon as possible to maximise fire safety in the home. The Manager said the Environmental Heath Officer inspected the home this year but she was unable to find the letter that followed the visits. This should be located and action taken as necessary. On resident said that her radiator kept making a knocking sound which kept her awake at nights. This was discussed with the Manager who said she was aware of the problem and had put it in the home’s Maintenance Book for the handy man to attend to. This should be done promptly. 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 Page 20 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 3 X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X 4 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 42 Stadon Road Score 4 3 3 X Standard No 37 38 39 40 41 42 43 Score 4 X 4 X X 3 X DS0000001828.V254528.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard 38 Good Practice Recommendations A sprinkler system should be fitted as soon as possible to maximise fire safety in the home, or the Fire Officer’s requirements met in other ways. The Environmental Heath Officer’s report of their last inspection should be found and action taken as necessary to meet any requirements or recommendations made. The radiator that has been reported as making a ‘knocking sound’ should be repaired promptly. 2 38 3 38 42 Stadon Road DS0000001828.V254528.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Leicester Office 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 DS0000001828.V254528.R01.S.doc Version 5.0 Page 23 - 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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