This inspection was carried out on 11th January 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 made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOME ADULTS 18-65
Quarry Road (51) 51 Quarry Road Ryde Isle Of Wight PO33 2TY Lead Inspector
Annie Kentfield Unannounced Inspection 11th January 2006 16:00 Quarry Road (51) DS0000012585.V251367.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 Quarry Road (51) DS0000012585.V251367.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. Quarry Road (51) DS0000012585.V251367.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Quarry Road (51) Address 51 Quarry Road Ryde Isle Of Wight PO33 2TY 01983 616862 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) Mrs Lynda Margaret Lawlor Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Quarry Road (51) DS0000012585.V251367.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. This home currently accommodates one resident over 65 years of age. Date of last inspection 14th September 2005 Brief Description of the Service: 51 Quarry Road is a small care home owned and jointly run with 50 Quarry Road. The two homes are separately registered although the owners are considering applying to change this to one registration for both homes. The two homes offer flexible and informal family based care and support to five residents who have experienced difficulties with their mental health. The two houses, one semi-detached and one detached, are located at the end of a quiet lane in a pleasant residential area of Ryde and there is a large garden area and an area of land where the owners keep ducks and chickens. As separately registered homes, there are separate inspection reports for 50 and 51 Quarry Road based on one joint inspection but both reports refer to 50 and 51 Quarry Road collectively as the home. Quarry Road (51) DS0000012585.V251367.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the second unannounced inspection in this inspection year and took place over two visits to the home on 11th and 27th January. The inspector spoke to two residents who were at home and wrote to the other resident to offer them the opportunity to feedback any comments they may have. Inspection comment cards were also sent to health and social care professionals who visit the home. Both residents said they were happy in the home and with the care provided. Most of the standards were assessed at the previous inspection on 14th September 2005 and as there have been no changes to the residents or to the home; only a few of the National Minimum Standards were assessed at this inspection. What the service does well: What has improved since the last inspection? What they could do better: Quarry Road (51) DS0000012585.V251367.R01.S.doc Version 5.1 Page 6 It is recommended as good practice for the manager to make sure that residents know how to operate fire safety equipment in the home and know what to do in the event of a fire. Any fire safety training or practice fire drills should be recorded with the names of those attending. 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. Quarry Road (51) DS0000012585.V251367.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 Quarry Road (51) DS0000012585.V251367.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): These standards were assessed at the previous inspection – no new residents have been admitted to the home. EVIDENCE: Quarry Road (51) DS0000012585.V251367.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): These standards were assessed at the previous inspection. EVIDENCE: Quarry Road (51) DS0000012585.V251367.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): These standards were assessed at the previous inspection. EVIDENCE: Quarry Road (51) DS0000012585.V251367.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): These standards were assessed at the previous inspection. EVIDENCE: Quarry Road (51) DS0000012585.V251367.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 said they were happy in the home but would know what to do if they had any complaints. EVIDENCE: As a small family run home that does not employ any staff, the manager has daily contact with the residents and deals with any issues as they arise. There have been no complaints for many years. The manager is very aware of the need to ensure that the residents are protected from abuse, neglect and self-harm and monitors this on a daily basis and in discussion with the residents. All of the residents have a care manager and any concerns would be referred to the relevant person in the community mental health team. The manager demonstrated a good knowledge and awareness of the residents’ needs and is able to access specialist services to support the residents whenever needed. Quarry Road (51) DS0000012585.V251367.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 Residents live in a comfortable and homely environment. All of the residents have their own bedroom. EVIDENCE: Residents have their own door key and can come and go as they wish although they are asked to let the manager know if they are going to be out late or not in for meals. Although the bedrooms vary in size, all of the residents said they were happy with their room and enjoyed having the privacy of spending time in their room if they want to. There is a shared bathroom for three residents in 51 and a shared bathroom for 2 residents in 50 Quarry Road. There are designated smoking areas with some restrictions on smoking in the dining room during mealtimes. The home is clean and tidy and residents have allocated tasks during the week to keep their own rooms and the shared rooms clean. Residents do their own washing up. Quarry Road (51) DS0000012585.V251367.R01.S.doc Version 5.1 Page 14 Residents are free to use the kitchens to make themselves drinks or snacks and usually get their own breakfast. There is a television in the sitting room and all of the residents have their own TV in their rooms. Quarry Road (51) DS0000012585.V251367.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): These standards are not assessed because the home does not employ any staff. All of the family members who work with the residents have a current criminal record check. EVIDENCE: Quarry Road (51) DS0000012585.V251367.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): 37 – 43 The home is a domestic and family run establishment and the residents live with the family. The manager and her family have daily contact with the residents and it is evident that the home is run in the best interests of the residents. EVIDENCE: The residents have lived in the home for a number of years and enjoy a good relationship with each other and with the manager and her family. The manager has many years of experience working in care and has enrolled to achieve the Registered Manager Award; hoping to complete this within the next 12 months. Since the last inspection the manager has completed a oneday refresher course in mental health awareness and a session on Emergency First Aid for all of the family is planned for February 24th, run by St John Ambulance. (Management and First Aid training were requirements from the last inspection and these are in the process of being addressed). Quarry Road (51) DS0000012585.V251367.R01.S.doc Version 5.1 Page 17 The Health and Safety Inspector recently visited the home but as the home does not employ any staff, an inspection was not required. The inspector spoke to three of the five residents and it was evident that they have choice in their daily living activities and their rights and privacy are protected and respected. The manager sees the residents every day and all of the residents get together in the evening to have a meal together. Formal systems of quality assurance or customer satisfaction are not appropriate in this family run home but it is evident that the residents are consulted on a daily basis. The manager makes sure that the residents have a regular review of their care needs with the community mental health services and any issues or changes in care needs are addressed. The residents are aware of fire safety and respect the ‘house rules’ for smoking in designated areas, and are aware of the regular checks on the fire alarm. Recommended good practice is for the manager to ensure that residents know how to use the fire extinguishers and fire blankets whenever necessary and residents know what to do in the event of a fire. Fire practices should be recorded. Quarry Road (51) DS0000012585.V251367.R01.S.doc Version 5.1 Page 18 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 X 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 X STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 2 3 3 3 3 3 3 Quarry Road (51) DS0000012585.V251367.R01.S.doc Version 5.1 Page 19 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. 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 42 Good Practice Recommendations It is recommended as good practice for the manager to make sure that residents know how to operate fire safety equipment and know what to do in the event of a fire. Any fire safety training or practice fire drills should be recorded with the names of those attending. Quarry Road (51) DS0000012585.V251367.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 Quarry Road (51) DS0000012585.V251367.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
