Inspection on 25/01/07 for 50 -51 Quarry Road

This inspection was carried out on 25th January 2007.

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

50 -51 Quarry Road 15/10/08

50 -51 Quarry Road 11/01/06

50 -51 Quarry Road 14/09/05

50 -51 Quarry Road 23/02/05

50 -51 Quarry Road 24/08/04

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

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

CARE HOME ADULTS 18-65 50 -51 Quarry Road Ryde Isle Of Wight PO33 2TY Lead Inspector Janet Ktomi Unannounced Inspection 25th January 2007 14.30p 50 -51 Quarry Road DS0000012585.V324860.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 50 -51 Quarry Road DS0000012585.V324860.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. 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 50 -51 Quarry Road Address Ryde Isle Of Wight PO33 2TY 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) 01983 616862 Mrs Lynda Margaret Lawlor Care Home 5 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (5) of places 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home currently accommodates one resident over 65 years of age. Date of last inspection 11th January 2006 Brief Description of the Service: 50-51 Quarry Road is a registered care home providing care and accommodation for up to five younger adults with mental health needs. The home offers flexible and informal family based care and support. The service is comprised of two adjacent houses, one semi-detached and one detached, located at the end of a quiet lane in a pleasant residential area of Ryde. There is a large garden and an area of land where the owners keep ducks and chickens. Ryde town centre is within walking distance and public transport (bus and train) are located close by. The home is owned by Mr and Mrs Lawlor and managed by Mrs Linda Lawlor. Weekly fees are based on social services care band 2 rates of £344.75. 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first ‘Key Inspection’ for 50-51 Quarry Road, a ‘Key Inspection’ being part of the new inspection programme, which measures the service against the key National Minimum Standards. The visit to the home, was conducted by one inspector over one day lasting a total of four hours, where in addition to any paperwork that required reviewing the inspector met with three of the four people who live at the service and undertook a tour of the premises. The inspection process also involved pre fieldwork visit activity, with the inspector gathering information from a variety of professional sources, the Commission’s database, pre-inspection information provided by the service and linking with previous inspectors who have visited the home. 50-51 Quarry Road provides a homely environment on a domestic scale for up to five younger adults who have experienced difficulties with their mental health. All current service users have lived at the home for several years. The home currently has one vacancy. What the service does well: What has improved since the last inspection? Since the previous inspection in January 2006 an additional hand-rail has been provided on the staircase in 51 Quarry Road. 50 Quarry Road has a new back door and general ongoing redecoration as required. 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 6 There were no requirements following the previous inspection and the home has complied with the one recommendation made in that service users know how to operate fire safety equipment and know what to do in the unlikely event of a fire. 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. 50 -51 Quarry Road DS0000012585.V324860.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 50 -51 Quarry Road DS0000012585.V324860.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): 2 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager would ensure that new residents are only admitted whose needs the home could meet and who are compatible with the people who already live at the home. New residents would have the opportunity to visit the home on a number of occasions prior to making a decision to move into the home. EVIDENCE: At the time of the inspection the home had one vacancy, with the existing residents having lived at the home for at least two years or more. The inspector discussed with the manager the actions she would take should a new resident be referred to the home. The manager was clear about the need to ensure that she obtained full information from as may sources as possible about any prospective resident. Prospective admissions would be discussed with existing service users and if it was felt that their needs could be met then they would be invited to visit the home on a number of occasions prior to making a decision about moving in. The manager was clear that existing residents views, and reactions/interactions with the prospective resident during visits, would be taken fully into consideration when a final decision is made 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 9 about a new admission. The manager was aware about the homes registration categories and the level of needs the home could meet. All new admissions are initially for a one month trial period. There have been no previous concerns about the statement of purpose, service users guide or contracts. Therefore these documents were not viewed and the relevant standards not assessed. 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All residents have agreed individual care plans that are reviewed and updated as needs change. Residents make decisions about their lives with assistance as needed. Residents are supported to take risks as part of an independent lifestyle. EVIDENCE: The inspector viewed all residents individual weekly plans and risk assessments. Copies of the homes risk and general assessment documents were provided with the pre-inspection questionnaire. Where the resident is on the Care Programme Approach (CPA), the care plan is reviewed with the resident, the home manager and all others involved in the residents care, at agreed intervals (either six months or one year). Individual care plans compiled by the manager were seen to be reviewed yearly with the manager 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 11 stating that these would be reviewed more frequently if there were changes to the residents needs. Residents are encouraged to take individual responsibility for their own rooms and to do their own laundry where possible. All the residents are given a weekly allowance by the home for undertaking household tasks such as cleaning and washing up. Discussions with residents indicated that they were happy with this arrangement and appreciated the additional allowance. The manager informed the inspector that residents look after their own finances although support is given with the payment of assessed contributions towards their care costs which must be paid monthly to the Isle of Wight council. Discusion’s with residents about their money indicated that they were aware of their responsibilities to pay their ‘rent’ and able to spend their remaining money as they wished. Residents were aware that their additional allowance paid by the manager was for keeping their rooms clean and washing up after meals. As previously stated they were happy with this arrangement. As a small family run home, the daily routines are informally agreed and usually residents get together each day for their evening meal, this provides an opportunity for the residents to socialise and discuss day-to-day issues that may arise. Residents are encouraged to take responsible risks and have all agreed to the homes policy on the use of alcohol, smoking and consideration of others living at the home. As previously mentioned risk assessments are undertaken for all service users and were seen with care plans. 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 12 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): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All residents spoken to were happy with their own routines and lifestyles. Residents were very happy with the food provided at the home. EVIDENCE: Individual weekly routines were seen within resident’s files. These indicated that residents were encouraged to undertake a range of planned and ad hoc activities. Residents are supported and encouraged to develop their own daily routines that include voluntary work, social and leisure activities, and maintaining contact with family and friends. The manager works closely with the community mental health team to ensure that residents have information and choice about work and leisure opportunities. 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 13 Privacy and choice are respected in the home and residents said that they liked having their own rooms to spend time in when they want to, and also enjoyed those activities they take part in outside of the home. The manager operates a weekly allowance system for the residents who have particular domestic tasks in the home each week. The residents were happy with this system. The manager will provide transport if required by service users. It was evident that the atmosphere in the home is relaxed and informal with residents having independence and freedom of movement within the home, and as agreed on their individual care plans. Residents discussed contact with relatives and friends and their individual routines and other social activities. It was clear that residents were able to lead the lifestyles they preferred. The inspector met three of the four people who live a the home, the fourth person was aware the inspector was visiting but chose not to come home to speak with the inspector. All stated that they are happy with the meals provided. Residents get their own breakfasts and can make themselves drinks at any time having free access to the kitchens in both houses. Residents can have lunch in the home or take packed lunch with them to their day-time activities. The manager cooks the main evening meal that is eaten in the dining room of 51 Quarry Road with all service users and the manager and her husband. Menus tend to be informally agreed and alternatives are offered to the main meal where the manager is aware of individual preferences and needs. If residents are out at the time of the evening meal one can be saved for later or a snack organised for the resident when they return. 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 14 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. This judgement has been made using available evidence including a visit to this service. The residents physical and emotional healthcare needs are met by the home. Residents are supported to manage their own medication following risk assessment. EVIDENCE: The manager has many years experience working with people who are experiencing difficulties with their mental health. The manager works closely with the community mental health team and health issues are immediately identified and a referral arranged with the residents GP. Residents confirmed that the manager is available to support them and provide transport for medical appointments. Residents are registered with a GP of their choice in the local area and confirmed that they are supported to attend dental and optician appointments. The general risk assessment completed by the manager and seen in resident’s files included risks associated with self management of medication. At the time of the inspector’s visit two residents were self medicating, the others did not 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 15 require any regular medication. The inspector discussed medication with both these residents, both confirmed that they self medicated and stated what tablets they took and were clear when medication should be taken. These service users have self medicated for a number of years. Previous reports stated that the manager has provided a lockable space for medication storage in service users rooms. The manager stated that residents will tell her if they need additional medication supplies and she will deliver repeat prescriptions to the GP and collect from the pharmacy. Previous reports stated that the home had a suitable recording tool should a service user not be able to self medicate and the manager undertook this task. All residents are independent in personal care. The manager stated that over the time people have lived in the home the level of support and prompts to ensure adequate levels of personal care are maintained has reduced as residents have incorporated this into their daily routines. 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 16 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): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel their views are listened to and acted on, residents are protected from abuse, neglect and self harm. EVIDENCE: Information about the homes complaints procedure is included in the service users guide. Residents spoken with stated that they were happy living at the home and did not have any complaints, when asked what they would do if they had complaints they confirmed that they would say something to the manager. As a small family run home that does not employ any staff, the manager who has daily contact with the residents deals with any complaints that may arise. The manager stated in the pre-inspection questionnaire that no complaints had been received since the previous inspection. Service users confirmed this to the inspector. The manager is aware of the local adult protection policy and procedures and is kept informed of updates and changes via her involvement in the local Care Homes Association. All residents are able to make their own decisions and all have access to additional support from their community care co-ordinator if required. 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 17 The manager demonstrates a good knowledge and awareness of the residents’ needs and abilities and is able to access specialist services to support residents whenever needed. 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 18 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, 25, 26, 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable, homely and safe environment, sharing a domestic residence with the registered owners. EVIDENCE: The service is comprised of two adjacent houses, one semi-detached and one detached, located at the end of a quiet lane in a pleasant residential area of Ryde. A small courtyard separates the two houses. There is a large garden and an area of land where the owners keep ducks and chickens. Ryde town centre is within walking distance and public transport (bus and train) are located close by. The manager showed the inspector round the two houses and service users showed the inspectors their private accommodation (bedrooms). 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 19 Residents have their own door keys and can come and go as they wish although they are asked to let the manager know if they are going to be out for meals or returning late. There are three resident’s bedrooms in 51 Quarry Road and two in 50 Quarry Road. Some of the bedrooms have a washbasin and all are located close to a toilet and bathroom. Bedrooms seen had all be personalised by their occupant. Each was seen to contain a television and other home entertainment equipment. All three residents the inspector spoke with stated they were happy with their bedrooms and liked spending time in their rooms. Communal rooms are available in both houses, with pleasant lounges and a dining room in 50 Quarry Road where all residents of the service and the owners sit together for meals. Both houses have kitchens in which service users can make themselves hot or cold drinks whenever they wish. The home only allows smoking in a designated place. The inspector spoke with one service user who smokes who confirmed that he was aware of where he could smoke and happy with the arrangements. Adequate toilet and bathing facilities are provided in both houses. The home was found to be clean and tidy, as previously stated residents clean their own rooms and help with some other household tasks such as washing up, laundry and changing their beds. A second hand rail has been provided to the stairs in 51 Quarry Road however all residents are fully mobile and require no aids or adaptations. The home had a routine visit by the fire officer and has complied with the recommendations from this (torches for emergency lighting on each landing, renewal of fire extinguishers and independent smoke detectors in bedrooms in addition to the already provided wired alarms in the home). The home has held fire drills and residents are aware of the action they should take in the event of a fire. The home has also been visited by the environmental health office since the previous inspection and no requirements or recommendations were made. 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 20 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): 35. The remaining key standards are not applicable as the service does not employ any staff. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users individual and joint needs are met. EVIDENCE: The home is family run with the manager, her husband and adult son living at the home and providing all care and support required. The manager’s daughter helps with some cleaning. Previous reports state that CRB checks for all family members have been viewed. The manager’s sister owns and manages a similar service in the local area and provides support to the manager’s son if the manager and her husband are on holiday. Service users stated they get on well with all members of the family and that someone is always available if they have a problem. 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 21 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): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home, their individual needs and wishes are fully considered and their health, safety and welfare is promoted and protected. EVIDENCE: The home is owned and managed by the proprietors who live on the premises with the residents. One of the owners is the registered manager with day-today responsibility for the home. The registered manager has many years of experience working in care and is undertaking the Registered Managers Award. The manager stated she is now approximately three quarters way through this course. The manager and 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 22 family have undertaken first aid training with the St Johns ambulance and the manager has attended a refresher course in mental health. The manager is a member of, and attends meetings for the Isle of Wight care homes association and is able to access information and support from this association. The inspector spoke with three of the four people who live at the home. Discussions indicated that they are all able to make choices and decisions in respect of their daily lives. Most evenings all residents and the owners eat their evening meal together and this provides an opportunity to socialise and discuss any issues. 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 ensures that residents have a regular review of their care needs with members of the community team. The residents are aware of fire safety and respect the house rules for smoking only in designated areas. As previously noted the home has complied with the recommendations from the recent visit from the fire officer. There were no concerns noted by the inspector in relation to health and safety during the visit to the home. 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 23 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 2 3 X 4 3 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 50 -51 Quarry Road DS0000012585.V324860.R01.S.doc Version 5.2 Page 26 - 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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