Inspection on 18/05/05 for Coldwell Villa

This inspection was carried out on 18th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Coldwell Villa 21/05/07

Coldwell Villa 15/05/06

Coldwell Villa 27/07/04

Coldwell Villa 04/05/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 71 Mersea Road Coldwell Villa Colchester Essex CO2 7QR Lead Inspector Jenny Elliott Draft Announced 11/05/2005 - 18/05/2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 71 Mersea Road Version 1.10 Page 3 SERVICE INFORMATION Name of service 71 Mersea Road Address Coldwell Villa Colchester Essex CO2 7QR 01206 547588 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) into@essexautistic.org.uk The Essex Autistic Society Mrs M Kerry Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 71 Mersea Road Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 5 persons). Date of last inspection 27/07/04 Brief Description of the Service: The home is owned and managed by the Essex Autistic Society (EAS). The home provides accommodation and care for up to 5 adults with Aspergers syndrome. The property is located within walking distance of Colchester town centre, pubs, post office, public transport and other amenities. The home was opened in 1994. It is a two storied, family sized house. The accommodation is domestic in style and scale. All five bedrooms are single, each has a wash hand basin. Toilets and bathrooms are shared. A small, well maintained garden is to the rear of the property, with garden furniture and a small pond. 71 Mersea Road Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The findings of this report are based on the following inspection methods, a visit to the home on the 11th May 2005, where practice was observed, records were inspected and people living and working at the home were spoken with. Three people living at the home were spoken with on the 11th May. Questionnaires returned by people living at the home and visitors were analysed along with information provided by the home and professionals working with the home. About 6 hours were spent on these activities. The inspection was ‘announced’ (and therefore known of in advance by the home). The home had been without a manager on site for a considerable period since the last inspection. The manager had returned to work at the beginning of 2005. Part of the reason for this inspection was to review the service provided under these circumstances. What the service does well: What has improved since the last inspection? The service has improved the way it consults with the most articulate service users. 71 Mersea Road Version 1.10 Page 6 The service has improved the way it records and plans how to provide care for individuals. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 71 Mersea Road Version 1.10 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 71 Mersea Road Version 1.10 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 4 The home undertakes a full assessment of the needs of prospective service users and implements good transition programmes allowing prospective service users to become familiar with the home and its routines. EVIDENCE: The assessment and transition programme relating to one person was inspected in detail. The records indicated the involvement of the prospective service user, their family, professionals already working with the individual, as well as referrals to other relevant professionals, along with people already living and working at the home. The prospective service users preferred methods of communication were fully integrated into this process enabling them to participate as fully as possible in the choice of home. Visits were made to the prospective service user at their previous home, followed by visits to Mersea Road by the prospective service user. Notes were made following each activity in the transition plan, identifying positive outcomes and any new information learnt. 71 Mersea Road Version 1.10 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7,8 & 9 The service encourages people living at the home to make choices about their day-to-day lives, and works with them to implement choices. EVIDENCE: The records held for each individual plan of care had improved since the last inspection. Good use was made of photographs and social stories to improve accessibility to the information by people living at the home. There were some good examples of where an identified need had been translated into an active care plan, which had then been reviewed. This approach should be developed to cover all of an individuals needs and aspirations. There was clear evidence of the involvement of service users in daily living tasks. Service users plan or contribute to planning their own menus, shop for food and as far as possible prepare their own meals. Service users are also responsible (with staff support where necessary) for keeping their own rooms clean and tidy. The manager consults with service users in a manner that is appropriate for each person. Records were in place to support this, and one service user described related discussions they had had with the manager. 71 Mersea Road Version 1.10 Page 10 Service users are encouraged and supported to be as independent as possible. One service user welcomed me into the home, showed me where the visitor’s book was and told me about their planned trip to a local gym. Another person living at the home told me about their new girlfriend. A letter from one service users social worker noted ‘his improved self-esteem.’ 71 Mersea Road Version 1.10 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11,13,14,15,16,17 The home promotes opportunities for service users to be involved in the local community and to develop and maintain relationships, with support where required. Menus are individually tailored to each service user. Mealtime arrangements promote choice and independence as well as balanced diets. EVIDENCE: Every person living at the home has an individual timetable that identifies weekly activities. These include college, shopping, gym, bowling, cinema, walks, using public transport, as well as time in the house for personal chores, menu planning and relaxing. The activities seen on timetables were clearly linked to the care plans inspected. Some of the activities listed were preparation for activities planned in the future (e.g. getting used to using public transport appropriately and to routes). People living at the home were encouraged to be as independent as possible. 71 Mersea Road Version 1.10 Page 12 However, for one service user circumstances had changed and the level of risk considered to have increased, in this situation the person was more closely supervised. This was considered to be appropriate by the inspector. The service promotes visits to families, helping with transport where possible and supports service users to develop appropriate relationships of their own. Records were seen detailing good advice given about relationships and service users demonstrated an understanding of these in discussion with the inspector. As described previously, service users draw up their own menus (with guidance from staff) and help to shop for and prepare their own meals as far as possible. 71 Mersea Road Version 1.10 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected. EVIDENCE: 71 Mersea Road Version 1.10 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected. EVIDENCE: 71 Mersea Road Version 1.10 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 30 Mersea Road provides a comfortable and homely environment for people living there. The home was clean and hygienic on the day of the inspection. EVIDENCE: Mersea Road is a family sized home, furnished and decorated in a homely way. The kitchen and laundry facilities are domestic in nature enabling people living at the home to develop their domestic skills. Decoration and furnishings were generally in good condition, although wear was noted to some areas of the stair carpet. The bathroom suite looked tired with some discolouring noted to the grout and there were some cracked tiles. 71 Mersea Road Version 1.10 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34,35 The home did not ensure that all recruitment checks were satisfactorily carried out before employing staff. Staff were trained in general care as well as the specific needs of service users. EVIDENCE: Employment records relating to two members of staff were seen. In both sets of records the person commenced employment prior to the service receiving an enhanced CRB (criminal records bureau) check. In one case the applicant had stated on their application form that they had been convicted of a criminal offence. There were no notes to evidence this had been followed up by the service. New staff undertake training from the LDAF (learning Disability Awards Framework) induction and foundation courses. Five staff were working towards completion of a relevant National Vocational Qualification (NVQ). It was noted that none of the staff had current food hygiene training and for some individuals other basic areas had not been updated for some years. 71 Mersea Road Version 1.10 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 42, 43 The home is well run and promotes the health and wellbeing of service users. The manager of the service works with the senior management of the EAS and external bodies in a manner that promotes good practice. EVIDENCE: The needs of service users are central to the running of this home. Staff feel well supported and trained. Service users independence levels have developed whilst living at the home without compromising their health and welfare. The manager had day-to-day control of the service and works collaboratively with other managers of EAS to develop policy and procedures. Senior managers within the society and accreditation to the National Autistic Society, provide a sound level of accountability and quality assurance. 71 Mersea Road Version 1.10 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. Where there is no score against a standard it has not been looked at during this inspection. 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 4 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 71 Mersea Road x 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x x 2 3 x Version 1.10 Page 19 16 17 4 4 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 3 71 Mersea Road Version 1.10 Page 20 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 24 Regulation 23(2) Requirement The registered person must plan for the maintenance and upgrading of fixtures and fittings in the home. The registered person must ensure all required checks are carried out before employing new staff. Timescale for action 31/07/200 5 30/06/200 5 2. 34 19 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 6 Good Practice Recommendations The registered person should develop the care planning porcess to encompass a greater range of aspirations and needs. 71 Mersea Road Version 1.10 Page 21 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 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 71 Mersea Road Version 1.10 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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. 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