Inspection on 01/12/05 for 97 Monmouth Road

This inspection was carried out on 1st December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

97 Monmouth Road 03/08/06

97 Monmouth Road 22/06/05

97 Monmouth Road 24/02/05

97 Monmouth Road 30/09/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 Monmouth Road (97) Dorchester Dorset DT1 2DF Lead Inspector Marion Hurley Unannounced Inspection 1st December 2005 09:30 Monmouth Road (97) DS0000026755.V266760.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 Monmouth Road (97) DS0000026755.V266760.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. Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Monmouth Road (97) Address Dorchester Dorset DT1 2DF 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) 01305 266430 01305 250138 Leonard Cheshire Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd June 2005 Brief Description of the Service: 97 Monmouth Road is a care home registered to provide care and accommodation to three people who have learning disability. The home is one of seven similar services in Dorchester that are owned and operated by the Leonard Cheshire Foundation, a not for profit organisation providing services to people with disabilities. The property is a semi-detached house, located in a quiet residential street, close to Dorchester town centre. All service users have single bedrooms, and share the communal lounge, dining room, kitchen and bathroom. The home has a pleasant garden to the rear. The home is staffed 24 hours a day, with usually two staff during the day and one member of staff on duty in the evening and sleeping in at night. Day activity programmes are arranged for the service users, which include leisure and community activities. Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. Monmouth Road was assessed according to the Care Home for Adults (18-65) National Minimum Standards. The overall time spent to complete the inspection process was a total of five hours; one and half were spent at Monmouth Road. In the course of this inspection two members of the staff team were available and two residents were present. What the service does well: What has improved since the last inspection? Since the last inspection new staff have successfully been recruited and have settled well into their new roles and responsibilities. Staff have been given the opportunities to attend statutory training courses and complete the Cheshire Homes’ comprehensive induction programme. Staff have worked hard to reorganise the resident’s individual records and these are now divided into two files containing records relating to Health needs and the other Social Care. The style of the plans is now Person Centred and provides the reader both with important facts about the resident but also an emotional feel of the persons preferred lifestyle and interests and an insight into their social network. Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 Page 6 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. Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 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 Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 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): 2 • Service Users would only be admitted based on an assessment of their needs, ensuring the home would be able to meet the service user’s identified needs and have the appropriate staffing levels and facilities. EVIDENCE: Since the last inspection no new services users have been considered for Monmouth Road. The group of people living at this small family style home have done so for many years and a vacancy is not anticipated. In view of this the inspector discussed the principles of a prospective service user being considered for a placement and both staff demonstrated their knowledge and understanding of good working practices to ensure the prospective service user’s needs would be fully identified through the assessment process. Many of the prospective service users considered for the Cheshire Home Service have complex needs and very individual methods of communicating and staff said that in reality it might take months to complete a full assessment of the persons needs, preferences and personal wishes. Other records indicate the staff’s ability to seek advice and work well using a multi agency network of specialists. It is anticipated any prospective service user would benefit from this comprehensive approach. Prospective service users would always be involved and the admission process would be based on the individual’s ability to cope with the transition of moving into a new situation. Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 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): The key standards were not assessed having been met at the previous inspection. Please note a good practice recommendation from the previous report remains as no care plans were read at this inspection. EVIDENCE: Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 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): 12,15,16 & 17 • All residents, with staff support greatly benefit from participating in a range of activities and access to community facilities and amenities. • Residents are encouraged to see family and friends as they wish. • Resident’s rights are respected and choice and freedom of movement are promoted in this small family style home. • Meals are healthy and mealtimes flexible to suit residents lives. EVIDENCE: All three residents participate in a variety of activities and these range from physical activities like horse riding, swimming to others which are more sedentary and relaxing i.e. reflexology, beauty sessions, massage. Two residents enjoy Art therapy and pottery. For the residents the process to fully participate in some activities has been a series of small introductory steps and staff and instructors have had to support the resident as they have gradually established trust and confidence to join in with the activity. Contact with family and friends is encouraged and residents are supported to make appropriate contact. One person has a long-standing friend and with the Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 Page 11 help of staff making the arrangements they are able to meet up at least once a year, in between the friend and the resident exchange many cards and letters. The staff demonstrated their understanding of the resident’s needs and one person prefers their own company or that of the staff whilst another has a best friend who lives locally and the two are able to enjoy walks together (both need one to one supervision for this activity to take place safely). Both the residents present during the inspection were able to cheerfully indicate their delight when asked about some of the activities. Observations throughout the inspection clearly demonstrated the excellent rapport staff and resident share and the respect and kindness each resident is treated with. The menu is planned a month in advance and whilst it does not show specific choices there is always an alternative available. Staff know the resident’s like and dislikes and adjust the menu accordingly. Staff are keen to encourage healthy living and the menu was balanced and with a good variety of meals. Ample fresh fruit and juices are available and enjoyed daily. Residents are encouraged to help prepare their own meals. However, this requires intensive support from the staff as none of the residents are aware of the potential hazards of working and being in the kitchen. Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 Page 12 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): 20 The CSCI Pharmacist completed an inspection and assessment of NMS20 on November 2nd, 2005 EVIDENCE: Requirements and good practice recommendations were made following this inspection. These requirements and recommendations have now been met. Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 Page 13 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): 23 • • Adult Protection is appropriately and well addressed in staff training. Cheshire Homes have both policies and procedures in place in order to safe guard service users from potential abuse and harm. EVIDENCE: Cheshire Homes, Dorchester has clear policies and procedures and a working understanding of the issues is cascaded to the staff working in the network of their small homes in and around Dorchester. Staff are provided with information in their induction programme on issues relating to the principles of Adult Protection, and Whistle blowing and both the staff met at this inspection are working though self directed training packs regarding POVA.(a refresher course). All three residents have their own bank accounts and withdraw money using their own chequebooks. Each cheque is required to have a double signature before being accepted by the bank. Receipts for all personal shopping are kept and clearly numbered ensuring a financial audit can be easily achieved at any time. Receipts are checked by staff in the home and then checked again by Administrative staff in the Cheshire Homes administrative office, Dorchester This financial system works well and efficiently. On the day of the inspection the staff with the two residents were checking their receipts before taking them to the office. Despite the two residents lack of comprehension concerning the procedures it was good to see them totally involved in the activity. Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 Page 14 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): The key standards were assessed and met at the previous inspection. EVIDENCE: Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 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): 32 & 34 • Residents are protected by the employment procedures and the staff training programme. • Staff training includes all statutory training. EVIDENCE: Both the staff met at this inspection were experienced practitioners with a clear understanding of their roles and responsibilities. Each talked confidently about the needs and preferences and wishes of the different residents. Both staff had clear insight into the different styles of communicating each resident uses. Brief observations made on the day of the inspection indicated how well staff and residents get on and there appeared to be a positive and open relationship. Residents were unable to verbally confirm these indications but there is no question that through their individual communication and specific behaviour each would clearly indicate any negative feelings they might have towards staff - none were observed. All staff files are retained at Cheshire Homes main Dorchester Office and three files were checked when visiting these administrative offices. Each file contained the required statutory checks and references. Both POVA first and an Enhanced CRB check had been received plus two references. Identification and a photograph was found in each file along with completed interview notes, “letter of offer of employment”, terms and conditions/contract. Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 Page 16 A useful checklist was at the front of each file and had been completed in each case. An induction/training checklist was found completed in two out of the three files and those completed confirmed which policies and procedures had been provided to the new recruit. Staff training is provided on a rolling programme and a Training Newsletter has recently been circuited confirming which staff have been nominated for the next round of training events. The training programme included the following: Health & Safety, Food Hygiene provided by West Dorset District Council, LDAF induction, POVA first, and Care of Medicine Foundation course. Staff for these courses are nominated from all the homes managed through Cheshire Homes Dorchester. Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 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 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): 42 • Health & safety checks are adequate and these contribute to safe working practices to protect residents and staff living and working at the home. EVIDENCE: The responsibility for checking the health and safety equipment and servicing records is with the maintenance employee who is based at the Cheshire Homes Administrative Offices, Dorchester. Each home has a generic work base file containing risk assessments and the dates of reviews were noted on file. Documents relating to individual staff fire prevention training are collated at the Administrative offices and each employee has their own Training file with their records and certificates. The “responsible individual” representative for Cheshire Homes completes the monthly monitoring visits, Regulation 26 and these reports are comprehensive and extremely useful and practical in providing on going information. Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 Score x 3 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 3 13 x 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 x x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Monmouth Road (97) Score x x 2 x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 3 x DS0000026755.V266760.R01.S.doc Version 5.0 Page 19 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 Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 Page 20 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 Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 Monmouth Road (97) DS0000026755.V266760.R01.S.doc Version 5.0 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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