Inspection on 23/03/06 for Acorn Village

This inspection was carried out on 23rd March 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Acorn Village 12/12/06

Acorn Village 31/08/05

Acorn Village 02/03/05

Acorn Village 13/07/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 Acorn Village Clacton Road Mistley Manningtree Essex CO11 2NJ Lead Inspector Neal Wolton-Harragan Unannounced Inspection 23rd March 2006 11:00 Acorn Village DS0000017744.V288657.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 Acorn Village DS0000017744.V288657.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. Acorn Village DS0000017744.V288657.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Acorn Village Address Clacton Road Mistley Manningtree Essex CO11 2NJ 01206 394124 01206 391216 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) Acorn Village Limited Mr Gary Clive Balls Care Home 38 Category(ies) of Learning disability (38), Physical disability (38) registration, with number of places Acorn Village DS0000017744.V288657.R01.S.doc Version 5.1 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 who may also have a physical disability (not to exceed 38 persons) 31st August 2005 Date of last inspection Brief Description of the Service: Acorn Village is a care home providing personal care and accommodation for 38 individuals with learning disabilities, who may also have physical disabilities. Set in extensive well-maintained grounds, Acorn Village is located on the outskirts of the small town of Manningtree, with shops and local facilities within walking distance. The village was opened in 1975 and consists of six selfcontained bungalows, each with its own ancillary facilities and communal living areas. All bedrooms within Acorn Village are single occupancy and many have en suite bathing facilities. In addition to the accommodation there are communal workshops and day care facilities on site, as well as a coffee shop which is open to service users and the general public. Acorn Village DS0000017744.V288657.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced inspection at Acorn Village, the second inspection of the service for the year 2005-2006. During this inspection, 8 of the 43 applicable standards were assessed; 6 were met, 1 was nearly met and 1 was exceeded. The remaining standards were assessed as being met during the inspection of August 31st 2005 and details can be found in the report of that visit. The service has two registered managers, Mr Gary Balls and Ms Michelle Cook, both of whom were available on the day of inspection and contributed actively to the inspection process. Mr Tony Green, the Executive Research and Development Manager of the Acorn Village Trust, was also available for part of the inspection. This inspection included discussions with the management team, staff and service users, as well as a visit to Mistley Wood unit and an examination of staff and service user records. What the service does well: What has improved since the last inspection? What they could do better: There is a need for Acorn Village to revise the staff record keeping practices as there was no evidence available that Criminal Records Bureau disclosures had been sought or, in one case, that identity checks had been made. Acorn Village DS0000017744.V288657.R01.S.doc Version 5.1 Page 6 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. Acorn Village DS0000017744.V288657.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 Acorn Village DS0000017744.V288657.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): 1 Prospective service users had the information they needed to make an informed choice about where to live. EVIDENCE: The service user guide has been reviewed and now includes all the required information to allow prospective service users and their families to make an informed decision about moving into Acorn Village. Acorn Village DS0000017744.V288657.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): 9 Service users were supported to take risks as part of an independent lifestyle. EVIDENCE: The strengths and needs assessment process has been reviewed to improve upon the risk management element within the individual plan for each service user. Risk assessments are now reviewed at a minimum of two occasions each year and the revised process allows for greater input from a wider range of people involved with the individual service user. This was clearly evidenced through the move of a service user from one unit to another, the process was well planned and risks were monitored and managed throughout. Acorn Village DS0000017744.V288657.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 areas were not assessed at this inspection. EVIDENCE: Although these standards were not assessed at this inspection, all were assessed as being met at the inspection of August 31st 2005 and details can be found in the report of that visit. Acorn Village DS0000017744.V288657.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): 20 No service users retained, administered or controled their own medication at the time of this inspection. Service users were protected by the homes policies and procedures for dealing with medicines. EVIDENCE: All service users at Acorn Village undergo assessments to determine whether they are able to manage their own medications. No service users were administering or controlling their own medications at the time of this inspection, although there were a number who were supported with the identification and storing of their own medicines. Most service users’ medications were stored in their own rooms, although some had expressed a wish for this not to happen. Medications for these service users were stored in safe areas within the residential unit as were those for the small number of service users for whom it was assessed as inappropriate for their medications to be kept in their own rooms. Medication records for those living in Mistley Wood unit were examined and found to be appropriately maintained. Acorn Village DS0000017744.V288657.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 & 23 Arrangements were in place to help protect service users from abuse, neglect and self-harm and their views were listened to and acted upon. EVIDENCE: The home had a robust complaints procedure. The adult protection policies and procedures were adequate to protect service users from abuse and where service users presented with behaviours likely to cause self-harm these behaviours were identified within their care plans and related management strategies devised. Acorn Village DS0000017744.V288657.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 & 30 Service users lived in a homely, comfortable and safe environment. All areas were clean and hygienic. EVIDENCE: The building work on Mistley Wood unit was near to completion and this area was visited as part of this inspection. The new build had added en-suite showers or bathrooms to the bedrooms and enlarged both private and shared spaces. The work was to a high standard and of great benefit to those living within Mistley Wood. Acorn Village DS0000017744.V288657.R01.S.doc Version 5.1 Page 14 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): 34 Although service users were largely protected by the service’s recruitment policies and practices, improvements to the recording processes were required. EVIDENCE: The examination of staff records showed no evidence of Criminal Records Bureau checks being undertaken, although Ms Cook stated that these records are held on a database elsewhere. The Inspector’s knowledge of the service is that such checks are undertaken and information gained through this process is appropriately acted upon. However, records of CRB disclosures being applied for and received must be included within the individual staff member’s records and available for inspection. The records held for one carer did not hold evidence of identity checks being conducted prior to appointment or photographs of the staff member. The responsible person must ensure that all necessary pre-employment information is gained and staff records are appropriately maintained. Acorn Village DS0000017744.V288657.R01.S.doc Version 5.1 Page 15 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): These areas were not assessed at this inspection. EVIDENCE: Although these standards were not assessed at this inspection, all were assessed as being met at the inspection of August 31st 2005 and details can be found in the report of that visit. Acorn Village DS0000017744.V288657.R01.S.doc Version 5.1 Page 16 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 3 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 4 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 3 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 3 X X X X X X X X Acorn Village DS0000017744.V288657.R01.S.doc Version 5.1 Page 17 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. 1. Standard YA34 Regulation 19 Timescale for action The registered person must 31/07/06 ensure that all information and documents required within Regulation 19, Schedule 2, of the Care Homes Regulations 2001 are obtained and associated records are appropriately maintained Requirement 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 Acorn Village DS0000017744.V288657.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Acorn Village DS0000017744.V288657.R01.S.doc Version 5.1 Page 19 - 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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