Inspection on 31/08/05 for Acorn Village

This inspection was carried out on 31st August 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 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 23/03/06

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 Announced 31st August Final 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. Acorn Village I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 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 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 Ltd Mr Gary Clive Balls Care Home 38 Category(ies) of Learning disability (38) registration, with number Physical disability (38) of places Acorn Village I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 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). Date of last inspection 2nd March 2005 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 self-contained bungalows, each with it’s 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 I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an announced inspection by Regulation Inspectors Neal Wolton-Harragan and Brian Bailey at Acorn Village, the first inspection of the service for the inspection year 2005/2006. Mr Garry Balls, Registered Manager, and Ms Michelle Cook, Trainee Manager, were available throughout the day of inspection and contributed to the inspection process. Mr Tony Green, the Executive Research and Development Manager of the Acorn Village Trust, was present for feedback at the end of the inspection. During this inspection 31 of the 43 standards were looked at; 29 of these were met and 2 were partially met. During the day of inspection, members of staff were spoken with as well as service users and visiting relatives. The visitors, staff and service users spoke well of Acorn Village and of its management, service users appeared at ease with the care staff and were happy to talk to the Inspectors. Interactions between staff and service users observed during this inspection were positive. This inspection included a tour of two residential units within Acorn Village (Mistley Wood and Phyllis Mary Lodge), as well as the opportunity to look at records of how people living at Acorn Village were supported. What the service does well: What has improved since the last inspection? The consistency of care planning across the service has improved since the last inspection and all care plans seen on this visit to Acorn Village had clearly identified actions for meeting identified needs. Acorn Village I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 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. Acorn Village I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 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 Acorn Village I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 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) 1 & 2. Prospective service users have most of the information they need to make an informed choice about where to live. Prospective service users individual aspirations and needs are assessed. EVIDENCE: Acorn Village had a comprehensive Statement of Purpose and Service User Guide. However, the Statement of Purpose did not contain details of room sizes. The Service User Guide was too large to offer service users or their representatives clarity as to what to expect from Acorn Village and needed to be revised in a more user-friendly format. While there had been no admissions since the previous inspection, the transfer of a service user from one unit within the village to another was being treated, for all intents and purposes, as an admission. The examination of records relating to this transfer showed that all appropriate assessment had been undertaken to ensure the move went as smoothly as possible and to minimise disruption to the service user and those already living in the house into which he would be moving. Acorn Village I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 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. Service users knew there assessed and changing needs and personal goals were reflected in their individual plans, service users made decisions about their lives with assistance as needed, service users were consulted on, and participated in, all aspects of life in the service and service users were supported to take risks as part of an independent lifestyle. EVIDENCE: Service user plans were more consistent at this inspection than had previously been the case and all service user plans examined at this inspection gave clear indication as to how the needs identified would be met. Service user plans examined showed that individuals had contributed to their construction and that the contents of the plan had been read to them. This process was also directly observed in relation to one service user and seen to be a very positive interaction. Service user records gave details of the individuals contribution to the decision-making process and involvement in the review process. The service user records examined showed that comprehensive risk assessments had been undertaken. However, the records for one service user Acorn Village I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 Page 10 did not show evidence of these assessments being reviewed within the last 20 months. The service must ensure that all service users’ and risk assessments are reviewed at regular intervals to insure risks are appropriately managed. Conversations with service users, relatives and staff indicated that people living at the home were consulted regarding activities and the day-to-day running of Acorn Village and were able to participate in all aspects of life at the service. Acorn Village I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 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, 12, 13, 14, 15, 16 & 17. Service users had opportunities for personal development and were able to take part in age, peer and culturally appropriate activities. Service users were part of the local community, engaged in appropriate leisure activities and were able to have appropriate personal, family and sexual relationships. Service users rights were respected and responsibilities recognised in their daily lives and all service users were offered a healthy diet and were able to enjoy their meals and mealtimes. EVIDENCE: Service user records examined gave evidence that each person living at Acorn Village had a detailed weekly programme that included work, education and leisure type activities both on and off site. Service users spoken with on the day of inspection stated that they used community facilities as part of their daily lives and enjoyed the activities on offer. Discussion this service users and staff, as well as the examination of records, showed that service users rights were respected and appropriate personal relationships supported. Acorn Village I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 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 standard(s) 18 & 19. Service users received personal support in the way they preferred and required and their physical and emotional health needs were met. EVIDENCE: Service users spoken with were happy with the way they were supported and this was reflected within the care plans examined. Care plans identified individual needs as well as the choices made by individuals as to how these needs were to be met. Care plans were well detailed, regularly monitored and formally reviewed at appropriate intervals depending on individual need. There was an ongoing process of assessment to take account of the changing needs of individuals and the services of healthcare professionals such as community nurses, speech and language therapists or psychologists were accessed as necessary. Acorn Village I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 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 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 I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 26, 27, 28, 29 & 30. Service users lived in a homely, comfortable and safe environment and had bedrooms that suited their needs and lifestyles as well as promoting independence. Service users toilets and bathrooms provided sufficient privacy and met individual needs. Shared spaces complemented and supplemented service users individual rooms. The home was clean and hygienic. EVIDENCE: An environmental tour of two residential units within Acorn Village gave evidence that service users lived in a homely, comfortable and safe environment and that individual bedrooms suited service user needs and lifestyles and promoted independence. Bathrooms were of a good standard, offered a variety of choices for bathing and showers. There were sufficient shared spaces throughout the home, and within its grounds, to complement and supplement service users’ individual rooms. Service users spoken with on the day inspection expressed a high level of satisfaction with their individual and communal spaces and bedrooms were individualised by service users. All areas of Acorn Village visited on the day of inspection were clean and hygienic. Acorn Village I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 & 35. Service users were supported by an effective staff team and service users individual and joint needs are met by appropriately trained staff. EVIDENCE: Discussions with staff, management and visiting relatives provided evidence that care staff had a good understanding of their roles and responsibilities and that staff were qualified and competent. Staff were employed in sufficient numbers to meet the needs of the service users creating an effective staff team. Staff spoken with on the day of inspection stated that training was regularly made available and the home manager fully supported staff in meeting their training needs. Acorn Village I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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, 38, 39, 41 & 42. Service users benefited from a well-run home and from the ethos, leadership and management approach. Service users could be confident their views underpin all self-monitoring, review and development by the home and service users rights and best interests are safeguarded by the homes record-keeping policies and procedures. EVIDENCE: Service users, relatives and staff spoken with on the day of inspection were positive about the management style adopted in the home and staff felt able to raise concerns with, or make requests to, the manager. Records examined showed evidence of regular staff and service user meetings being held. The registered manager showed a good understanding of management issues. Records examined showed that risk assessments for activities undertaken by staff and service users had been completed. Records showed the health, Acorn Village I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 Page 17 safety and welfare of service users, staff and visitors was promoted and protected. Record keeping at the home was of a good standard. Acorn Village I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 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 2 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 3 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Acorn Village Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x 3 x I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 Page 19 yes 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 YA1 Regulation 4(1)(c), 5 Requirement The registered person must ensure that the services Statement of Purpose and Service User Guide contain the information specified in Regulation 4, Schedule 1 and Regulation 5 of the Care Homes Regulations 2001 and National Minimum Standard 1.2. (Previous timescale of June 30, 2005 not met) The registered person must ensure that appropriate risk assessments are undertaken for all service users and regularly reviewed. (Previous timescale of June 30, 2005 not met) Timescale for action 01/12/05 2. YA9 13(4) 01/12/05 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 YA1 Good Practice Recommendations The registered person should ensure the service user guide is reviewed and presented in a format that is easily understood by service users, prospective service users and relatives/representatives. I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 Page 20 Acorn Village Acorn Village I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 1st Floor Fairfax House Causton Road Colchester 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 I56 I05 S17744 Acorn Village V216115 AI310805 Stage 4.doc Version 1.40 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!