Inspection on 18/11/05 for Allendale

This inspection was carried out on 18th November 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

Allendale 29/03/07

Allendale 09/06/05

Allendale 02/02/05

Allendale 12/05/04

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

CARE HOME ADULTS 18-65 Allendale Road 1 Allendale Road Mutley Plymouth Devon PL4 6JA Lead Inspector Antonia Reynolds Unannounced Inspection 18th November 2005 9:30 Allendale Road DS0000003421.V249619.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 Allendale Road DS0000003421.V249619.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. Allendale Road DS0000003421.V249619.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Allendale Road Address 1 Allendale Road Mutley Plymouth Devon PL4 6JA 01752 670247 01752 670247 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) Katherine H L Finnigan The Very Rev Archpriest Benedict Ramsden, Mr Simeon Ramsden, Mrs Lilah Ramsden Kate Daglish Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places Allendale Road DS0000003421.V249619.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Three service users in the category of Mental Disorder (MD). Age 18 - 65. Kate Daglish must complete the Registered Managers Award by 30th June 2006. 9th June 2005 Date of last inspection Brief Description of the Service: 1, Allendale Road is a care home providing personal care (if required) and accommodation for three people, aged 18 - 65, with various mental disorders. It is owned by The Community of St Antony and St Elias which is a private sector organisation owning several other care homes in Devon. The home was opened in 1993 and is a two storey, end of terrace property, located in a cul de sac in the residential area of Mutley in Plymouth. All the homes bedrooms are single and are on the 1st floor. None of these have wash hand basins or en suite facilities. There is a lounge room and kitchen/diner on the ground floor. The home has small back and front yards and all areas are accessible to the service users. Allendale Road DS0000003421.V249619.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 9.30am and 11.45am. The Registered Manager, Kate Daglish, was present throughout. A tour of the premises took place and records relating to care and the home were inspected. The three residents, as well as staff on duty, were spoken with during the visit. Comments cards were received from all of the residents expressing satisfaction with the care provided. What the service does well: What has improved since the last inspection? 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. Allendale Road DS0000003421.V249619.R01.S.doc Version 5.0 Page 6 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 Allendale Road DS0000003421.V249619.R01.S.doc Version 5.0 Page 7 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 and 4 The home’s Statement of Purpose and Service User Guide provide service users and prospective service users with details of the services the home provides, enabling an informed decision about admission to the home. EVIDENCE: The home has a statement of purpose and Service User guide available for prospective residents. No new residents have been admitted to the home since the last inspection. The organisation has an admissions procedure where all prospective residents are assessed prior to admission. Residents confirmed that they had opportunities to visit the home prior to admission. Allendale Road DS0000003421.V249619.R01.S.doc Version 5.0 Page 8 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): 7, 8, 9 and 10 The residents are enabled to participate in, and make decisions about, all aspects of their lives. EVIDENCE: Discussion with the residents confirmed that they were enabled and encouraged to make decisions about their lives. They were consulted about every aspect of their care and participated in the running of the home. Where there are restrictions of choice or freedom, due to individual needs, residents were able to describe and explain why these agreements were in place. The attitude and approach of the staff team promotes independence, enabling residents to make decisions about lifestyles and daily routines, demonstrating excellent practice. Discussion with the Registered Manager confirmed that confidentiality is understood and the organisation has changed its format for residents’ reports to ensure that confidentiality is respected residents can access all their records should they wish to. Allendale Road DS0000003421.V249619.R01.S.doc Version 5.0 Page 9 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): 11, 14, 15, 16 and 17 Residents can learn life skills, attend work placements, participate in any community and leisure activities, choose their own daily routines and enjoy a healthy diet of their choice. EVIDENCE: The residents confirmed that they were enabled to live as full a life as they wished to and had opportunities for personal development. Residents participated in all the domestic activities in the home and took part in leisure activities of their choice, including holidays if they wished to go. The home did not provide transport as a general rule as residents are encouraged to use public transport wherever possible. However, the Community has a variety of transport available when required for service users to participate in different activities. On occasion, staff used their own cars and the Registered Manager has previously confirmed that appropriate insurance cover is in place. It was evident, through observation during the inspection, that service users felt very ‘at home’ and were empowered to make decisions. Service users confirmed that they could make their own meals, drinks and snacks and chose the menu. Contact with relatives and friends was encouraged and there were no limitations in place regarding visitors to the home. Allendale Road DS0000003421.V249619.R01.S.doc Version 5.0 Page 10 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): 18 and 19 Residents receive support in the way, and at the time, that they want and need. Health care needs are addressed as soon as they are identified. EVIDENCE: Discussion with residents confirmed that they had a choice of when and where they received personal support, and that timings were flexible. Observation showed that residents were also able to make active choices about which staff on duty would provide that support. External professional advice and guidance was sought when necessary from local health care professionals or social services. The Registered Manager confirmed that a more detailed and comprehensive in-house training course for the administration of medication has been developed for staff. Allendale Road DS0000003421.V249619.R01.S.doc Version 5.0 Page 11 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 Residents can be confident that the Registered Provider always deals with complaints seriously and any concerns from residents are listened to and acted upon immediately. EVIDENCE: Neither the home nor the Commission for Social Care Inspection have received any complaints regarding the service since the last inspection. The home has a complaints procedure and the residents explained how they would make a complaint and who they would talk to. Regular house meetings were held where any issues could be raised and dealt with immediately, although it was also clear from discussion that residents could raise any issue at any time. Allendale Road DS0000003421.V249619.R01.S.doc Version 5.0 Page 12 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, 25, 26, 27 and 28 The standard of the environment is satisfactory, providing service users with a comfortable and homely place to live. EVIDENCE: Some rooms in the home have been refurbished since the last inspection and there were plans in place for the redecorating of other rooms. The home was comfortable, safe and clean. Each resident had a single bedroom on the 1st floor, none of which have en suite facilities or wash hand basins. Residents confirmed they did not need wash hand basins in their bedroom. Bedrooms were individually furnished and contained many personal possessions. Bedroom doors were fitted with appropriate locks and all of the residents had a key to their own bedroom door, therefore had a choice as to whether to lock it or not. The home had a bathroom on the 1st floor consisting of a bath with over bath shower, toilet and wash hand basin. The door was fitted with an appropriate lock to afford privacy but which could be accessed by staff in an emergency. There were shared rooms on the ground floor consisting of a kitchen/diner and a lounge room, which contained personal possessions belonging to the residents. The home has a ‘no smoking’ policy within the building but residents may smoke in the back yard. A large umbrella has been provided so that there is some protection from inclement weather and the residents were very pleased with this arrangement. Allendale Road DS0000003421.V249619.R01.S.doc Version 5.0 Page 13 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): 31, 32 and 36 Service users benefit from good staffing levels but continuity and consistency of care are affected by the organisation’s policy of moving staff, causing stress and anxiety for some residents. EVIDENCE: Discussions with the residents and the Registered Manager confirmed that there were a minimum of two staff on duty at all times, who slept in at night. Sleeping accommodation for staff was in the office and the spare room on the ground floor. The Registered Manager confirmed that she is usually (although not always) on duty in addition to the two staff members, from 9am to 5pm Mondays to Fridays, although these timings are flexible depending on the needs of the service users. The organisation operates an ‘on call’ system whereby members of the management team are available out of office hours. Staff received regular individual supervision sessions and annual appraisals. The organisation has a policy of moving staff members between homes so that everyone is familiar with the needs of the residents and this is considered to contribute to the community feeling the organisation wishes to engender. Whilst recognising that this policy has some benefits for residents and the organisation, there may be residents who find this system rather stressful and it does not allow for continuity and consistency of care. Therefore consideration should be given to providing the home with a stable core team of staff to reduce the anxiety levels of particular residents. Allendale Road DS0000003421.V249619.R01.S.doc Version 5.0 Page 14 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): 37, 38 and 42 The management approach is open, inclusive and positive, providing clear leadership and guidance. Community participation and enablement of service users is the focus of the organisation. Service users’ rights, health, safety and welfare are protected and promoted. EVIDENCE: The Registered Manager has been in post for approximately seventeen months. She has recently completed the Registered Manager’s Award and is awaiting external verification. The Registered Manager’s job description is still awaiting review. The residents confirmed that they are consulted and included in decisions regarding the running of the home. All accidents and incidents were recorded and monitored. A smoke detector on the top floor of building, which is not accessible to the staff team, appeared to be damaged and the Registered Manager agreed to contact the landlord about this. The Registered Provider had carried out an unannounced visit on the 11th November 2005. Allendale Road DS0000003421.V249619.R01.S.doc Version 5.0 Page 15 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 3 X X 3 X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 N/A X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 2 3 X X X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Allendale Road Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 2 3 X X X 3 X DS0000003421.V249619.R01.S.doc Version 5.0 Page 16 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 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 2 Refer to Standard YA31 YA37 Good Practice Recommendations The Registered Provider should consider providing a stable core staff team to enhance continuity and consistency of care. The Registered Provider should review and update the Registered Managers job description to reflect the level of responsibility and legal accountability of the post. Allendale Road DS0000003421.V249619.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Allendale Road DS0000003421.V249619.R01.S.doc Version 5.0 Page 18 - 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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