Inspection on 02/11/05 for Andelain

This inspection was carried out on 2nd 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

Andelain 19/01/10

Andelain 03/03/09

Andelain 10/03/08

Andelain 11/01/07

Andelain 01/02/06

Andelain 10/03/05

Andelain 31/08/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Andelain 12 Eugene Road Preston Paignton TQ3 2PQ Lead Inspector Andrea Peryer Announced 2nd November 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. Andelain D54-D07 S42639 Andelain V248280 021105 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Andelain Address 12 Eugene Road, Preston, Paignton, Devon, TQ3 2PQ 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) 01803 556504 Miss Carole Louisa Byrne Care Home 7 Category(ies) of Learning Disability(7), Learning Disability - over registration, with number 65 years of age (7) of places Andelain D54-D07 S42639 Andelain V248280 021105 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) Registered for a maximum of 7 LD 2) Registered for a maximum of 5 LD (E) Date of last inspection 10/03/05 Brief Description of the Service: Andelain currently provides accommodation for up to six adults who have a learning disability; this can include adults who are over the age of retirement. The home is planning an extension that will bring the number of available registered places back up to seven. In the meantime, the home’s certificate remains unaltered at seven registered places. The home is sited on the level near to all local facilities and consists of three storeys (the third floor being for the owner’s personal use only). The home benefits from a level garden to which there is easy access from the home. The owner’s intention is to ensure service users are supported to integrate with the local community and provide a small, family type home where service users are supported to live as independent lives as possible and to make good use of all the nearby facilities including local shops, Churches, seafront etc. Andelain D54-D07 S42639 Andelain V248280 021105 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out with the owners present throughout the day, residents and relatives were part of the discussion about the home and two residents care was looked at in detail. A range of documentation was also considered throughout the inspection including care plans, policies, procedures, fire logs and residents activity folders. Residents were spoken to in their private rooms or in the homes lounge. What the service does well: What has improved since the last inspection? What they could do better: Risk assessments could be updated to show that the owners have considered and reconsidered possible risks to residents and how the home have taken action to reduce potential risks. A resident’s room could be improved by redecorating the bedroom and a new carpet being laid. The premises would benefit from some way to ensure that laundry is not brought through the kitchen area and residents’ going in and out of the laundry and kitchen areas is as limited as possible to reduce the risk of any cross infection/ contamination of foods. The owners need to proceed with developing a quality assurance system, so that the service can demonstrate how they are improving the service to residents. Andelain D54-D07 S42639 Andelain V248280 021105 Stage 4.doc Version 1.40 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. Andelain D54-D07 S42639 Andelain V248280 021105 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 Andelain D54-D07 S42639 Andelain V248280 021105 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) 2 Resident’s individual aspirations and needs are assessed. EVIDENCE: There have been no new residents admitted to the home since the last inspection. The residents have lived together for a long time and were known to the owner when she purchased the home. The owner has developed a range of documents that could be used when a vacancy becomes available, including resident’s profiles, assessments and care plans. Andelain D54-D07 S42639 Andelain V248280 021105 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) 6,7,9 The owner has developed detailed individual plans for residents, which includes how residents make choices, take risks and are supported in making decisions. EVIDENCE: Since the owner purchased the home she and her partner have completely up dated the paperwork in the home extending and changing documents to make sure that residents care needs, personal preferences and interests are clearly identified. Each resident has individualised files, with detailed care plans that are regularly reviewed and updated showing the changes in care needs of that individual. The owner described a particular incident in which a resident had made an informed choice about how they wished to spend their leisure time, having made a decision not to attend a day service that they had attended in the past. This had been discussed with the resident on a number of occasions, and the owner had discussed the options open to the resident and had involved the resident’s family. The decision and the discussions were also recorded in the residents file. On a more informal basis residents are encouraged to make decisions on what they wear, what they choose to eat and are supported in every day life in the home. Risk assessments have also been completed for each resident and have been reviewed however these documents had not been updated for some time and the owner agreed to update them. Andelain D54-D07 S42639 Andelain V248280 021105 Stage 4.doc Version 1.40 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 standard(s) 12,13,15,16, Residents take part in appropriate activities as part of the local community, building good personal and family relationships and with their rights respected in their daily lives. EVIDENCE: The owner listed a range of activities Service Users participating in such as shopping trips, social events and local trips out too beauty spots. The day opportunities that the majority of service users attend, have introduced a regular pattern of activities into service users lives, which include crafts, and music, these activities are clearly recorded. The proprietor confirmed that service users are encouraged and supported to try a range of activities, suitable to their abilities inside and outside of the home. One resident showed the inspector a file full of photographs of the visits out of the home with a family friend who acts as a member of staff and who has know the residents for years. Relatives of one of the residents confirmed that despite their living some miles away from the home the owners kept them informed of the care their relative received and were aware of the changing needs of the resident and how the owners were supporting the resident. Andelain D54-D07 S42639 Andelain V248280 021105 Stage 4.doc Version 1.40 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 standard(s) 18,19, Residents receive personal, physical and emotional care in a way they prefer and require. EVIDENCE: The resident’s needs are changing as they become older and the owner had put in place additional measures to ensure that the additional physical needs of residents were being fully met. Discussion took place on one particular residents needs at night and how this was affecting the well being of the residents and the possible implications for the future such as employing additional staff or changing the resident room, to a ground floor room. The resident’s relatives had also been a part of these discussions. Relatives were very pleased with the services provided by the home and were pleased with how sensitively the changing needs of the resident had been dealt with. Relative feedback cards consistently said that they were satisfied with the care provided and one card said “the care at Andelain puts our minds at rest”. The resident’s individual files with care plans and risk assessments also detail the personal, emotional and physical care residents receive. The residents spoken too said that they were pleased to be at Andelain and one resident coming into the home for lunch after being out all morning came in and greeted the owner with a kiss on the cheek to say hello. Clearly demonstrating how the resident shared a warm relaxed and caring relationship with the owner. Andelain D54-D07 S42639 Andelain V248280 021105 Stage 4.doc Version 1.40 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 standard(s) 22,23 Residents and their representatives feel there views are listened to and that residents are protected from abuse, neglect and self harm. EVIDENCE: Relatives spoken too said that they felt able to bring any concerns to the attention of the owner and her partner and said that they felt the owner listened to them and kept them well informed. Relative feedback cards consistently said that they had been made aware of the homes complaints procedures. The inspector looked at the homes complaints procedure, which gives details of the Commission and has been included in the homes service users guide. The residents individual files included risk assessments and care plans that include harm form aggression or self neglect. The owner and her partner are completing NVQ 4 in Care, which has a training element which includes identifying abuse and dealing with adult protection. Andelain D54-D07 S42639 Andelain V248280 021105 Stage 4.doc Version 1.40 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 standard(s) 24,30 Residents live in a homely comfortable and safe environment, which is clean and hygienic. EVIDENCE: On touring the premises and viewing Service users’ bedrooms they are comfortably furnished and had have been personalised by the individuals concerned with personal items of their own choosing. The owners have continued to refurbish and redecorate these areas and the shared spaces are furnished in a clean, homely and personalised fashion with service users photographs and mementoes. The home could provide an additional private area, if required, for service users to meet visitors in private etc by closing the doors between the dining area and the lounge. One resident’s room requires redecorating and a new carpet. The owners are exploring ways to ensure that laundry is not brought through the kitchen area and residents, going in and out of the laundry and kitchen areas is as limited as possible to reduce the risk of any cross infection/ contamination of foods. Andelain D54-D07 S42639 Andelain V248280 021105 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The owner, her partner and one part time member of staff meet resident’s individual and joint needs, having kept themselves up to date with relevant training. EVIDENCE: The staff employed at the home, have been well known to the residents and the owners through past association in other settings such as working in day opportunities or other homes. The owner acts as the main carer in the home supported by her partner and two members of staff one of which is the previous owner. Previous inspections at the home have included ensuring application forms and police checks have been completed and the owner confirmed that these remain unchanged with no new staff being employed in the home. The changing needs of the residents may mean employing more staff and the owner is aware of the need to ensure all relevant checks including references and police checks are completed for any new staff employed. Andelain D54-D07 S42639 Andelain V248280 021105 Stage 4.doc Version 1.40 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 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) 39,42 Resident’s views underpin the development of the home and the resident’s safety, welfare and best interests are protected and promoted. EVIDENCE: The owners have been working on developing a quality assurance system that is clearly linked to the standards in the Care Standards Act 2000 and are based on positive outcomes for the residents, based on residents’ views and how residents want to spend their time. This demonstrates the owner’s commitment to ongoing improvement. A range of health and safety documentation including risk assessments, care plans, fire logs, accident books and policies and procedures were examined and overall they were found to be well maintained. Clearly showing that the owners were putting things in place to ensure the safety and welfare of residents such as monitoring accidents, guarding radiators and carrying out electrical appliance checks. Andelain D54-D07 S42639 Andelain V248280 021105 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 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 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Andelain Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x D54-D07 S42639 Andelain V248280 021105 Stage 4.doc Version 1.40 Page 17 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 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. 3. 4. Refer to Standard 7 24 30 39 Good Practice Recommendations review and update risk assessments complete as planned the decoration and recarpeting of one residents room continue to explore ways to ensure laundry and kitchen areas are not areas in which residents routinely pass through continue as planned to develop the homes quality assurance system Andelain D54-D07 S42639 Andelain V248280 021105 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 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 Andelain D54-D07 S42639 Andelain V248280 021105 Stage 4.doc Version 1.40 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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