Inspection on 03/08/05 for Apple House

This inspection was carried out on 3rd 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 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

Apple House 12/09/07

Apple House 10/05/06

Apple House 21/12/05

Apple House 31/01/05

Apple House 16/08/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Apple House 16/22 Bushloe End Wigston Leicestershire LE18 1BA Lead Inspector Keith Charlton Unannounced 3 August 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. Apple House C51 S1657 Apple House V240164 030805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Apple House Address 16/22 Bushloe End Wigston Leicestershire LE18 2BA 0116 2888028 Ms Joanne Archbold 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) Ms Joanne Archbold Care Home 8 Category(ies) of LD Learning Disabilities - 8 registration, with number of places Apple House C51 S1657 Apple House V240164 030805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: - Date of last inspection 31/1/2005 Brief Description of the Service: This is a small residential home for people with learning disabilities in the Wigston area of the City.All service users have their own bedrooms, which are personalised and homely.There is a kitchen and dining room and a separate lounge.There is a back garden which service users have access to.All service users attend outside work during weekdays and enjoy these activities. Apple House C51 S1657 Apple House V240164 030805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced Inspection. The Registered Provider, the Deputy Manager and one staff were people present on the first inspection day. The Registered Provider and the Deputy Manager were on duty to assist with the inspection process for the second inspection day on 4/8/05. Planning for the Inspection included assessing any notifications of significant events sent to the Commission for Social Care Inspection by the home. There have been no complaints received by the Commission for Social Care Inspection regarding any concerns in the past year. The Inspections took place between 16.00 and 18.15 on the first day and 09.20 and 11.20 on the second day and included a tour of the building, inspection of records and direct and indirect observation of care practices. The Inspector spoke with six residents, two members of staff and the Registered Provider. What the service does well: What has improved since the last inspection? What they could do better: Providing swimming trips would further enhance the opportunities provided to service users and promote a healthy lifestyle. The provision of medication training from the pharmacist would ensure the knowledge and competence of staff is maintained/increased. Apple House C51 S1657 Apple House V240164 030805 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. Apple House C51 S1657 Apple House V240164 030805 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 Apple House C51 S1657 Apple House V240164 030805 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 Assessments for service users are comprehensive ensuring that care is planned to meet individual service user’s needs. EVIDENCE: Service users have been assessed by local authority social services departments, who had placed all service users living in the home at the time of the inspection, and copies of social workers’ assessments were available. Apple House C51 S1657 Apple House V240164 030805 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 individual needs and choices of service users living in the home are well met. EVIDENCE: The inspector read two clients care records, which demonstrated that their changing needs are being monitored and supported. Records, observations and discussions with service users demonstrated that service users make decisions about their lives and have independent life styles. Each service user has a comprehensive individual plan, which sets out all aspects of the care to be provided by the home - they covered all essential requirements in relation to medication and physical condition, hobbies, occupation, risk assessments, religious belief etc., and they were regularly reviewed. The Registered Manager stated that staff would support service users to take responsible risks where appropriate and this issue is fully detailed in care plans; this was observed to be the case during the inspection. Apple House C51 S1657 Apple House V240164 030805 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) 13,14,17 Service users living at the home have a good lifestyle. EVIDENCE: From talking to service users, outside activities are very important to them and they use a variety of community facilities – pub, clubs, British Legion, Gateway Club, and Church etc. Some service users said they would like to go swimming the Registered Provider said this would be followed up. Service users thought they could live their lives the way they wanted to e.g. can get up and go to bed when they like, have a bath when they choose etc and all service users on medication, self medicate. The menus appeared to offer a varied and nutritious diet. A meal was observed and food appeared well cooked and smelled appetising. There were two fresh vegetables supplied with the meal and service user could have second helpings. All service users said they liked the home’s food and there was always plenty to eat. ‘’I like the food’’. ‘’I think the food is always good. No problems’’. Apple House C51 S1657 Apple House V240164 030805 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 Service users receive good personal support and their physical and emotional health needs are met. EVIDENCE: Service users have had annual health checks as recorded in service users records. Regular medication reviews and medical check ups take place. The Registered Provider records when there has been any medical intervention on a separate sheet. Service users said they could speak to staff if they needed help with anything. The service users on medication all self medicate and this is commended. Staff check that service users have taken medication on a daily basis. Staff are still awaiting medication training, as the pharmacist has not yet provided this the Registered Provider is to again follow this up. Apple House C51 S1657 Apple House V240164 030805 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) N/A EVIDENCE: Apple House C51 S1657 Apple House V240164 030805 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 Service users live in a homely and comfortable environment. EVIDENCE: The home presents as homely and personalised. Service users bedrooms were inspected and found to contain a great amount of personal effects – furniture, pictures, videos, TVs, music centres, soft drinks, alcohol, posters, soft toys etc. Service users again said they liked their bedrooms. Communal areas are clean and comfortable and service users use the kitchen to iron, prepare food, wash up, clear the dining table etc. Apple House C51 S1657 Apple House V240164 030805 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) 33 Service users benefit from a dedicated staff group. EVIDENCE: The previous registration authority did not prescribe overall daytime staffing levels for homes for younger adults as some service users could be away from the home for significant periods of time. However there is always a sufficient number of staff on duty – two staff on duty when service users are in the Home for early morning, late afternoon and weekend periods with a sleeping night staff member to cover night time needs. There has been the same staff group for over two years. The Registered Provider is considering having a new staff member for night to relieve existing staff. Apple House C51 S1657 Apple House V240164 030805 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) N/A EVIDENCE: Apple House C51 S1657 Apple House V240164 030805 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 x x 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 x 4 3 x x 3 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Apple House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x C51 S1657 Apple House V240164 030805 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. Refer to Standard 14 20 Good Practice Recommendations To again look at providing swimming trips to interested service users. To prompt medication training from the pharmacist or arrange alternative training if this is not forthcoming. Apple House C51 S1657 Apple House V240164 030805 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection The Pavilions, Grove Park 5 Smith Way Enderby Leicestershire LE19 1SX 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 Apple House C51 S1657 Apple House V240164 030805 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. 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!