Inspection on 26/10/05 for Applegarth

This inspection was carried out on 26th October 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

Applegarth 06/02/07

Applegarth 14/06/05

Applegarth 08/11/04

Applegarth 22/04/04

Similar services:

Hillside

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Chestnut Grange Care Home

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

CARE HOME ADULTS 18-65 Applegarth 1 Rutland Close Leicester Forest East Leicestershire LE3 3PN Lead Inspector Mrs Bhavna Keane-Rao Unannounced Inspection 26th October 2005 09:30 Applegarth DS0000001826.V261300.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 Applegarth DS0000001826.V261300.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. Applegarth DS0000001826.V261300.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Applegarth Address 1 Rutland Close Leicester Forest East Leicestershire LE3 3PN 0116 2395392 0116 2395392 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) VISTA Mrs Gaynor Earle Care Home 6 Category(ies) of Learning disability (6), Sensory impairment (6) registration, with number of places Applegarth DS0000001826.V261300.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person falling within category LD may be admitted to the home unless that person also falls within the category SI - ie dual disability. 14th June 2005 Date of last inspection Brief Description of the Service: Applegarth is a smaller residential home providing care for up to 6 people. It is registered to provide care for people who need care because of visual impairment, who also have a learning disability. The emphasis is on homeliness, and there is no feel of an institutional setting, about the home. All rooms are single and en-suite, and are decorated to the wishes of the individual residents. They are situated on the ground floor, and there is a large lounge/dining room, kitchen and a conservatory on the same level. The garden is well tended and shows the different interests of the residents, with herbs, vegetables and flowers being grown. At present there is en extension being built which will provide all the bedrooms with an en-suite shower room and additional room space. Applegarth DS0000001826.V261300.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during Wednesday morning. It took three hours to complete. This home provides care for up to six people who have a visual impairment and learning disability. Discussion was held with a number of residents, but not in great detail due to their care needs. However they were observed in their daily routine. The primary method of inspection was observing and speaking to the residents who use the service provided. All the required key standards were inspected during the last visit on 14th June 2005. Therefore only specific standards were inspected this time. There were no areas of concerns raised at the last inspection. A tour of the premises was undertaken and opportunity was taken to view MAR sheets, menus of meals, fire records and minutes of Staff Meetings. The registered manger was on duty during the whole of the inspection. The manager spent time discussing many issues that arise in the running of a residential home and facilitated this inspection. What the service does well: The registered manager and the staff at the home are very willing to learn and improve the service provided for the residents. There is an extensive programme of activities so that hobbies and interests are accommodated. One resident stated, “ I went to Blackpool. ” One resident stated, “ I am going to Skegness” next week. The philosophy of care is very much based on the provision of individual care and this includes social, cultural, dietary and religious needs being identified and met. All residents were observed having one to one input from the staff. The interactions observed between staff and residents were very positive. Applegarth DS0000001826.V261300.R01.S.doc Version 5.0 Page 6 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. Applegarth DS0000001826.V261300.R01.S.doc Version 5.0 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 Applegarth DS0000001826.V261300.R01.S.doc Version 5.0 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): None EVIDENCE: All the required standards were inspected at the last inspection. The admission procedures are in place and assessments of individuals are carried out by the registered manager, health and/or social care professionals, as part of the referral process. Applegarth DS0000001826.V261300.R01.S.doc Version 5.0 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): None EVIDENCE: All the required standards were inspected at the last inspection. Applegarth DS0000001826.V261300.R01.S.doc Version 5.0 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): 14 and 15 Residents’ religious needs, hobbies and interests are met. Residents’ individual dietary needs are met. EVIDENCE: All the required standards were inspected at the last inspection. There are number of organised structured activities planned and provided for the residents. This is always done after consultation with residents. Residents religious needs are discussed, recorded and met, one resident likes to attend the local church every Sunday. On the day of the inspection one resident was going out for lunch, one resident was going to go out with his family and another resident was planning to out bowling. Two resident were very pleased that they were able to visit a theatre in Nottingham to watch the production of Boogie Nights. Another resident stated that he had gone to Blackpool. Two other residents are going to Skegness in two weeks. These are just some of the activities that have or will soon be Applegarth DS0000001826.V261300.R01.S.doc Version 5.0 Page 11 provided. The registered manager and her staff are commended for this positive working practice. Due to the building work the home is without a kitchen, the conservatory area has been converted into a make shift kitchen where breakfast and lunches can be prepared. Residents are encouraged to help prepare these meals. This was observed to be the case on the day of the inspection. The main meals are provided for the residents by Applegarth’s sister home of the same grounds. There are regular discussions with the chef to ensure that residents get a positive choice. Applegarth DS0000001826.V261300.R01.S.doc Version 5.0 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 the following standard(s): None EVIDENCE: All the required standards were inspected at the last inspection. Applegarth DS0000001826.V261300.R01.S.doc Version 5.0 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 the following standard(s): None EVIDENCE: All the required standards were inspected at the last inspection. However there are procedures in place and training provided to all the staff to ensure that residents are always safe. Applegarth DS0000001826.V261300.R01.S.doc Version 5.0 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 the following standard(s): 24 A comfortable, safe and clean standard of accommodation is provided for the residents. EVIDENCE: All the required standards were inspected at the last inspection. At present there is building work underway to increase the personal space that individual residents have in their own bedrooms and en-suite rooms. This has meant that residents are moved into other rooms while their rooms are being extended. This has been planned and carried with great deal of care to ensure least disruptions. An example of this planning is the fact that on occasions, where residents are willing, trips have been arranged which includes overnight stay so that the there is minimal disruption. Applegarth DS0000001826.V261300.R01.S.doc Version 5.0 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 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): 33 The staff members ensure that they meet the care needs of residents. EVIDENCE: All the required standards were inspected at the last inspection. On the day of this unannounced inspection there were five members of staff on duty along with the registered manager. There were a number of activities planned from going out for lunch to bowling to cleaning bedrooms etc as per the individual’s care plan. The observed interaction between the staff and residents was relaxed and friendly. Applegarth DS0000001826.V261300.R01.S.doc Version 5.0 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 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 The home is well managed and well run. EVIDENCE: All the required standards were inspected at the last inspection. There is a clear line of leadership, the manager leads by example and is hands on. There are regular staff meetings, which identified the expectations of the registered manager of her staff. A random sample of records checked was up to date including fire drills. Applegarth DS0000001826.V261300.R01.S.doc Version 5.0 Page 17 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 X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 4 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X 3 X X x CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Applegarth Score X X X x Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000001826.V261300.R01.S.doc Version 5.0 Page 18 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. 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. Refer to Standard Good Practice Recommendations Applegarth DS0000001826.V261300.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester 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. 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