Inspection on 01/11/05 for April Cottage

This inspection was carried out on 1st 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

April Cottage 23/03/09

April Cottage 04/01/07

April Cottage 11/08/05

April Cottage 08/12/04

April Cottage 31/08/04

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

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

CARE HOMES FOR OLDER PEOPLE April Cottage 54 Belvoir Road Coalville Leicestershire LE67 3PP Lead Inspector Mr Everton Osbourne Unannounced Inspection Tuesday, 1st November 2005 09:15 X10015.doc Version 1.40 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 DS0000001804.V260598.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 Older People. 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. DS0000001804.V260598.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service April Cottage Address 54 Belvoir Road Coalville Leicestershire LE67 3PP 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) 01530 451452 01530 451452 Mr Ian Borland Mrs Gaynor Borland Mr Ian Borland Care Home 12 Category(ies) of Old age, not falling within any other category registration, with number (12) of places DS0000001804.V260598.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration. Date of last inspection 11th August 2005 Brief Description of the Service: April Cottage care home cares for twelve older persons in two converted detached properties converted into one building for its present purpose. The home is situated in a residential area and within walking distance to the market town centre of Coalville. Residents have access to a variety of shops and other amenities in the town centre. There is easy access for private and public transport. The premise consists of two floors accessible by use of the stairs and passenger lift. There are a variety of facilities in the home such as an adequate number of toilet and washing facilities based on the number of residents residing in the home. There is also lounge and dining space for residents use. The home comprises twelve single bedrooms, six with ensuite facilities. A garden is situated to the rear of the premises. DS0000001804.V260598.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took two hours and thirty minutes to complete. The outcome of the inspection was very good in that three residents spoken with as part of the inspection process indicated that they are satisfied with the care provided by the home. The registered manager and one staff member were also spoken with as part of the inspection process. No Requirements or Recommendations were made during this inspection. A tour of the premises took place and the home is maintained to excellent standards creating a homely atmosphere. 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. DS0000001804.V260598.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection DS0000001804.V260598.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 5 and 6 The assessment process is good in identifying residents’ care needs for the provision of good quality care. The admission process is good in promoting prospective residents’ choice. EVIDENCE: One resident’s assessment was inspected. The document indicated that an assessment to identify the resident’s care needs was carried out by Social Services. Conversation held with the resident indicated that the document reflect her identified care needs. Three residents spoken with indicated that they were given the opportunity to visit the home before moving in. One resident’s admission record seen confirmed that the home gave this resident the choice to visit the home as part of the admission process. Discussion held with the registered manager indicated that the home does not provide intermediate (rehabilitation) care. DS0000001804.V260598.R01.S.doc Version 5.0 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 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 and 9 The medication and care plan procedures are robust in ensuring that residents receive good quality care. EVIDENCE: An examination of one resident’s care plan showed that all aspects of her care needs are being attended to. Sufficient information is written in the document giving staff members’ good instructions on how to meet this resident’s care needs. Three residents spoken with indicated that they are satisfied with the care being received. One resident stated ‘The staff are very caring’. Another resident commented ‘They take good care of me’. An inspection of the medication process indicated that staff members appear to be adhering to safe medication practices. One resident’s medication record seen was found to be in order. DS0000001804.V260598.R01.S.doc Version 5.0 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 Giving residents’ a choice regarding their daily lifestyle is managed well so that residents have access to recreational activities at their convenience. EVIDENCE: Conversation held with three residents indicated that they are able to participate in recreational activities at their convenience. One resident’s care plan seen indicated that suitable recreational activities are being provided by the home. DS0000001804.V260598.R01.S.doc Version 5.0 Page 10 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 17 The complaints and adult protection procedures are robust in order to protect residents’ legal rights. EVIDENCE: One resident’s care record seen and conversation held with three residents indicated that they know how to access the complaints process to make a complaint if needed. At the time of the inspection there were no complaints recorded as ongoing in the complaints book. One resident’s care plan seen and conversation held with the resident indicated that processes are in place so that residents can obtain the services of advocates when required. DS0000001804.V260598.R01.S.doc Version 5.0 Page 11 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20, 22 and 25 Residents’ surroundings are comfortable and clean to meet their accommodation needs. EVIDENCE: Conversation held with three residents indicated that they are satisfied with the communal space and facilities provided in the home. One resident commented ‘It’s really lovely here’. Observations made and one resident’s care plan seen indicated that sufficient equipment is in place throughout the home based on residents’ assessed care needs. Observations made and discussions held with three residents indicated that there is sufficient heating, water supply, lighting and ventilation in the home. DS0000001804.V260598.R01.S.doc Version 5.0 Page 12 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 An adequate number of staff members are employed to work in the home for residents’ care and protection. The recruitment and training processes are good in ensuring that suitable staff members are employed to work in the home. EVIDENCE: The staffing rota was inspected. It showed that sufficient numbers and skill mix of staff was on duty during the inspection, which was confirmed by observations made. Three residents spoken with indicated that they are satisfied with the staffing levels on a daily basis. Discussions held with the registered manager and training records seen indicated that sufficient numbers within the staff team have achieved their National Vocational Qualifications (NVQ 2) in care duties. One staff member’s recruitment and training record seen indicated that all relevant documentation and training certificates are contained in the file. Discussions held with the registered manager indicated that the home appear to be adhering to good practices concerning the recruitment and training of its staff members. DS0000001804.V260598.R01.S.doc Version 5.0 Page 13 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 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, 33, 34, 35 and 36 The home is managed well and staff members adequately supervised for residents’ care and protection. EVIDENCE: An inspection of the registered manager’s records prior to this inspection showed that the manager is suitably experienced and qualified to manage this home. Conversation held with three residents and one staff member indicated that the manager’s approach to managing the home is good in creating an open, inclusive and positive atmosphere, which they indicated is good for the atmosphere within the home. The home’s quality management system was examined. Conversation held with three residents and discussion held with the registered manager indicated that regular residents meetings are held in order to obtain residents’ views about the care provision. In addition, one of the owners of the home and residents’ key workers respectively speak with residents on an individual basis to quality check the care given. DS0000001804.V260598.R01.S.doc Version 5.0 Page 14 An inspection of the financial procedures in the home indicated that robust procedures are in place to safeguard residents’ monies if kept for safekeeping by the home. One staff member’s records seen and discussions held with the registered manager indicated that the registered manager regularly holds formal supervision with the staff members, which also include an annual staff appraisal. DS0000001804.V260598.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 Older People 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 x COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 x x 3 x 3 x x 3 x STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 x x DS0000001804.V260598.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. Refer to Standard Good Practice Recommendations DS0000001804.V260598.R01.S.doc Version 5.0 Page 17 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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