Inspection on 20/08/05 for California House

This inspection was carried out on 20th August 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

California House 20/09/07

California House 31/08/06

California House 24/02/06

California House 13/03/05

California House 17/07/04

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

CARE HOME ADULTS 18-65 California House 23 California Road Kingstown Carlisle Cumbria CA3 0BT Lead Inspector Cath Wilson Announced 20 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. California House F58 F10 s22676 california house v179996 200805 ai stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service California House Address 23 California Road Kingstown Carlisle Cumbria CA3 0BT 01228 596292 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) Carlisle Mencap Sheila Gregory Care Home 4 Category(ies) of LD - Learning Disability registration, with number of places California House F58 F10 s22676 california house v179996 200805 ai stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service may accommodate four people with learning disabilities (LD) four of whom may have physical disabilities (PD) Date of last inspection 13 March 2005 Brief Description of the Service: Carlisle District Society Mencap is the provider of respite care at California House for four people who have a learning disability. The home is situated close to junction 44 off the M6 motorway on the outskirts of the City of Carlisle. The location provides easy access to the city centre by the homes or public transport. The property is a semi-detached house in a quiet residential road. The home has been adapted to accommodate people who have a physical disability. There are garden areas to the front and rear of the home. California House F58 F10 s22676 california house v179996 200805 ai stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection that was carried out during the morning and took place over four hours. Family members provided valuable views to the inspector prior to the inspection using the Commission for Social Care Inspection comment cards. People were met in the home during the inspection, as were the manager and staff. A number of records were assessed and the premises both inside and out were looked at. What the service does well: What has improved since the last inspection? The manager and staff continue to progress appropriate care planning methods. California House F58 F10 s22676 california house v179996 200805 ai stage 4.doc Version 1.40 Page 6 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. California House F58 F10 s22676 california house v179996 200805 ai 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 California House F58 F10 s22676 california house v179996 200805 ai 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, 3, 4 and 5 Information is provided about the services the home provides enabling people to make an informed decision about their visits. EVIDENCE: Information is available to the manager and staff for them to make appropriate arrangements for people’s stay in the home. The manager is progressing further work on the assessing information provided to them so that the home can further plan admissions. The process for this does also include the views and opinions of people who will visit the home. Staff on duty at the time of this inspection are informed of guests needs and wishes and sensitive to people’s individuality. Information is provided in a format that is accessible. California House F58 F10 s22676 california house v179996 200805 ai 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) 7, 8, 9 and 10 It is evident from the supportive interaction between guests and staff, that staff have a very good understanding of people’s needs during their stay. EVIDENCE: People are fully involved in the way they spend their visit whether this be in the home or their visits out in the community. Guest’s needs and wishes during their stay are recorded and these had been reviewed and kept up-todate. Risk assessments had been undertaken and these enable people to be appropriately supported to have a measured and safe stay. Guests are enabled to be involved in their personal interests and social lives and this can be done individually or with other guests. Personal details are managed in a confidential and sensitive manner. California House F58 F10 s22676 california house v179996 200805 ai 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 and 16 People are supported and encouraged to have fulfilling experiences and links with the community throughout their visit EVIDENCE: Guests’ personal schedules about their interests and hobbies are recorded and known to the manager and staff. Arrangements are in place for people to maintain contact with their family and friends during their stay. California House F58 F10 s22676 california house v179996 200805 ai 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 and 20 The arrangements for guests’ health care needs are well met and there is access to local health care facilities during people’s stay at the home. EVIDENCE: Medication is securely stored and administered and staff are following the home’s policy and procedure for this. The home has designated staff that are trained in these matters. Records showed that people have access to general and specialist health care services when required. California House F58 F10 s22676 california house v179996 200805 ai 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) These standards were not assessed on this announced visit. EVIDENCE: California House F58 F10 s22676 california house v179996 200805 ai 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, 25, 26, 27, 28, 29 and 30 The standard of décor within this home is very good and there is evidence the home being maintained to a good standard of decoration. It is a homely and comfortable place for people to visit for respite care. EVIDENCE: People who visit the home can bring their own personal things to put in their bedroom and make these how they want them during their stay. There is a programme in place to maintain the furnishings and fittings in both the private and communal rooms. The fire in the living room continues to show signs of wear and tear and has been identified for upgrading. Contact is appropriately maintained with other professional personnel regarding the environment. This makes sure people have appropriate support and assistance with the provision of specialised aids and adaptations. The home is maintained in a clean and pleasant manner. The garden areas are very well maintained, as is the garden room at the rear of the home. California House F58 F10 s22676 california house v179996 200805 ai 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) 31, 32, 33, 35 and 36 People benefit from an experienced and trained staff group who are fully informed of people’s needs and wishes. The home has robust procedures in place for the recruitment of staff and is an organisation with much experience of working with people with a learning disability. EVIDENCE: Staff are clear about their roles and responsibilities and committed to providing very positive experiences for the guests who stay in the home. Staff are provided with regular supervision and feel supported and encouraged in their work and value this. Staff are provided with a training and development programme and there are a high percentage of staff with NVQ Qualifications. California House F58 F10 s22676 california house v179996 200805 ai 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) 37, 40, 41 and 42 Guests benefit from a well run home that safeguards their rights and best interests. The manager and staff are very committed to make sure their guests receive very positive experiences in a supportive and nurturing manner. EVIDENCE: The home, although organised and orderly is arranged in a homely and relaxing manner with guest’s individuality respected. The records assessed during the inspection are well maintained. Health and safety matters are appropriately recorded and dealt with and records indicated that fire drills and instructions take place as required. California House F58 F10 s22676 california house v179996 200805 ai 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 3 4 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 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 4 4 4 x 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 California House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 4 x x 4 4 4 x F58 F10 s22676 california house v179996 200805 ai 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. Refer to Standard Good Practice Recommendations California House F58 F10 s22676 california house v179996 200805 ai stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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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