This inspection was carried out on 24th February 2006.
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.
CARE HOME ADULTS 18-65
California House 23 California Road Kingstown Carlisle Cumbria CA3 0BT Lead Inspector
Cath Wilson Unannounced Inspection 24th February 2006 09:00 California House DS0000022676.V281027.R01.S.doc Version 5.1 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 California House DS0000022676.V281027.R01.S.doc Version 5.1 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. California House DS0000022676.V281027.R01.S.doc Version 5.1 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 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) carlislemencap@aol.com Carlisle Mencap Mrs Sheila Gregory Care Home 4 Category(ies) of Learning disability (4) registration, with number of places California House DS0000022676.V281027.R01.S.doc Version 5.1 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) 20th August 2005 Date of last inspection 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 DS0000022676.V281027.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the second inspection to California House in the inspection year and was unannounced. This visit was undertaken during the early morning period and during that time guests to the home and staff were met. A tour of the premises also took place. What the service does well: What has improved since the last inspection? What they could do better:
The manager and staff have a good understanding of the development areas for the home. In particular review the arrangements for shower facilities to guests in the upstairs area. Furniture in one bedroom also needs to be reviewed.
California House DS0000022676.V281027.R01.S.doc Version 5.1 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. California House DS0000022676.V281027.R01.S.doc Version 5.1 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 California House DS0000022676.V281027.R01.S.doc Version 5.1 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): These standards were assessed at the previous inspection and were all met. EVIDENCE: California House DS0000022676.V281027.R01.S.doc Version 5.1 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): These standards were assessed at the previous inspection and met. EVIDENCE: California House DS0000022676.V281027.R01.S.doc Version 5.1 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): 12 and 16 Guests are supported and assisted to have a good quality of experiences and access to a variety of local and community facilities and interests through a skilled and committed staff team. EVIDENCE: Guests have individual interests, needs and wishes they wish to become involved in during their stay. Staff encourage and support service users in taking their own decisions about how they spend their time. People’s rights and choice are recognised and promoted, and it is clear that this is one of the underpinning values of the home. California House DS0000022676.V281027.R01.S.doc Version 5.1 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 the following standard(s): 18, 19 and 20 Good systems are in place to monitor an individual’s health and well being during their stay. Effective links are established with local health care professionals and staff are competent at carrying out delegated health care tasks. EVIDENCE: Guest’s health care needs during their stay are recorded. Medication is securely stored and administered and staff follow the home’s policy and procedure for this. The home has designated staff that are trained in these matters. Guests have access to general and specialist health care during their stay if required. The home also follows good practice guidance in these matters and is currently reviewing medicines management within the home. California House DS0000022676.V281027.R01.S.doc Version 5.1 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 the following standard(s): 22 The home has a satisfactory complaints system with evidence that guests and staff feel that their views are listened to and acted upon. EVIDENCE: The home has a complaints procedure. Details of how to complain are included in the home’s documentation and this is regularly updated. California House DS0000022676.V281027.R01.S.doc Version 5.1 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 the following standard(s): 24, 25, 26, 27 and 30 The home is maintained to a very good standard of cleanliness and hygiene and provides a very comfortable and pleasant place for guests to stay. EVIDENCE: Since the previous inspection the living room has been re-decorated and organised and the fire has been replaced. Staff are very enthusiastic and committed to providing a comfortable and pleasant environment for people to stay. The senior and care staff are continually seeking ways to improve the environment for guests’ benefit. The home is a comfortable and relaxing environment that is maintained in a clean and pleasant manner. The garden areas are also very well maintained, as is the garden room to the rear of the home. There is one upstairs bedroom where the furniture requires attention, as this is now looking jaded and worn. The facilities in the upstairs bathroom need to be reviewed and consideration should be given to the provision of a shower on this floor. In the meantime the sealants to the bath and in the downstairs kitchen sink area need to be upgraded. The inspector was informed that the sealants would be seen to immediately. California House DS0000022676.V281027.R01.S.doc Version 5.1 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 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): 32, 33, 35 and 36 Guests are supported and encouraged by an enthusiastic, competent and qualified staff group. EVIDENCE: Staff had received regular supervision and felt supported, encouraged and valued in their work. Staff had training and development programmes and staff training is up-to-date and included protection matters. Staff are focussed on providing guests with a pleasant and comfortable environment and supporting and encouraging them to have a valued and enjoyable stay in the home. California House DS0000022676.V281027.R01.S.doc Version 5.1 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 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 and 42 The home is well managed by an experienced manager who in turn is supported by a committed and nurturing staff team who together run the home in the best interests of service users. EVIDENCE: The manager and staff promote an open, positive and inclusive atmosphere in the home. Staff had received training to ensure the health and safety of their guests and themselves. California House DS0000022676.V281027.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 3 25 2 26 3 27 2 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 4 34 X 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 4 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X X X X 4 X California House DS0000022676.V281027.R01.S.doc Version 5.1 Page 17 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. 1 Refer to Standard 27 Good Practice Recommendations Review the bathing and shower arrangements in the upstairs bathroom to meet the views and needs of the guests using the home. California House DS0000022676.V281027.R01.S.doc Version 5.1 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
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