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Inspection on 01/09/05 for Canterbury Close 1 & 2

Also see our care home review for Canterbury Close 1 & 2 for more information

This inspection was carried out on 1st September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

There was a lot of evidence to prove that the interaction between the staff and residents was of good quality. The staff are able to interpret the needs and desires of the residents, especially those who do not use English as their first language. The residents were very happy and contented throughout the inspection.

What has improved since the last inspection?

There has been a lot of work done creating ways that the families of the service users are kept informed and can have an input into the daily activities for the residents. The information relating to the way service users will be treated now includes picture information to help service users who can access such information to get as full a picture as possible.

What the care home could do better:

The staff are maintaining the levels required to meet the residents needs but this involves certain staff doing a lot of overtime which puts strain on the person and may reduce their tolerance levels in stressful situations. There is a lack of storage in the building and there were several building repair issues noted that should have been attended to before the inspection as they posed potential hazards to the residents using the facilities.

CARE HOME ADULTS 18-65 CANTERBURY CLOSE CARE HOME Chaucer Road Herringthorpe Rotherham S65 2LW Lead Inspector Alan Bartrop Unannounced 01 September 2005 09:15 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. CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Canterbury Close (1 & 2) Address Chaucer Road Herringthorpe Rotherham S65 2LW 01709 379830 01709 379129 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) Milbury Care Services Limited Post Vacant PC Care Home only 10 Category(ies) of LD Learning Disability: 10 registration, with number of places CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 10 November 2004 Brief Description of the Service: Canterbury Close is registered as a care home for up to ten persons who have a learning disability. The home was registered by the N.C.S.C. on the 6th December 2002. It is owned by the national company, Milbury Care Services.The home is comprised of two single story purpose built bungalows, each accommodating five service users. All service users are accommodated in single bedrooms, all of which have en-suite facilities. There is a choice of two lounges and a dining area within each house.The home is located in the small community of Herringthorpe on the outskirts of Rotherham, and is easily accessed with a frequent bus service that stops outside the home.The home is set within its own grounds with car parking facilities available. The home benefits from neatly maintained lawned gardens. CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which started at 09:15 and concluded at 14:30. The inspection included a tour of the buildings, reading records, discussions with staff and service users, observation of service users, and observation of a meal. The Manager was not present for the inspection the home was represented by the Deputy Manager. What the service does well: What has improved since the last inspection? There has been a lot of work done creating ways that the families of the service users are kept informed and can have an input into the daily activities for the residents. The information relating to the way service users will be treated now includes picture information to help service users who can access such information to get as full a picture as possible. CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 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. CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 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 CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 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) 1,2 The service user’s guide is more accessible to the residents who have limited understanding of the written word. The residents are asked what they would like to do and their views are taken onto account. EVIDENCE: The service user’s guide has been amended to include pictorial information which makes it accessible to a wider range of residents. Meetings are held between residents, their families, and staff to discuss outings and activities. These have resulted in more drivers being available so that more external facilities can be made use of. There were records noted in the files that detailed the types of activities and entertainments that the resident liked to attend and there was evidence that these wishes had been achieved. There are clear statements in the care files that indicate the staff support needs of the residents and mobility/transport needs that must be provided before an activity can be considered and planned. CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 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) 6,9 The care plans and care files are well organised, containing a lot of relevant detail on the residents needs and desires. There are risk assessments available which are individual and relevant to the needs of the service user. EVIDENCE: The care plans are kept in a standard format and all the sections were completed so that all staff could readily get the information they needed to provide a consistent level of care to the resident. The risk assessment seen were relevant to the service user and they were detailed enough to make the reader aware of potential hazards with the activity. Some of the risk assessments were of a general nature so that they can be applied to everyday life for the resident as apposed to specific outside activities. The residents care program is evaluated on a weekly basis and the records of this are ongoing so that a picture can be built up to help with annual reviews. CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 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) 12,13,17 The service users regularly use the local facilities for both social and educational purposes. Several attend the local day centre, and age appropriate activities are offered and the service users have the opportunity to mix with people who do not have their disability. There is a healthy diet offered which takes into account the individual tastes of the residents. EVIDENCE: Food intake charts are kept in every case file and these showed that there was a good variety of food offered and that the individual’s personal preferences were accommodated. Residents regularly went out for meals in the community unless there was an identified need not to do this recorded in the care plan. CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 Page 11 There are outings into the community that enable the residents to mix with people who do not have their disability. Residents were able to express their happy expectation of future events such as meals at a local pub with friends. CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 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 standard(s) 18,20,21 The service users get the support they need in a manner that they prefer. The way that service users and their families would like their death and funeral to be handled are recorded in the care files. There were concerns that the medication blister pack for one resident did not have details of the medication it contained written on it. So that the staff had no way of evidencing that the appropriate medication was being administered. EVIDENCE: There are records in the care plans of what support the residents need and how this should be provided so that they can receive consistent care in a way that they want it to be given. The way staff were seen to be meeting the needs of the residents was consistent with the details that were contained in the care plans. The residents were reacting to the staff in a way that showed they were friendly and familiar with the interaction so that the atmosphere remained convivial throughout. CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 Page 13 Good records were seen that indicated the subject of how the residents and their families wanted their death to be handled had been considered in detail and these wishes would be followed when the time came. The medication storage in one house had a faulty lock which must be replaced or repaired promptly. A blister pack was identified that did not have the details of the medication it contained written on it by the pharmacist. Medication bottles were found to be in need of having the outside cleaned. CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 Page 14 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) 22 The staff seek the views and feelings of the service user and respond to these appropriately. EVIDENCE: Staff interaction with the service users showed that they understood what was wanted and that the residents were comfortable with the staff. Service users were asked what they wanted and where there was difficulty in communication the staff were patient in discovering what the person wanted. The staff had worked with the service users for many years and were very able to describe what the different behaviours meant and this meant that the needs of the residents could be me t quickly. The families views on the care of the service users are discussed in meetings and the staff stated that there were a lot of opportunities for family to ask for changes in the care regime at different times in between meetings. CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 Page 15 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) 30 The houses were generally clean, but there was no evidence of the residents being involved in this process which could indicate that it would be better if this task was carried out by specialist employees. There are several maintenance issues within the home that need prompt attention. EVIDENCE: There were door holdbacks that were broken which meant that the fire doors had to be propped open and outside the fire protection system. There were several areas of damage that had not been attended to putting the residents at increased risk of injury. There was a need to increase the storage facilities so that the residents can enjoy a more homely environment. Where the shower regularly leaks water onto the hallway carpet this causes staining and may present an additional slipping hazard to the residents walking by. CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 Page 16 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) 32,35 The staff knew the residents very well and were able to interpret their requests and provide care in an appropriate manner. EVIDENCE: Many of the staff had worked with the residents prior to them being admitted into the home. Staff were able to describe the different aspects of the care plan and distinguish between the different ways that the individual resident’s care should be provided. Each member of staff has an individual training profile and discussion indicated that the range of training courses were adequate to meet the care needs of the residents. Staff confirmed that training is not done at their own expense and that they are given time off work to attend. CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 Page 17 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 The service users needs and wishes are prominent in the way the home is operated on a day-to-day basis. EVIDENCE: Both houses have a very different atmosphere and the residents get on well together. The staff prominently work with the same service users which means that they are able to form a friendly relationship where mutual respect is engendered. The different moods of the service users are accommodated and appropriate action taken to make them feel as much at ease as possible. The policies and procedures of the company that were identified during the inspection were seen to be implemented by the staff. CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 Page 18 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 3 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 CANTERBURY CLOSE CARE HOME Score x x 1 3 Standard No 37 38 39 40 41 42 43 Score 3 x x x x x x 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 Page 19 yes 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 20 Regulation 13 Requirement The blister pack that dowes not have the details of the medication printed on it be disposed of and replaced by one that is appropriately labelled The door to the medication cupboard be repaired or replaced The shower room floor in house 1 be altered so that water does not leak out into the corridor The fridge/freezers be removed from the dining rooms The magnetic hold back in the dining room of house 1 be repaired or replaced The work surfaces in the kitchen of house 1 be repaired or replaced The bed bed be removed from the bathroom in house 1 Timescale for action 2nd September 2005 2. 3. 20 24 13 23 25th September 2005 1st January 2006 30th November 2005 30th October 2005 31st March 2006 25th september 2005 4. 5. 24 24 23 23 6. 24 23 7. 24 23 CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 Page 20 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. 3. Refer to Standard 20 24 24 Good Practice Recommendations The outside of suspension bottles be kept clean The dishwasher be removed from the garden of house 2 The spare bath pannel be removed from the bathroom of house 2 CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 Page 21 Commission for Social Care Inspection First Floor Barclay Court Heavens Walk Doncaster DN4 5HZ 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 CANTERBURY CLOSE CARE HOME 20050901 Canterbury Close X00023 UN Stage 4 S34513 V215289 J55.doc Version 1.30 Page 22 - 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!