Inspection on 22/09/06 for Canterbury Close 1 & 2

This inspection was carried out on 22nd September 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Canterbury Close 1 & 2 23/10/07

Canterbury Close 1 & 2 09/01/06

Canterbury Close 1 & 2 01/09/05

Canterbury Close 1 & 2 10/11/04

Canterbury Close 1 & 2 22/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Canterbury Close 1 & 2 Chaucer Rd Herringthorpe Rotherham South Yorkshire S65 2LW Lead Inspector Bob Burkinshaw Key Unannounced Inspection 22 September 2006 11:00 nd Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 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 Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 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. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Canterbury Close 1 & 2 Address Chaucer Rd Herringthorpe Rotherham South Yorkshire S65 2LW 01709 379830/379129 01709 379129 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) londonroad@tiscali.co.uk Milbury Care Services Limited Currently vacant covered by Dawn Maris Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th January 2006 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 National Care Standards Commission o the 6th December 2002. It is owned by the national company, Milbury Care Services. The home is comprised of two single storey 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 gardens. The fees are £1150 per week; if carers or young adults require further information about the home they can ask for a copy of the home’s Statement of Purpose or the service user guide. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that started at 11:30 and concluded at 16:00. 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 Inspector also met with one visiting relative. Questionnaires were sent out prior to the inspection one had been returned at the time of writing this report. The acting manager was present throughout the inspection. What the service does well: What has improved since the last inspection? What they could do better: The delays in undertaking repairs to the outbuilding used for storage and the leaking shower room are unacceptable, they are also a cause for concern from relatives. Provide some financial support for service users personal allowance payments in emergency situations where placing authorities are slow to provide such funds. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 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. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 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 Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 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): 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including looking at admission and discharge procedures and the current service user guide. EVIDENCE: There was one new admission in June 2006 and one discharge in March 2006. The discharged service user had health needs that required 24-hour nursing care and therefore they were transferred to a nursing home environment. The new admission was a service user from the Doncaster Metropolitan Borough Council area who is sponsored by Doncaster Metropolitan Borough Council Social Services Directorate. Their personal file contained the preadmission assessment information and evidence of contact between Canterbury Close staff and the service user prior to admission. An up to date post-placement review was seen. The only negative was the delay in Doncaster Metropolitan Borough Council providing this service user with a personal allowance and the absence of some financial mechanism within Milbury Care Services that would enable payment in the meantime. The service user was seen having breakfast and was receiving 1:1 personal care. The inspector was shown the service user guide that uses good pictorial information for the benefit of service users. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 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): 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including observing the delivery of care, communication between staff and service users and sampling care plans. EVIDENCE: The Inspector saw staff using different methods of communication with service users. One staff member was seen to be using Makaton signs as an aid to communication for one service user. Service users were seen to be given choices of two things so that they could point to one as a way of making their choice. One service user chose to go out to the local pub for lunch and drinks and told the Inspector that they had enjoyed their meal and a brandy. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 10 Care plans are kept in a standard format and all the sections are completed so that all staff can readily get the information they need to provide a consistent level of care to service users. The risk assessments 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. Where there are limitations on a resident’s rights there are details of why this is done in the care file. The residents care programme is evaluated on a weekly basis and a record is kept; these evaluations are used to contribute to annual reviews. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 11 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, 13, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including sampling service user personal files; talking with a relative and inspecting the catering arrangements. EVIDENCE: The inspector found evidence of outings and holidays as well as regular weekly activities that are enjoyed by service users. These activities are not only provided for service users in groups but also in pairs and as individuals. One service is user not receiving their personal allowance due to a delay by their placing authority in paying this. Relatives meetings are held regularly at Canterbury Close and play an important part in providing feedback for staff and Milbury Care regarding the quality of care provided by them. Eight out of the ten service users living at Canterbury Close have been there since 2003. Some relatives visit regularly, they are always encouraged to tell staff of any concerns that they may have regarding the care of their relative. The visitor’s book indicated that there was a good level of visiting by family and friends. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 12 The inspector met one visiting relative during this visit and noted that they were made welcome by the staff on duty, that they were at ease with the staff on duty and that they were confident in talking about the care given to their relative. They were eager to invite the Inspector to a relatives meeting as part of the inspection process; the Inspector replied that efforts could be made to do this at the next inspection. 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. Units 1 and 2 have individual domestic kitchen facilities where staff prepare food; food hygiene and infection control training is provided for staff who must attend these training sessions as part of their contract of employment. The kitchens also provide service users with facilities to make drinks and snacks depending on their individual abilities. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 13 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. Quality in this outcome area is good. This judgement has been made using available evidence including sampling service user personal files and inspecting the storage, administration, disposal and recording of the medication presribed for service users. EVIDENCE: Significant changes have taken place since the last inspection. The staff no longer give injections, these are now given by the Community Nursing service. A new pharmacy is taking over the pharmaceutical provision to the home from the 9/10/06 and their service includes a training pack that will complement training that is also delivered by Milbury Care. An inspection of the medication administration records found that they were accurate and up to date; disposal of medication either spoilt or surplus was being done correctly. The service users are registered with one of three local health centres that provide their general health care. Badlsey Moor Centre provides a number of other health related support services. All service users have access to optical and dental services. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 14 Canterbury Close has both the necessary equipment and staff to support individuals in a dignified and private manner. Staff receive training in handling, medication awareness and infection control, which helps to safeguard the health of service users. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 15 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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including observing staff interaction with service users, talking with a visiting relative and examining staff training records and the complaints log. EVIDENCE: The adult protection procedures are available in the office and accessible to members of staff and Protection of Vulnerable Adults training is provided for all staff by Milbury Care services. The inspector saw staff interacting with the service users in a manner that showed that they understood what was wanted and that the residents were comfortable with the staff. The majority of staff have worked with the service users for many years and are familiar with their different behaviours and as a result can meet the needs of the residents quickly. Family’s views on the care of the service users are discussed in regular meetings and the staff stated that there are opportunities during family visits for family to ask for changes in the care regime in between meetings. The visiting relative who spoke with the Inspector during this visit supported this statement, this was also reflected in the positive remarks made in a satisfaction survey questionnaire. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 16 There have been no adult protection issues since the last inspection and the only complaint related to the number of days that it took to replace a cracked window. All service users receive representation from Jan Reed at the Rotherham Advocacy service, this particularly important for those service users without regular family contact. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 17 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 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a tour of the premises both inside and out. EVIDENCE: The inspector toured the premises with the acting manager and found that the sample of service users private accommodation was homely, safe and comfortable with private rooms decorated and furnished to the individual’s liking. The communal areas of the two homes were clean and hygienic and well maintained but the problem of water leaking out of the shower room in No.1 Canterbury Close persists and the room adjacent in the entrance hall of No.1 smells very damp and musty, the carpet in the corridor outside the offending shower also feels damp and smells musty and has a tidemark. As a result the service users in No.1 Canterbury Close do not enjoy the same quality of accommodation as those at No.2. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 18 The inspector was also concerned about the failure of Milbury Care to repair the fire-damaged roof of an external storage building. The roof has several tiles missing, it is open to the elements and the boundary fence adjacent has several uprights missing and this allows would-be intruders to gain access to the rear of No.1 Canterbury Close. The damaged building and fence look shoddy and invite further acts of vandalism particularly as the darker nights are coming. The Inspector is aware that the delay in repairing these defects is causing concern to the relatives of service users at the home. The magnetic door closer to the lounge of No.1 Canterbury Close was not working at the time of the inspection, this was pointed out to the acting manager. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 19 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, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including looking at staff personnel files and their training and supervision records. EVIDENCE: The Inspector found that the majority of the staff have worked with the service users for a long time and are familiar with their assessed needs. Each member of staff has a training plan that they follow. Of the twenty-four staff working at Canterbury Close thirteen hold National Vocational Qualification level 2 or better; three are working towards National Vocational Qualification level 2 and six more will be offered National Vocational Qualification level 2 following their satisfactory completion of 6 months employment. The Inspector found that a new acting manager (Dawn Maris) had replaced the registered manager James Kane) this summer. Six other members of staff are newcomers since the last inspection; the Inspector examined their personnel records and found that they had all provided satisfactory references and Criminal Records Bureau checks. All staff are receiving supervision as required. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 20 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, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including interviewing the acting manager; observing staff as they work’ inspecting rotas and looking at fire safety and other health & safety records. EVIDENCE: The new manager has clear views of how she wants to develop and improve the quality of life for the service users; an experienced deputy manager now supports the manager. Staff appear to be responding to their leadership but there has been a 25 turnover in staff since the last inspection. Staff work predominantly with the same service users, which means that they are able to form a friendly relationship where mutual respect is engendered. The inspector saw several instances where the staff were getting the views of the service users about how they were feeling with regard to their comfort or taking part in an activity. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 21 A tour of both residential units showed that there were no areas where the health and safety of service users was put at risk although there are continued concerns regarding the leaking water in No.1 and the security implications of the damaged outbuilding and fence. Fire safety records showed that training, drills and maintenance are being carried out as required. The policies and procedures of the company that were identified during the inspection were seen to be implemented by the staff. The Milbury Care representative makes the required monthly visits and provides a report for the manager and staff. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 22 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 3 2 3 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 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? Yes 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 YA24 Regulation 23 Requirement The shower room floor in house 1 must be repaired to stop water leaking out into the corridor and into the fabric of the building, this was a requirement from two previous reports The outbuilding used for storage must have the roof repaired or replaced to make it safe, this is an outstanding requirement from a previous report . The adjoining fence must be made secure. The magnetic door closer used on the lounge door in No.1 Canterbury Close must be repaired. Timescale for action 31/10/06 2. YA24 12 31/10/06 3 YA24 23 31/10/06 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 Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 24 1. YA12 2 YA37 Milbury Care Services should consider making some exceptional financial provision to meet emergency situations such as that experienced by the service user whose placing authority are taking an unacceptable length of time to start the payment of his personal allowance. This is undignified and leaves the service user in a helpless position and although not the fault of Milbury Care Services they are in a position of being able to recover such finances. The acting manager should proceed with her application for registration by the local Commission for Social Care Inspection registration team as quickly as possible. Canterbury Close 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 1 & 2 DS0000034513.V295404.R01.S.doc Version 5.2 Page 26 - 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. 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