Inspection on 20/04/05 for Cardinals Gate 55

This inspection was carried out on 20th April 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 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

Cardinals Gate 55 05/11/08

Cardinals Gate 55 12/11/07

Cardinals Gate 55 09/03/07

Cardinals Gate 55 05/10/05

Similar services:

Chesham House

Argyll House

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

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

CARE HOME ADULTS 18-65 Cardinals Gate 55 55 Cardinals Gate Werrington Peterborough PE4 5AT Lead Inspector Jenny Cangy Unannounced 20 April 2005 @ 12.00 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. Cardinals Gate 55 Version 1.10 Page 3 SERVICE INFORMATION Name of service 55 Cardinals Gate Address 55 Cardinals Gate Werrington, Peterborough, PE4 5AT 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) 01234 267674 Community Care Solutions Limited Irene Mills Care Home 6 Category(ies) of LD6 MD2 registration, with number of places Cardinals Gate 55 Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: only service users with an associated Learning Disability to be accomodated under Mental Disorder category. Date of last inspection 1st inspection Brief Description of the Service: 55 Cardinals Gate is a bungalow in a cul de sac in a residential area of Werrington, a village on the outskirts of Peterborough. It is no different in appearance from the neighbouring proerties. There is a small parking area and garden to the front of the bungalow and a spacious enclosed garden to the rear. There are six single bedrooms all with ensuite facilities. There is a spacious L shaped lounge dining room and an additional conservatory with patio doors to the garden. The home accomodates 6 young adults with a learning disability and is registered for two of the service users having associated mental health problems. None of the service users have any physical dependence. The home has its own transport and the staff and service users also use local public transport. This is accessible from close by. Local amenities are within walking distance and staff support service users to use all the amenities of Peterborough. Cardinals Gate 55 Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is a new service that was registered in January 2005. The bungalow was clean and fresh throughout and there were four young people living there. The service users told the inspector that they had been able to make their bedrooms as they wanted them and were happy to be living in the home. All the service users had a plan of care that contained information about what they could do and wanted to be able to do. All the service users were relatively new to the home and their care plans are still being developed as they settle in and become more confident. The inspector met the manager her senior support worker and two support workers who were on duty. Staff and service users appeared relaxed and interaction between staff and service users was informal and friendly. What the service does well: What has improved since the last inspection? This was the first inspection since the home was registered. Cardinals Gate 55 Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Cardinals Gate 55 Version 1.10 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 Cardinals Gate 55 Version 1.10 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) 1-5 The home had achieved a relaxed happy atmosphere in the short time it had been open. The homes’ service user guide and statement of purpose provides service users and prospective service users with details of the service the home offers. This helps them and their family to decide if the home is suitable for them. This is a very new service and the inspector will be interested to see the development at the next inspection EVIDENCE: All service users have a statement of purpose and service user guide. This is also give to the families. Service users’ needs are assessed by the manager and area manager before being offered a place in the home. This assessment forms the basis of the care plan. Service users and their families are encouraged to visit and get to know the staff and other residents before moving in. The inspector saw service users records and noted they contained all the information as required. The four service users met by the inspector were able to state they were pleased with their new home and told the inspector about things they were doing and hoping to do in the near future. These included enrolling in college and planning holidays in the longer term, going swimming, shopping and baking cakes in the shorter term. Cardinals Gate 55 Version 1.10 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, 7,8 & 9 Care plans for the service users are still being developed as they become more familiar with the home and staff and they gain in confidence. There are some efforts to support service users’ independence and this should be developed so that service users develop to their full potential and increase their quality of life. EVIDENCE: Service users were able to speak of the plans for their care. House meetings are held monthly where they are encouraged to say how they would like their home to be run. The manager states they are involved with the writing of their care plan to the best of their ability but unfortunately this is not evidenced on the care plan as service user do not sign their care plans. All care plans include risk assessments around all aspects of their daily lives. No service users leave the house without the support of a staff member as the manager stated they are currently too vulnerable. At the time of inspection the service users were being closely supervised both within and outside of the home. The inspector hopes a more independent lifestyle will be developed as both staff and residents get to know each other better and more acceptable risk can be taken. Cardinals Gate 55 Version 1.10 Page 10 Cardinals Gate 55 Version 1.10 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 standard(s) 11-17 The service at this home is in very early stages but with the support of the area manager the manager and staff need to ensure the residents live fulfilling lives. Service users are not yet familiar enough with the neighbourhood but may be able to develop greater independence in the local community in the future. EVIDENCE: A service user told the inspector of her plans to go to college to do a comport course. This was confirmed by the manager. Daily diary notes recorded that local activities are being used and service users have been swimming bowling and out to local pubs. Care plans show family links and involvement and planned activities. Service users are not able to access the local community without staff support. The plans for educational and social activities are being developed and are still in the early stages. College courses are being accessed and sports and social activities being used. The manager has plans to ensure the service users fully participate in the local community and access age appropriate events such as pop concerts. Two of the service users visit family on a very regular basis. Cardinals Gate 55 Version 1.10 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) 18-21 Service users having control of their own medication has not been considered and this could compromise the independence of some service users. This could be explored with staff supporting service users in the management of their medication in the future. Issues regarding ageing, illness and death have not been addressed although there is a care plan to record this. Currently entries only refer to parents making decisions and not to what the service user understands or wishes. Service users’ healthcare needs are met and policies and procedures are in place to make sure they are safe and well cared for. EVIDENCE: The level of support needed is recorded in the care plan. Physical healthcare needs are recorded and all service users are registered with a GP. Other healthcare services have yet to be accessed. No service users control or administer their own medication. The home uses the Boots monitored dose system. There are policies and procedures in place with regard to medication. Cardinals Gate 55 Version 1.10 Page 13 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 & 23 Staff have a good knowledge and understanding of Adult Protection issues which protect service users from abuse. EVIDENCE: There is a complaint procedure in place and all service users and their family have copy. To date there have been no complaints. All staff are trained in Protection of Vulnerable Adults procedures. It is difficult to assess what service users understand of it. There are regular service user meetings where they are encouraged to voice their concerns. An incident in the home was appropriately investigated under Protection of Vulnerable Adult procedures. Cardinals Gate 55 Version 1.10 Page 14 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) 24-30 Service users have personalised their bedrooms and those seen by the inspector were homely and appropriate in style for the age of the service user. Rooms have locks and service users have keys if they want them and are able to manage them. Shared space is comfortable and modern. All areas of the home were clean and fresh and provided a pleasant environment to live in. EVIDENCE: Two service users showed the inspector their bedrooms. They were both pleased with their accommodation. One service user said that she had her own key but did not want to lock her door. No service users need any specialist equipment. One service user smokes and she does so in the garden. An incident in the home was appropriately investigated under Protection of Vulnerable Adult procedures. Cardinals Gate 55 Version 1.10 Page 15 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) 31,33,35,36 There are sufficient staff to ensure service users can go out and about while staffing is available to anyone wanting to stay home. EVIDENCE: Staff have supervision a minimum of six times a year. All staff have appropriate job descriptions and undergo an induction program. Staff training is plentiful. Staff spoken to on the day were able to confirm this. The full staff team will consist of a manager, a senior support worker and seven full time support workers when the home is full. The manager is still recruiting staff and currently uses some agency staff. There is one waking night staff per night and staffing levels are good during the day. Cardinals Gate 55 Version 1.10 Page 16 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) 39,40,41,42 The home has company policies and procedures to ensure the proper management of the home. EVIDENCE: All health and safety requirements are met and appropriate records are kept. Staff and residents have fire safety training. The manager stated that service users are involved in reviews of their needs but there is no evidence in the form of service user signatures or family signatures on care plans to support this. The area manager visits regularly to monitor the home. Staff recruitment procedures are thorough and the health and safety of the service users and staff are paramount. No service users manage their own money but all accounting records are kept as required. As the service develops the inspector will monitor what actions are taken to help service users develop the skills needed to have more responsibility for their own personal allowance. The inspector will monitor the future development of service user involvement in their reviews. Cardinals Gate 55 Version 1.10 Page 17 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 3 2 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 3 3 2 Standard No 31 32 33 34 35 Score 3 3 3 x 3 Page 18 Cardinals Gate 55 Version 1.10 14 15 16 17 3 3 2 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 2 2 1 Standard No 37 38 39 40 41 42 43 Score x x 3 3 3 3 x Cardinals Gate 55 Version 1.10 Page 19 n/a 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 21 Regulation 12(2&2) Timescale for action The registered person will ensure 30th June that service users wishes with 2005 regard to ageing, illness and death are adequately recorded in the care plan. Requirement 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 Cardinals Gate 55 Version 1.10 Page 20 Commission for Social Care Inspection CPC1, Capital Park Fulbourn Cambridge CB1 5XE 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 Cardinals Gate 55 Version 1.10 Page 21 - 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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