Inspection on 05/10/05 for Cardinals Gate 55

This inspection was carried out on 5th October 2005.

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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

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 20/04/05

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 Mrs Jenny Cangy Unannounced Inspection 5th October 2005 14:30 Cardinals Gate 55 DS0000063088.V253326.R01.S.doc Version 5.0 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 Cardinals Gate 55 DS0000063088.V253326.R01.S.doc Version 5.0 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. Cardinals Gate 55 DS0000063088.V253326.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cardinals Gate 55 Address 55 Cardinals Gate Werrington Peterborough PE4 5AT 01234 267674 01234 210710 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) Community Care Solutions Limited Mrs Irene Mills Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (2) of places Cardinals Gate 55 DS0000063088.V253326.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Learning Disability (6) Mental Disorder (2) - Only associated with learning disability Date of last inspection 20th April 2005 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. 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 DS0000063088.V253326.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection commenced at 14.30 and the inspector was admitted to the home by a member of the care staff. There were 5 service users at home. The manager was not present and the staff member leading the shift took the lead in the inspection process. The inspector was shown a bedroom by the occupier but there was no in-depth inspection of the premises as this is a new home and the accommodation standards were all inspected at the first inspection. Service users were present for the entire inspection and were actively engaged in the inspection process offering opinions with regard to the standards. What the service does well: What has improved since the last inspection? 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. Cardinals Gate 55 DS0000063088.V253326.R01.S.doc Version 5.0 Page 6 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 Cardinals Gate 55 DS0000063088.V253326.R01.S.doc Version 5.0 Page 7 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): 2,4&5 Service users are able to express their needs and aspirations freely and had the opportunity to visit the home before moving in. EVIDENCE: Service users thoughts and aspirations are considered in all aspects of their lives at Cardinals Gate. These are explored as part of the assessment process and included in the care planning. All service users had the opportunity to visit the home and stay overnight before moving in. This is part of the homes’ admission policy. There is a copy of the statement of terms and conditions of the home on each individual file signed by the individual. Cardinals Gate 55 DS0000063088.V253326.R01.S.doc Version 5.0 Page 8 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): 6,7,8,9&10 All service users have the opportunity to make choices in their lives and are supported by the staff when necessary. EVIDENCE: Each service user has a care plan that they have helped to compile and have agreed. They are able to make choices in all aspects of their lives and were able to tell the inspector this during the visit. There are monthly house meetings where everyone is free to put their opinion. Risk assessments are in place for current activities. Service users are aware of the need for confidentiality and also of respecting each other privacy. Staff were familiar with the confidentiality policy. Cardinals Gate 55 DS0000063088.V253326.R01.S.doc Version 5.0 Page 9 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): 11,12,13,14,15,16,17 The service needs to further develop appropriate leisure activities within the community. Personal and educational development is met. EVIDENCE: All service users have planned daytime activities including college courses. They participate in a variety of activities in term time but these were not available in the summer break. The home needs to consider planning more evening activities in the local community as well as those accessed within the learning disability services. Family relationships are supported although three service users present did not think they would be allowed to invite friends home. This was discussed with the inspector and care staff to reassure them that friends would be welcome and it was suggested they discuss this at the next house meeting. Service users help with the cooking, cleaning ,washing and ironing. They told the inspector of the holiday they are about to go on. Cardinals Gate 55 DS0000063088.V253326.R01.S.doc Version 5.0 Page 10 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): 18,19,20,21 All personal and health care needs are appropriately met. EVIDENCE: Two service users need help with personal care and this is delivered appropriately. They are all registered with a local GP and have regular checks with dentists and opticians as appropriate. Outside professionals are consulted as needed. Cardinals Gate 55 DS0000063088.V253326.R01.S.doc Version 5.0 Page 11 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): 22,23 Service users have their views and concerns listened to and are protected from abuse. EVIDENCE: The service users present were able to talk about what they would do if they wanted to complain and what response they would expect. They all knew they could talk to the manager or speak out at a house meeting. All staff have had training in the protection of vulnerable adults (POVA) Cardinals Gate 55 DS0000063088.V253326.R01.S.doc Version 5.0 Page 12 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): 30 The home is clean and hygienic. EVIDENCE: All areas of the home inspected were clean, fresh and free from offensive odours Cardinals Gate 55 DS0000063088.V253326.R01.S.doc Version 5.0 Page 13 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): 34,35,36 The home is sufficiently staffed to meet the needs of the service users. EVIDENCE: There were noted to be four members of staff in the home during the inspection. Although no staff files were inspected two members of staff stated that as part of the recruitment process they had to provide proof of identity two references and undergo a Criminal Records Bureau (CRB) enhanced check, They have an initial induction followed by further training. All statutory training is up to date. Five staff are currently undertaking NVQ level2. Any staff shortfalls are made up by the use of agency staff and those used come regularly and service users know them. Staff have regular formal supervision and records are kept. Cardinals Gate 55 DS0000063088.V253326.R01.S.doc Version 5.0 Page 14 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): 37,38,43 The home is well managed. EVIDENCE: The manager is qualified to NVQ level4 and has the registered managers award. She is open and accessible to staff, service users and families. The manager does cover some care shifts and accompanies service users on social activities. The manager is supported by an area manager who visits regularly. Cardinals Gate 55 DS0000063088.V253326.R01.S.doc Version 5.0 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 2 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cardinals Gate 55 Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x 3 DS0000063088.V253326.R01.S.doc Version 5.0 Page 16 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA14 Regulation Requirement Timescale for action 30/11/05 16(2(m&n)) The registered person must ensure service users are able to access leisure activities of their choice in the local community in the evenings if they wish 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 Cardinals Gate 55 DS0000063088.V253326.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office 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 DS0000063088.V253326.R01.S.doc Version 5.0 Page 18 - 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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