Inspection on 23/11/06 for Cavendish House

This inspection was carried out on 23rd November 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 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

Cavendish House 01/03/06

Cavendish House 09/08/05

Cavendish House 25/01/05

Cavendish House 20/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Cavendish House 10 Eversley Park Chester Cheshire CH2 2AJ Lead Inspector Joan Adam Unannounced Inspection 23 November 2006 10:00 rd Cavendish House DS0000006674.V312324.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 Cavendish House DS0000006674.V312324.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. Cavendish House DS0000006674.V312324.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cavendish House Address 10 Eversley Park Chester Cheshire CH2 2AJ 01244 381880 01244 669141 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) Fairholme Care Group (Cavendish House) Limited Mrs Clare Elizabeth Owens Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Cavendish House DS0000006674.V312324.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service is registered to accommodate a maximum number of 6 service users in the category LD (Learning Disability) 1st March 2006 Date of last inspection Brief Description of the Service: Cavendish House is a small care home owned and managed by Fairhome Care Group Limited. The home which is located in a residential area approximately a mile from Chester city Centre has been altered and adapted to provide care to six younger adults with a learning disability. There are a variety of community facilities nearby. Although it is a three-storey building residents are accommodated on the ground and first floors only. The second floor is the office accommodation for the company. Access between floors is via the stairs. On the ground floor are two single bedrooms, a lounge and a dining room. There is also a bathroom with toilet, a kitchen and a laundry. On the first floor are four single bedrooms, a bathroom and a toilet. There are gardens to the front and side of the house and street parking is available. The current charges for the service are £770.34 per week. Cavendish House DS0000006674.V312324.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on the 23rd November 2006 and lasted 6 hours. The visit was carried out by one inspector. This visit was just one part of the inspection. Before the visit the home owner/manager was also asked to complete a questionnaire to provide up to date information about services in the home. Questionnaires were also made available for residents, families, health and social care professionals to find out their views. Other information received since the last key inspection was also reviewed. During the visit various records and the premises were looked at. A number of residents were spoken with and they gave their views about the service. What the service does well: Cavendish House is a well managed home that provides good care to the residents who live there. Good information is provided to prospective residents and they are actively encouraged to visit the home and stay on a trial basis prior to making a permanent choice. Full and comprehensive assessments are carried out and care plans are in place to ensure the home will be able to meet the residents’ needs. Risk assessments are in place to enable the residents to maintain independence and control over their own lives. Medicines are well managed, ensuring that residents receive their prescribed medication. There is a good, friendly relationship between staff and residents and staff are mindful of service users’ privacy and dignity. Residents are involved in the running of the home within their limited capabilities. Cavendish House DS0000006674.V312324.R01.S.doc Version 5.2 Page 6 The home is very well maintained and clean. It provides a comfortable and welcoming environment. Visitors are warmly welcomed into the home. Residents are consulted about their hobbies and interests and a varied programme of activities is available, which includes activities outside the home. Residents receive good and varied food. Staff recruitment, training and supervision ensure that resident’s interests are promoted and protected. There are adequate numbers of staff on duty to ensure the needs of the residents are met. 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. Cavendish House DS0000006674.V312324.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 Cavendish House DS0000006674.V312324.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): 2 The quality rating for this outcome area is good. This judgement has been made using available evidence including a visit to the service. Assessments of people’s care needs are carried out before they move into the home so there is information to show that their needs can be met. EVIDENCE: The care file for one resident who had been admitted to the home within the last twelve months was looked at. Prior to admission the manager of the home had carried out a comprehensive assessments of the needs of the resident. There is evidence that the resident visited and stayed at the home on several occasions before choosing to live there permanently. Cavendish House DS0000006674.V312324.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): 6,7,9 The quality rating for this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents living at Cavendish House are supported to make decisions about their care and to live an independent life. EVIDENCE: Care plans for two residents were looked at. The care plans at the home are detailed and give a good comprehensive portrait of the resident. Problems such as challenging behaviours are highlighted to enable the staff to understand and manage the problem to enable the resident to be as independent as possible. A communication sheet was in place for one resident to guide staff as to the gestures and body language to look for to enable them to communicate effectively with the resident. Care plans were reviewed and up dated on a monthly basis and the daily records were detailed and gave a picture of how the residents spent their day. Appropriate risk assessments were in place to enable the residents to be supported to enable them to live an independent life. There was evidence that the residents had signed their care plans. Cavendish House DS0000006674.V312324.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17. The quality rating for this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents living at Cavendish House are able to make choices about their life style with support from the staff. EVIDENCE: The atmosphere in the home is relaxed and welcoming. All the residents were present in the home at the time of the site visit. Individual programmes of activities are in place for each resident. Three of the residents attend day centres for some time during the week. One resident spoken to said that they work on a voluntary basis in a local church and enjoyed this and they went to stay with their family on weekend visits. They spoke about a relationship with a resident in another care home. Music features highly and this was evident during the day. A staff member was playing a guitar and residents were playing C.D’s of their choice. The residents’ had been on a week’s holiday to Port Madoc in Wales and said that they had enjoyed this. Cavendish House DS0000006674.V312324.R01.S.doc Version 5.2 Page 11 During the warm weather trips out to Delamere Forest, Chester Zoo, Grovener Park and Talacre beach had been organised. The residents’ were going to a local café “ for sandwiches and cakes” on the afternoon of the site visit. Most residents attend a disco in Ellsmere Port on a weekly basis. The home has introduced a new picture menu to enable the residents to choose what is on offer at meal times more easily. Menus are varied and residents said that the food is good. The routine at Cavendish House is flexible to meet the needs of the residents’ living there. Cavendish House DS0000006674.V312324.R01.S.doc Version 5.2 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 the following standard(s): 18,19,20 The quality rating for this outcome area is good. This judgement has been made using available evidence including a visit to the service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Care plans looked at indicated that the residents’ health care needs are monitored and contact is maintained with health and social care professionals on an ongoing basis. Staff were seen to interact well with the residents and appear to have good relationships with them. None of the residents living at Cavendish House self medicate at present. This has been risk assessed by the staff. Medication management was looked at and this was satisfactory. Cavendish House DS0000006674.V312324.R01.S.doc Version 5.2 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 the following standard(s): 22,23 The quality rating for this outcome area is good. This judgement has been made using available evidence including a visit to the service. There is a complaints procedure in place. Staff training is in place to ensure that the residents are protected from abuse. EVIDENCE: There have been no complaints made to the home or to CSCI since the last inspection. A copy of the complaints procedure is available in the service users guide. Resident and relative’s questionnaires commented that they would know what to do if they wished to make a complaint. The home has an Adult Protection procedure (including Whistle Blowing), which complies with the Public Disclosure Act 1998 and the Department of Health Guidance “No Secrets”. Staff receive regular training and up dates for the protection of vulnerable adults. Cavendish House DS0000006674.V312324.R01.S.doc Version 5.2 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 the following standard(s): 24,30 The quality rating for this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a well maintained comfortable, clean environment. EVIDENCE: The home provides a comfortable and safe environment for residents. It is well-maintained and provides adequate private and communal space for the residents living there. All bedrooms are single rooms that are, according to residents, suitable for their needs. Two bedrooms were seen during the visit with the permission of the residents, these were personalised and individually furnished and decorated. On the day of the inspection the home was clean and free from unpleasant smells. Cavendish House DS0000006674.V312324.R01.S.doc Version 5.2 Page 15 Since the last visit one bedroom and the dining room has had new furniture, a new TV has been purchased for the lounge and a new carpet has been ordered for the main hallway. A new shower unit and floor covering has also been ordered for the downstairs bedroom. Cavendish House DS0000006674.V312324.R01.S.doc Version 5.2 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 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 The quality rating for this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents living at Cavendish House are cared for by well trained staff and safety is maintained by the recruitment procedures at the home. EVIDENCE: There are a total of eleven care staff working at the home. During the inspection staff were seen talking with and helping service users. Service users were comfortable in the company of staff. The record of training seen included food hygiene, first aid, infection control, manual handling, risk assessments, fire prevention training. Fifty five per cent of care staff have achieved NVQ level 2 in care. There is an on going training programme and more training sessions have been planned for the future, which is relevant to residents needs. Staff files were looked at for two newly appointed members of staff and all relevant safety checks and information was present. Residents are involved in the interview of proposed new staff. Staff working at Cavendish House receive appraisals and regular formal recorded supervision. Cavendish House DS0000006674.V312324.R01.S.doc Version 5.2 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 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): 37,39,42 The quality rating for this outcome area is good. This judgement has been made using available evidence including a visit to the service. Cavendish House is well run with staff committed to the protection and well being of residents. EVIDENCE: The manager at Cavendish House service is experienced, qualified and competent. She has obtained NVQ level 4 in management. The home has an open and positive atmosphere and good relationships were observed between residents and staff. Key Worker systems in place supports each person living within the home and an independent advocacy service allows each resident to contribute to the home within which they live. Cavendish House DS0000006674.V312324.R01.S.doc Version 5.2 Page 18 Staff training is in place to enable the residents to be cared for by trained and competent staff. Health and safety records were seen and fire safety training, evacuation drills and fire safety checks are carried out. Also seen was a copy of the service record for the boiler, health and safety risk assessment and portable appliance tests. The home has a quality assurance system in place, which is based on the National Minimum Standards. The area manager makes monthly visits to the home and reports of these visits are sent to CSCI. Staff and resident/relative meetings take place on a regular basis and minutes are taken. Cavendish House DS0000006674.V312324.R01.S.doc Version 5.2 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 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 3 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 X 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 X 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 Cavendish House DS0000006674.V312324.R01.S.doc Version 5.2 Page 20 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cavendish House DS0000006674.V312324.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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. 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