Inspection on 14/06/06 for Cedar House Pitsea

This inspection was carried out on 14th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cedar House Pitsea 06/06/07

Cedar House Pitsea 10/01/06

Cedar House Pitsea 16/05/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Cedar House (Pitsea) London Road Pitsea Basildon Essex SS13 2BY Lead Inspector Patricia Stanton Unannounced Inspection 14th June 2006 09:00 Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 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 Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 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. Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cedar House (Pitsea) Address London Road Pitsea Basildon Essex SS13 2BY 01268 01268 455 103 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) Kingswood Care Services Limited Manager post vacant Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th January 2006 Brief Description of the Service: Cedar House is a five bed roomed house located in Pitsea close to local town, bus route and shops. The home is within walking distance of Pitsea Centre, shops, pubs and medical centres. All bedrooms have en suite or adjacent bath or shower facilities. The home has a main lounge, kitchen diner, sitting room, laundry room, staff office, staff toilet and a bedroom on the ground floor. The first floor comprises of four bedrooms, three with en suite and a bathroom/toilet. The home has a large garden with flowerbeds; garden shed BBQ, decking area, gazebo and paddling pool. The front of the property has off road parking for the homes vehicles. Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The routine unannounced inspection took place on the 14th June 2006. Records and documents were looked at, including the previous requirements and recommendations from last inspection. As part of the inspection process pre inspection questionnaires were sent out to the home but at the time of publishing the report none had been returned to the CSCI to be included in the report. Time was spent in the lounge with two young adults’ taking note of their daily routine in the home. Three staff members, the three residents, the acting manager, the registered provider, the service manager and the senior carer who was particularly helpful were all spoken to during inspection. The inspector would like to thank residents, staff and the manager for their time and cooperation. What the service does well: What has improved since the last inspection? The homes new acting manager has improved services and individualised the home to meet the needs of residents accommodated. Two excellent regulation 26 visits have been completed since the last inspection and staff have had NVQ and comprehensive training in specialised medical conditions affecting one resident. Staffing levels appear to meet the needs of residents and the registered manager has received good managerial support. The home has an excellent appropriate format service users guide for residents, which includes details of how to complain and the CSCI. The home has introduced goal plan programmes for all residents. Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 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 Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 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): 1,2,3, Residents and relatives have the relevant information to make a choice about the home prior to admission and residents individual aspirations are met in relation to recreation. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this home. EVIDENCE: The home has produced an excellent pictorial format service users guide for residents, which includes photos of staff/residents and details of how to complain with details of the CSCI. Residents appear to enjoy fulfilling lives with the support of staff that encourage them to participate in recreational activities and personal interest. Many residents attend educational schools/colleges and enjoy days out annual holidays and time in the community. However residents do not have individual activity plans. Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 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): 6,7,8,9,10. Care plans reflect residents changing needs and residents are consulted and supported on all aspects of their care including taking risks as part of an independent lifestyle. Recreational activities offered at the home are individualised and varied. Personal files are not stored securely. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this home. EVIDENCE: Care plans examined were comprehensive and included all aspects of residents needs including social, emotional, self help, communication and behavioural assessments but there was no initial health care assessment in one file and no risk assessment for one residents sexual health care and physical needs. Goal plans introduced in the home were not completed with any goal achieved but staff had recorded in daily files residents personal interests. The home stores some personal files in unlocked area due to limited space. The acting manager and service manager where advised to ensure the files are stored securely as soon as possible. Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 Page 10 Residents accommodated attend local colleges and schools to continue education and enjoy going out with staff in the community. Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 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): 11,12,13,14,15,16. Residents have good access to the community, leisure activities and good social contact with family and friends. Residents are able to develop personal skills and interest in the home and have their needs respected in relation to daily life skills. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this home. EVIDENCE: Staff arrange various activities and holidays for residents and one resident who enjoyed the play station, football, riding his bike, music, dancing, TV, DVDs, jigsaw, colouring and theme parks had with the support of staff participated in most activities. Records confirmed the resident had been out on his bike and to a theme park whilst living in the home. During inspection the resident watched World Cup football on the TV and was encouraged by staff to complete a jigsaw or colouring. Residents enjoy annual holidays with staff to various locations including abroad and in the UK depending on their preference. Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 Page 12 Residents at Cedar House are physically active and young and enjoy football and being active. The home was decorated with England banners and the home had purchased a large paddling pool and gazebo for residents for the warm weather. Residents appeared to have developed socially and one resident who had been seen at previous inspections appeared to have developed in confidence and verbal skills. Residents were observed to be encouraged by staff to develop daily living skills and participate in cooking, cleaning and keeping their rooms tidy. Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 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. Residents receive personal support and appropriate health care but initial assessments could be improved. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this home. EVIDENCE: At inspection all residents looked happy and healthy. Care plans confirmed residents receive appropriate health care from medical professionals and one file contained a medication profile with medication consents but no initial health care plan. The same resident who was sexually active did not have an appropriate risk assessment and plan for physical contact. Residents receive personal support from staff and at inspection communication beween staff and residents was mutually respectful and caring. The home operates a key working system but no evidence was seen in one file of any one to one key working sessions with staff. The home was currently reviewing the key working system in the home to ensure all staff have equal workloads. Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Residents are consulted and protected from abuse and neglect. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this home. EVIDENCE: Staff have training in protection of vulnerable adults (POVA). However one staff member who had just started had not attended POVA or restraint training but was conversant with the signs of abuse and the procedures for reporting abuse. The home currently accommodates one resident with challenging behaviour. The home has received one complaint from a resident since the last inspection and a letter was written to the complainant from the registered provider stating the complaint would be investigated however there was no evidence on the file of any outcome to the enquiry. Records of incidents and accidents were examined and all incidents in the home had been recorded appropriately but some incidents did not give details of date of the follow up action to prevent future occurrences. Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,27,30. Residents live in a clean homely environment, which is safe and decorated to a good standard. Quality in this outcome is good. This judgement has been made using available evidence including a visit to this home. EVIDENCE: The home was clean, welcoming, bright and comfortable decorated to a good standard. Since the last inspection the home has been personalised more for residents with photos displayed of themselves and staff on display. One resident was proud to show the inspector a photo of her dressed up in costume and out on activities with staff. The home has improved facilities for residents in the garden but the home does not have sufficient office space to accommodate personal files and at inspection the acting manager stated a new secure cupboard was being installed to house the files. The inspector spoke to the acting manager and registered provider regarding the very small office space with a view to finding alternative solutions. The home now has a suitable lock for the garden gate. Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 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): 31,32,33,35. Staff are competent and appropriately trained to meet residents needs. Quality in this outcome is good. This judgement has been made using available evidence including a visit to this home. EVIDENCE: Staff appeared to meet the needs of residents accommodated. The number of staff on duty appeared sufficient to meet residents’ needs and the staff rota matched the numbers of staff on duty. The staff rota examined did not have a code for two shifts E or L worked to evidence the number of hours staff work on these shift and white correction fluid had been used to make changes to the rota. It was noted residents were very relaxed with the core staff team on duty who had a good knowledge of residents’ needs. Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 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): 37,39,40,42,43. An acting manager who runs the home ensures residents’ needs are met. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this home. EVIDENCE: The acting manager runs the home very well and tries to meet the needs of residents and staff. Staff are able to approach the manager and meet regularly to give their views and opinions and minutes of staff meeting evidenced staff give their views and opinions regarding how the home is run. One staff member stated, “I have worked in all the Kingswood Homes and enjoy the atmosphere here the most. The manager is very approachable and honest. Staff spoken to appeared happy. Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 Page 18 Since the last inspection the service manager and registered provider have completed two comprehensive regulation 26 visits on the home and the reports were examined as part of the inspection process. Both visits were detailed and identified areas for improvement for follow up action. The inspector spoke to the service manager regarding the frequency of regulation 26 visits for all the Kingswood homes and because the service managers office is based at the home and both himself and the registered provider visit the homes weekly to speak to residents and staff it was agreed that the service could complete unannounced regulation 26 visits every four monthly ensuring reports are submitted to each home for examination at unannounced inspection visits from the CSCI. The service manager was advised this would be reviewed if the rating of any of the Kingswood Homes changed at any time. The homes policies and procedures were examined and signatures of staff recorded to show they had read the files but no dates were recorded. There were also no dates recorded on the policies to evidence the last time they were reviewed . Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 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 3 2 3 3 3 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 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 2 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 3 X X X X 3 3 Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 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. 1 2 Standard YA10 YA23 Regulation 17 18 Requirement Personal files should be stored securely in accordance with the data protection act 1998. All staff should undertake POVA and restraint training. Timescale for action 01/07/06 01/08/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 3 4 5 6 Refer to Standard YA34 YA2 YA6 YA9 YA18 YA22 Good Practice Recommendations Agency files should evidence staff checks have been completed. This standard was not inspected on this occasion. Staff should record residents’ daily goals and achievements and ensure each resident has an activity plan. Initial health care plan assessments should be completed for each resident on admission. Risk assessments should be completed for residents who are sexually active and for one resident regarding physical contact. Key working sessions should be evidenced in care plans. Outcomes for complaints and incidents should be recorded on files with management evaluation to prevent future DS0000061931.V293430.R01.S.doc Version 5.1 Page 21 Cedar House (Pitsea) 7 YA41 occurrences. Staff should sign and date the homes policies and procedures as evidence of reading them. The homes policies and procedures should be updated and personalised regularly. Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Cedar House (Pitsea) DS0000061931.V293430.R01.S.doc Version 5.1 Page 23 - 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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