Inspection on 16/05/05 for Cedar House Pitsea

This inspection was carried out on 16th May 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 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

Cedar House Pitsea 06/06/07

Cedar House Pitsea 14/06/06

Cedar House Pitsea 10/01/06

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 1QE Lead Inspector Patricia Stanton Unannounced 16 May 2005 9:00am 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. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cear House (Pitsea) Address London Road, Pitsea, Basildon, Essex SS13 2BY 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) 01268 458266 01268 455103 Kingswood Care Services Limited Teresa Mary Colgrave CRH 5 Category(ies) of LD 5 Learning Disability registration, with number of places Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection n/a Brief Description of the Service: Cedar House is a five bed roomed house located in Pitsea close to the 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 BBQ, decking area, lawn area with flower beds and garden shed. The front of the property has off road parking for the homes vehicles. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The routine unannounced inspection took place on the 16/5/2005. During the inspection one resident gave the inspector a tour of the premises and records and documents were looked at. Four residents, five staff members, the assistant manager and acting manager were all spoken to during the visit. Time was spent in the lounge, kitchen and in two young adults rooms, chatting and taking note of the young adults daily routine in the home. The staff and the managers on duty were most helpful, and this was greatly appreciated. The inspector would like to take this opportunity to thank residents for their hospitality and the staff for their time and cooperation during the home,s first inspection. What the service does well: What has improved since the last inspection? The home opened in 2004 and this was the homes first inspection. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 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) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 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 Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 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) 1,3,4,5. The home has an updated statement of purpose. The Service users guide is in a suitable format for residents but this omits some information. Prospective residents know that the home will meet their needs and have individual written contracts and a statement of terms and conditions when admitted. EVIDENCE: The homes statement of purpose was detailed and informative and included all information required to meet this standard. The homes service users guide did not include the contact details of the CSCI or independent local advocacy services and some of the pictures were small and not personalised to the home. The guide contained nice photos of residents already living in the home. Sampled pre assessments were completed for each resident, which were informative and included all information required. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 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) 6,7,8,9,10. Residents changing needs and personal goals were reflected in individual care plans and included resident’s decisions about their lives. Residents are consulted on and participate in all aspects of life in the home and are supported to take risks as part of their independent lifestyle. Information regarding service users is handled and stored appropriately to ensure confidentiality is kept. EVIDENCE: Sampled care plans contained good personal details and histories of residents including details of changing needs. Evaluation records did not include progress details as these were not to be reviewed until July 2005. The new acting manager was in the process of reviewing care plans at inspection. Residents are consulted about decisions made in the home in weekly meetings and one to one key working sessions. Residents were also seen to openly voice their opinions and minutes of residents meetings confirmed they were able to participate in and make new house rules, request support to access local nightclubs and write to famous people. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 Page 10 At inspection staff were seen to promoted residents independent living skills taking appropriate risks to be as independent as possible. Residents participated in cleaning; cooking gardening and trips out to shops and clubs and looked contented. Information regarding residents was stored in a locked office for staff to access and staff were sensitive with residents personal information. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 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) 11,12,13,14,15,17. Residents have opportunities for personal development able to take part in age, peer and culturally appropriate activities. Residents are part of the local community and engage in appropriate leisure activities including contact with personal family, friends and supported in sexual relationships if required. Residents are offered a healthy diet and enjoy their meals and mealtimes. EVIDENCE: Residents spoken to were all supported to pursue their individual interests. One young adult enjoyed movies, collecting videos and recording movie soundtracks. Another resident enjoyed visiting the market, fast rides, BBQs arranged in the home, computers and the Internet café. One resident said the best thing about being in the home is “going out all the time” another resident aid I am very happy here as “I can do what I want if it is convenient”. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 Page 12 The acting manager confirmed young people have access to sexual health information and confidential contraception advice if required and the home has a policy regarding personal relationships, which focuses on interpersonal and sexuality, highlighting areas for support. This is good practice. Resident stated at inspection that they really enjoyed the food in the home however menus have been reviewed recently as residents were choosing nonhealthy options and one young person had gained weigh since living in the home. Staff had taken appropriate action by encouraging healthy option snacks for the resident and offering fresh fruit instead of crisps. Menus examined looked varied, nutritious and appealing. The kitchen was stocked with fresh food and good quality food. Residents took turns in cooking and prepared lunch at inspection. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 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 standard(s) 18,19,20 Residents receive personal support in the way they prefer and have their physical and emotional needs met in the home. Appropriate health care professional are sought for residents but recording should be improved. Residents’ medication is protected by the homes policies and procedures for dealing with medicines. EVIDENCE: Residents receive personal support from all the staff and in one to one daily sessions with key workers. A behaviour therapist was sought for one resident and staff stated appointments had been made for residents to see opticians and a chiropodist but this was not recoded on file. One resident stated she did not feel so anxious now as she knows she will meet with her key worker each day to talk about her feelings. This is good practice. The resident also stated the home provided her with a foot spa to help her feel less anxious. It was observed at inspection that residents had a good relationship with staff that respected their needs and wishes. Communication between staff and residents was very positive and upbeat and the residents were fond of staff. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 Page 14 Medication was inspected and found to be correct in line with the homes policies and procedures. Only staff that have completed Boots approved training may administer medication to residents. Signatures and names of staff are recorded. The home has obtained written consent from residents’ significant others’ regarding permission for staff to administer homely remedies and first aid. All staff had completed first aid training. One file examined detailed the behaviour therapist had recognised how a young person had improved since his admission to the home. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 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 standard(s) 22,23 Residents views are listened to and acted on and are protected from abuse, neglect and self-harm. EVIDENCE: Residents spoken to stated staff do listen to them and respect their views. Young people stated they could choose their own clothes, go out to meet friends and have friends visit the home. One resident stated, “Staff look after us and give us what we want”. The home ensures all staff are checked before being employed in the home but at inspection all staff files were at head office as the home does not have adequate space in the home to store them in accordance with the data protection act 1998. The inspector advised the acting manager these files would be inspected at the next unannounced inspection. The home did have a logbook for visitors to sign in and out but this had not been started. The acting manager was to start the register immediately to ensure residents were protected from potential risk. Records for incidents and accidents are recorded together and were examined. Most incidents and accidents examined related to normal events between young adults in this age group. An infringement notice examined was appropriate and assisted a resident,s protection. Appropriate risk assessments in files were detailed and instructed staff appropriately. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 Page 16 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) 14,25,26,27,28,30. The home was beautifully decorated and furnished suiting individual’s needs. The home had sufficient communal space and adequate number of bathrooms and toilets for residents. The home was hygienic and clean but did not have an appropriate fire exit gate or enough furniture in the dining room. The staff office was too small to store all confidential records. EVIDENCE: The home was welcoming, bright, clean and decorated in a modern bright style creating a very positive atmosphere. Young people were very pleased with their bedrooms, which were spacious and well equipped. Furniture was of good quality and residents were able to have all personal belongings in their rooms including computers, TV, DVD and books. Residents have en suite facilities except for one who had a separate large bathroom. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 Page 17 The home has two communal areas and a large kitchen diner. It was noted the dining room had only three chairs and one young adult stated one chair had been broken. The young adult thought a picture by Van Gogh would be nice on the wall of the dining area as the walls were bear. The home has a large well-kept garden and decking area plus summerhouse to be used as offices for the registered providers’. Young adults stated they liked the garden and looked forward to summer BBQs. One young adult watered the plants during inspection. The front of the property leads on to a busy main road and may present a risk to residents when not supervised. The homes front door is not locked during the daytime and risk assessments were not in place regarding potential risk to residents from passing traffic. The home is surrounded by a wall and gate but residents’ can easily jump over these. The home’s office is very small and claustrophobic and cannot accommodate all confidential documents related to the home. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 Page 18 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) 32,33,35 Staff are competent, supportive, effective and appropriately trained, supporting individual residents. Staff files were not available at inspection. EVIDENCE: It was observed that the staff at inspection met young peoples needs with regard to support. One staff member stated she had received good training in challenging behaviour, autism, aspergers, epilepsy, conflict management, medication, protection of vulnerable adults, health and safety and first aid. Five staff member had attained NVQ level 2 and other staff had enrolled in training. Staff confirmed they had comprehensive induction programmes and had to produce evidence of knowledge gained. All staff complete TOPPS British Vocational Skills and supervision is completed every six weeks for staff although records were not available to evidence this. Staff recruitment files could not be examined as they were not on the premises due to lack of space in the office but agency files regarding agency staff checks were examined and found to be completed. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 Page 19 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) 37,38.40,42,43. The home is well run and residents benefit from the acting managers open and inclusive leadership. The acting manager has an equivalent of NVQ level 4 in management qualifications The homes record keeping policies and procedures safeguards residents’ rights and best interest. The homes health, safety and welfare of residents is promoted and protected. Fire safety records were not detailed. Residents’ benefit from competent accountable management. EVIDENCE: It was noted at inspection that the residents and staff were very happy with the new acting manager and his assistant manager who appeared capable. Communication between management staff and residents was positive, open and inclusive and staff commented that the new acting manager was always available when required and attended the home during his days off in emergencies. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 Page 20 The homes assistant manager appeared experienced and capable able to cover in the acting managers absence and had assisted in the transition of the new acting manager to the home. The new acting manager has qualifications in nursing including assessing in both mental health and disabilities. The acting manager has counselling experience and an NVQ level 4-registered manager award. The current registered manager has been promoted to service manager and an acting manager employed in the home appeared competent and qualified to meet the needs of the residents with support from a very competent assistant manager. The CSCI had not received notice of the change to management. Sampled policies and procedures were in date and the new acting manager was in the process of changing some policies to personalise them to the home. Fire drills recorded did not have appropriate response times and actions taken by staff and residents. The acting manager was advised to ensure fire drills were carried out at different times of the day including nighttime. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 Page 21 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 3 x 3 3 x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 4 4 4 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x 3 Standard No 31 32 33 34 35 36 Score x 3 3 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cedar House (Pitsea) Score 4 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x 2 x I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 Page 22 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 23 24 Regulation 13 (4) c 13 (4) c Requirement Timescale for action 1/6/05 3. 4. 34 42 19 schedule 2 23 (4) a The home must record all visitors to the home to help protect residents. Risk assessments must be 1/6/05 completed for residents who may access the main road and the home should ensure safety and access via the rear garden in the event of a fire. Staff files must be available for 1/8/05 inspection at all times. Fire records must include response times and actions taken by staff and residents. 1/6/05 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. Refer to Standard 1 19 24 Good Practice Recommendations Service users guide should include details of the CSCI and local advocacy services. Residents medical appointments should be recorded on a separate log for staff easy accsess. The home should purchase pictures for the dining room to make it more homely. I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 Page 23 Cedar House (Pitsea) 4. 28 The home should purchase more dining room chairs for the dining room to enable staff and residents to eat together. Cedar House (Pitsea) I56-I06-S61931-Cedar Hse-V223208-160505Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection 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. 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