Inspection on 22/06/06 for Channel View

This inspection was carried out on 22nd 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 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

Channel View 10/12/07

Channel View 12/01/06

Similar services:

Trevaylor Manor

Stallcombe House

Stroud Lodge

The Woodmill

Woodland Vale

Bolealler House

Claremont Nursing Home

Althea Park House

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

CARE HOME ADULTS 18-65 Channel View 42 Albert Road Clevedon North Somerset BS21 7RR Lead Inspector Paul Grey Unannounced Inspection 22nd June 2006 09:30 Channel View DS0000008133.V297203.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 Channel View DS0000008133.V297203.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. Channel View DS0000008133.V297203.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Channel View Address 42 Albert Road Clevedon North Somerset BS21 7RR 01275 341199 0117 9709301 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) admin@aspectsandmilestones.org.uk Aspects and Milestones Trust Ms Kathleen Edwina Paramore Care Home 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (8), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (8) Channel View DS0000008133.V297203.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 8 persons with mental disorder aged 18 years and over 12th January 2006 Date of last inspection Brief Description of the Service: Channel view provides care for a range of service users with enduring mental health issues. The home offers pleasant homely accommodation in Clevedon, and is a short walk from a range of facilities and shopping areas. Channel View DS0000008133.V297203.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 4 hours in the presence of the manager. The Inspector found all well run home with committed staff team and a happy service user group. The Inspector noted evidence of a well-developed administrative infrastructure, good relationships between the staff team and service user group, and pleasant environment that was well maintained. The manager continues to run a well-organised therapeutic environment that is both positive and beneficial for staff and service users. The Inspector made no requirements on this inspection. 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. Channel View DS0000008133.V297203.R01.S.doc Version 5.2 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 Channel View DS0000008133.V297203.R01.S.doc Version 5.2 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 Quality in this outcome area is good. Service users aspirations and needs are assessed by the home. EVIDENCE: The Inspector audited 3 service users assessments. The Inspector noted these assessments will comprehensive and in depth. The assessments included cultural, physical and mental health needs and were followed up later by appropriate care planning. The Inspector noted no undue restrictions on any service users freedom of choice. Service user spoken with felt their social and psychological care needs were met well. Service users went on to describe how staff would go out of their way to make service users feel important and involved in day-to-day events. Channel View DS0000008133.V297203.R01.S.doc Version 5.2 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, 9 Quality in this outcome area was good. The home assesses the service users needs. Service users are encouraged to make decisions about their own lives. The home support service users to take risks as part of an independent lifestyle. EVIDENCE: The Inspector audited 3 care files, spoke with staff and 4 service users. The Inspector was able to case track care planning from the assessment stage to delivery of care. Service users care plans set out service user needs and any specialist requirements the service users may have. There were no undue restrictions on a service users freedom or rights. Care plans were drawn up with service user support and signed. Service users stated generally that they knew what was in their care plans but were not really interested in seeing them. Service users all have an allocated key worker. Channel View DS0000008133.V297203.R01.S.doc Version 5.2 Page 9 Service users told the Inspector that staff involved them with any information or communication that was relevant to them. They felt fully involved in their care. Service user feedback was very positive. Channel View DS0000008133.V297203.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 Quality in this outcome area is good. 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 are respected and responsibilities recognised in their daily lives. EVIDENCE: Service users at the home are supported to engage in a range of activities within the community. These can be recreational or vocational. Service users spoken with informed the Inspector that they were supported by the staff team to go out and learn skills or participate in activities if they were interested in pursuing them. Service users spoken with, had no interest in pursuing Channel View DS0000008133.V297203.R01.S.doc Version 5.2 Page 11 academic interests. They informed the Inspector that if they did the staff team would support them. The service user group appeared aware of local facilities and made use of local shops, cinema a local pubs and local community centres. The Inspector also noted on a notice board downstairs a range of activities available. The manager informed the Inspector that there is a reasonable neighbourly relationship with the community. On previous inspections, the Inspector noted that service users were on holiday, all on trips away to various locations. During this inspection one of the service users inform the Inspector how much she had enjoyed her time away recently with the service user group in a minibus. Group trips are voluntarily but service users spoken with appears to enjoy them. Service users told the Inspector that they were encouraged to maintain links with the family and friends. They could invite people privately into their own rooms should they choose. The Inspector observed during this and previous inspections, that the home had a flexible routine designed around the needs of the service user group. This is good practice. Service users informed the Inspector that they did not have to be up at a certain time every morning, and the breakfast could be obtained pretty much when they wanted. Lunchtimes were more fixed, this was based on the practicalities of cooking the service user groups meals together. During inspection the Inspector noted staff addressed the service users respectfully and used the service users preferred name. The Inspector also noted that staff interacted well with the service user group. The service users have unrestricted access to the home with the exception of the downstairs office and the staff toilet and sleeping in room. The Inspector observed service users eating a pleasant meal that was well prepared and appealing. Service users were sat together chatting in a pleasant environment. The Inspector was informed the service users were provided with a choice of menu. Service users informed the Inspector that they could choose which foods they liked or substitute food as if there was something they did not like. The Inspector noted evidence of a rotating menu plan. Channel View DS0000008133.V297203.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 Quality in this outcome area was good. 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 medication where appropriate, and are protected by the homes policies and procedures for dealing with medicines. EVIDENCE: The Inspector spoke with service users, reviewed notes and spoke with staff. Reviewing service user care plans and speaking with the service users the Inspector noted clear evidence that support provided by staff is personalised, discreet and designed to maximise the service users independence and selfrespect. The Inspector noted that the staff team were aware of service users preferences and how they prefer to be addressed, and supported. The service user group is physically able although ageing and experiencing an increasing need for physical support. The service user group are supported and encouraged to develop their own style of clothing and makeup to express the personality as they wish. Channel View DS0000008133.V297203.R01.S.doc Version 5.2 Page 13 Service users informed the Inspector that the staff team support them to visit the GP all appropriate agency if they have any healthcare problems. The Inspector noted in the service users notes that appropriate records were kept and the Inspector was able to track who had support from GP or appropriate third-party. The manager informed the Inspector that the staff team monitored service users health care and supported them should they need medical intervention. Service users inform the Inspector that the staff team support them with any medication they require. Service user spoken with appeared to understand the medication they receive and understand why they receive it. Service user spoken with were content with the current arrangement. The Inspector noted evidence of appropriate administration of medication, medication was appropriately stored and its administration was appropriately documented. Channel View DS0000008133.V297203.R01.S.doc Version 5.2 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 Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self harm. EVIDENCE: The home has a clear and effective complaints procedure, which conforms to the national minimum standards. Service users informed the Inspector that they felt no need to make complaints, as they were happy with the service. Service users outlined the Inspector what they would do if they were unhappy and were aware of who to make complain to and how to do it. Service users felt there would be little need to make formal complaints and has any issues would be dealt with in formally. At the time of inspection there were no complaints. The home has appropriate policies and documentation regarding protection of the service user group from abuse, neglect or self harm. Appropriate training has been provided to the staff team. The Inspector noted in evidence was the Department of Healths guidance, no secrets. Any allegations of abuse would be recorded. The staff team have been provided with training in order that they would understand the causes of aggression and learn how to deal with it safely. Channel View DS0000008133.V297203.R01.S.doc Version 5.2 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, 30 Quality in this outcome area is excellent. Service users live in a homely, comfortable and safe environment. The home is clean and hygienic. EVIDENCE: The Inspector conducted tour of the premises. Service users live in a large semi-detached Victorian premises that is safe, accessible and well maintained to meet the needs of the service user group. Service users also have access to a very pleasant rear garden designed and maintained by the service user group. Both the building and the garden of very pleasant and make a very relaxing environment. The Inspector noted both were very well maintained exceeding national minimum standards. On inspection of the property the Inspector noted that the premises were clean and hygienic throughout. The premises had appropriate laundry facilities and these were cited to keep soiled clothing away from food preparation areas. The home had washing machines designed to wash clothes in excess of 65°C if necessary. Channel View DS0000008133.V297203.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, 33, 34, Quality in this outcome area is good. Service users are supported by and effective staff team. Service users are supported by competent and qualified staff. Service users are supported and protected by the homes recruitment policy and practices. EVIDENCE: The Inspector reviewed staff records, training and spoke the service users. During inspection Inspector observed that the staff treated service users with respect and when speaking the Inspector appeared accessible to the service users and able to communicate well with them. The staff team appeared interested and motivated to meet the service users needs. The Inspector noted the home has a schedule of training available through the health care trust. The Inspector noted that the home has in excess of 50 of its staff at NVQ 2. The Inspector reviewed the staff rota. The Inspector noted clear evidence that staff are available in sufficient numbers to meet service users needs. The Channel View DS0000008133.V297203.R01.S.doc Version 5.2 Page 17 Inspector also noted that staff work flexibly in order to support service users with a range of activities outside of the home and to cover weekends and sleep in’s. The Inspector noted that the staffing levels reflected the service users changing needs. The Inspector reviewed staff files and noted that a thorough recruitment process is operated by the home. Staff had two written references, appropriate forms of ID and appropriate criminal record checks available for inspection. Channel View DS0000008133.V297203.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area was good. Service users benefit from a well run the home. Service users are confident their views underpinned all self monitoring, review and development by the home. The health, safety and welfare of service users are promoted and protected. EVIDENCE: The homes registered manager is a qualified nurse with extensive experience in the field. The manager has significantly more than 2 years experience at a managerial level, a management qualification and appropriate experience of managing the home. The manager also has a clear job description outlining their roles and responsibilities. The home has appropriate procedures for quality assurance. With an annual action plan and continuous self-assessment processes in place. The Inspector noted evidence that feedback is obtained from service users and that these are collated and acted upon. The Inspector noted evidence of community meetings Channel View DS0000008133.V297203.R01.S.doc Version 5.2 Page 19 and efforts by the team to obtain feedback from service users and family. The Inspector noted evidence of positive feedback on the service. The Inspector noted the staff team have undergone appropriate health and safety training particularly relating to moving and handling of service users and fire safety. On inspection of the premises the Inspector noted the premises to be safe with no health and safety infringements apparent to the Inspector. Channel View DS0000008133.V297203.R01.S.doc Version 5.2 Page 20 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 4 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 x 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 3 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 Channel View DS0000008133.V297203.R01.S.doc Version 5.2 Page 21 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 Channel View DS0000008133.V297203.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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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