Inspection on 16/02/06 for Chantry Gardens

This inspection was carried out on 16th February 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Chantry Gardens 19/12/06

Chantry Gardens 18/07/05

Chantry Gardens 28/01/05

Chantry Gardens 06/09/04

Chantry Gardens 17/03/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 Chantry Gardens 69 Chantry Gardens Southwick Trowbridge Wiltshire BA14 9QT Lead Inspector Thomas Webber Unannounced Inspection 16th February 2006 15:30 Chantry Gardens DS0000036136.V275578.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 Chantry Gardens DS0000036136.V275578.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. Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Chantry Gardens Address 69 Chantry Gardens Southwick Trowbridge Wiltshire BA14 9QT 01543 416106 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) londonroad@tiscali.co.uk Milbury Care Services Limited Miss Adele Lena Caroline Flegg Care Home 3 Category(ies) of Learning disability (3), Physical disability (3), registration, with number Sensory impairment (3) of places Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th July 2005 Brief Description of the Service: 69 Chantry Gardens offers accommodation and personal care to three service users with learning disabilities. The home is one of a number of services run by the organisation called Milbury Care Services. The registered manager is Miss Adele Flegg. The home is a detached bungalow situated in a residential area being located in the village of Southwick, which is to the west of the county town of Trowbridge. There are a small number of shops within walking distance of the home. The premises are in keeping with the local community and have a style and ambience that reflect the home’s purpose. Service users are provided with their own bedrooms and all other facilities are located on the ground floor level. Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, undertaken from 15:30 to 17:00. The inspection primarily focused on the direct care provided to the residents and to undertake a check against the remaining core standards not assessed at the previous inspection. Standards assessed during this inspection included food menus, complaints, accommodation, staffing levels and staff supervision. A tour of the premises was undertaken and the three service users were observed within their environment. 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. Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 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 Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 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): EVIDENCE: These Standards were not assessed during this inspection, as the core Standard had been satisfactorily assessed at the last inspection. Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 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): EVIDENCE: These Standards were not assessed during this inspection, as the core Standards had been satisfactorily assessed at the last inspection. Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 Service users receive a varied and satisfactory diet that takes into account their preferences. EVIDENCE: These Standards, apart from Standard 15, were not assessed during this inspection, as all the core Standards had been satisfactorily assessed at the last inspection. Satisfactory and varied menus are in operation, which provide service users with a choice at all mealtimes. To this end individual menus have been established for each service user, which records their meals eaten according to their preferences. Service users have a choice of where and when to eat their meals and this was evident on the day of inspection. One service user did her own tea with minimum support of staff. Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These Standards were not assessed during this inspection, as the core Standards had been satisfactorily assessed at the last inspection. Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Information is provided to service users on how to complain should they wish to do so. Systems are in place to ensure service users are regularly consulted whereby any issues can be addressed at an early stage. EVIDENCE: A complaints procedure has been produced for service users, which is user friendly and has been designed in a suitable format and language for service users’ use. The home’s statement of purpose and service users’ guide provide contact details of the Commission for Social Care Inspection and inform complainants that they can contact the Commission at any stage should they wish to do so. The home and the Commission have not received any complaints since the last inspection. Service users’ views are continually sought on an individual basis by staff. Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 26, 27, 28 and 30 Service users live in a warm, homely, comfortable and safe environment, which is maintained to a good standard and meets service users’ individual and collective needs. The home is kept clean and tidy and provides sufficient communal space together with adequate toilet, bath, shower and laundry facilities. Service users are provided with individual bedrooms, which they have personalised to their individual wishes with the support of staff. EVIDENCE: The premises are in keeping with the local community and have a style and ambience that reflect the home’s purpose. The premises are homely, safe, and comfortable, being free from offensive odours. The home also provides sufficient light, heating and ventilation with the decoration, furnishings and fittings being maintained to a good standard. West Wilts Housing Society are responsible for the maintenance of the building and undertake any works required. Improvements continue to be made to enhance the service users’ environment and further improvements are being considered such as the installation of hand cool touch radiators for the protection of service users. Each service user is provided with their own single bedroom. However, two of the bedrooms measure less than the required ten square metres although the level of communal space more than makes up for this shortfall. Service users’ Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 Page 13 bedrooms are suitably furnished and attractively decorated. One service user commented that she had chosen the wallpaper and colour of decoration to her bedroom. Service users are encouraged and have brought a range of personal possessions to make their bedrooms more homely and to reflect their individual tastes. All bedroom doors are lockable to enable service users to exercise the right to lock them and a lockable storage space has been provided to each bedroom. The home provides sufficient bath, shower and toilet facilities to meet the needs of the service users and these facilities are situated close to service users’ bedrooms and communal areas. The communal space consists of an open plan lounge/dining room for shared use with a separate smaller room being located off the main communal room which is available and used for listening to music or alternatively used as a quiet area. These facilities are comfortable and suitably decorated and furnished. There is a no-smoking policy in operation throughout the home. The home continues to be maintained to a good standard being clean, tidy and comfortable. The laundry facilities meet the needs of the home and the staff primarily undertake these duties, although one of the service users undertakes her own. Some of the service users’ clothing is labelled, where their clothes are of similar design, to ensure they are returned to the appropriate person. Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 Page 14 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): 33, 34 and 36 Service users are supported by a dedicated, competent and experienced staff team. There was a lack of evidence to show that service users are being protected by the home’s recruitment practices. Despite the shortfalls of formal supervision being offered to staff, they have felt well supported by the manager. EVIDENCE: The deployment of staff continues to ensure that there are always two members of staff on duty when all service users are in the home. Two members of staff also sleep in each night. Staff reported that the home are no longer using agency staff and any shortfall is covered by existing or regular Milbury bank staff which aids continuity of care to the service users. The staff team undertake a multi purpose role, providing all aspects of care for the service users. Staff were observed undertaking their duties in a warm, caring, attentive and respectful manner and service users appeared relaxed and at ease in the company of staff and within their environment. Areas of deficiencies relating to the recruitment process of newly appointed staff could not be accessed to prove that service users are being protected by the home’s recruitment practices. These included the lack of a recent photograph and two satisfactory references. In addition, as only part of the CRB enhanced check had been returned to the home, there was no evidence to Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 Page 15 confirm that it was satisfactory. It was suggested that either a photocopy is kept on file within the home of the complete CRB check or, alternatively, if only part of the form is returned to the home from head office, it should be suitably initialled, dated and recorded as such that it is satisfactory. The aim of the home is to provide formal and recorded supervision to staff every five weeks, which exceeds the frequency of this Standard. Staff on duty confirmed that this is being achieved and they felt well supported. Staff also confirmed that regular staff meetings are held, usually on a monthly basis and appropriate handover systems are in place. Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 Page 16 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): EVIDENCE: These Standards were not assessed during this inspection, as the core Standards had been satisfactorily assessed at the last inspection. Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 Page 17 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 X 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 X ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 2 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X X X Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA34 Timescale for action 19(1)(b)(i) The registered individuals must 20/03/06 ensure that copies of all documentation relating to the recruitment of new staff are maintained in the home. (Previous timescale of 08/08/05 for compliance was unable to be verified. Therefore a new timescale for compliance has been set. Regulation Requirement 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 Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Chippenham Area Office Avonbridge House Bath Road Chippenham SN15 2BB 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 Chantry Gardens DS0000036136.V275578.R01.S.doc Version 5.1 Page 20 - 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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