This inspection was carried out on 15th 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 no outstanding requirements from the previous inspection report,
but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
CARE HOME ADULTS 18-65
Cherre Residential Care Home 2 Daneshill Road Leicester Leicestershire LE3 6AL Lead Inspector
Ruth Wood Unannounced Inspection 15th February 2006 10:00 Cherre Residential Care Home DS0000063188.V280894.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 Cherre Residential Care Home DS0000063188.V280894.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. Cherre Residential Care Home DS0000063188.V280894.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Cherre Residential Care Home Address 2 Daneshill Road Leicester Leicestershire LE3 6AL 0116 2517567 0116 2517567 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) Cherre Residential Care Ltd Miss Hema Malini Patel Care Home 14 Category(ies) of Learning disability (14) registration, with number of places Cherre Residential Care Home DS0000063188.V280894.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 16 May 2005 Brief Description of the Service: Cherre Residential Care is registered to provide care for fourteen adults with learning disabilities. The home is situated close to Leicester city centre within easy reach of a range of local amenities. Service users are accommodated in eight single and three double bedrooms. In addition to their rooms, service users have access to two lounges and a dining area. There is a large paved area to the side of the property. Cherre Residential Care Home DS0000063188.V280894.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This Inspection took place on a weekday afternoon between 1:45 and 4:15pm. Discussion was held with staff members and service users; care plans and other documents were examined and staff practice was indirectly observed. A tour of the home was undertaken as several requirements were made at the previous inspection in relation to the home’s decoration. These along with all other requirements have been met; only one new requirement was made at 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. Cherre Residential Care Home DS0000063188.V280894.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 Cherre Residential Care Home DS0000063188.V280894.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: The key standard was assessed at the previous inspection; no requirements were made. Cherre Residential Care Home DS0000063188.V280894.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): 6,8 Regular consultation with service users ensures that they are able to participate in the running of the home and that their needs are accurately reflected in their individual plans. EVIDENCE: Two service users’ plans were examined and details of the plan were verified through discussion with staff members and observation of practice. Plans were detailed and covered all aspects of daily living and there was documentary evidence of regular review. Staff were observed to communicate regularly with service users throughout the inspection offering choices with regards to activities, personal care and food. Each resident has a weekly one to one meeting with their keyworker in which aspects of day-to-day life and more long-term goals are discussed. These meetings are documented. Service users hold meetings on a monthly basis and were fully consulted about the recent re-decoration in the home. Cherre Residential Care Home DS0000063188.V280894.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): EVIDENCE: All of the above Standards were assessed at the previous inspection; no requirements were made. Cherre Residential Care Home DS0000063188.V280894.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): 18,20 Service users’ personal support and medication needs are well met. EVIDENCE: Personal support needs are clearly detailed in service users’ plans. One service user was observed to negotiate with a staff member as to when they wanted support with bathing. Medication is stored appropriately in the home. Medication records examined were completed accurately. When medication is administered a second record is signed by the service user if possible. If this is not appropriate another member of staff signs this additional record. The circumstances under which certain service users should be given ‘as required’ medication are clearly documented in their individual plans together with the likely affects of such medication. Cherre Residential Care Home DS0000063188.V280894.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 Effective procedures and practice ensure that service users’ views are listened to. EVIDENCE: The complaints procedure is clearly displayed and contains information as to how to contact the Commission should a complainant be dissatisfied with the home’s response. Service users said that they would tell staff member if they were unhappy with anything at the home and throughout the inspection good, open communication was observed between staff and service users. Cherre Residential Care Home DS0000063188.V280894.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, 30 Considerable improvements have been made to ensure that service users live in a clean, comfortable and largely safe environment. EVIDENCE: Eight requirements were made at the previous inspection in relation to the physical environment; all have now been met. Three bedrooms have been redecorated along with the bathroom on the first floor. The floor in the shower room has been replaced, as have carpets in the dining and lounge areas. A new bed has been supplied for one bedroom and a new extractor fan has been fitted in the kitchen. In addition new light fittings, chosen by the service users, have been fitted in the lounge and dining areas. All areas of the home appeared clean and tidy. In one service user’s bedroom a flex cable from a television was trailing in a way that caused a tripping hazard (the inspector did in fact trip over this wire nearly causing the television to fall on to the floor). The manager should negotiate with the service user as to the best way to remove this risk and ensure that visitors to the room are alerted to the risk. Cherre Residential Care Home DS0000063188.V280894.R01.S.doc Version 5.1 Page 13 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 Good staffing levels ensure service users’ individual needs are met. EVIDENCE: There were five staff on duty for the afternoon shift on the day of the inspection including a Senior carer. During the inspection period there were additional staff on duty during the handover period. There appeared to be sufficient staff on duty to respond to the individual requests and needs of service users. When service users requested attention they were given this within a reasonable time and always treated with courtesy and respect. Staff members were also deployed by the Senior to give intensive support to one service user with a detailed care programme. Another service user requested to go out for a coffee and a staff member was available to accompany them. There was a good balance of male and female staff on duty reflecting the gender composition of the service user group. Cherre Residential Care Home DS0000063188.V280894.R01.S.doc Version 5.1 Page 14 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 This is a well run home where service users’ views are actively taken into account in the ongoing management of the service. EVIDENCE: The Registered Manager owns the home and has been a manager for twelve years. She holds the City and Guilds 325 qualification in managing care and is currently undertaking her Registered Managers Award. She ensures that she and her staff team are up to date with current practice in supporting people with learning disabilities by attending regular training. During the past year this has included training in person centred planning and health action plans. Both of these strategies are being implemented within the home. Service users are consulted on an ongoing basis through one-to-one meetings with their keyworkers and at service user meetings. A formal questionnaire is circulated to all service users on an annual basis and Commission Comment Cards are also circulated. The views of other stakeholders such as relatives and visiting professionals are also sought but on a less formal basis. Policies and procedures are reviewed on a six monthly basis but are updated more frequently if changes in practice require this. Cherre Residential Care Home DS0000063188.V280894.R01.S.doc Version 5.1 Page 15 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 4 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X 3 X 3 X X X X Cherre Residential Care Home DS0000063188.V280894.R01.S.doc Version 5.1 Page 16 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 Standard YA24 Regulation 23 Requirement The manager should negotiate with the service user as to the best way to remove the identified risk in their room, and ensure that visitors to the room are alerted to the risk. Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cherre Residential Care Home DS0000063188.V280894.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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