Inspection on 16/05/05 for Cherre Residential Care Home

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Cherre Residential Care Home 23/08/07

Cherre Residential Care Home 31/05/06

Cherre Residential Care Home 15/02/06

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Cherre Residential Care Home 2 Daneshill Road Leicester Leicestershire LE3 6AL Lead Inspector Jo Vyas Unannounced 16 May 2005 at 2:00pm th 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. Cherre Residential Care Home C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 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 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 LD Learning disability (14) registration, with number of places Cherre Residential Care Home C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 12th October 2004 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 C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over four hours and was carried out as part of the annual plan of inspection. A tour of the premises took place and staff and care records were inspected. Two care files were viewed. The inspector spoke to and observed the practice of, four staff and four residents. At this time, six questionnaires have been received from residents, but none from relatives or staff. The inspector has also received a pre-inspection questionnaire. What the service does well: What has improved since the last inspection? What they could do better: Although the management invest time and money into its staff, it invests little into the environment. The standard of maintenance of the environment was poor and does not create a homely, comfortable and safe place to live. The Registered Manager stated that a number of residents living at this home do not like changes to their environment and therefore change must happen slowly. Cherre Residential Care Home C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 Page 6 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 C51 S63188 Cherre Residential Care Home V227659 160505.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 Cherre Residential Care Home C51 S63188 Cherre Residential Care Home V227659 160505.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) 2, 3 Prospective residents’ needs and aspirations are fully assessed therefore their care needs can be met once they move into the home. EVIDENCE: • • • Four residents’ files were viewed and all had a full assessment completed by a social worker in consultation with relatives and carers. Care plans meet the needs and aspirations assessed. One resident has mental health needs. Care plans and risk assessments are completed and demonstrate good management and care of this residents’ needs. She has a regular review under the Care Programme Approach. Records indicate that a range of professionals are involved in the care of individual residents. • Cherre Residential Care Home C51 S63188 Cherre Residential Care Home V227659 160505.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 The individual needs and choices of residents are met at this home in order for residents to achieve independent lifestyles. EVIDENCE: • • • • • • The inspector viewed four care plans, which were comprehensive and covered all aspects of daily living. Care plans are reviewed every six months. Staff the inspector spoke to were knowledgeable about the care and support each resident required. Staff were competent in their knowledge and understanding about how each person communicates. Staff were observed offering choices to residents, discussing events of the day and planning activities. Residents had comprehensive risk assessments. Residents hold a residents meeting every month, which is minuted. Discussions were about holidays, meals and news about the new home opening and a future visit. At both the April and May meeting, residents stated that they are happy with the food and enjoy living at the home. A member of staff told the inspector about the work that is currently being done for Person Centred Planning. Residents were observed carrying out domestic tasks around the home. C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 Page 10 • • Cherre Residential Care Home 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, 16, 17 Staff in this care home enable residents to maintain appropriate and fulfilling lifestyles in and outside the home. EVIDENCE: • • • • • • Residents attend day centres, colleges and supported employment. One resident proudly told the inspector about the work he does. The inspector observed staff engaging with residents in a variety of activities, such as board games, drawing and generally chatting. Three residents were preparing a shopping list for cooking at college the next day. The minutes of the residents meeting evidenced that residents had discussed going on holiday this year to Florida. One resident told the inspector that she wants to live independently. Her records show that this is reviewed regularly with professionals and the home is teaching this resident independent living skills. Staff were observed interacting with residents positively, with respect and upholding their dignity. C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 Page 11 Cherre Residential Care Home • A mealtime was observed. Meals are cooked from fresh ingredients. Residents were offered a choice of two main courses and two sweets. The mealtime was relaxed and informal. Residents stated that they enjoyed the meal and could have second helpings if they wanted. Cherre Residential Care Home C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 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 standard(s) 18, 19, 20 This home provides good levels of personal and healthcare support to residents but this could be enhanced if staff attend nurse-led training on medication which provides information about the medication residents use. EVIDENCE: • • • • Personal support is clearly detailed in the care plans. All residents are registered with a GP and have access to the appropriate healthcare professionals as required. Medication was observed by the inspector to be administered competently. A member of staff told the inspector that all staff have to receive medication training from the pharmacist before they are able to administer medication. She also stated that the training only covers procedures for administering medication. If staff want to find out about the medication, they can read the information leaflet for that medication. Medication was stored and disposed of appropriately and safely. • Cherre Residential Care Home C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 Page 13 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) 23 The inspector was satisfied that residents are safe from abuse or neglect. EVIDENCE: • • A member of staff was asked about adult protection – she had a good basic knowledge and was aware of the “No Secrets” document. All staff receive “NAPPI” training. A member of staff explained that this is not just about restraint techniques but also the protection of vulnerable adults. Cherre Residential Care Home C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 Page 14 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) 24, 25, 26, 27, 28, 30 Although a number of residents living at this home do not like changes to their environment, the standard of maintenance of the environment was poor and does not create a homely, comfortable and safe place to live. EVIDENCE: • • • • • • • The home was clean and hygienic. The home has three shared rooms and eight single. The home has one bathroom and one shower room and two separate toilets. The inspector viewed four bedrooms. Rooms were personalised according to the tastes of the individual. The décor was poor in rooms 1, 3 and 6 and the upstairs bathroom. The Registered Manager stated that changes have to be made to residents’ rooms gradually, as some residents do not accept change very well. Room 1 needs a new bed as this was in a poor state of repair. A member of staff stated that the resident wanted a specialised bed that so far had been difficult to find. Cherre Residential Care Home C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 Page 15 • • • • • • The carpets in room 1 and the back lounge/dining areas need replacing as these are frayed and worn. The carpet in the lounge is also rucked which could become a trip hazard. In room 1 a wire is trailing from behind the door. Staff stated it was a disconnected magnet lock. This should be removed. The shower room floor is heavily stained and should be replaced. The lid from the kitchen bin was missing. The extractor fan has been removed for replacement. The Registered Manager stated that this would be replaced in approximately three months time. After seeking advice from the Environmental Health Officer, the loose plaster and paint around the duct should be shielded to prevent food contamination and the air in the kitchen needs to be able to circulate. A socket has been placed behind a wash hand basin in the kitchen. The fridge was plugged into the socket with the flex trailing across the work surface. Again after seeking advice from the Environmental Health Officer, this socket should be made safe. Cherre Residential Care Home C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 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 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, 34, 35, 36 This home has a highly trained and competent staff team who are supported and well managed with the appropriate staffing levels in place. EVIDENCE: • • • • • • • Staffing levels range between four and six staff each shift with two waking night staff. Recent staff training included Person Centred Planning, NAPPI and medication update. Senior staff stated that all staff except the new staff were enrolled on a National Vocational Qualification course – these range between level 2 and level 4. Staff have not yet started the Learning Disability Award Framework but hope to in the near future. The inspector observed that staff worked well as a team and were competent. New staff stated that they receive 1:1 supervision every month. Staff that have been employed for longer than a year receive 1:1 supervision every three months. Minutes were seen of staff meetings, which occur monthly. Cherre Residential Care Home C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 Page 17 • • New staff confirmed that they only commenced employment after receipt of the POVA First certificate. New staff had since received their full Criminal Records Bureau clearance. Staff stated that this was a good home to work in. Cherre Residential Care Home C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 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 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) 38, 40, 41, 42 The home is well managed and has a competent staff team. Residents are protected by good health and safety procedures. EVIDENCE: • • • • The management approach of the home is open and positive. The inspector noted that there were good relationships between residents, staff and the Registered Manager. Records are kept of regular residents’ and staff meetings at which a range of issues are discussed. The home has policies and procedures covering the topics set out in Appendix 3 of the National Minimum Standards. Staff members are required to read through these documents as part of their induction. A number of different records were inspected and all of them appeared to be well maintained. Cherre Residential Care Home C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 Page 19 • Records indicate that fire tests and drills have taken place at the required frequency. A fire officer visited in January 2005, however, the report was not available. Cherre Residential Care Home C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 4 4 3 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cherre Residential Care Home Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x 3 x 3 3 3 x C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 Page 21 yes 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 24 Regulation 23 Requirement The Registered Person is required to make good the décor in rooms 1, 3 and 6 and the upstairs bathroom. The Registered Person is required to ensure Room 1 is provided with a new bed as this was in a poor state of repair. The Registered Person is required to replace the carpets in room 1 and the back lounge/dining areas as these are frayed and worn. The Registered Person is required to remove the trailing wire behind the door in room 1. The Registered Person is required to replace the shower room floor as it is heavily stained. The Registered Person is required to ensure the kitchen bin has a lid at all times. The Registered Person is required to ensure that the loose plaster and paint around the duct of the old extarctor fan in the kitchen should be shielded to prevent food contamination and the air in the kitchen needs to be able to circulate. C51 S63188 Cherre Residential Care Home V227659 160505.doc Timescale for action 19th August 2005 19th August 2005 19th August 2005 19th June 2005 19th August 2005 19th June 2005 19th June 2005 2. 24 23 3. 24 23 4. 5. 24 24 23 23 6. 7. 24 24 23 23 Cherre Residential Care Home Version 1.30 Page 22 8. 24 23 The Registered Person is required to make safe a socket which is placed behind a wash hand basin in the kitchen. 19th June 2005 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. Refer to Standard 20 Good Practice Recommendations It is recommended that the staff that have been designated the role of administrating medication undertake an accredited course in medicines handling or Pharmacist/Nurse led training on the basic knowledge of how medicines are used and recognise and deal with problems in use. It is recommended that staff are supervised at least six times a year. 2. 36 Cherre Residential Care Home C51 S63188 Cherre Residential Care Home V227659 160505.doc Version 1.30 Page 23 Commission for Social Care Inspection 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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