Inspection on 04/05/05 for Cherriton

This inspection was carried out on 4th 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

Cherriton 15/06/06

Cherriton 31/10/05

Cherriton 02/09/04

Cherriton 07/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Cherriton 1 Bedford Road Rock Ferry Bebington CH42 6RT Lead Inspector Beate Roth Unannounced 04 May 2005 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. Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cherriton Address 1 Bedford Road Rock Ferry Bebington Wirral CH42 6RT 0151 643 8145 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) MacIntyre Care CRH 6 Category(ies) of LD registration, with number 6 places of places Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Only adults (aged 18-64 years) with a learning disability may be accommodated. Date of last inspection 02 September 2004 Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 4.doc Version 1.30 Page 5 Brief Description of the Service: Cherriton is registered to accommodate 6 adults with a learning disability. Cherriton is a two storey, detached property located in a residential area. Service users have single bedrooms. Bedrooms are located on the ground and first floor. On the ground floor there is a lounge, dining room, kitchen, bathroom and a separate toilet. On the first floor there is a shower room and a bathroom. Bathing aids are provided in both bathrooms. The home has a large garden which has seating areas. There is wheelchair access via a ramp from the lounge. Parking is available on the main road. There is access for the homes vehicle on the driveway. Cherriton is located in a central position close to Birkenhead and Prenton. There are local shops within walking distance and the bus stops nearby. Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 4.doc Version 1.30 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over half a day. During the inspection time was spent in the office examining records and policies and procedures and talking to the acting manager. A tour of the home was undertaken. Staff were observed delivering care to service users. 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. Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 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 Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 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 and 5. Service users and their advocates are given appropriate information to assist in making a choice about living in the home. EVIDENCE: The statement of purpose and the service user guide were seen. Both provide enough information to enable a choice to be made about whether the home can meet a service users needs. A suitable service user guide has been made available for service users with a learning disability. Since the last inspection the service user agreements have been reviewed and now cover the information that is needed. The service user agreements have been signed by a former home manager (acting) on behalf of service users. It is recommended that an appropriate advocate who is independent of MacIntyre Care be consulted especially as the contract makes reference to each service users circle of support agreeing the contents. There was no evidence of the service users circle of support being consulted. Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 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 and 9 Care planning does not reflect the assessed and changing needs of service users. In general, service users’ need for independence is balanced with any risks to their well being. EVIDENCE: A sample of service user care plans were seen. These provide a lot of detailed information on the needs of the service users. Some parts of the plan had not been recently reviewed and appeared over 12 months old. The acting manager reported that although some parts of the service user plans had been reviewed since the last inspection, not all the up to date information had been recorded and not all aspects of each service user’s plan had been subject to review. The staff spoken to were aware of the needs of the service users and how to meet them. Work needs to take place to ensure that each service user has an up to date plan that reflects their assessed and changing needs. A sample of risk assessments indicated that service users’ needs are assessed and their need for independence is balanced with any risks to their wellbeing. A risk assessment for a service user who is partially sighted was not available. Following the inspection, the acting manager provided this assessment to the CSCI. Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 4.doc Version 1.30 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 standard(s) 12, 13 and 16. Service users are able to take part in appropriate activities that ensure they are part of the local community. The rights of service users and their independence is recognised in their daily lives. EVIDENCE: There is a written record of the activities service users are to take part in each week. Service users records show that these activities have been carried out. Activities are provided that meet the abilities of the service users and their choices. The acting manager has asked staff to record more information about the type of activities service users participate in and how they have enjoyed them in order to help in planning future activities. The staff reported that the service users enjoy the activities the home provides and that they think there is enough for service users to do. Both the records show and staff indicate that service users take part in community life. The home is close to shops and other community facilities. Service users have their own bus pass where this has been assessed as appropriate. In addition, the home has its own transport. Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 4.doc Version 1.30 Page 11 Daily routines encourage service users independence and their right to make choices. Records show service users day-to-day routines and how they like to be cared for. These records need to be reviewed for some service users to make sure the records are up to date. Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 4.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) 19 and 20. The physical and emotional health needs of service users are met. In general, the service users are protected by the home’s policies and procedures for dealing with medicines. Improvements need to be made to the accuracy of medication record keeping. EVIDENCE: Records show that service users are supported to attend healthcare appointments and have access to health care services when they are needed. A record is made of when health checks are due. The medication procedure was seen and gives clear guidance to staff, this has been revised since the last inspection, following advice from CSCI. The requirements and recommendations made following a complaint about the management of medication at the home have been carried out. The medication records showed that 2 types of medication that are given to service users as and when needed, were not recorded on the medication administration record sheet. Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 4.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) 22. Staff training and policies and procedures are in place to ensure that service users views are heard and appropriate action taken. EVIDENCE: There is a complaint procedure that is more suited to the needs of service users with a learning disability. Staff reported that they elicit the views of service users in accordance with their abilities. Information is available to enable a complaint to be made on behalf of a service user by an advocate. The complaint procedure describes the stages of the complaint and that the complainant will get an answer to their complaint within a maximum of 21 days. The staff were aware of the content of the complaint procedure and how to respond to complaints. The CSCI has not received any complaints about this service. Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 4.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 and 30. The home is clean and well presented and provides a comfortable and pleasant environment for service users. A safe environment is in general maintained. EVIDENCE: A tour of the home and grounds showed that decorative and maintenance work has taken place to improve the appearance of the home since the last inspection. Furniture and fittings are of a good quality. Since the last inspection windows have been replaced. The new windows do not have restrictors. The risk this may present needs to be assessed and action taken accordingly. A small area of carpet that is loose on the stairs needs to be made safe. At the time of the inspection the acting manager said that she had already taken steps to address this. Following the inspection the acting manager wrote to the CSCI to say the carpet had been made safe. A tour of the home showed that the home was clean. The home smelt fresh. It is clear the staff are working hard to ensure good standards of cleanliness are maintained throughout the home. There are procedures for staff to refer to about hygiene and infection control. Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 4.doc Version 1.30 Page 15 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 and 36. There are sufficient numbers of staff to meet the needs of service users. Staff have complementary skills to meet the service users needs at all times. Service users would benefit from all staff having regular supervision. EVIDENCE: The staffing rota showed and a member of staff said there are enough staff available to meet the needs of the service users. Staff are deployed in accordance with their skills and abilities. There is currently one staff vacancy that has been advertised. Relief staff and the current staff team cover staff vacancies and absences. The rotas show and a member of staff said the same relief staff are employed who know the service users and how the home works. Records and a discussion with staff showed a team meeting had been held recently. Training records and staff indicated that training is provided to ensure service users are being cared for properly and that their needs are being met in accordance with current good practice. Work is taking place to make sure that further staff have the opportunity to obtain an NVQ in care of adults with learning disabilities. Records indicated that since January 2005 supervision of most staff has taken place. Further work is needed to ensure that all staff benefit from regular supervision. The acting manager has had training around giving supervision. Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 4.doc Version 1.30 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 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 and 42. The home is in the main, well run. The policies and procedures of the organisation ensure that the health and safety of service users is promoted. EVIDENCE: The acting manager has been in post for 6 weeks. The competence of the acting manager cannot therefore, at this stage be assessed. The acting manager is experienced and is currently undertaking management qualifications. A discussion with the acting manager and records show that the acting manager has undertaken training to keep her skills and knowledge up to date and that the acting manager has had several years of experience as working as a manager. An application has been made to CSCI to register the acting manager. The records of fire safety checks were in order. Training records showed that staff are given appropriate training in safe working practices. There is also written information for staff on how to make sure they protect the health, safety and welfare of service users. There was a record to show that the home is insured. Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x 2 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x 2 x Standard No 31 32 33 34 35 36 Score x 2 3 x x 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cherriton Score x 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x Version 1.30 Page 18 F52_F02_S18874_Cherriton_V224610_040505_Stage 4.doc 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 6 Regulation 15 Requirement The registered person must ensure that all service user plans are reviewed so as to provide up to date information for staff on meeting the needs of service users. (Previous timescale not met). The registered person must ensure that a written risk assessment is available whenever a risk to the well being of a service user is identified. The registered person must ensure that the medication administration record corresponds to the medication held at the home. (Previous timescale not met). The registered perosn must ensure that a risk assessment of the windows throughout the home takes place. Action must be taken to address any risks identified. The registered person must address the risk to service users presented by the loose stair carpet. Timescale for action 04/08/05 2. 9 14 11/05/05 3. 20 13 04/05/05 4. 24 13 11/05/05 5. 24 13 11/05/05 6. Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 4.doc Version 1.30 Page 19 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. 4. Refer to Standard 5 32 36 Good Practice Recommendations A representative of the service users should be involved in the completion of service user agreements. 50 of staff should have an NVQ Level 2. All staff should have supervision at least 6 times per year. Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Liverpool Area Office 3rd Floor 10 Duke Street Liverpool, L1 5AS 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 Cherriton F52_F02_S18874_Cherriton_V224610_040505_Stage 4.doc Version 1.30 Page 21 - 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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