Inspection on 23/11/05 for Cherrymead

This inspection was carried out on 23rd November 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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cherrymead 29/11/07

Cherrymead 08/05/06

Similar services:

Insight - Eastchurch

Southfields

Thorndene

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Cherrymead Station Road Angmering West Sussex BN16 4HY Lead Inspector Mrs S Rodgers Unannounced Inspection 23rd November 2005 12:15 Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 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 Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 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. Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cherrymead Address Station Road Angmering West Sussex BN16 4HY 01903 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) Outreach 3 Way Mr Mark Daniel Peirce Care Home 7 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1), Physical disability (1) of places Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Up to seven (7) male and/or female service users in the category Learning disability age 18 to 65 years may be admitted/accommodated. one (1) person with Learning and Physical Disability may be admitted/Accommodated. One (1) Service user over the age of 65 years may be accommodated. The total number of service users that may be accommodated must not exceed seven (7). Not applicable new service. Date of last inspection Brief Description of the Service: Cherrymead is a care home registered to provide accommodation for up to seven adults with a learning disability. The property is a detached large property. Accommodation is provided on ground and first floor level, a vertical lift is in situ enabling residents to access all areas of the home. There is an enclosed garden to the rear of the property and parking facilities to the front. The establishment is near to Angmering train station and local amenities. Outreach 3 Way owns the services. The registered manager responsible for the day-to-day running of the home is Mr Mark Peirce. The responsible individual on behalf of the providers is Mrs Vanessa Keen. Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 5 hours. Cherrymead is a new service and planning for this inspection was based on reviewing records such as the Statement of Purpose, Service User Guide and general correspondence. During the course of the inspection the inspector toured the home and reviewed records. The majority residents were seen at the inspection. Residents who were able and wished to spoke with the inspector during the inspection, some of their comments will be included in the main body of the report. The interactions between residents and staff were also observed and were found to be relaxed and confident. Two staff members were on duty during the inspection, both were spoken with in order to gain a sense of the support they receive to enable them to carry out their duties. The manger is requested to advise the commission of action being taken with regards the one requirement identified at the inspection by the 3 January 2006. What the service does well: What has improved since the last inspection? Due to this being a new service there has been no full inspection previous to this one. However, since the site visit prior to registration the inspector has noted that the atmosphere in the home has quickly become homely and welcoming. Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 Page 6 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. Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 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 the following standard(s): 2, 4 Pre admission assessments are carried out prior to moving into the home in order to ensure that the home can meet their needs. EVIDENCE: Written pre admission assessments were available and demonstrated that resident’s health, personal and social needs are assessed. Copies of the homes assessment and the Care Management Assessment were available at this inspection. Due to the timing of the move from the home that was closing residents were not able to ‘test drive’ the service prior to moving in however they were able to visit the home when the main building work had been completed to look over the building and choose their own rooms. They also visited the home the day before moving in, to meet some staff and review their rooms. Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 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 the following standard(s): 6,7,9 Residents assessed needs and personal goals are reflected in care plans. Service users are assisted to make decisions about their own lives. Residents are supported to take risks. EVIDENCE: Care plans are in the process of being developed. Care is being provided based on the homes own assessment and the Care Management assessment. Mr Peirce advised the inspector that he and his care team are in the process of developing care plans to give guidelines of how to deliver care including risk assessments, how to implement care i.e. residents wishes on how care is delivered. The care plans seen at this inspection clearly demonstrated that resident make decisions about their lives. Individual communication sheets are kept which evidenced an example of being able to make choice, some residents told staff that they were being given too much food and asked that they have smaller meals. Due to residents being new to the service and paying due regard to the settling in process risk assessments are being undertaken on a regular basis. Those seen clearly indicate that residents are supported to take risks as part of an individual lifestyle as well as what action to take to minimise any identified risks. Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 Page 10 Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 Page 11 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 Residents are offered and take part in appropriate leisure activities and access the local community. Residents are supported to maintain appropriate relationships. The rights of residents are respected. Residents are offered a well-balanced and varied diet. EVIDENCE: Residents spoken and individual activity plans demonstrate that residents are able at take part in age, peer and culturally appropriate activities. Activities include, shopping, day services, bowling, Sussex Seals activities, badminton, structured music and nature trails. Residents spoken with said that “I enjoy living here, yesterday I went to the bank and then had a meal out at a day centre, I don’t go to day centres every day, it’s nice here”. Residents are enabled to maintain contact with family and friends, the Statement of Purpose and Service User Guide informs of the visiting arrangements. One resident told the inspector that she speaks with her cousins and friends on a regular basis. Records indicate that resident rights Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 Page 12 are responsibilities are recognised, i.e. residents are able to decide if they want to access local amenities and activities. Records of meals provided indicate that a well balanced diet is being offered. Residents who were asked confirmed that they like the meals provided. A four weekly rotating menu is offered, menus show that there is a choice to the main meal. Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 Page 13 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 Resident’s receive personal support in a manner most suited to their individually assessed needs. The health and emotional needs of residents are met. Appropriate systems are in place for dealing with medicines. EVIDENCE: Records indicate and residents confirmed that they receive support in the way in which they prefer. Mr Peirce told the inspector that for residents who find it difficult to communicate they observe behaviour and plan care accordingly. All residents are registered with a GP. Records of visits of health professionals are recorded. Records also indicate that residents have access to other paramedical services such as opticians, chiropodists and dentists. Resident also have access to the Community Team for People with Learning Disabilities. The home has an agreement with a local pharmacy. The monitored dosage system is used. Appropriate systems are in place for the receipt, recording, administration and disposal of medication. Mr Peirce told the inspector that staff have received training in the administration of medication. Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 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 A complaints procedure is in place. Systems are in place to protect residents form abuse, neglect and self–harm. EVIDENCE: The homes complaints procedure clearly advises residents and/or their relatives of their right to complain. The procedure states each state of the complaint process and timescales by which the complaint will be dealt with. Residents spoken with told the inspector that they felt able to talk with all staff about any concerns that they may have. One staff member who was asked gave a clear account of action to take should they suspect abuse of a resident. The staff member was able to tell the inspector types of abuse and who to report any incidents to. However there was no evidence to demonstrate that all staff have recently had Adult Protection Training. All staff should receive updates in Adult Protection Procedures. See standard 35. Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 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 Accommodation is appropriate to the needs of the residents. The home is clean and hygienic. EVIDENCE: The property has recently been renovated and refurbished. The home is comfortable, bright and cheerful. Residents confirmed that they were able to choose the colour schemes of their own bedrooms. All rooms appeared homely and welcoming. Bedrooms are all individually furnished with resident’s own belongings. Fire safety systems are in place. From touring the home the inspector was able to see that the standard of cleanliness was of a high standard. Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 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): 32,35 Staff were relaxed, confident and knowledgeable with regards the needs of residents. The staff-training programme needs to be developed. EVIDENCE: The majority of staff have been seconded form the home from which residents moved from, this was to ensure that a level of continuity for resident was maintained. Staff were observed to be knowledgeable with regards the needs of residents at the home. The interaction between staff and residents were observed to be relaxed, confident and jovial. Mr Peirce told the inspector that they are experience staff however there are no records to demonstrate what level of training they have received. A review of training undertaken by staff should be carried out in order that a training and development programme can be devised in order to ensure that it can be demonstrated that staff are appropriately trained. Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 Page 17 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, 42 Resident’s benefit from a well run home. The management need to ensure that the health and safety of residents and staff are protected. EVIDENCE: Mr Peirce is an experienced manager who has gained his NVQ level 4 and Registered Managers Award. From speaking with residents the inspector gained the impression that residents feel able to go to him should they have any concerns. As identified in standard 35 an audit of training having been undertaken by staff should be undertaken in order that the management can identify any training needs in safe working practises. There are no window restrictors on windows above ground level. A risk assessment of all windows should be undertaken and action taken i.e. window restrictors should be fitted is a significant risk is identified. All staff have undertaken fire safety training and residents have also participated in fire drills. The home has recently been registered. The appropriate authority has signed off all works. The home has a contract with a waste disposal company who dispose of all clinical waste. Accidents to residents and staff are recorded. Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 Page 18 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 x 3 x Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 x x 2 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cherrymead Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 2 x DS0000064747.V258667.R01.S.doc Version 5.0 Page 19 NA 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 2 Standard YA42 YA35 Regulation 13 18 (1c) Requirement The registered providers must make arrangement to ensure the health and safety of residents. The registered provider must ensure that persons employed in the home receive training appropriate to the work they are to perform. The registered provider must provide staff with training in Adult Protection Procedures. Timescale for action 03/01/06 03/01/06 3 YA23 13 (6) 03/01/06 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 Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Worthing LO 2nd Floor, Ridgeworth House Liverpool Gardens Worthing West Sussex BN11 1RY 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 Cherrymead DS0000064747.V258667.R01.S.doc Version 5.0 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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