Inspection on 17/11/05 for Cheshire Drive

This inspection was carried out on 17th 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 8 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cheshire Drive 15/06/07

Cheshire Drive 29/01/07

Cheshire Drive 03/05/06

Cheshire Drive 29/04/05

Cheshire Drive 02/12/04

Cheshire Drive 17/05/04

Cheshire Drive 18/03/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Cheshire Drive Cheshire Drive 51-53 Cheshire Drive Leavesden Watford Hertfordshire WD25 0GP Lead Inspector Marian Byrne Unannounced Inspection 17th November 2005 10:00 Cheshire Drive DS0000039939.V266584.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 Cheshire Drive DS0000039939.V266584.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. Cheshire Drive DS0000039939.V266584.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cheshire Drive Address 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) Cheshire Drive 51-53 Cheshire Drive Leavesden Watford Hertfordshire WD25 0GP 01923 682671 PentaHact Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Cheshire Drive DS0000039939.V266584.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th April 2005 Brief Description of the Service: Cheshire Drive is a detached, purpose-built, two storey home that can accommodate up to six young adults who have a learning disability. It is located on a newly constructed estate and blends in well with surrounding properties. One of the bedrooms is on the ground floor and has been designed to accommodate a wheelchair user. It has a full assisted bathroom adjacent. The other five bedrooms are upstairs and can only accommodate ambulent people as there is no lift installed. There is a lounge on the ground floor that opens onto a secure garden. There is a dining room, a utility room and a kitchen. Off road parking is available at the front of the building and the home is located a short drive away from the M25 and from Watford town centre. Cheshire Drive DS0000039939.V266584.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a very positive inspection. The staff and manager of Cheshire Drive are to be congratulated on the improvement in the home since the last inspection. The home was clean, fresh and calm. A great deal of work has been done in the home to improve the environment of the home. This has been very successful the home is now spacious bright homely and inviting. All the service users have had the decoration of their rooms reviewed and some had been redecorated or had new furniture. Again this results in service users’ rooms being more inviting and homely making it more probable that the service users will spend time in their rooms. At the time of the inspection there were three service users in the home. They were well presented and were calm and talkative. They informed the inspector that they were pleased with the new décor. This Commission has restricted the number of service users from six to five until the end of January 2006 to allow the home to review its practices and to reassess the home’s progress. They have used this time well. What the service does well: What has improved since the last inspection? What they could do better: The home has made a great deal of progress since the last inspection and is continuing to work to make the home more domestic and homely. The manager must be registered with this Commission. Care must be taken when admitting to the vacancy in the home to ensure the home can meet the needs of all its service users. Cheshire Drive DS0000039939.V266584.R01.S.doc Version 5.0 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. Cheshire Drive DS0000039939.V266584.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 Cheshire Drive DS0000039939.V266584.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): 1,2,3,4,5. Service users have all the information needed to make an informed choice on what Cheshire Drive has to offer. The home makes every effort to meet the service users’ aspirations. EVIDENCE: The home has an up to date Statement of Purpose and Service Users Guide. All prospective service are thoroughly assessed to ensure that the placement is appropriate for both the new service user and the existing service users and that the home is in a position to meet their needs. Service users get the opportunity to visit the home and have short stays prior to making a final decision. A review takes place six weeks into the placement to ensure that the service user is appropriately placed. Cheshire Drive DS0000039939.V266584.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): 6,7,8,9,10. Individual needs and choices are met. Service users pay a big part in the running of the home. Services users are supported to take risks. All information is secured within the home. EVIDENCE: All service users have care plans. Two were inspected. These showed that efforts are made to ensure goals are met. For instance, since the last inspection one service user now works at a local garage one half day a week, he is accompanied to his work placement by a member of staff, who then stays with him for the duration of the employment placement. Another service user like to go horse riding at the weekend. Cheshire Drive DS0000039939.V266584.R01.S.doc Version 5.0 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 the following standard(s): 11,12,13,14,15,16,17. The home ensures that the service users have access to a varied lifestyle. The diet is varied and wholesome. EVIDENCE: The home offers opportunities to service users to develop their skills and to have a varied social life. Families visit regularly and service users spend time with their families at the weekend. The service users have friends outside the home. They are free to invite their friends to the home to share meals and staff will accompany them if they want to go the local pub. One service user went abroad with his father for a holiday in the summer. The food available in the home was of good quality and there were adequate amounts in the home. Cheshire Drive DS0000039939.V266584.R01.S.doc Version 5.0 Page 11 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 Service users are supported in a manner that meets their needs. Service users’ physical and emotional needs are met. EVIDENCE: Service users receive personal care in the privacy of their rooms. All service users have a key worker - who work hard to ensure that all the service users receive their care in a manner that suits them. Service users’ families are involved where appropriate in the drawing up of care plans for service users. Cheshire Drive DS0000039939.V266584.R01.S.doc Version 5.0 Page 12 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 Service users are listened to and are protected from neglect and abuse. EVIDENCE: Cheshire Drive has recently introduced a pictorial complaints leaflet. Service users have a one to one meeting with their key worker where they are encouraged to raise concerns and issues within the home. There have been no complaints or concerns since the last inspection. Staff have received training on protection of vulnerable adults from Hertfordshire’s Social Services Department. The guidelines are followed by all staff. The home has a comprehensive complaints procedure. Cheshire Drive DS0000039939.V266584.R01.S.doc Version 5.0 Page 13 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 The environment in the home meets the needs of the service users. EVIDENCE: The communal area down stairs has been completely refurbished. This includes a new kitchen, the office space has been incorporated into the dining room, resulting in a much larger room. The office has now moved upstairs. New floor wood floor covering has been laid throughout the ground floor and the whole area has been painted a bright clean colour. The results are now this area is open and inviting the area is clean, fresh and bright. The extra space in the dining room has transformed the entire area. The has resulted in a total transformation of the ground floor into an inviting area that offers an extra space for service users to go if they are upset. Individual service users’ rooms have also been decorated or had new furniture, again this results in more inviting areas for the service users to use. Cleaners have been employed to clean the communal areas. The overall effect is one of space and calmness. Cheshire Drive DS0000039939.V266584.R01.S.doc Version 5.0 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): 32,34,35 The home is staffed by well-trained staff who were recruited using robust recruitment practices. EVIDENCE: The home has a core of well trained dedicated staff. All staff had received training on epilepsy in addition to core training. Three staffs’ recruitment files were inspected they contained the required identity and security ….. Cheshire Drive DS0000039939.V266584.R01.S.doc Version 5.0 Page 15 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): 37,39,42. The home is well managed, however the manager is not yet registered with the Commission for Social Care Inspection. EVIDENCE: A new manager has been appointed to the home. Following the last inspection many changes has taken place in the home most notable in the environment. Staff appeared to be less stressed and service users who were in the home were calm and friendly. Service users were consulted on the décor of the home and there was evidence that service users were listened to, for instance one service user wanted to take his father on holiday. The staff at the home ensured that he got his wish and he enjoyed a holiday in the sun with his father and was able to tell the inspector about it. All the appropriate health and safety checks were in place in the home. Cheshire Drive DS0000039939.V266584.R01.S.doc Version 5.0 Page 16 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 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cheshire Drive Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X 3 X DS0000039939.V266584.R01.S.doc Version 5.0 Page 17 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 YA7 Regulation 12(2) Requirement The Registered Manager must ensure that service users make decisions about their lifestyles with assistance where needed. This standard was met. The Registered Manager must ensure that the home is managed in a manner that allows service users to participate in the day to day running of the home. This standard was met. The Registered Manager must ensure that all service users in the home have their needs reviewed to ensure they achieve their optimum lifestyle. This standard was met. The Registered Provider must ensure that the environment of the home is at an acceptable level of cleanliness. This standard was met. The Registered Provider must ensure the bedrooms of the service users are clean, nicely DS0000039939.V266584.R01.S.doc Timescale for action 29/04/05 2. YA8 12 29/04/05 3. YA11 14(2) 29/04/05 4. YA24 23(2) (d) 24/04/05 5. YA26 23(1) (a) 24/04/05 Cheshire Drive Version 5.0 Page 18 decorated and homely. 6. YA28 23(2) (a) (i) The Registered Provider must provide and action plan to indicate how they are going to ensure that shared accommodation is adequate to meet the needs of the service users. An enforcement notice is being served by the Commission to ensure compliance. This standard was met. The Registered Provider must ensure that the home is managed in a manner that ensures the health, safety, welfare and aspiration of the service users are identified and met. This standard was met. The Registered Provider must ensure that the manager is registered with the Commission for Social Care Inspection. 09/08/05 7. YA37 18(1)(a) 30/06/05 8 YA37 8 31/12/05 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 Cheshire Drive DS0000039939.V266584.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 Cheshire Drive DS0000039939.V266584.R01.S.doc Version 5.0 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. 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