Inspection on 19/07/05 for Chessington

This inspection was carried out on 19th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Chessington 13/04/07

Chessington 17/10/06

Chessington 22/11/05

Chessington 07/02/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Chessington Chessington 50 Marlpit Lane Seaton EX12 2HN Lead Inspector Belinda Heginworth Announced 19 July 2005 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. Chessington D54-D06 61472 Chessington 231201 190705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Chessington Address 50 Marlpit Lane, Seaton, Devon EX12 2HN 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) 01297 20383 01297 20383 Voyagers Ltd, Voyagers, 19 Alleyn Court, West Acres, Seaton, Devon, EX12 2JX Care Home 3 Category(ies) of LD - Learning Disability (3) registration, with number of places Chessington D54-D06 61472 Chessington 231201 190705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 2.12.2004 The care home may provide accommodation together with personal care for up to three service users with a Learning Disability, between the ages of 18 and 65 2.12.2004 The Registered Manager must obtain NVQ level 4 in care and management including the Registered Manager`s Award by 2006. Date of last inspection 07/02/2005 Brief Description of the Service: Chessington care home is part of the company Voyagers LTD. Chessington is registered to provide three service users with support and personal care to people who have a learning disability. The home is situated in a pleasant quiet area of Seaton but is close to the local amenities.The house has three bedrooms, one of which is on the ground floor. There is one bathroom upstairs and a separate toilet down stairs. There is a pleasant lounge adjoined to a conservatory at the front of the house and a large kitchen / dining area to the rear of the property. There is ample parking in the driveway. Chessington D54-D06 61472 Chessington 231201 190705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over 3 hours with the providers and one member of staff being present throughout. One resident was consulted and their views on the home were discussed. Feedback was received from one care manager and a questionnaire is completed by the providers prior to the inspection. Some records were inspected. What the service does well: What has improved since the last inspection? What they could do better: Requirements must be met within the agreed time scales. Good practice recommendations should be implemented. Care planning and daily records must take into account residents’ goals, hopes and aspirations. Decisions made on behalf of residents must be discussed and agreed with community professionals. This is particularly important when some Chessington D54-D06 61472 Chessington 231201 190705 Stage 4.doc Version 1.30 Page 6 decisions infringe on resident’s rights and choices. The home’s policies should reflect any agreements reached. Hazards that are identified should have accurate information on how to reduce risks within the home and with individual residents. Staff training should improve within an acceptable time frame. Particularly training relating to Adult Protection. A safer system to manage residents’ finances should be implemented as soon as possible to protect residents’ welfare. The home must have a permanent manager as soon as possible. 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. Chessington D54-D06 61472 Chessington 231201 190705 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 Chessington D54-D06 61472 Chessington 231201 190705 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) 2 Residents are assured the home can meet their needs prior to admission. EVIDENCE: A detailed assessment of the resident’s needs was completed by a care manager prior to admission. This enabled the home to be sure it could meet the resident’s needs prior to admission. Chessington D54-D06 61472 Chessington 231201 190705 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, 7 & 9 Care plans and risk assessments provide staff with some information to meet residents’ needs. Improvements are needed to the information and to decisionmaking arrangements. EVIDENCE: The resident said that he felt the home met his needs and he felt safe living there. He was aware of a care plan but did not seem to fully understand its purpose. A care plan completed by a care manager was in place. This provided good information about the resident’s general needs and guidance on how to meet some of these needs. However, there were no assessments of hazards relating to the resident’s needs or day-to-day activities, with detailed action of how to reduce any risks. The care plan did not set out the resident’s hopes and aspirations or be more specific to goals he hoped to achieve. The home kept good daily records describing the resident’s day and events that happened. However, the daily records did not reflect what was in the care plan. This would make it more difficult to monitor and review the needs that were set out in the care plan. Chessington D54-D06 61472 Chessington 231201 190705 Stage 4.doc Version 1.30 Page 10 The home maintains a record of any incidents. Some of the consequences of incidents are managed through the staff restricting the resident’s freedom of movement and choice. The staff said they used this approach to teach the resident rather than punish. Decisions made by the staff that could restrict the resident’s freedom of movement, liberty and choice must be agreed with other community professionals. This would protect residents’ rights and interests. Chessington D54-D06 61472 Chessington 231201 190705 Stage 4.doc Version 1.30 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 standard(s) 17 Residents are offered a healthy and varied diet. EVIDENCE: The resident said that he enjoyed the food provided. He said he had a choice of what he ate and that the home respected his preferences. Menus were not inspected on this occasion but staff described the types of foods offered, which were healthy and varied. Chessington D54-D06 61472 Chessington 231201 190705 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) 0 Not inspected on this occasion. EVIDENCE: Chessington D54-D06 61472 Chessington 231201 190705 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) 23 Residents are not fully protected by suitably trained staff in relation abuse awareness. EVIDENCE: The providers said that they had the local guide on abuse awareness and the Governments’ guide on “No Secrets”. These policies were not inspected as they could not be found. The providers currently work in the home with one other member of staff. Neither the providers nor the member of staff have received training on Adult Protection, meaning that residents are not fully protected by suitably trained staff. A resident’s relative receives benefits on his behalf. The relative has set up a bank account in his name for the providers to access on behalf of the resident through using a cash card. Regular monies are paid in by the relative. This system is open to abuse and does not protect the residents’ interests. Discussion took place about finding suitable alternatives. The providers said they would look into this and discuss it with the relative. Chessington D54-D06 61472 Chessington 231201 190705 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) 0 Not inspected on this occasion. EVIDENCE: Chessington D54-D06 61472 Chessington 231201 190705 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) 0 Not inspected on this occasion. EVIDENCE: Chessington D54-D06 61472 Chessington 231201 190705 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 & 42 Resident’s benefit from a well run home but there is no manager in place. The health, safety and welfare of residents are on the whole protected. Some improvements are needed. EVIDENCE: The home is part of a company therefore a person must be employed to manage the home. A requirement was made during the last inspection that this should be completed by 7/05/05. The providers have advertised but said they have not found a suitable person yet. Currently the home is being managed by the providers. The providers agreed to employ a manager and submit an application to the CSCI to register the manager by 31/09/05. The providers complete a questionnaire prior to an inspection. This provides details of the home’s policies and practices. Some policies described practices that would restrict residents’ freedom of movement, liberty and choice. (See section 6-10) Chessington D54-D06 61472 Chessington 231201 190705 Stage 4.doc Version 1.30 Page 17 Some radiators have been fitted with covers to ensure residents’ safety is protected. The providers have plans to cover the remaining radiators in the near future, but have not assessed the hazards to residents while they are without covers. The providers agreed to complete hazard assessments, in relation to radiators, and provide clear action on how to reduce risks, to ensure residents’ safety is protected. Chessington D54-D06 61472 Chessington 231201 190705 Stage 4.doc Version 1.30 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 x x Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 2 2 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x x x x x x x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Chessington Score x x x x Standard No 37 38 39 40 41 42 43 Score 2 x x x x 2 x D54-D06 61472 Chessington 231201 190705 Stage 4.doc Version 1.30 Page 19 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 ya9 Regulation 13 (4) (c)13 (6) Requirement Unnecessary risks to the health or safety of service users are identified and so far as practicable eliminated. The registered person must make suitable arrangements, by training or by other measures to prevent service users being placed at risk. (This refers for the need to complete individual service user’s risk assessments relating to any activities the service user might participate in within and outside the home) This is a repeated requirement that should have been met by 09/03/05 The registered provider must appoint an individual to manage the care home where – a) there is no registered manager in respect of the care home and b) the registered provider – (i) is an organisation or partnership. This is a repeated requiement Chessington D54-D06 61472 Chessington 231201 190705 Stage 4.doc Version 1.30 Page 20 Timescale for action 31/08/05 2. ya37 8 (1) (a, b) (i) 31/09/05 3. ya23 13 (6) that should have been met by 07/05/05 The registered person must make suitable arrangements, by training staff or by other measures to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. (This refers to Adult Protection training) This is a repeated requirment that should have been met by 30/05/05 The registered person must make suitable arrangements, by training staff or by other measures to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. (This refers to residents finances) The registered person must make suitable arrangements, by training staff or by other measures to prevent service users being harmed or suffering abuse or being placed at risk of harm or abuse. (This refers to risk assessments for radiator covers not being fitted) 31/09/05 4. ya23 13(6) 31/08/05 5. ya42 13(6) 31/08/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard ya6 Good Practice Recommendations Care plans should include residents hopes and aspirations; D54-D06 61472 Chessington 231201 190705 Stage 4.doc Version 1.30 Page 21 Chessington and day-today goals. 2. ya7 Daily records should reflect the care plan goals. Staff respect residents’ right to make decisions and that right is limited only through the assessment process, involving the resident, and as recorded in the individual service user plan. (This refers to any restrictions or “sanctions” in the home. Any decisions that restricts residents freedom of movement, liberty or choice should be discussed and agreed with community professionals and the outcomes agreed, recorded and reviewed regularly) Chessington D54-D06 61472 Chessington 231201 190705 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Exeter Office, Suites 1 & 7 Renslade House Bonhay Road Exeter, EX4 3AY 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 Chessington D54-D06 61472 Chessington 231201 190705 Stage 4.doc Version 1.30 Page 23 - 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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