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Inspection on 25/01/06 for Chimneys Residential Care Home

Also see our care home review for Chimneys Residential Care Home for more information

This inspection was carried out on 25th January 2006.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Chimneys continues to provide a safe, comfortable and homely environment for the people who live there. The atmosphere in the home is relaxed, and the routines centred on the residents. Each person living at the home is treated as an individual and the manager encourages and promotes independence. Support was provided for residents both inside and outside the home. Each resident has an individual plan of weekly activities. Good links with the community are in place, and residents use local amenities on a regular basis.

What has improved since the last inspection?

All except one of the requirements made in the previous inspection report have been addressed. A number of polices and procedures have been developed and implemented. Prompt action was taken by the manager after the last inspection to ensure that the temperature of the water to the bathroom was within safe limits.

What the care home could do better:

The manager should review the quality of care and services provided by the home on a formal basis.

CARE HOME ADULTS 18-65 Chimneys Residential Care Home 135 Chellaston Road Shelton Lock Derby Derbyshire DE24 9DZ Lead Inspector Jo Wright Unannounced Inspection 25th January 2006 03.00 Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 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 Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 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. Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Chimneys Residential Care Home Address 135 Chellaston Road Shelton Lock Derby Derbyshire DE24 9DZ 01332 702247 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) Mr Thomas Williamson Mrs Ruth Anne Williamson Mrs Ruth Anne Williamson Care Home 3 Category(ies) of Learning disability (0), Mental disorder, registration, with number excluding learning disability or dementia (0) of places Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2005 Brief Description of the Service: The Chimneys is a small domestic home where residents are part of the Proprietors family. The premise is a detached bungalow, which has been adapted and extended. The home is in a residential area of Shelton Lock, close to local shops and a bus route. The home provides personal and social care for up to 3 persons aged 18 to 65 years with mental health and leaning disability needs. The home has 3 single bedrooms. Residents have their own lounge. Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and the duration of the visit was approximately 2 and ¾ hours. Time was spend speaking with residents, and observing the early evening routine. Records such as care plans (as part of the case tracking process, which is used to help determine how the home meets the needs of individual residents) were not examined in depth during this inspection. An assessment was made with respect to the requirements made at the last inspection of this service. The owner/manager was present at the inspection, and the findings the inspection were discussed with her. 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. Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 Page 6 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 Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 Page 7 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): EVIDENCE: There has been no change in residents living at Chimneys since the last inspection. Therefore, these standards were not assessed during this inspection. Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 Page 8 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): 7, 8 and 9 People living the home were involved in all aspects of their care, and made decisions about their daily lives and supported to take responsible risks as part of their development. EVIDENCE: Discussion with people living in Chimneys supported that they were involved in making decisions about their lives. They commented that they routinely went into the community independently, either on their own or with another resident, although this involved a level of risk. The manager provided support and assistance for residents as required, and worked hard to promote each person’s independence. Since the last inspection, a written policy on risk taking has been developed. Although care plans were not examined during this inspection, discussion with the manager demonstrated that she had a good knowledge of each individual’s needs and the range of factors that affected their wellbeing. Day to day information about the residents was well recorded in a diary. Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 Page 9 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 and 17 People living at the home were supported to live as ‘normal’ a life as possible. They were supported to develop as individuals and to join in with appropriate activities. Links with the community were good and enriched individuals lives. Friendships and family contacts were encouraged and supported as appropriate. EVIDENCE: The people living at Chimneys were very settled in their routine within the domestic setting. Residents used their areas of the home as they wished, whilst respecting the owner’s private areas within the home. All three residents living at Chimneys routinely attending activities outside of the home, such as daycentres, evening clubs, drop in centres, as well as regular visits to family and friends. All three residents spoke about the activities that they enjoy, and how they spend their time, both inside and outside the home. All three residents spoke about how much they liked living at Chimneys, and that they considered it to be ‘their home’. All three residents spoke very highly about the manager, and commented that she would ‘do anything for them’. Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 Page 10 The residents had formed friendships with each other, and respected each other’s belongs and bedrooms. The atmosphere was relaxed and friendly, with routines kept to a minimum. Good links with the community were in place. The home was well placed for public transport links and was within walking distance of a local shopping area. Residents talked about making use of the local facilities such as the shops and hairdressers, as well as attending clubs in the evenings and attending church at the weekend. The owner also provides support for shopping trips as required. The residents regularly go on holiday with the owners several times a year. People living at the home were supported to keep in touch with family and friends. Residents regularly met family and friends outside of the home, or where collected and taken out from the home. Residents said that the owner usually cooks their meals for them, and how much they enjoyed these meals. Detailed records of the food provided for residents were in place. Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 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, 20 Residents’ personal and health care needs were met with support and assistance from the manager and other health care professionals. EVIDENCE: The residents living at Chimneys require minimal assistance with personal care, although they do require support and assistance. All three residents were treated as individuals, which was reflected in their appearance. Personal clothing was well laundered, and residents encouraged to buy new clothing as required. Discussion with the manager supported that residents continue to access health care services as required. Residents confirmed that they may go to see their doctor unaccompanied, although the manager will accompany them if they wish. Residents were offered the opportunity to participate in routine screening programmes if they wished. The manager had established good working relationships with other health care professionals. There has been no change to the systems in place for administration of medication since the last inspection. One resident continues to take responsibility for their own medication. Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 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 The home has a satisfactory complaints procedure with evidence that residents feel that their views were listened to and acted upon. EVIDENCE: All three residents said they would tell the manager if they were unhappy about anything, either within the home or outside, and that it would be dealt with. The manager reported that she has not received any complaints since the last inspection. The Commission has not received any complaints about the care and services provided at Chimneys since the last inspection. Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not assessed during this inspection. Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not assessed during this inspection. Standard 34 is not applicable as there are no staff employed at Chimneys. Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 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 and 42 This is a well managed home, that would benefit from the development of quality assurance and quality monitoring systems. EVIDENCE: Chimneys continues to be well managed home. Relevant health and safety checks had been carried out within the required timescales. The manager confirmed in writing following the last inspection that the plumber had attended to the thermostatic mixer valve on the bath, and that the water temperature was now within safe limits. The bathroom was due to be refurbished in February 2006. The manager acknowledged that she had not developed formal quality assurance procedures for reviewing the quality of care and services at the home since the last inspection. Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 Page 17 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 YA39 Regulation 24 Requirement Formal quality assurance procedures for reviewing the quality of care and services at the home must be developed (Previous timescale of 31/08/04 and 32/12/05 not met) Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA37 YA42 Good Practice Recommendations Consideration should be given to undertaking NVQ Level 4 and the Registered Managers Award Consideration should be given to attending refresher training in first aid and basic food hygiene. Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Chimneys Residential Care Home DS0000001969.V279304.R01.S.doc Version 5.1 Page 19 - 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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