Inspection on 02/12/05 for Chosen Court

This inspection was carried out on 2nd December 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. 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.

Other inspections for this house

Chosen Court 11/05/06

Chosen Court 11/01/05

Chosen Court 07/06/04

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 Chosen Court 139, Hucclecote Road Gloucester GL3 3TX Lead Inspector Kath Houson Unannounced Inspection 2nd December 2005 10:00 Chosen Court DS0000036066.V269465.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 Chosen Court DS0000036066.V269465.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. Chosen Court DS0000036066.V269465.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Chosen Court Address 139, Hucclecote Road Gloucester GL3 3TX 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) 01452 616888 chosencare@btconnect.com Chosen Care Limited Miss Dawn Tracy Field Care Home 10 Category(ies) of Learning disability (9), Mental disorder, registration, with number excluding learning disability or dementia (1) of places Chosen Court DS0000036066.V269465.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th June 2005 Brief Description of the Service: Chosen Court provides accommodation for ten people with learning difficulties. There are five bedrooms with en-suite facilities on the ground floor and suitable for those with physical disabilities. The house has a further five en-suite bedrooms on the first floor. The property is a large detached house in a popular part of Gloucester close to local amenities. The house has a large garden to the rear of the building that is maintained to a high standard. Chosen Court DS0000036066.V269465.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place one morning in December 2005. The manager/owner was available throughout the inspection and able to assist and provide all relevant documentation on request. Twenty-four of the core standards were assessed and included an examination of documentation; three residents’ records were case tracked, a short and informal discussion was conducted with residents’ and staff team, a tour of the environment and a short succinct feedback was given to conclude the inspection visit. The inspector would like to extend her thanks to the service users staff and owner/manager for their assistance. What the service does well: What has improved since the last inspection? What they could do better: A minor shortfall was identified from the last inspection which require attention in regards the plaster which had detached from the wall in one of the en-suite bathroom and a small amount of plaster missing from the ceiling in the lounge. Chosen Court DS0000036066.V269465.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. Chosen Court DS0000036066.V269465.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 Chosen Court DS0000036066.V269465.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 and 2 The home has a satisfactory admissions system that will provide service users with the relevant information to make an informed choice about their place on residence. EVIDENCE: Prospective service users have all the necessary information that will assist in making an informed choice about place of residence. This was seen in care plans and service user guides and was available in a number of formats. The manager obtains all relevant information from a variety of sources during the admissions process. A description of the care provided was made available however this was very much personalised to the service user based on needs and discussion with residents. The needs and aspiration of residents were taken into account and activities programme was planned accordingly. For instance, one service user enjoys aromatherapy another enjoys sewing and pottery. Chosen Court DS0000036066.V269465.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): 7 Service users benefit from making decisions about their lives with support from staff members EVIDENCE: There was evidence that the staff respect the rights of service users, key workers take into account the decisions made with the service users and support according to that need. A service user has said that “I look through the catalogue and choose material and we make my clothes.” This service user speaks very highly of her key worker. A care worker asked the service user “would you would like to use her key to go into your room?” The service user said “yes.” The observation made between service user and care worker is a clear indicator to suggest that service users are supported to make their own decisions. Chosen Court DS0000036066.V269465.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; 15, and 17 Residents have the opportunity for personal development, which is external to the home. Healthy meals option is on offer which is of benefit to service users. EVIDENCE: The home has access to a range of activities to reflect their individual tastes and interests ranging from, aromatherapy, sewing, pottery social awareness relationship building, with the day centre and colleges. An observation was made of a group of service users gathered together in the conservatory laughing and exchanging the day’s events. Service users appeared at ease with their surroundings. Service users were encouraged to maintain contact with their families, and advocates via telephone. There was a private place available to take calls. The manager had mentioned that the healthy meals option is on offer to ensure that meals provided are balanced and meet the daily nutritional requirements, a menu seen. Service users’ did comment that the “food is good here” Chosen Court DS0000036066.V269465.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, and 20 Service users receive personal assistance in the manner, which is preferred; staff provides sensitive and flexible approach when service users are in crisis. EVIDENCE: Service users personal files were documented and clearly state how support is to be given for example, it is indicated the triggers which may cause a service user to become agitated. Another example is in the manner of how meals are to be cooked including likes and dislikes. A practical example that was observed when a service user became ill he enjoyed having people around him speaking in a very soft but low tones. Another observation made was staff applying care and consideration to service user taking “quiet time” Tones and mannerisms were soft and respectful. Staff give support to service users via regularly monitoring of healthcare needs, this was demonstrated in the care plans. In addition to monitoring the service users have key workers that provide support to promote independence. Also when a service user was unwell the staff promptly referred to specialist healthcare team. All staff members are trained to administer medication. Good documentation for medication was seen for example, there has been no errors with medication which is a clear indicator that medication is properly administered which is of benefit to service users’. Chosen Court DS0000036066.V269465.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 and 23 Residents have the opportunity to discuss concerns and have their views heard. Specialist training to safeguard service users ensures protection are maintained. EVIDENCE: The home has a complaints procedure in place to deal with any concerns that may arise. The home appears to have positive feedback from service users. Comments made from residents included “enjoy living here” “its good living here” The residents’ meeting is the arena where service users air their concerns. The agenda includes meal and menu options, healthy diet, which consist of discussions with the dietician that additionally takes place in the residents meetings. The activities programme for next year, is arranged via availability and interest that is also observed during meetings. Allocation with agreement of activities is usually discussed at meetings giving the residents the informed opportunity to make a choice. The registered manager ensures that service users are safeguarded when arranging specialist training for her and members of staff. All training for staff including night staff will commence in the New Year. Chosen Court DS0000036066.V269465.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; 25, 26, 27, 28, 29, 30 The living standard at the home is appropriate for particular lifestyles and is accessible to community facilities. Service users benefit from living in a homely and safe environment. EVIDENCE: The home is situated in a popular part of Gloucester with easy access into the town centre via bus route. There are a variety of local amenities such as local shops, parish church, local library which additionally has information on activities in the area. There is also a social club. Work on the new extension is now complete adding a further two bedrooms upstairs and one downstairs. On entering the building a new drive way is being completed increasing parking space. The internal side of the building is pleasant, tidy and clean free from offensive smells. The home is comfortably decorated although there were a few small sections of the house that are incomplete such as the matching up of the extension and the original architrave section of the house. The home is safe and homely with a very large maintained garden. The communal areas such as the lounge, activities room with the Chosen Court DS0000036066.V269465.R01.S.doc Version 5.0 Page 14 Conservatory attached is attractively decorated and comfortable for both service users and visitors. Many of the service users arrived home in the afternoon and spend much of their time there, catching up with other service users and discussing the events of day. This scene demonstrates that the home is very much their space and residents appeared very at ease with their surroundings. The room sizes far exceed the National Minimum Standards and all en-suite bathrooms were personalised to each service user. Fixtures and fitting are of good standard and quality; each room has its own TV and entertainment systems. All sections of the house have fire doors. The laundry room is organised with colour coded cleaning items for verbal and non-verbal service users to participate in the household chores. Service users said, “ I like my room it’s very comfortable and I have my own key.” The manager said that service users are encouraged to maintain their own rooms in order to promote independence. She observed respect for the residents’ privacy in a number of ways for instance a service user was having a peaceful time in the activities room. A small amount of plaster is missing from the ceiling in the lounge, which the manager said, “it’s on the list to do along with the decorating after Christmas.” On going repair of the surrounding doorframe that is cracked due to the service user regularly slamming her bedroom door. The plan is to reinforce the door surroundings and to work with service user in order to decrease behaviour pattern. There was one minor shortfall identified from the last inspection, which relates to the statutory requirements; in the service users en-suite bathroom some plaster had detached from the wall and is still in need of replacing the manager is aware of this and will address this issue in the New Year. Chosen Court DS0000036066.V269465.R01.S.doc Version 5.0 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 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, and 35 The Staff are competent and qualified provide support to Service users. Clear staff roles and responsibilities would be of benefit to residents within the home. EVIDENCE: The home has a team of long standing committed staff who demonstrate awareness of service users needs. This was evident when one of the service users was being seen by the GP and was admitted into hospital. Each staff member would be a key worker for residents. One resident said “if I have any problems I go to my key worker.” The care staff are appropriately trained in specialist topics of abuse and violence and mental health as well as their mandatory training. The service users are protected by the homes recruitment procedure in which the requirement from the last inspection has been met. This was evident in new employee files. The manager encourages all new members of staff to complete a probationary period to… “Try out the home and the service users.” The manager is in the process of updating all the training for next year to include the night staff and new staff members. Although the standard for supervision was not examined the manager did say that her staff are regularly supervised every six weeks, and given supervision whilst on duty which can be seen as good practice. Chosen Court DS0000036066.V269465.R01.S.doc Version 5.0 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 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): 39; 42, and 43 Service users are protected by the homes stated purpose and objectives. The manger and staff team listen to the voice of the residents and respond accordingly. EVIDENCE: The manager reviews the homes policies and procedure regularly together with the staff The home supports the residents meeting in which one service user chooses not to attend. The manager is committed to the smooth running of the home and respects that the environment is the home of the service users who are likely to live there for a long time. The manager went on to say, “ I am a strong believer in standards and the maintenance of such standards.” The Owner/manager has several years experience within the care industry and has a strong interest in mental health. One service user said “ I enjoy living here” The service users are aware of whom to approach in time of crisis, the manager and staff display a warm committed to service users. Chosen Court DS0000036066.V269465.R01.S.doc Version 5.0 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 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 4 4 4 4 4 3 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 3 16 X 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 Chosen Court Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 3 DS0000036066.V269465.R01.S.doc Version 5.0 Page 18 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 YA27 Regulation 23(2)(d) Requirement The manger must ensure that the small amount of plaster missing from the wall in the identified bathroom is repaired (previous deadline not met: 01/08/05 Timescale for action 30/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Chosen Court DS0000036066.V269465.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 Chosen Court DS0000036066.V269465.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. 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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