Inspection on 19/01/09 for Church View

This inspection was carried out on 19th January 2009.

CSCI found this care home to be providing an Good service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Church View 15/01/08

Church View 02/07/07

Church View 05/07/06

Church View 12/12/05

Church View 21/06/05

Church View 30/11/04

Church View 01/06/04

Similar services:

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Eastfield Residential Home

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Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Church View Church Street Kimberworth Rotherham South Yorkshire S61 1EW     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Sarah Powell     Date: 1 9 0 1 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: Church View Church Street Kimberworth Rotherham South Yorkshire S61 1EW 01709557658 01709550541 church.view@craegmoor.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Parkcare Homes Ltd care home 23 Number of places (if applicable): Under 65 Over 65 0 mental disorder, excluding learning disability or dementia Additional conditions: 23 The maximum number of service users who can be accommodated is: 23 The registered person may provide the following category of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following category: Mental Disorder, excluding learning disability or dementia - Code MD, maximum number of places: 23 Date of last inspection Brief description of the care home Church View is a care home registered to provide care for 23 people with a diagnosis of mental illness. The home provides 24-hour care for people with enduring mental health needs. It encourages self-sufficiency and self-reliance where possible via a combination of staff support, and the teaching of independent living skills. The aim is to combine this with appropriate day care education and work experience, to encourage and foster social and community skills. Church View is organised into 3 separate houses, Vicarage, Canterbury, and York, all self contained, with single bedroom accommodation, bathroom/ toilet facilities, and separate kitchen, dining room and lounge facilities in the units. The fees at Church View at the time of the inspection Care Homes for Adults (18-65 years) Page 4 of 25 Brief description of the care home ranged from 314 to 903 pounds per week, however this is different for each person at the home as it is calculated on the needs of each person. It is therefore necessary to contact the home for further information. The registered person makes information about the service available via the Statement of Purpose, and the Service User Guide. Care Homes for Adults (18-65 years) Page 5 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection reports may have been deleted or carried forward into this report as recommendations - but only when it is considered that people who use services are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. The last inspection of this service was 15 January 2008. This was an unannounced visit, which took place on the 19 January 2009. The visit commenced at 09:30 and finished at 15:30. Two inspectors attended the home, one was the link inspector for the home and the other a Pharmacy Inspector. Full feedback Care Homes for Adults (18-65 years) Page 6 of 25 was given to the manager during the visit. The visit included talking with people living at the home, a number of professionals, the manager and six staff. During the visit we also walked round the building to gain an overview of the facilities. We also checked a number of records. The registered manager had completed and returned an annual quality assurance assessment (AQAA). This document focuses on how well outcomes are being met for the people using the service. It also gives us some numerical information about the service. What the care home does well: What has improved since the last inspection? New procedures for handling and administering medicines are in place for all staff to follow. Records of medication received into the home and carried forward each month are detailed and correct. Hand written entries and changes on medication administration record (MAR) charts are clear and accurate. Regular checks of the quantities of medicines and expiry dates take place. New detailed procedures for ordering, receiving, administering and disposing of medicines are now in place. This ensures all staff in the home understand exactly what is expected of them when handling and administering medication. The Royal Pharmaceutical Society of Great Britain and CSCI guidance documents on handling medicines in social care are also available for staff to use. Detailed care plans were in place for people whose long-standing medical conditions need daily specialist treatment. This care plans had been authorised by the healthcare professional supervising the treatment and enabled trained staff to help to treat the conditions successfully. We also found evidence that people living in the home are encouraged to express a preference about how and when they receive their medicines and that these preferences are upheld. All medicines, including controlled drugs, were stored appropriately in cupboards or in a trolley in a locked store room. The temperature of the store room is checked and recorded daily. All medicines must be stored securely at temperatures recommended by the manufacturer so that staff know they are safe to use when needed. We were shown evidence of regular medication stock checks carried out by staff and the manager. This good practice enables staff to know that sufficient medicines are always available in the home when needed. The person in charge of ordering medication sees the regular monthly prescriptions before a supply is made. This is good practice as the checking of prescriptions is an important part of the management of medication in the home. The manager and all staff are to be commended for implementing and sustaining significant improvements in the handling and recording of medication in Church View. The environment has improved with a full refurbishment carried out, new furniture, floor coverings and bathrooms. There is also a program of routine maintenance and renewal to ensure the environment is maintained to a good standard for the people Care Homes for Adults (18-65 years) Page 8 of 25 who live at church view. The staff structure has improved, there is a deputy in post and new senior support workers, the manager has also implemented improved staffing arrangements in each house to ensure peoples needs are met. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. perspective peoples individual needs were assessed. Evidence: Suitably qualified staff carried out the pre admission assessments on people who wanted to move into the home. The assessments were very detailed with all peoples needs identified, ensuring that the home could meet their needs before a place was offered to them. Most people had a health and social services assessment that was available and seen by the staff during the assessment process. However one person we looked at in detail did not have a social services assessment the manager told us she had seen one at the time of the assessment but had not retained a copy. Care Homes for Adults (18-65 years) Page 11 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person in the home had a plan of care with identified needs, People were treated with respect, were able to make decisions about their lives and take risks as part of an independent lifestyle. Evidence: Two people were case tracked this means their plans of care were looked at in detail and other care records examined, to ensure all their needs were identified and met. The care plans had identified needs and risk assessments in place. Ensuring peoples needs could be met. Person centered plans had commenced and good progress had been made the manager told us she was now confident in the staff team and their ability so these would start to be completed by the staff. The manager also told us health action plans would be implemented to ensure all peoples needs and choices were identified and met. People were supported to make decisions about their lives and take risks as part of an Care Homes for Adults (18-65 years) Page 12 of 25 Evidence: independent lifestyle. Assistance was given if required. One person told us, staff are really good, things are much better. The plans we looked at had risk assessments for responsible risk taking whilst in the home. Assessments were also in place for leaving the home/holidays. People were supported to take risks as part of an independent lifestyle and action was taken to minimise identified risks. Care Homes for Adults (18-65 years) Page 13 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities provided were good, people accessed the local community and maintained family relationships. The home offered a healthy diet. Evidence: Activities had improved again since the last visit. designated activity hours were allocated each week many activities outside the home were organised. A vehicle was used regularly to take people out on various activities, either in a group or on a one to one basis. To ensure their needs were met. People continued to attend various day centres and rehabilitation centres and the people that went out on their own continued to do so. One person told us, Things are much better staff have more time and more things to do. There was evidence to indicate that community links were maintained and that the people were well integrated into the community. There was a good relationship Care Homes for Adults (18-65 years) Page 14 of 25 Evidence: maintained with the community that had a positive effect on people. Links with family and friends were encouraged and maintained, people spoken to said they were able to have visitors at any time and were able to see their relative in private if they wished. Some people who lived in the home also went out to see their family and friends. The manager told us she continued to find ways to further improve the meals, that the cook employed to prepare and cook the evening meal was working very well. She also told us she hoped to be able to extent this to seven evenings rather than five in the very near future, which would give additional hours for care staff as they would not have to prepare and cook the evening meal on two evenings. Food choices seen were healthy, nutritious and balanced people said, The meals are good, we enjoy them. Care Homes for Adults (18-65 years) Page 15 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples health care needs were met and they were supported in the way they preferred. Medication procedures protected people. Evidence: All health care needs of people were met and regular input from health care professionals was obtained. Their advice was followed and well documented in the plans ensuring the wellbeing of the people who lived in the home. People were treated with respect and privacy and dignity upheld. During the visit we observed staff interacting well with people. One person said, Things have really improved Ive lived her a long time and its really good now. We spoke to two health care professionals they were very happy with he care and support provided by staff at church view and felt the needs of their clients were met. One told us, It is the best my client has been for a long time. We examined 21 Medication administration record (MAR) charts for week commencing 05.01.09. Staff signature list was in MAR chart folder. For each person there was a named photo (if consent given), room number, birthdate, allergies & current medication list. There was no significant gaps on charts; omission codes were used appropriately; quantities of medication received & brought forward was Care Homes for Adults (18-65 years) Page 16 of 25 Evidence: recorded well. Hand written entries contained all the essential details from the pharmacy label. Signatures, dates & quantities present. There was clear detailed information on drug & dose changes recorded with reference to prescriber & reason. This was also verified in daily notes in care plan to ensure peoples needs were met. As required protocols were in place; additional instructions added where necessary for dispersible or chewable medication. We looked at self-administration, there was one person who did this for one drug and appropriate records were in place. We observed excellent techniques when the lunchtime medication was given the staff member demonstrated good practice especially when one person dropped a tablet into their drink. Care Homes for Adults (18-65 years) Page 17 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who lived in the home were listed to and protected. Evidence: There was a comprehensive complaints procedure, which was displayed in the entrance hall in each unit . All people we spoke to were aware of the procedure and told us they were aware of how to make a complaint. They would either speak directly with staff or the manager. One person told us, If I have a concern I can go to any member of staff they are always dealt with. fifteen complaints had been received in the last year, which had all been resolved, good records were kept of outcomes. This showed they had been fully investigated, acted on and taken seriously. All staff had received training in adult safeguarding. All staff we spoke to had a good knowledge of the procedures and what to do should an incident occur. Staff were also aware of the whistle blowing policy, which safeguards people in the home. Care Homes for Adults (18-65 years) Page 18 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was well maintained clean, pleasant and comfortable ensuring people lived in a safe environment. Evidence: The major refurbishment of church view and the landscaping to the grounds had been completed, it had improved the environment considerably. All rooms had been redecorated, had new furniture, new floor coverings, new curtains and all bedrooms had new bedding. The landscaping outside had provided a large patio area, with seating and a water feature, this now provided accessible usable space for all people. The manager also told us that there was a maintenance program and rooms are redecorated as required, one room was being painted on the day of the visit, this will maintain the good standard. The standard of cleanliness throughout had greatly improved since the last visits, however the kitchens floors required a clean. Care Homes for Adults (18-65 years) Page 19 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff were appropriately trained, the recruitment procedures were robust ensuring people were in safe hands at all times, had their needs met and were protected. Evidence: A new staff structure had been implemented, which means people are supported by an effective staff team. There is a deputy in post and more staff had been recruited to ensure a good skill mix to meet peoples needs. The manager had also implemented a staff rota that enabled a staff member to be based in each house on all day shifts, and many more 1 to 1 hours to meet peoples needs. All mandatory training was up to date, the company had robust systems in place to ensure this remained up to date for all staff ensuring people were in safe hands at all times. During the visit talking to staff and observing staff interacting with people was very good. Health care professionals also told us that staff understood peoples needs and managed them well. A thorough recruitment procedure was in place, two staff files were seen on the day of the visit and contained all the required information. Protecting people who lived there. Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Management and administration safeguards people, good health and safety policies and procedures were in place ensuring the safety of people in the home. Evidence: The manager was qualified and experienced to run the home, She had almost completed the registered managers award and continually kept herself updated. This ensured the homes stated purpose, aims and objectives were met. Quality monitoring was carried out, the manager did regular audits and the provider carried out regulation 26 visits, these are visits to gain feedback from staff and people living at the home and relatives. The provider would also look at the environment and care plans and other documentation, which may be relevant. The home had a comprehensive health and safety policy. There was a maintenance person in post and we were able to evidence that regular maintenance of equipment and systems was carried out. Risk assessments were carried out on all safe-working practices, regular audits were carried out on the building and all accidents were properly recorded and reported ensuring people in the home were safeguarded. Care Homes for Adults (18-65 years) Page 21 of 25 Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 2 2 6 peoples health and social services assessments must be obtained and a copy available to staff. The person centered plans and health action plans should be completed for each person to ensure their wishes and choices are identified and met. The kitchen floor should be cleaned after use to prevent a build up of food debris. 3 30 Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 25 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!