Inspection on 20/12/05 for Community Care Solutions (Brambling Way)

This inspection was carried out on 20th 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 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

Community Care Solutions... 16/08/06

Community Care Solutions... 01/09/05

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 Chapel Cottage Home (Oadby) 53 Brambling Way Oadby Leicester Leicestershire LE2 5PB Lead Inspector Mr Everton Osbourne Unannounced Inspection 20th December 2005 1600 Chapel Cottage Home (Oadby) DS0000064677.V274126.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 Chapel Cottage Home (Oadby) DS0000064677.V274126.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. Chapel Cottage Home (Oadby) DS0000064677.V274126.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Chapel Cottage Home (Oadby) Address 53 Brambling Way Oadby Leicester Leicestershire LE2 5PB 0116 2719644 0116 2719644 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) Community Care Solutions Limited Ms Kathryn Wainwright Care Home 9 Category(ies) of Learning disability (9), Mental disorder, registration, with number excluding learning disability or dementia (9) of places Chapel Cottage Home (Oadby) DS0000064677.V274126.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 1st September 2005 Brief Description of the Service: Chapel Cottage Care Home is registered to provide care for nine younger adults who have learning disability or mental health disorder. The premise is located three miles from the city of Leicester and is close to the town centre of Oadby where residents have access to a variety of shops and other amenities. The home is easily accesible by public and private transport. The premise consists of two floors for residents use which is accessible by use of the stairs. The home has five single bedrooms one with en-suite facility and two double bedrooms one with en-suite facility. There are sufficient toilet and bathroom facilities on both floors based on nine residents residing in the home. Chapel Cottage Home (Oadby) DS0000064677.V274126.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took two hours and thirty minutes to complete. The outcome of the inspection was very positive in that three residents spoken with made positive verbal statements about the care they receive on a daily basis. The area manager, acting manager and one staff member were also spoken with as part of the inspection process. In addition, one resident’s care record and one staff member’s record was inspected. Observations made indicated that the home is maintained to very good standards. No Requirements or Recommendations were made during this inspection. 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. Chapel Cottage Home (Oadby) DS0000064677.V274126.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 Chapel Cottage Home (Oadby) DS0000064677.V274126.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): 1, 2, 4 and 5 The admission and assessment processes are very good for the care and protection of residents. EVIDENCE: The Statement of Purpose was inspected. The document clearly outlines the service provision in the home. One resident’s care records seen showed that this document is given to prospective residents or their relatives. One resident’s assessment document was inspected. The document seen indicated that the resident received a needs-led assessment and introductory visit to the home prior to moving in on a permanent basis. The document clearly outlines the care needs of the resident. Contained in the resident’s record are the home’s Terms and Conditions of residency including a contract, which is signed by this resident. Chapel Cottage Home (Oadby) DS0000064677.V274126.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): 6 and 7 Residents care plans are robust so that they can receive good quality care and have a choice on how the care is delivered. EVIDENCE: One resident’s care plan was inspected. The document seen is written in great detail giving staff members instructions on how to meet the resident’s care needs. Observations made indicated that staff members’ interact professionally with residents to ensure that residents communicate their choices about the care they need. Chapel Cottage Home (Oadby) DS0000064677.V274126.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, 14 and 17 Residents have regular contact with family and friends in order to maintain contact with the community. EVIDENCE: Conversation held with two residents and the visitors’ records seen indicated that residents maintain contact with their relatives and friends. Evidence of this was seen also in one resident’s care records. Observations made at the time of the inspection showed that the residents were going to the theatre that evening to see a production. Conversation held with three residents indicated that they were happy about going to see a performance. Observations made of the evening meal process indicated that meal times are not rushed. The meal served appeared nutritious and wholesome. Conversation held with three residents indicated that they enjoyed their meal. Chapel Cottage Home (Oadby) DS0000064677.V274126.R01.S.doc Version 5.1 Page 10 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): 20 The medication process is robust in ensuring that residents receive their medication at times prescribed by their doctors. EVIDENCE: The medication process was inspected. One medication record seen indicated that staff members appear to be administering medication in accordance with doctors’ prescriptions. The medication record was up to date and signed by staff members. Chapel Cottage Home (Oadby) DS0000064677.V274126.R01.S.doc Version 5.1 Page 11 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): 23 There is an adult protection procedure in place to respond to suspicion or allegation of abuse for the care and protection of residents. EVIDENCE: Observations made and conversation held with one staff member indicated that the provider appear to be adhering to safe practices that promote adult protection. For example providing residents’ care in accordance with their written care plans. Two residents spoken with indicated that they feel safe residing in the home. Chapel Cottage Home (Oadby) DS0000064677.V274126.R01.S.doc Version 5.1 Page 12 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): 25, 26, 27 and 29 Residents’ surroundings are comfortable to meet their accommodation needs. EVIDENCE: One resident’s bedroom seen indicated that it is maintained in good condition. Conversation held with the resident indicated that she has the choice as part of her continued development to clean and maintain her bedroom to suit her lifestyle. Observations made during the inspection indicated that there are sufficient numbers of toilet and washing facilities based on the number of residents registered to reside in the home. Observations made indicated that there are sufficient fittings, fixtures and equipment in the home to meet residents’ care needs for example lighting fixtures in bedrooms and communal areas. Chapel Cottage Home (Oadby) DS0000064677.V274126.R01.S.doc Version 5.1 Page 13 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): 33 and 36 Good staffing hours is provided for the care and protection of residents residing in the home. EVIDENCE: Observations made indicated that at the time of the inspection there were sufficient staff members on duty. Conversation held with one staff member and one resident indicated that a staff member is always available when needed. One staffing record seen indicated that suitable supervision is given to this staff member on a regular basis. Chapel Cottage Home (Oadby) DS0000064677.V274126.R01.S.doc Version 5.1 Page 14 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, 38, 39, 40, 41 and 43 The management approach to managing this home creates an open and inclusive atmosphere for residents’ comfort and care. EVIDENCE: The acting manager’s record seen indicated that she is suitably experienced and qualified to manage this care home. Discussions held with the acting manager and observations made indicated that she is knowledgeable and competent in her role. All policies seen pertaining to the Standards inspected on this occasion, contains detailed information on health and safety issues and gives staff members guidance concerning good practice whilst working in the home. All documents and care records inspected were up to date and kept secured in lockable spaces. The maintenance and fire safety records seen indicated that all equipment including fire safety equipment are tested and have scheduled maintenance to keep them in good working order. Chapel Cottage Home (Oadby) DS0000064677.V274126.R01.S.doc Version 5.1 Page 15 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 3 2 3 3 x 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 3 ENVIRONMENT Standard No Score 24 x 25 3 26 3 27 3 28 x 29 3 30 x STAFFING Standard No Score 31 x 32 x 33 3 34 x 35 x 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x x x LIFESTYLES Standard No Score 11 3 12 x 13 x 14 3 15 x 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 x 3 3 3 3 3 x 3 Chapel Cottage Home (Oadby) DS0000064677.V274126.R01.S.doc Version 5.1 Page 16 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action 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 Chapel Cottage Home (Oadby) DS0000064677.V274126.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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. 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