Inspection on 12/07/05 for Community Living Project

This inspection was carried out on 12th July 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 Living Project 21/01/09

Community Living Project 07/02/07

Community Living Project 05/10/04

Community Living Project 10/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Community Living Project 29 Loughborough Road Quorn Leicestershire LE12 8DU Lead Inspector Chris Wroe Unannounced 12 July 2005 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Community Living Project Address 29 Loughborough Road Quorn Leicestershire LE12 8DU 01509 620858 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Deborah Plant Mrs Jacqueline Forster Ms Laura Brooker Care Home 11 Category(ies) of LD - Learning Disability - 11 registration, with number of places Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th October 2005 Brief Description of the Service: The Community Living Project is a Care Home for 11 adults who have a Learning Disability (currently one extra person lives in the home, which has been agreed with the CSCI). The home is in the village of Quorn and is close to local village shops and a park. There are good bus links with Loughborough and Leicester. The home has shared lounges and a small patio garden. Everyone has their own bedroom with a sink, but bathrooms are shared. Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on a weekday, 12th July 2005, starting at 10.00am and lasting for four and a half hours. The inspector talked with residents and staff. Twelve comments cards were filled in by staff who asked residents what they thought about the home. Most answers showed that residents are happy living in the home. The inspector used ‘case tracking’ in this inspection, which involved selecting four residents and tracking the care they receive through checking records, talking with the residents and with care staff, looking round the home and observing care practices. One of the managers, Laura Brooker, and three members of staff helped the inspector with the inspection. What the service does well: Care files and keyworker books have good information about the needs of residents and what they like and don’t like. Each person is cared for according to what they need. Residents are given the choice to go to college or to day centres and helped to do different activities. Staff take good care of residents’ health needs. Choice is offered to residents about daily living. The home is mainly clean and tidy, and residents’ bedrooms show that they are given choice about what they want in them. Staff are given training and support in their work. Complaints are looked into properly and residents are kept safe. Safety tests are carried out to make sure everything works properly. Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Staff could record more about activities that go on in the home during the college holiday, and show that each resident is given the choice to do something they like to do every day, and the chance to go out of the home. A choice of meals for residents could be offered on the daily menu. Staff could give residents more dignity by doing personal care, like shaving, in private. Staff could make sure they report any serious incidents to the Commission for Social Care Inspection so that the safety of residents is ensured. One shower room would benefit from a deep clean. Someone could be employed to do cooking, so that care staff do not have to do other things as well and can spend time with residents. It would help staff to do their job well if they could have more training in skills they need in their work, for example sign language for a carer and infection control for the cleaner. To make sure everything is safe, temperature checks of water at residents’ sinks could be carried out, and temperature checks of the freezer. Razors and hairbrushes could be kept separately to make sure there is less risk of passing on infections/germs. Protective clothing could be worn in the kitchen for safety in cooking. Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 7 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. Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 5 There is good preparation for residents coming into the home. EVIDENCE: Care files have good assessments about people’s needs and wishes when they come to live in the home. They also contain the assessment done by the social worker. Each resident has a contract with the home, which sets out the fees charged and what they can expect to get when they come to live in the home. Although the contract is not in pictures, residents are given a picture service user guide, if that is the way they communicate best. Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7 Staff are generally good at helping residents to make choices and meeting their needs. EVIDENCE: Care plans and keyworker books contain good clear information about residents’ needs and things they like and don’t like. They include risk assessments about things that might be dangerous for residents and how staff will help make them safer. Staff knew most of the important things about residents to help them to give good care. Three residents have extra staff support. One resident was seen being helped to make choices about which daily living tasks she wanted to do. Staff said that different residents wanted to do different things and were helped to do what they chose. One resident liked to help with ironing and was doing this during the inspection. Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 14, 15, 16, 17 Residents generally have a good lifestyle, but more activities and more choice for meals could be offered. EVIDENCE: Some residents living in the home go to day centres and some go to local colleges. Because college has finished for the summer, some residents are spending more time at home. Care files showed that different residents do different activities. Some activities are bowling, going shopping, doing night classes, and going to a pop concert. Some residents are not so able to go out or do not want to. There did not seem to be much choice of activities during the inspection. All those residents who were at home when the inspection took place stayed in from 10am to 2pm, and one resident sat by the television most of the time. One resident did some colouring, which she said she liked. Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 12 Staff could record more about activities that go on in the home during the college holiday, and show that each resident is given the choice to do something they like to do every day, and the chance to go out of the home. The manager did say that usually there is more going on in the home. One resident said that she was going to go on holiday to a cottage. The holiday has been arranged for all the residents. Residents are able to have family and friends come to see them, and to go and stay with their families if they want to. One resident said that she likes it when her family come to see her. Residents can have a key to their own bedroom and keep their door locked if they want to. Staff mix with residents and talk to them, but sometimes staff are busy doing other things too. Residents are allowed to smoke in some parts of the home or garden, and there are rules about smoking. Residents are offered a cooked meal every day, and they can have fresh fruit. The carer who was cooking said that residents are going to start being offered a choice of what they want to eat. This would be good to do. At the moment some dishes are made using jars of ready-made sauces, but the carer said he wanted to start cooking home-made sauces, which would be tastier and healthier for residents. Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19, 20 Residents’ health and personal care needs are mostly well met. EVIDENCE: Care records showed that personal and health care is given to residents when they need it. Some residents have their hair cut and coloured in styles they like. Staff mostly take care to be sensitive. One carer was seen walking up to a resident and shaving him standing up in the dining room where the inspector was sitting – it would have given the resident more dignity to have this done privately. Staff work well to look after residents’ health, both physical and emotional. Staff mostly know about residents’ health care needs, although one member of staff did not know about one resident’s medical condition, which was important to know. Medication records showed that medicine is given properly to residents. There are good procedures about medication, but a full check of medication was not done at this inspection. One resident is helped to have control over taking her own medicine in the way she chooses. Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 Residents are kept safe and any problems are looked into. EVIDENCE: There is a complaints procedure in the home, which relatives have been able to use if they needed to. Complaints are looked into properly. Staff understand when residents need to be protected from harm, and what they have to do to take care of residents. Some incidents should have been reported to the inspector, and the managers need to make sure this is done, to make sure that residents are kept safe. Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 26 The home environment is generally good for residents. EVIDENCE: The home is generally comfortable, tidy and clean. The downstairs bathroom floor could do with a deep clean (grouting between tiles). A cleaner works in the home five days a week. Residents have their own things in their bedrooms. Bedrooms were different colours and showed that each resident had made a choice about what they wanted in them. Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34, 35, 36 Numbers of staff and training is generally good. EVIDENCE: There were three carers on duty during the inspection, and seven residents were at home. Two residents have one to one staff paid for to support them in the mornings. As well as providing care, staff had to prepare a cooked meal for residents. It might be better if the owner employed someone who just does cooking. This would help to make sure care can be fully given, and that staff don’t have to do other things to take them away from that. The manager said that there are usually four members of staff, but one had left suddenly. Staff have been on different training courses to help them to do their job. One member of staff said that she would like to learn sign language to help her to understand residents. It would be helpful if this was arranged. Staff did communicate mostly well with residents. A cleaner works at the home cleaning all bedrooms and shared areas. It would be helpful if she had training that would help her to do her job, like infection control. Staff get support in their work. Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The health and safety of residents is mainly ensured. EVIDENCE: Fire safety tests are carried out in the home regularly. inspection in November 2004. The fire service did an Some members of staff have food hygiene qualifications and others are doing a course in July. There are qualified first aiders. Temperature checks are carried out to make sure things are safe, such as the fridge and bath taps. Temperature tests could also be done for residents’ sinks and freezer, to make sure these are safe. Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 18 The kitchen is quite small and not easy for staff to cook in. It would be better if staff wore special clothing in the kitchen (for example, aprons, hats or hairnets) to make sure no germs are spread. The freezer is kept upstairs in the snoozelem room, which is not an ideal place – the manager said that there is no other space for it. There are procedures about how to work safely and about infection control. Brushes and razors for residents were being kept in one basket, and it would be better to keep them separately so that any infection is not passed on. Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x x Standard No 11 12 13 14 15 16 17 x 3 x 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Community Living Project Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 20 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. 1. 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. 1. Refer to Standard 14 Good Practice Recommendations It is recommended that staff record more about activities that go on in the home during the college holiday, and show that each resident is given the choice to do something they like to do every day, and the chance to go out of the home. It is recommended that a choice of meals is given to residents each day. It is recommended that staff give residents more dignity by doing personal care, like shaving, in private. It is recommended that staff make sure they report any serious incidents to the Commission for Social Care Inspection so that the safety of residents is ensured. It is recommended that the downstairs shower room is given a deep clean. It is recommended that someone be employed to do cooking, so that care staff do not have to do other things as well and can spend time with residents. C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 21 2. 3. 4. 17 18 23 5. 6. 24 33 Community Living Project 7. 33 It is recommended that to help staff to do their job well, they have more training in skills they need in their work, for example sign language for a carer and infection control for the cleaner. To make sure everything is safe, it is recommended that temperature checks of water at residents’ sinks be carried out, and temperature checks of the freezer. It is recommended that razors and hairbrushes be kept separately to make sure there is less risk of passing on infections/germs. It is recommended that protective clothing be worn in the kitchen for safety in cooking. 8. 42 9. 42 10. 42 Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection The Pavilions, 5 Smith Way Grove Park Enderby Leicestershire 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. Extracts may not be used or reproduced without the express permission of CSCI Community Living Project C51 C01 S1789 Community Living Project V237873 120705 Stage 4.doc Version 1.40 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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