Inspection on 28/09/05 for Conifers

This inspection was carried out on 28th September 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

Conifers 09/09/08

Conifers 21/11/06

Conifers 20/03/06

Conifers 14/03/05

Conifers 06/10/04

Conifers 31/03/04

Conifers 08/01/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Conifers Harriets Farm Bungalow Church Street Bocking Braintree Essex CM7 5LH Lead Inspector Clare Walker Final Unannounced Inspection 28th September 2005 09:30 Conifers DS0000017958.V259755.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 Conifers DS0000017958.V259755.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. Conifers DS0000017958.V259755.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Conifers Address 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) Harriets Farm Bungalow Church Street Bocking Braintree Essex CM7 5LH 01376 550779 01376 550779 Mr Upul Saliya Sumaranayake Mr Upul Saliya Sumaranayake Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Conifers DS0000017958.V259755.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th March 2005 Brief Description of the Service: Conifers is a bungalow situated on the edge of Bocking village. This home accommodates 6 service users who are between the ages of 18 and 65 years of age who have learning and physical disabilities. The home has large well maintained grounds and ample visitor parking. There is a local shop and local transport, the centre of Braintree being only a short distance away. Conifers DS0000017958.V259755.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection, which took place on 28th of September over 4 hours. The inspection included a tour of the house and grounds, reviewing of care files, looking at policies and procedures and health and safety information. The inspector met 5 service users, the manager/proprietor and 2 staff members. Overall the standard of care offered in this home is of a high standard. There are currently 5 service users resident who all have a regular programme of activities inside and outside the home. One service user said that they “liked the home especially the garden”. Another service user said that they “liked their room”. Two of the service users have profound communication difficulties. The care staff showed great attention to the needs of the service users and demonstrated a good rapport. Care staff prepared all the meals within the home. A varied menu is offered which is devised with input from the residents. Friends and family are encouraged to keep in contact with the service users. Individuals are encouraged to have their rooms decorated to their choice of colours and to have personal objects for example furniture and fittings, TV, video that they choose and can use for themselves. What the service does well: What has improved since the last inspection? Care planning is now comprehensive and reviews include all relevant parties. Policies and procedures include a policy on intimate care. Conifers DS0000017958.V259755.R01.S.doc Version 5.0 Page 6 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. Conifers DS0000017958.V259755.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 Conifers DS0000017958.V259755.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): This section was not assessed. EVIDENCE: Conifers DS0000017958.V259755.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): 6,7,9 There is a consistent care planning system in place and the health and social needs of individuals are set out in their plans. Service users are encouraged to make decisions about their lives. Risks are seen to be part of decision making and planning for individuals. EVIDENCE: Each person has a care plan that is regularly reviewed. Health and social needs are record as well as a plan for meeting the needs identified. Risks are identified for individuals and are reviewed regularly. Service users are included in all aspects of care planning as are families. Conifers DS0000017958.V259755.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): 12,13,15,16,17 Staff have a good understanding of the needs of the group of residents. Personal support is offered to promote dignity and independence. A range of opportunities for social, leisure and educational pursuits are offered. A balanced diet is offered. EVIDENCE: On the day of inspection, individuals were engaged in individual programmes of activity which included, horse riding, panting, gardening, listening to the TV and going out to a local college. The risk assessments for activities were up to date. In discussion the manager was aware of the balance between allowing participation and choice and keeping someone safe. There is a varied and balanced diet offered which is based on a 4-week menu that is planned with the service users. Conifers DS0000017958.V259755.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): 20 There are clear policies and procedures with regard to medication. Medication is distributed in line with policies and in a way that safeguards service users. EVIDENCE: Staff distributes all medication. All staff have been trained to do this. The medication is secure locked away in the office. There are signed medical consent forms for all service users. Conifers DS0000017958.V259755.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. Complaints are taken seriously and investigated in line with policies and procedures, which safeguard service users. EVIDENCE: There is a complaints policy and procedure, which forms part of a staff induction process. There are no outstanding complaints. Conifers DS0000017958.V259755.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): 24,25,26,27,28,30 The standard of the environment within the home is good providing the residents with a homely place to live. There is a good standard of maintenance. EVIDENCE: Fixtures and fitting are fit for purpose and the furnishings and fittings are of a homely design. Residents have their own rooms that are individually decorated and people are encouraged to have their own possessions in their rooms. Two service users showed the inspector their rooms and discussed how they had been involved in the redecoration and chosen colours and furniture. Bathrooms and toilets afford privacy. During the inspection a plumber was fitting a new sink and bath in the bathroom. All of the premises are accessible to all the residents and there are suitable safety arrangements in place. The standard of cleaning throughout the home was good. Conifers DS0000017958.V259755.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 34,35,36 Recruitment practices are consistent and appropriate checks are carried out.Staff are competent and individual needs are understood and met as are those of the group. EVIDENCE: Staff files reviewed showed that criminal records checks are carried out and that copies of all references, identifying documents and photographs have been collected. Induction and core training is undertaken and individual staff members sign to demonstrate this. Supervision is given every 2 months and this is recorded and available for inspection. Conifers DS0000017958.V259755.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 The manager/proprietor has a clear understanding of the service which is offered by this home and provides clear leadership spending time working alongside staff and service users. Service users views are sought on the service offered but there is no clear development plan. Health and safety is promoted. EVIDENCE: The manager/proprietor is involved in the day-to-day work within the home. There is a clear quality questionnaire which seeks the views of the individual service users and stakeholders. The manager does have a clear vision for the coming year and beyond of the developments that will take place but there is no written development plan or a clear link between the resident and stakeholder feedback and his plan. Health and safety certificates are in place and up to date. Conifers DS0000017958.V259755.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Conifers Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X X 3 X DS0000017958.V259755.R01.S.doc Version 5.0 Page 17 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA39 Regulation 24 Requirement The registered manager must establish an annual written development plan for the home based on seeking the views of service users and stakeholders, to be shared with service users and stakeholders. (The timescale of 31 May 2005 had not been met). Timescale for action 31/01/06 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 Conifers DS0000017958.V259755.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Conifers DS0000017958.V259755.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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