Inspection on 03/02/06 for Consterdyne

This inspection was carried out on 3rd February 2006.

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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Consterdyne 15/12/08

Consterdyne 06/12/06

Consterdyne 10/09/05

Consterdyne 11/03/05

Consterdyne 17/12/04

Consterdyne 25/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Consterdyne 6 Mason Road Kidderminster Worcs DY11 6AF Lead Inspector P Wells Unannounced Inspection 3rd February 2006 08:30 Consterdyne DS0000037401.V282852.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 Consterdyne DS0000037401.V282852.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. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Consterdyne Address 6 Mason Road Kidderminster Worcs DY11 6AF 01562 69525 01562 748693 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) Worcestershire County Council Mrs Linda Joy Harradine Care Home 10 Category(ies) of Learning disability (7), Learning disability over registration, with number 65 years of age (3), Physical disability (10) of places Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home may accommodate one named person with an additional mental disorder. The home may also accommodate one named person with an additional sensory impairment. 10th September 2005 Date of last inspection Brief Description of the Service: Consterdyne is a large, detached, Victorian building situated in a mainly residential area near to the ring road, approximately one mile from Kidderminster town centre. The building stands in its own grounds and is accessed by a private drive. The home is owned and operated by Worcestershire County Council and managed on a day-to-day basis by a competent and experienced manager, Mrs Linda Harradine. The responsible individual for the County Council is Mr Stephen Chandler. The home provides long-term care for 10 adults, both men and women, who have a learning disability and some degree of physical disability. Two of the service users are of retirement age. The main aim of Consterdyne is to provide a safe and comfortable home that, as far as possible, is a home for life, with staff endeavouring to meet the social, emotional, communication and health needs of all the service users. An outreach service for people with learning disabilities operates from an office adjoining the home. The office has its own separate access. The home and the outreach service have their own separate staff groups, although the outreach service is line managed by the manager of the home. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine, unannounced inspection that took place during the morning of 3rd February 2006. For this inspection, time was spent preparing - reading information about the home and the monthly reports of the service manager. 4.5 hours were spent at the home. The home has a new service manager, Ms Amanda Nally. Staff advised that service users are known as residents and this has been respected in this report. The age range of the mixed gender, resident group is fifty years. Hence it is acknowledged that individuals will have differening lifestyles and needs. This report to be read alongside the previous report. The inspector appreciated the co-operation and time of the manager, residents and staff. What the service does well: Consterdyne provides a safe and secure permanent home for ten residents. The staff assist each person with their individual care and support needs. The home has a settled staff team who are experienced, trained and know the residents well. The staff are always open to advice and support from professionals and are very committed to ensuring the residents are well cared for. At the visit residents spoke positively about living at Consterdyne and the support from staff and new activities. They are pleased with the new kitchen. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 6 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. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 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 Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 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): 5 The contract is being introduced. EVIDENCE: The home is known to have suitable information for the residents and their representatives. The service user guide is available in different formats. The documents will be updated with the new service managers’ details. The agreement/contract has been prepared for each resident and it is planned that these new agreements will be discussed and signed at the service user’s next review. One agreement had been completed by a relative, on behalf of a resident. The manager advised of the assessment process for a prospective resident. The home may need to apply to CSCI for a variation in categories of registration as the current vacancy is for an older person. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 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 The residents’ needs are well known to the staff. The files/plans and risk assessments in place indicate that individual needs are being assessed and met in a consistent manner, taking into consideration the person’s preferences. The regular reviewing of the residents’ plans needs to be established. The residents are supported in taking decisions about their lives. EVIDENCE: The service user plans, files and risk assessments had been reviewed since the last inspection. The sample of the two residents’ files viewed indicated this. Also the discussions with staff confirmed that that they knew the individual needs of the residents well and were fully aware of any changes that occurred and how to offer additional care and support to that person. The six monthly reviews, or review when a resident’s needs changed were well underway. All records need to be signed and dated and this was not always apparent. The goals for one resident from the review last year had not been achieved and this needed following up. The introduction of activity records was welcomed. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 10 Risk assessments for nightime should be carried out for each service user indicating what assistance they may need at night and how this is covered. Consideration should be given to reviewing the use of a monitor for a resident who said it disturbed him in the night. The residents’ are supported in making decisions about their daily routines and activities. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 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 the following standard(s): 11 Opportunities for personal development and activities had been positively reviewed for the service users. EVIDENCE: Standards 12-17 were assessed and met at the last inspection. On this occasion the following was observed which were indicators that these standards were still being met: Two staff had undertaken to develop the activities in and out of the home and one member of staff enthusiastically described how this was happening. Photograph and picture albums had been introduced so that residents could view and choose which activities they would like to be involved in. there was an annual plan for seasonal outings. The residents said that they had thoroughly enjoyed a trip to a pantomime that week. Records were being kept to indicate on which shifts staff would be available to assist residents in going out and which residents went out. A member of staff had recently taken a few of the residents to the cinema, and trips to the pub and shops were becoming routine. The development of activities was commendable and consideration could be given to the following: Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 12 The staff were using their own vehicles to transport residents and the home would benefit from a replacement vehicle as the mini bus has been out of action for some time. The individual records of activities should also include the contact a resident has with their family and friends, participation in household tasks to promote independence and their involvement in the running of the home – grocery shopping, looking after the dog etc. Residents should be offered support in choosing their own holidays this year rather than going to the same, local place in a group (unless this is their informed choice). Consideration should be given to using more of the local facilities such as the leisure centre, library and buses. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 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 the following standard(s): 20 There was a suitable medication system in place. EVIDENCE: Standards 18-19 were assessed and met at the last inspection. On this occasion the following was observed which were indicators that these standards were still being met: The sample residents’ files viewed evidenced that there personal and health care needs were known and met. Also health care professionals were consulted as soon as a problem occurred. Discussion with staff also confirmed that the residents’ personal and health care needs were understood and met discreetly. An example of this was how a resident had been supported with a possible continence problem. However it had not been recorded in the care plan. The care and support staff have given to ill and frail residents during the last six months has been commendable. This has been achieved with close collaboration with GPs and Nurses. The weighing of residents needs to be regular and accurate. The purchase of new scales or calibrating the existing scales would be beneficial. Staff have received training in completing and introducing the Worcestershire health action plans and these would be beneficial to the service users. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 14 The medication system is established and previous recommendations implemented. The home also has a suitable system in pace for the storage and recording of controlled drugs. A monthly audited of the medication system had been introduced and was welcomed. The deputy had attended a course in the safe administration of medicines and was going to cascade this to staff. The medication of a resident who died some months ago was still in the home and the deputy arranged for this to be returned to the chemist on the day of the inspection. The managers were reminded that medicines no longer in use must be returned to the chemist at the earliest opportunity and following a death, after seven days. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 15 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): 22,23 The residents are listened to and any concerns acted upon. There are systems in place to ensure the residents are being protected. EVIDENCE: The home has a complaints procedure which is a suitable format for the residents. A complaints file had been set up but there had been no complaints raised . Staff ensure that any concerns raised by residents are listened to and resolved. County Council procedures were in the home relating to protecting vulnerable adults. Some staff had received training in understanding abuse and managing challenging behaviours. However the latter was minimal in this service. There were clear, records being kept when resident’s monies were managed by staff. Residents have been assisted in opening their own bank accounts. Further support could be given to some of the service users so that they manage their own monies. A record of personal monies was kept in one book and should be separated out so that each resident has their own record and it is signed by both the resident and member of staff for each transaction. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 16 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): 24,30 The home was homely, comfortable, clean, hygienic, safe and well maintained for the residents. There is a programme for refurbishment. Single bedrooms should be aimed at and the double bedroom phased out. A piece of equipment needed replacing. EVIDENCE: The premises continue to be homely, safe, clean, warm and well maintained. See previous reports for details. There is a programme for refurbishment. On this occasion the following was noted: The kitchen had recently been completed in a domestic style which the residents used and liked. It was disappointing that part of the work surface and floor covering were already stained and these issues were being followed up by the manager. It had been identified that the door between the kitchen and dining room needed a viewing panel. The dining furniture had been replaced. Two small bedrooms with en suite and kitchen facilities were being altered to make the bedrooms a little larger with good sized ensuites. One of the residents said how delighted he was with these alterations. A sleeping room was being used as a temporary bedroom whilst each bedroom was altered. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 17 Plans had not been submitted to CSCI and the inspector was given a copy at this visit and it was confirmed that Building Control had been involved. CSCI to be advised when these alterations are completed and a building control completion certificate, commissioning certificates for new equipment and certificate of electrical safety to be submitted. The home has a vacant single bedroom, so this is an opportunity to offer the two residents that share a bedroom, their own room. If both residents make an informed and positive choice to continue sharing, this should be recorded in their service user plan. The home was clean and any odours were managed appropriately. Two of the staff had attended an infection control course last year and still needed to cascade the training to the staff group (previous requirement). There was protective clothing for staff to wear when assisting with personal care and spillages. The home has a suitably equipped laundry. The management of continence was outlined by a member of staff and it was apparent that residents were supported discreetly by staff and assessed by health care professionals. A commode in use in bedroom was unsafe and unhygienic and needed urgent replacement. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 18 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): The residents continue to benefit from having a settled, competent staff group. EVIDENCE: The key standards were assessed and met previously. The home continued to have a settled staff group who were competent, trained, experienced and skilled to care for the residents whom they have known for some years. There is also a bank of experienced relief workers to cover for sickness and annual leave. A training plan for 2006/2007 had been prepared. This indicated that there was a suitable, ongoing training programme for staff. 60 of the staff have an NVQ in care and the service are aiming at this figure increasing to 70 by the end of 2006 which is well above the recommended figure of 50 and highly commendable. New staff undertake LDAF training, which has included the clerk. The service follows the County Council recruitment procedure and appropriate records are kept in the home for each member of staff including relief workers. The vacant posts for maintenance and gardening still needed to be filled. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 19 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 This service is being run by an experienced manager who ensures that the service users’ best interests and safety are paramount. Staff would benefit from further training in some safe working practices. EVIDENCE: The service has an experienced, trained manager who had gained the registered manager’s award in September 2005. The home have introduced the County Council’s quality assurance programme by sending surveys out to families and stakeholders. The responses have been sent to the County Council and an analysis not yet available. In house the National Minimum Standards have been assessed and evidenced, health and safety checks are carried out, separate staff and residents meetings are held and information for residents is produced in suitable formats. The standard of safe working practices was assessed and it was apparent that there were systems in place to ensure the health and safety of the residents Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 20 and staff. Equipment, gas and electrical services were being checked regularly. Risk assessments for safe working practices and accident book were in place. Staff had received training in safe working practices but refresher courses in infection control, moving and handling were still needed (previous requirement). All the staff except one had undertaken first aid training. This included three first aiders and two more staff had applied to take this course. The home have a member of staff trained in first aid on duty on most shifts and sometimes this is a first aider. More staff undertaking the first aiders 4 day course is welcomed. The fire precautions were being regularly checked and a fire risk assessment was in place. The manager confirmed that the two recommendations from the fire safety officer’s visit last year had been implemented. Some staff had undertaken the fire warden’s course and in-house training was also taking place and being recorded. This should be recorded in a format which easily identifies that all staff have received quarterly fire awareness training. It had been identified that the door between the kitchen and dining room needed a viewing panel and this needed to addressed installed as a priority to prevent an accident. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 21 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 X 2 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 3 X 3 X X 2 X Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 22 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 YA6 Regulation 15 Requirement The review of the service users plans must be established six monthly or when a service user’s needs change, recorded and the plans up dated. (timescale of 31/12/05 partially met) A new commode must be provided. The manager and some of the staff must attend a refresher course in moving and handling. (timescale of 30/11/05 not yet met) The staff must receive training in infection control. (timescale of 30/11/05 not yet met) The door between the kitchen and dining room must have a viewing panel. Timescale for action 30/04/06 2 3 YA30 YA42 13,23 13,18 31/03/06 30/04/06 4 YA42 13,18 31/03/06 5 YA42 13,23 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 23 No. 1 2 3 4 5 6 Refer to Standard YA12 YA14 YA19 YA23 YA26 YA33 Good Practice Recommendations Consideration should be given to the home having a mini bus or people carrier(s) to take the service users out. The plan to have regular activities for the service users should be established and include using local amenities and a choice of holidays. The Worcestershire health action plans should be completed with service users. Service users should be assisted in managing their own monies and any records kept when staff are involved in handling service users’ monies should be kept individually. A review of the double bedroom arrangement and the undersized single bedroom should be undertaken. The home would benefit from ancillary staff to cover maintenance and garden duties. Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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 Consterdyne DS0000037401.V282852.R01.S.doc Version 5.1 Page 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. 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