Inspection on 02/12/05 for Cordwainers

This inspection was carried out on 2nd 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Cordwainers 23/08/06

Cordwainers 07/06/05

Cordwainers 13/12/04

Cordwainers 08/07/04

Cordwainers 04/02/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Cordwainers Chase Road Lindford Hampshire GU35 0RW Lead Inspector Marilyn Lewis Unannounced Inspection 2nd December 2005 10:00 Cordwainers DS0000011561.V273127.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 Cordwainers DS0000011561.V273127.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. Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Cordwainers Address Chase Road Lindford Hampshire GU35 0RW 01420 472459 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) Robinia Care Limited A Murray Care Home 8 Category(ies) of Learning disability (8), Sensory impairment (8) registration, with number of places Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users are not to be admitted under the age of 16 years. A maximum of three service users may be accommodated under the age of 18 years 7th June 2005 Date of last inspection Brief Description of the Service: Cordwainers is a home for eight young people with learning disabilities, three of whom may be sixteen or seventeen years of age. The home is a large extended bungalow, situated in a quiet residential area in the village of Lindford, Hampshire. The bungalow has been modified to provide accommodation for wheel chair users. All residents are accommodated in single rooms. There is a large enclosed garden and patio area to the rear of the property. The home is owned and operated by Robinia Care Ltd, an organisation that has provided care services, mainly in the learning disabilities sector, since 1995. Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 2nd December 2005. The inspector toured the home and observed the interaction of staff with the three residents at home during the visit. Records were seen for staff recruitment, staff training, medicines, complaints and fire equipment checks and fire drill attendance. This inspection was the second unannounced inspection for the year 2005/2006. Information on standards assessed at the first inspection can be found in the inspection report dated 24th June 2005. What the service does well: The home has a warm, welcoming and relaxed atmosphere. Prospective service users and their relatives are provided with good information on the facilities and services offered at the home. Service users are supported and encouraged to make their own decisions and participate in all aspects of life at the home. Service users have the opportunity for personal development and are able to choose to participate in a wide range of leisure activities both in the home and the community. Service users are treated with respect and sensitivity throughout their stay in the home and are protected by the home’s clear procedures for dealing with medicines. The home takes all complaints seriously and service users are protected by staff awareness of abuse issues and the procedures to be followed should abuse be suspected. Service users are supported by carers who receive training in the provision of care for younger adults with learning disabilities and regular supervision. The manager has the qualifications and experience to run the home and staff find her supportive and approachable. Service users views are obtained on all aspects of life at the home. Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 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. Cordwainers DS0000011561.V273127.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 Cordwainers DS0000011561.V273127.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): 1 Prospective service users and their relatives are provided with good information about life at the home. EVIDENCE: The home has a statement of purpose and service user guide in place that give clear information to prospective residents about life at the home. The documents provide details of the organisation that operates the home and the facilities and services offered there. Information is given on the admission process and who may be offered a place at the home. The service user guide provides additional information such as the completion of risk assessments for all daily living and social activities, how and when reviews are held and staff qualifications. The documents are available in symbol format suitable for the service users and the manager said that the information would be discussed on a one to one basis with service users to assist their understanding of the information. Cordwainers DS0000011561.V273127.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, 8, 9 and 10 Care plans, although good, require review to ensure they reflect all the current needs of the service users. Service users are encouraged to take risks as part of an independent lifestyle and are supported to make decisions about their lives. EVIDENCE: Care plans were sampled for two service users. The care plans were detailed and showed evidence of involvement of relatives or care managers. Information provided in the care plans was clear and covered all aspects of care needs including personal, social and emotional needs. Good risk assessments were included in the care plans. At the last inspection it was noted that information from a physiotherapist was not reflected in the current care plans. On this occasion, a report from a physiotherapist stated that one service user had a problem with pressure areas on an elbow and hand and this was not contained in the care plans for the service user. However, staff employed at the home were aware of the situation and were providing the care required to reduce the risk of pressure areas. A second requirement has been issued for the manager to ensure care plans reflect the current needs of the service users. Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 Page 10 It was evident during the visit that service users are supported and encouraged to make decisions about their lives. Staff were observed asking service users if they wanted a drink and if so what type of drink did they prefer. While at the home the manager asked the service users how they would like to be addressed in the report offering them a choice of being called residents or service users. They chose to be known as service users. Their preferences for the way they would like their care to be provided were documented in their care plans, and records seen indicated that staff complied with their wishes, for example, one record stated that the service user chose to have a bath and not a shower one morning. Some of the service users at the home have very limited verbal communication skills but methods of communication are noted in their care plans. Communication is often through facial expressions or body language and care plans inform staff of the individual methods used by the service users. The manager said that the service users are encouraged to be as independent as possible with risk assessments completed for all daily activities and assessments undertaken for social activities before an activity can take place. The home has policies on confidentiality and staff receive copies of the policies when commencing work at the home. Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 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, 12, 13, 14, 15, 16 and 17 Service users have the opportunity for personal development and can choose to participate in a variety of leisure activities both in the home and the community. Service users are offered a choice of balanced meals. EVIDENCE: All the service users attend day centres that provide educational sessions. Sessions attended included swimming, bowling, horticulture and daily living skills. The home has an activities programme in place for each service user while they are in the home, with cookery, art, music and videos some of the activities on offer. During the inspection visit the three service users at home were involved in different activities. One was helping to make soup for lunch, one was doing jigsaw puzzles and one listened to music. Service users visit local shops and have meals out at one of the local pubs or restaurants. Records seen gave details of visits to the cinema, bowling and attending events such as parties, at other care homes in the locality. Two service users had recently been on holiday with two staff members. The manager said that discussions were taking place with the service users to decide on a holiday venue for all the service users during 2006. Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 Page 12 The home were preparing for an open day to be held in mid December, an event where relatives, friends and care managers would be invited to the home to join service users for the day. The manager said that one to one chats were taking place with the service users to obtain their wishes for the programme for the day. Service users wishes to attend services at church or other places of worship are recorded in their care plans. One service user has attended weddings and baptisms in a church but no one attends services on a regular basis. At present there are no vegetarians at the home but one service user from an ethnic minority prefers some types of foods to others. Staff employed at the home from overseas, prepare meals for the service user that are to her liking. However all the service users are encouraged to try different foods and their likes and dislikes are recorded. At the time of the last inspection the records of meals provided at the home indicated many of the meals were of the ‘fast food’ type. Since then the choice of meals on offer has improved, with fresh vegetables and fruit used more frequently and more home made meals provided. The soup for lunch that day was being prepared with fresh ingredients. Visitors are welcome at the home at any time but the manager said it is appreciated if they telephone before hand to ensure that the service user will be at home and able to meet with them. Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 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): 18, 19, 20 and 21 Service users are treated with respect and sensitivity at all times and are protected by the home’s clear procedures for dealing with medicines. EVIDENCE: Care plans seen indicated that service users were able to receive personal support in the way they preferred. Their preference for the make of toiletries they wished to use was noted and staff were asked to encourage the service users to choose the clothes they wished to wear and how they would like their hair styled. Throughout the visit staff were seen to interact well with the service users and to speak to them in a friendly, caring manner. The home has clear procedures in place for dealing with medicines. Only staff who have received training in administering medicines are able to give out the medicines. The manager said that she has arranged for up to date information on medicines currently being used in the home to be made available to staff. At the time of the inspection there were no service users who were administering their own medication. Recently a service user at the home had died suddenly through natural causes. One of the organisation’s area managers, well known to the staff and service users, visited the home and broke the news to each service user on a one to Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 Page 14 one basis. Staff and service users have been offered bereavement counselling and support. Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 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 and 23 The home has complaints procedures in place and service users are protected by staff awareness of abuse issues and their willingness to act on any concerns. EVIDENCE: The home has complaints procedures in place that indicate who will investigate the complaint and timescales for the process. The procedures also state that a complaint can be referred to the commission at any time. The manager said that no complaints had been received in the last twelve months. Clear procedures are in place for staff to follow should abuse be suspected. Staff receive training in abuse awareness and two staff members spoken to during the inspection visit, were aware of the procedures to be followed and indicated that they would not hesitate to act on any concerns. One carer said ‘we are here to protect and care for the service users, they must come first’. A service user had recently been upset by a carer’s verbal remarks and this had been investigated thoroughly, following the advice given by Adult Services. Although no action was required the carer has since left the home. Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 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): EVIDENCE: These standards were assessed during the last inspection and information can be found in the inspection report dated 7th June 2005. On this occasion the home looked clean, welcoming and homely. Service users rooms were bright and cheerful and contained many personal items. Work was underway in the road outside the home to connect the home to the mains water supply which would eliminate the need for the septic tank in the garden. Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 Page 17 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): 31, 32, 33, 34, 35 and 36 Service users are supported by staff who receive training and regular supervision. The lack of robust recruitment procedures could put service users safety at risk. EVIDENCE: Staff receive clear job descriptions before starting work at the home and the manager said that their roles are discussed during their induction period. Senior carers have information on the additional responsibilities their role requires. Staff receive mandatory training in health and safety, moving and handling, infection control and food hygiene. All except one staff member had received training in abuse awareness, and all but one had attended training on epilepsy. All staff members had received training in communication methods including basic signing. New staff members must complete an induction programme and then commence a six month training programme that includes all aspects of care provision and this must be completed before the staff member is able to commence training for National Vocational Qualifications (NVQ). Recruitment records were seen for four staff members. The records contained two written references, proof of identity and qualifications, work permits where Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 Page 18 required and police checks from the home country for staff from overseas. Records for three staff members from overseas indicated that Criminal Records Bureau (CRB) and Protection of Vulnerable Adult (POVA) checks had not been applied for when the staff member started work. One record stated that the staff member started work at the home in April 2005 and the check was applied for in August 2005. CRB and POVA checks must be applied for before staff begin work at the home. Records for one staff member from the UK indicated that the CRB and POVA had been completed before the person started work at the home. Staff receive formal supervision on a regular basis. Supervision is undertaken by the manager and one of the senior carers, who have both received training in providing staff supervision. The supervision meetings are arranged at a time suitable to both parties and records are kept of the discussions. The manager receives supervision from an area manager. Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 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, 38, 39, 40, 41 and 42 The manager has the qualifications and experience required to run the home and service users and staff benefit from the open approach to management operated at the home. EVIDENCE: The manager has been employed by Robinia Care Limited since 1997. She worked at Cordwainers as the deputy manager before taking up the post of manager in November 2004. She has successfully completed the Registered Managers Award and is currently working towards NVQ level 4. Two staff members spoken to during the inspection visit said that they received good support and encouragement from the manager, who operates an open door approach to management. The manager said that service users did not benefit from group meetings but their views were sought through discussions on a one to one basis. Service users opinions were taken into account for all aspects of life at the home. Photographs, pictures and symbols were used to assist service users to make Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 Page 20 decisions and colour charts had been used when the colours for redecoration had been discussed. The home has policies and procedures in place that cover all aspects for the provision of care. The manager is currently reviewing the documents and they will be assessed during the next inspection. Fire records seen indicated that five staff members had not attended a fire drill that was unannounced. Following the inspection the manager confirmed with the commission that all staff had now attended unannounced fire drills. A staff member stated that weekly checks on fire safety equipment had been completed. However it was not possible to confirm this as the records were not up to date. Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X X X x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 2 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cordwainers Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 2 3 x DS0000011561.V273127.R01.S.doc Version 5.0 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 Regulation 15 (2) (b) Timescale for action Individual care plans must reflect 31/01/06 the current needs of the resident and the support required to meet those needs. This is an outstanding requirement of the inspection report dated 24/06/05 Criminal Records Bureau and 31/01/06 Protection of Vulnerable Adult checks must be applied for before staff commence work at the home. Records for checks on fire safety 31/12/05 equipment must be kept up to date. Requirement 2. 19 3. 17(3) 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 Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Cordwainers DS0000011561.V273127.R01.S.doc Version 5.0 Page 24 - 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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