Inspection on 20/04/06 for Coriander Road Care Home

This inspection was carried out on 20th April 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 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

Coriander Road Care Home 19/04/07

Coriander Road Care Home 25/01/06

Coriander Road Care Home 06/06/05

Coriander Road Care Home 05/01/05

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 Coriander Road Care Home 25 Coriander Road Bede Island Leicester Leicestershire LE2 7ER Lead Inspector Mr Steve Hunnybun Unannounced Inspection 20th April 2006 10:00 Coriander Road Care Home DS0000006391.V290409.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 Coriander Road Care Home DS0000006391.V290409.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. Coriander Road Care Home DS0000006391.V290409.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Coriander Road Care Home Address 25 Coriander Road Bede Island Leicester Leicestershire LE2 7ER 0116 2991782 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) www.macintyrecharity.org MacIntyre Care Mr Robert Snape Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Coriander Road Care Home DS0000006391.V290409.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 25th January 2006 Brief Description of the Service: Coriander Road Residential Home cares for up to four people who have learning disabilities. The property is owned by a housing association and consists of two separate buildings. Access is possible from one unit to another via two doors, one upstairs and one downstairs. All bedrooms are single. There are two dining/ kitchen areas and two lounges. Each house has its own garden divided by a fence with a gate in it. The home is fully accessible to residents and is convenient for local transport networks. New referrals are made centrally and information such as statement of purpose and inspection reports is made available on request. Fees at the home range from £803 to £1087 per week, this information was given on the 2nd May 2006. No additional charges are made. Coriander Road Care Home DS0000006391.V290409.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first key inspection for this service and took place over three hours. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for Residents, and upon their views of the service provided. This is an overview of what the inspector found during the inspection. The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care they receive through review of their records, discussions with them were possible, and with the care staff, and observations of care practices. The inspector looked at their rooms and spent time with one of them, observing care practices and speaking with the resident. A plan was made prior to the visit in which available information from the previous inspection report and service history was summarised. What the service does well: What has improved since the last inspection? The manager described a programme of reviews in which residents’ needs are to be assessed. The inspector saw a very comprehensive care plan. A member of staff stated that the process to ensure that all residents have a care plan is nearly complete. Complaints are recorded appropriately, including outcomes. Recruitment has ensured that the home is fully staffed with experienced people who are able to meet residents’ needs. The home has a comprehensive medication procedure and staff are all trained in the handling of medicines. The manager has recently been appointed and the inspector was aware of the positive contribution he has made to the improvements listed above. This was also evident when speaking with staff and observing residents. Coriander Road Care Home DS0000006391.V290409.R01.S.doc Version 5.1 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. Coriander Road Care Home DS0000006391.V290409.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 Coriander Road Care Home DS0000006391.V290409.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are being assessed and their cases are being reviewed. EVIDENCE: The home’s manager stated that he is in the process of attending reviews for all service users. As part of this process their needs will be assessed. Although no documents were available for inspection the manager clearly demonstrated his commitment to ensuring that residents’ individual needs are met. He is starting the process by addressing residents’ day care needs. Coriander Road Care Home DS0000006391.V290409.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have comprehensive care plans that focus on the individual and useful risk assessments. These enable their needs to be met and for them to take risks and make choices. EVIDENCE: A care plan was examined that was thorough and robust, focussing on the individual needs of the resident. Residents make decisions in a number of areas including personalisation of their rooms, meals and activities. This is reflected in their care plans. The home uses a robust and comprehensive risk assessment tool that includes a quality monitoring element. This enables the manager to ensure that they are being used correctly and to monitor their effectiveness. Coriander Road Care Home DS0000006391.V290409.R01.S.doc Version 5.1 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ rights, activities within the local community, contact with families and the food all contribute to a positive lifestyle. EVIDENCE: Residents daily logs indicated a range of activities including trips to the pub and to local churches. One resident left the home to complete a paper round with the support of a member of staff. Care plans indicated that residents are encouraged and enabled to maintain contact with families and friends. One resident is supported to keep in touch with relatives who live many miles away. Residents rights and responsibilities are reflected in their care plans. The inspector observed staff addressing residents using their preferred form of address. Residents are enabled to open their own mail and are able to spend time alone if they wish. Meal records indicated a nutritious, varied diet. Coriander Road Care Home DS0000006391.V290409.R01.S.doc Version 5.1 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): 18,19,20 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents receive appropriate personal and healthcare support however the incorrect dates on the medication sheets could have put residents at risk. EVIDENCE: Care plans tracked indicated that residents’ personal and healthcare needs are met. Residents are all registered with a general practitioner and all appointments are recorded. Significant improvements had been made regarding medication since the last inspection. All staff have received training and medication was appropriately stored. All residents have a very useful medication folder. These contain information regarding the administration of ‘as required’ medication, side effects, a photograph of the resident and other key information. Records were examined and all signatures were present however the date at the top of the medication record sheets was a week out. This appeared to be a pharmacy error but it was clear that the sheets had not been checked on arrival at the home and no one had noticed the error subsequently. Coriander Road Care Home DS0000006391.V290409.R01.S.doc Version 5.1 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): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and their concerns and complaints are listened to and acted upon. EVIDENCE: The home has a robust and comprehensive complaints procedure that includes a useful pictorial summary to enable residents to understand the process. All information regarding complaints is kept in a folder including a complaint record form that contains all the necessary information. None have been completed since the last inspection. This appears to be due to improved staffing levels as many earlier complaints were about lack of activities because of staffing levels. The member of staff present during the inspection stated that staff receive comprehensive adult protection training and information. Protection procedures are also robust. Coriander Road Care Home DS0000006391.V290409.R01.S.doc Version 5.1 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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, safe environment that is clean and hygienic. EVIDENCE: The inspector received a guided tour of both houses. The property is homely and personalised. All bedrooms contained pictures and possessions and the residents had chosen the décor. The home is generally in a good state of repair, the member of staff stated that there is a programme of works in operation. The home was clean and hygienic on the home day of the inspection. Coriander Road Care Home DS0000006391.V290409.R01.S.doc Version 5.1 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): 32,34 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met and they are protected by the recruitment and retention of a well-trained, experienced staff team. EVIDENCE: Staff present stated that the home is currently fully staffed with experienced people. This was reflected in the rota, which was examined by the inspector. It was also clear from looking at residents’ logs that there is sufficient staff to offer a range of leisure activities. There is a robust recruitment procedure that is desidned to protect residents from abuse. Coriander Road Care Home DS0000006391.V290409.R01.S.doc Version 5.1 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed although the manager needs to be registered. EVIDENCE: The manager is not yet registered however feedback from staff indicated that the home is well run. The operation of the home is monitored by regular visits from a senior member of staff from the provider. Questionnaires are sent to residents and stakeholders to seek their views regarding the home. The home has a comprehensive health and safety policy and a robust set of generic risk assessments. The member of staff present during the inspection is the health and safety rep for the home and demonstrated sound knowledge. Coriander Road Care Home DS0000006391.V290409.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 3 3 X 4 X 5 X 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 3 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 2 X 3 X X 3 X Coriander Road Care Home DS0000006391.V290409.R01.S.doc Version 5.1 Page 17 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2. Refer to Standard YA20 YA37 Good Practice Recommendations Medication and records are checked upon receipt and refused if there is any mistake or inconsistency. An application is made to the Commission for Social Care Inspection to register the manager. Coriander Road Care Home DS0000006391.V290409.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Coriander Road Care Home DS0000006391.V290409.R01.S.doc Version 5.1 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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