Inspection on 25/01/06 for Coriander Road Care Home

This inspection was carried out on 25th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 7 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Coriander Road Care Home 19/04/07

Coriander Road Care Home 20/04/06

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 Chris Wroe Unannounced Inspection 25th January 2006 11.20 Coriander Road Care Home DS0000006391.V279178.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.V279178.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.V279178.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.V279178.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 6th June 2005 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, not the care provider. The home is made up of two separate buildings (no. 25 and no. 27). There is some separation of the 2 units, although there is access from one unit to another. Everyone living in the home has their own bedroom. There are two dining/ kitchen areas and two lounges. The back garden area is divided into two, one for each house. Coriander Road Care Home DS0000006391.V279178.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced – staff did not know the inspector was coming. The inspection was on 25th January 2006, and lasted for two hours. The inspector met one person who lived in the home. The main way the inspection was done was using ‘case tracking’. This means looking at the care and support that people who live in the home get. This is done by checking records, talking to care staff, looking round the home and watching how staff support people who live in the home. There were no comments cards received from people who live in the home or relatives. The Commission for Social Care Inspection did not receive a pre-inspection questionnaire from the home. At the last inspection, most of the ‘key standards’ were checked. At this inspection, the inspector checked the remaining key standards and followed up things the providers were asked to do at the last inspection. The new manager, Lee Burrows, and members of staff helped with the inspection. Because only four service users live in the home, some information in the report is less detailed, to maintain confidentiality. What the service does well: What has improved since the last inspection? Coriander Road Care Home DS0000006391.V279178.R01.S.doc Version 5.1 Page 6 A new permanent manager has started working in the home. Written records about service users are now kept in a locked place. Some repairs have been carried out to make the home safer. What they could do better: Staff need to be more careful about how medicines are given to service users. The inspector had to ask for this to be put right immediately. There needs to be more done to keep service users safe from harm. The inspector had to ask for this to be put right immediately. There must be assessments and reviews to show that the home is the right place for service users and can meet their needs. Care plans need to have better information about the needs and choices of service users, and be kept up to date. Service users need to be supported to be as independent as possible, with risk assessments to make sure they are safe. When service users make complaints, these must be looked into properly. There must be the right mix of staff in the home to make sure that service users can be supported to go out. It would be good if staff could have formal training in safe handling of medicines. It would be good if service users could have some information for them about complaints and about being safe from abuse, in a way they can understand. It would also be good if the written complaints procedure gave information about the Commission for Social Care Inspection, so service users or relatives know they can contact them if they want to. It would be good if staff made sure that service users could have support from social workers if they want it. Coriander Road Care Home DS0000006391.V279178.R01.S.doc Version 5.1 Page 7 It would be good if the manager is registered with the Commission for Social Care Inspection to run the home. It would be good if the providers found ways to get the views of service users, their relatives and other people, about how the home is run. This inspection was disappointing, because the providers have not done things that they had been asked to do. The home has to have a registered manager, but they have not had one for one year. People who live in the home do not have their rights and needs met. A new manager has now started work in the home. The Commission for Social Care Inspection will give the providers some time to make things better, now that there is a manager. But if things do not get better for service users, the Commission for Social Care Inspection may consider taking enforcement action against the providers – this means they will start a legal process to make sure the providers do what they should be doing. 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.V279178.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Coriander Road Care Home DS0000006391.V279178.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Service users are not safeguarded by the assessment process. EVIDENCE: There were no written notes about assessments or review meetings, to show that the home could meet service users’ needs. All the service users have lived in the home for a long time. Members of staff understand what each person needs, but there is no plan in place to deal with any problems or change in needs. Coriander Road Care Home DS0000006391.V279178.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,9 There has been lack of proper attention to individual needs and choices, which means that service users’ needs and wishes might not be met. EVIDENCE: Staff have put together person centred plans for service users, which talk about the things they like and dislike and things they want to do. But care plans are not up to date. They do not talk about the things that are important for service users now. Risk assessments are in place, which talk about how service users can be independent but be kept safe. But they were not up to date. This means that service users are not able to do some of the things they want to do. Staff said that because there have been problems with getting enough members of staff to support service users, there has not been time to keep proper records. This has been a problem for a long time, and it must be put right. Coriander Road Care Home DS0000006391.V279178.R01.S.doc Version 5.1 Page 11 Coriander Road Care Home DS0000006391.V279178.R01.S.doc Version 5.1 Page 12 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): 14 Service users’ lifestyle needs and wishes are not fully met. EVIDENCE: Staff offer choices to service users. Staff try to help service users to do things they want to do. Two service users need extra one to one support for daily living and activities. There have been problems in getting this, and care staff in the home have had to try to provide this support. Service users have not been able to take part in activities they wanted to do, because there were not enough staff to be able to support them. A lot of complaints have been made about this. Coriander Road Care Home DS0000006391.V279178.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 Healthcare support does not keep service users in the home safe. EVIDENCE: Some of the same mistakes that were seen at the last inspection in giving out medicines were being made at this inspection: There were some gaps in the records, where staff should have signed that medicine had been given. The problem had not been talked about with the member of staff who had made the mistake, because the senior carer had not had a shift with them – so there was a risk of more mistakes. A pot of medicine was found to be stored on top of the medicine cupboard – it should be stored locked inside the cupboard. New members of staff have had only basic training about giving out medicines. An ‘Immediate requirement’ was made during the inspection, to say that something had to be done straight away to put right the problems with medication. Staff must be more careful when they give out medication, and when they write records. Medication must be stored properly in a locked cupboard. It would be good if staff got proper training about medication. Coriander Road Care Home DS0000006391.V279178.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Service users are partly listened to and protected from harm. EVIDENCE: There are some good written procedures in the home, which tell staff what they must do if someone makes a complaint. There are also good written procedures, which tell staff how to keep service users safe from harm and abuse. The manager and staff knew about how important it is to protect service users from harm. Staff get good written training information when they come to work in the home. There are some problems, which mean the written procedures aren’t being followed: There were many complaints written down, but there was nothing to show that they had been looked into or what action had been taken. There were some difficulties in the home (cannot be described due to confidentiality), which were not being looked into properly. Because of this, service users are not being protected. Serious things which affect service users, such as accidents or assaults, have to be reported to the Commission for Social Care Inspection and other organisations – this is not being done. There needs to be more done to keep service users safe from harm. The inspector had to ask for this to be put right immediately. It would be good if service users could have some information for them about complaints and about being safe from abuse, in a way they can understand. It would also be good if the written complaints procedure gave information about Coriander Road Care Home DS0000006391.V279178.R01.S.doc Version 5.1 Page 15 the Commission for Social Care Inspection, so service users or relatives know they can contact them if they want to. It would be good if staff made sure that people living in the home could have support from social workers if they wanted it. This would help to make sure service users are kept safe from harm. Coriander Road Care Home DS0000006391.V279178.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): All key standards were checked at the last inspection, and were not looked at in detail at this time. EVIDENCE: Some things, which the owner had been asked to do at the last inspection, to make the home safer, had been done. The manager said that he plans to redecorate in the home to make it look nicer, which would be good. Coriander Road Care Home DS0000006391.V279178.R01.S.doc Version 5.1 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): 33 Service users’ wellbeing and safety is not met by staffing levels and experience. EVIDENCE: The staff rota, which tells about who is working, showed that there are always two members of staff on shift in the day, and more staff when all service users are at home. On the day of inspection, three members of staff were at the home, who had all worked in the home for three months or less. One service user was not able to go out, because the staff were not able to take them – the staff had not been trained and there was not a risk assessment, to say how to make the service user and staff safe. Coriander Road Care Home DS0000006391.V279178.R01.S.doc Version 5.1 Page 18 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 Service users’ welfare has not been fully protected by the management of the home. EVIDENCE: There has not been a registered manager running the home for a long time. A new manager has just started to work in the home. He will be put forward by the provider to be registered by the Commission for Social Care Inspection. The provider should make sure this is done quickly. Some things which the owner was asked to do after the last inspection have not been done: for example, there is not a survey to ask service users, relatives and others for their views about how the home is run. It would be good if this is done. Coriander Road Care Home DS0000006391.V279178.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 2 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 2 23 2 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 2 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 X X 2 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 2 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 2 x 2 X 2 X X X X Coriander Road Care Home DS0000006391.V279178.R01.S.doc Version 5.1 Page 20 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 YA2020 Regulation 13 Requirement The provider must ensure that a safe system of administering, storing and recording medication is put in place, in order that service users are protected from harm. (An immediate requirement was made at inspection. Requirements re medication previously made at inspection of 6h June 2005) The provider must ensure that systems are in place to record and report serious incidents affecting the welfare and safety of service users. (An immediate requirement was made at inspection). The provider must make sure that assessments and reviews are in place to ensure the home can continue to meet service users’ needs. Care plans must be kept up to date. (A requirement was previously made at inspection on 6th June 2005). Risk assessments must be put in place to enable service users to be as independent as possible DS0000006391.V279178.R01.S.doc Timescale for action 03/02/06 2 YA2323 37 03/02/06 3 YA22 14 31/03/06 4 YA66 15 28/02/06 5 YA99 13 28/02/06 Coriander Road Care Home Version 5.1 Page 21 6 7 YA2222 YA3333 22 18 and to take part in activities. (A requirement was previously made at inspection of 6th June 2005). Complaints must be investigated 28/02/06 properly, with detail of actions taken to put things right. Staffing levels (of suitably 28/02/06 experienced staff) must be maintained to enable service users to reasonably participate in activities they choose to. 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 YA22 Good Practice Recommendations It is recommended that staff have formal training in safe handling of medicines. It is recommended that service users have some information given to them about complaints and about being safe from abuse, in a way they can understand. It is also recommended that the written complaints procedure gives information about the Commission for Social Care Inspection. It is recommended that staff make sure that service users have support from social workers if they want it. It is strongly recommended that an application is made to the Commission for Social Care Inspection without delay, to register the manager of the home. It is recommended that the providers find ways to get the views of service users, their relatives and other people, about how the home is run. 3 4 5 YA23 YA37 YA39 Coriander Road Care Home DS0000006391.V279178.R01.S.doc Version 5.1 Page 22 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.V279178.R01.S.doc Version 5.1 Page 23 - 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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