Inspection on 11/08/05 for Cornerways

This inspection was carried out on 11th August 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 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

Cornerways 21/10/08

Cornerways 30/10/06

Cornerways 25/01/06

Cornerways 18/01/05

Cornerways 27/10/04

Cornerways 26/01/04

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

CARE HOME ADULTS 18-65 Cornerways 148-150 South Street North New Whittington Chesterfield S43 2AD Lead Inspector Rose Veale Unannounced Inspection 11 August 2005 at 02:00pm 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 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 Stationary 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. Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Cornerways Address 148-150 South Street North, New Whittington, Chesterfield, Derbyshire, S43 2AD Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01246 452148 Derbyshire Care & Home Support Limited Alison Jane Crowther Care Home 6 Category(ies) of Learning Disability (6) registration, with number of places Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 18/01/2005 Brief Description of the Service: Cornerways is situated in the village of New Whittington on the outskirts of Chesterfield. Local facilities are nearby, including shops, churches, pubs, a social club and public transport. Cornerways provides personal care and accommodation for up to 6 adults with a learning disability. However, to ensure all residents have single bedrooms, the home currently provides accommodation for 5 people. There is a small garden with patio area. Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over 2½ hours on one day. There were 5 residents accommodated in the home on the day of the inspection. A tour of the home was undertaken. The care records of 2 residents were examined. The support workers on duty were helpful, although some information was not available as the manager was not on duty. What the service does well: What has improved since the last inspection? What they could do better: Information about the home’s fire procedure needs to be included in the Statement of Purpose to ensure a full range of information is available to residents, their families and representatives. Consideration should be given to replacing the vehicle currently used by the home as this does not have a tail-lift to allow easy access for wheelchair users. There is a ramp available, but this is difficult for staff to use and is potentially an unsafe practice. Staff in the home need to have accredited training in the safe administration of medication in the home to fully ensure the safety and welfare of residents. The home needs to provide washbasins in residents’ bedrooms and also to provide a private area, (other than their bedrooms), for residents to use. This would improve the service and facilities available to residents. Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 Page 6 The manager of the home needs sufficient time to fulfil managerial responsibilities to ensure the effective and smooth running of the home. Staffing levels at the home need to be kept under review to ensure the changing needs of residents are being properly met. 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. Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 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 standard(s) 1 and 2 The Statement of Purpose was generally satisfactory in the level of information provided for residents and their families. The assessment information collected was detailed and comprehensive to ensure that residents’ needs could be fully met by the home. EVIDENCE: The Statement of Purpose for the home was seen to check whether requirements from the last inspection had been met to include additional information. Two requirements had been met. One requirement to provide details of the home’s fire procedure had not been met and has been carried forward in this report. Assessment information was included in both care records seen. Assessments were detailed and care plans had been produced. The home had not admitted any new residents since 2003. Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 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 standard(s) 6, 7 and 9 Care plans and risk assessments were clear and detailed, ensuring that staff were aware of the action required to meet the needs and preferences of residents. EVIDENCE: The care plans of 2 residents were examined. The plans were detailed and comprehensive, clearly informing staff about the actions required to meet the needs of residents. Useful information was included about the personal and family history of residents. The plans seen had been reviewed at least every six months by the home. In one file seen the latest review had not been dated or signed. The files also included the six monthly care manager reviews. Residents had been involved in the reviews as appropriate. Residents were encouraged to make their own decisions about aspects of their care and daily lives. This was observed in the interaction between staff and residents and also in the records seen. Care records included the preferences of residents with regard to daily routines. The care records seen included risk assessments appropriate to individual residents, such as assessment of the risks involved in going on holiday, trips Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 Page 10 out, and smoking in the home. Risk assessments had been regularly reviewed and updated. Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 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 standard(s) 13, 14, 15 and 16 Residents were enabled to maintain appropriate and fulfilling lifestyles inside and outside the home. EVIDENCE: Residents were encouraged and supported to use local community facilities, such as local shops, hairdresser, pubs and the church. On the day of the inspection, two residents had been into Chesterfield town centre in the morning, and one resident was visiting the local hairdresser. Residents files contained an individual programme of activities, detailing what was available to each resident during the week. Four of the residents attended day centres on three or four days per week. One resident had chosen not to attend any day centres. The daily records detailed activities undertaken by residents, such as trips out, supermarket shopping, pub lunches and local walks. The records showed that residents were taking part in domestic and leisure activities nearly every day. Staff felt that there were times when activities were limited by a shortage of staff. Residents had recently been away on holiday to Skegness. The home had it’s own vehicle to use. The vehicle had ramps for wheelchair access, rather than a tail-lift. This caused Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 Page 12 difficulty for staff as they had to manually push and manoeuvre a wheelchair user onto the vehicle. This was felt to be a potentially unsafe practice for residents and staff. Residents’ files contained details of their family links and records of how contact had been maintained. Residents were encouraged and supported to visit their families. Families and friends were encouraged to visit the home and were involved in the care of residents. Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 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 standard(s) 18, 19 and 20 There was an emphasis in the home on the choices and preferences of residents, demonstrated through the attitudes and awareness of staff. Residents’ physical and emotional health needs were well met with good liaison with healthcare services. The procedure for the handling of medication in the home was generally satisfactory to ensure residents’ safety and welfare. EVIDENCE: Residents’ preferences, likes and dislikes were recorded in their files and care plans seen reflected this information. Routines in the home were flexible. Staff and a resident spoken with said that bedtimes were flexible around the needs of residents and any activities happening. Residents records contained details of the regular input of healthcare professionals, such as GP, learning disabilities consultant, chiropodist, dentist, optician and physiotherapist. All medication in the home was stored in a locked trolley in the dining area. None of the residents were able to self-medicate. The home had a copy of the Royal Pharmaceutical Society, (RPS), guidelines for the administration of drugs Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 Page 14 in care homes. The medication administration records, (MARs), had printed on the reverse of each one the procedure for the administration of drugs. The MARs were all handwritten but had not been signed by the person writing them, or countersigned by another member of staff who had checked them, as advised in the RPS guidelines. The ordering and receipt of drugs was clearly recorded. Staff in the home had not received accredited training in the safe administration of medication, though staff spoken with said this had been recently applied for. Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 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 standard(s) 22 The complaints procedure was clear and was provided in a format suitable for residents to ensure effective use. EVIDENCE: The complaints procedure for the home was included in the Statement of Purpose and Service User Guide, and was also displayed in the home. The procedure was in a format suitable for residents, with pictures and signs. No formal complaints had been made to the home or received by CSCI since the last inspection. Notes of care reviews involving residents demonstrated that their views, and those of their representatives, had been listened to. Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 26, 27 and 28 The home was clean and comfortable providing a pleasant, homely environment for residents. However, the provision of washbasins in residents’ rooms and a private area for residents to use would further improve the facilities offered. EVIDENCE: On the day of the inspection, the home was clean, bright and airy. The home appeared well maintained and well decorated. The lounge and dining areas were homely and comfortably furnished. The kitchen and utility room were well equipped and domestic in scale. The home does not have a separate, quiet area for residents to use. It was a requirement following the inspection in January 2004 that a private area for residents to use, (other than their own bedrooms), must be provided. There are plans to build a conservatory, but no date when this would be started yet. The bedrooms were all individual and staff said that residents had been supported to choose their own colour schemes and furnishings. The bedrooms were personalised with photographs and residents’ possessions. None of the bedrooms had a washbasin. A requirement was made following the inspection Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 Page 17 in January 2004 that residents must have access to a washbasin in their rooms. There was a bathroom and a shower room in the home, both with toilets. The bath was adapted for use by the residents. The shower room had been repainted as required following the inspection in October 2004. Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 Although staffing levels in the home were satisfactory, the providers needed to ensure the manager had sufficient supernumerary time to fulfil managerial responsibilities, and staffing levels needed to be kept under review to ensure the changing needs of residents were being fully met. EVIDENCE: The home was staffed by support workers and a manager. There were usually two staff on duty during the day and one waking night staff. Due to staff shortages, it was reported that there were times when there was only one support worker on duty during the day when three of the residents were out at day centres. Although it was felt that this was safe, it was felt that this limited the activities which could be carried out with the two residents remaining at home. It was reported that the manager was usually included in the two staff on duty and did not have supernumerary time for working on managerial responsibilities. It was felt that the needs of residents at the home were changing, that they were becoming more dependent with age, and that staffing had not been reviewed accordingly. Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: No standards in this section were assessed at this inspection because the manager was not on duty and the support workers did not have access to all the information required. Although the next inspection will also be unannounced, efforts will be made to ensure the availability of the manager. Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 2 3 2 x x Standard No 11 12 13 14 15 16 17 x x 3 3 3 3 x Standard No 31 32 33 34 35 36 Score x x 2 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cornerways Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 Page 21 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 1 Regulation 4(1) Schedule 1 13(2) 23(2) (j) Requirement Details of the fire procedure must be included in Statement of Purpose. Original timescale 31/03/05 Staff must receive accredited training in the administration of medication The manager must ensure that service users have access to washbasins in their rooms. Original timescale 31/03/05 The registered person must ensure that there is private accommodation separate from the service users own rooms. Original timescale 31/12/04 Staffing levels must be kept under review to ensure that the needs of residents are fully met Timescale for action 30/09/05 2. 3. 20 26 31/12/05 31/03/06 4. 28 23 31/03/06 5. 33 18(1)(a) 30/09/05 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. Refer to Standard 14 Good Practice Recommendations The providers should give consideration to the provision of a vehicle with a tail-lift to allow easy wheelchair access C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 Page 22 Cornerways 2. 33 The providers should review the staff hours to wllow the manager more supernumerary time to fulfil managerial responsibilities. Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection South Point Cardinal Square Nottingham Road Derby, DE1 3QT 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 Cornerways C52 C02 S19966 Cornerways V243475 110805 Stage 4.doc Version 1.40 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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