Inspection on 25/01/06 for Cornerways

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 Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cornerways 21/10/08

Cornerways 30/10/06

Cornerways 11/08/05

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 Derbyshire S43 2AD Lead Inspector Rose Veale Unannounced Inspection 25 January 2006 3:00pm th Cornerways DS0000019966.V276809.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 Cornerways DS0000019966.V276809.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. Cornerways DS0000019966.V276809.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cornerways Address 148-150 South Street North New Whittington Chesterfield Derbyshire S43 2AD (01246) 452148 01246 52148 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) Derbyshire Care & Home Support Limited Alison Jane Keeton Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Cornerways DS0000019966.V276809.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th August 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 DS0000019966.V276809.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced. There were five residents accommodated in the home on the day of the inspection. Residents and staff were spoken with during the inspection. Care records, staff training records and records relating to health and safety were examined. The manager was available and very helpful throughout the inspection. What the service does well: What has improved since the last inspection? What they could do better: Cornerways does not provide a private area for residents to use, other than their own bedrooms. A conservatory was being considered, but no further plans have been made. This would benefit residents and staff at the home by providing an area with privacy to use for meetings, consultations, or visits by relatives. The weekly allowance for shopping at the home had not been reviewed for several years. The providers should reconsider the allowance with a view to increasing it in line with the current cost of living. Although there was a quality assurance system in use in the home, this required further development. A report should be produced from the findings of the quality audits so that residents / their representatives are aware of the findings and of action to be taken to improve the service offered. The providers should consider allowing the manager sufficient, supernumerary time to fulfil managerial responsibilities to ensure the smooth running of the home. Cornerways DS0000019966.V276809.R01.S.doc Version 5.1 Page 6 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 DS0000019966.V276809.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 Cornerways DS0000019966.V276809.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): EVIDENCE: These standards were not assessed at this inspection. A requirement was made at the last inspection to include the fire procedure in the Statement of Purpose. This requirement had been met. Cornerways DS0000019966.V276809.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): EVIDENCE: These standards were not assessed at this inspection. The key standards were assessed and met at the previous inspection. Care records were checked to ensure the standards had been maintained from the last inspection. The care records seen were clear, detailed, regularly reviewed and up to date. Cornerways DS0000019966.V276809.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 and 17 Residents were offered a good range of appropriate activities to meet their social needs. Residents were offered varied and well balanced meals in pleasant surroundings. EVIDENCE: The care records seen included details of residents’ preferences regarding social and developmental activities. There were records of the activities carried out by residents. Each record had a weekly plan of the resident’s activities. Residents spoken with enjoyed time spent at day centres and were able to indicate that they had enjoyed other activities, such as going to the pantomime, going to the local church, and watching television. There was evidence from residents’ meetings notes that activities were discussed and planned. The manager and staff spoken with were enthusiastic about activities for residents, giving examples of activities which had been successful, such as using a local library and going ten-pin bowling, and ideas for future activities. Cornerways DS0000019966.V276809.R01.S.doc Version 5.1 Page 11 The menus at the home were seen and appeared varied and well balanced. There were good stocks of food in the home, including fresh fruit and vegetables. Menus were devised in consultation with the residents. Residents enjoyed take-away fish and chips once a week, and meals out. Residents and staff ate together in pleasant surroundings. It was noted that the weekly allowance provided for shopping had not been increased for several years. This allowance was intended to cover all food provided in addition to cleaning products. It was felt that the allowance was only adequate with careful management. The providers should reconsider the allowance with a view to increasing it in line with the current cost of living. At the last inspection it was noted that the home’s vehicle did not have a taillift to assist residents on and off, particularly those needing a wheelchair when going out. The providers had made an assessment of the current vehicle since the last inspection, but no plans had been made as yet for a new vehicle. Cornerways DS0000019966.V276809.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: These standards were not assessed at this inspection. A requirement made at the last inspection that staff must have appropriate training in the safe handling and administration of medication had been met. Cornerways DS0000019966.V276809.R01.S.doc Version 5.1 Page 13 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): 23 Residents were protected by the policies and procedures in the home and the attitudes and awareness of staff. EVIDENCE: The home’s policy and procedures for the protection of vulnerable adults followed the Derbyshire County Council multi-agency guidelines. Staff training records showed that most of the staff had received training in adult protection issues. The manager and staff spoken with were aware of the correct procedures to follow. Cornerways DS0000019966.V276809.R01.S.doc Version 5.1 Page 14 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): 30 Appropriate staff training and systems in the home ensured that a clean and hygienic environment was provided for residents. EVIDENCE: The home appeared clean on the day of the inspection. Most of the staff had received training in infection control. Staff used disposable gloves and aprons when assisting residents with personal care. The laundry facilities were satisfactory. Two requirements from the last inspection were followed up. One was to provide all residents with washbasins in their rooms. Evidence was seen that all residents had been consulted on this and all except one had chosen not to have a washbasin in their room. A request had been made to the provider for the resident who did want a washbasin and evidence was seen that this work was planned. The other requirement was for an additional area to be provided in the home so that residents could have somewhere with privacy, other than their bedrooms. Staff would also benefit as there was no area in the home for supervision sessions or meetings with care managers. It had been suggested that a conservatory could be added to the home to provide this, but there were no plans to provide this. This requirement has been carried forward in this report. Cornerways DS0000019966.V276809.R01.S.doc Version 5.1 Page 15 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): 35 Residents’ needs were well met by appropriately trained staff. EVIDENCE: Staff training records were seen and showed that staff had received appropriate training to meet the needs of residents. Training included fire safety, infection control, protection of vulnerable adults, basic food hygiene, first aid, manual handling. Some staff had also had training about epilepsy and sight and hearing loss. Staff had discussed training needs at recent staff appraisals. The manager was working towards the Registered Manager’s Award and was planning to do NVQ Level 4 in care. At the last inspection it was noted that there had been staff shortages in the home resulting in lower staffing levels at times. A new support worker had been recently recruited to help resolve this problem. Also at the last inspection, it was noted that the manager did not have supernumerary time allowed to work on managerial responsibilities. This had not been addressed, despite requests to the providers from the manager. The providers should urgently review the situation to enable the manager to have sufficient time to fulfil managerial responsibilities, including working on a management qualification. Cornerways DS0000019966.V276809.R01.S.doc Version 5.1 Page 16 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): 39 and 42 The home’s quality assurance system needed developing further to ensure residents / their representatives were aware of the results of quality audits. The policies and systems in the home ensured that residents’ safety and welfare was promoted and protected. EVIDENCE: The quality assurance system in the home included feedback from residents meetings, care reviews, and formal questionnaires given to residents and their relatives / representatives. Questionnaires had been completed towards the end of 2005 and generally gave positive responses. The questionnaires and other sources of feedback had not been analysed and commented on. A report should be made on the findings of the questionnaires with details of any action to be taken to improve the service offered to residents. Health and safety records were examined, such as the fire log book, accident reports, and maintenance records. All the records seen were well organised Cornerways DS0000019966.V276809.R01.S.doc Version 5.1 Page 17 and up to date. Staff spoken with were aware of health and safety procedures in the home and safe practices to follow. Cornerways DS0000019966.V276809.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 5 X X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X 2 X X 3 X Cornerways DS0000019966.V276809.R01.S.doc Version 5.1 Page 19 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 YA28 Regulation 23 Requirement The registered person must ensure that there is private accommodation separate from the service users own rooms. Original timescale 31/12/04 The quality assurance system must be developed further to include a report made available to residents / their representatives. Timescale for action 31/07/06 2. YA39 24 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA17 YA33 Good Practice Recommendations The providers should reconsider the housekeeping allowance with a view to increasing it in line with the current cost of living. The providers should review the staff hours to allow the manager more supernumerary time to fulfil managerial responsibilities. Cornerways DS0000019966.V276809.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Derbyshire Area Office 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 DS0000019966.V276809.R01.S.doc Version 5.1 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!