Inspection on 30/10/06 for Cornerways

This inspection was carried out on 30th October 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Cornerways 21/10/08

Cornerways 25/01/06

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 Marie Bonynge Unannounced Inspection 30th October 2006 13:00 Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 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.V313340.R01.S.doc Version 5.2 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.V313340.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cornerways Address 148-150 South Street North New Whittington Chesterfield Derbyshire S43 2AD 01246 452148 01246 452148 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.V313340.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th January 2006 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. The fees for this home range from 334.60 depending on individual need. Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over one day in October and lasted for approximately four and a half hours. One resident was at home for the whole of this visit and four residents were at home for part of the visit. Inspection methods used included discussions with residents, observations of care and how residents and staff interacted with each other. Discussions took place with 4 members of the staff group and examination of records such as care plans, daily records, medication systems, staff rotas and staff training records took place. What the service does well: What has improved since the last inspection? What they could do better: It is expected that staff attend updates in moving and handling training and that these records are kept up to date. Consultation is expected to take place with residents / representatives regarding the provision of private accommodation separate from the residents’ own rooms. Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 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.V313340.R01.S.doc Version 5.2 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.V313340.R01.S.doc Version 5.2 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 the service. Prospective residents to the home can be assured that admissions are not made until a full needs assessment has been made.. EVIDENCE: Two new residents have come to live in Cornerways since the last inspection. A needs assessment is completed for each new resident and this information is held in the file. Where shortfalls are identified, the manager undertakes to seek out the required information and visits the prospective resident prior to their admission, where possible. Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 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 the service. Residents are involved in planning their care thus contributing to their quality of life and lifestyle. EVIDENCE: Three residents indicated that they are aware of their care plans. Reviews demonstrate that residents are involved with the development and implementation of their care plans. A key worker system is in place that staff say helps to ensure that each residents needs are met individually in accordance with their plan. The care plans take into account any changes that may have occurred in terms of the residents needs. Staff support residents in making decisions where this is appropriate by giving information and a range of choices, for example in choosing holidays or decorating their bedrooms. Risk assessments take into account the abilities of the resident and are made within the context of the care plan. These include transport, personal safety Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 Page 10 and enviromental hazards. This promotes the resident being able to participate in their preferred activity or choice. Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are supported to enjoy activities and recreational pursuits that meet with individual preferences and lifestyles, thus promoting quality of life. Meals are provided in an informal and relaxed setting. They are enjoyed by residents and the health and well being of residents is promoted. EVIDENCE: Residents are supported to attend day services where employment and educational skills can be explored. Age appropriate activities are actively encouraged such as residents going to music concerts, football matches and the cinema. Individual support is provided for one resident to enable them to continue with the interests that they had prior to moving into the home. This person commented ‘I like going to football matches and going for long walks. I can do this here’. Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 Page 12 The staff group is comitted to engaging residents with the local community and integration into community life. This is said to be one of the best things about the home. The needs of each person are taken into account when group activities are organised and routines are deliberately flexible so that residents can make choices in key areas. Two residents told the Inspector how much they enjoyed listening to music, they had collections of CDs and were supported to listen to the music of their choice. Staff had taken one resident who enjoyed bird watching to buy a book to identify the different types of birds in the garden and were actively supporting this hobby. Family links and relationships are clearly supported, for example one resident said that their mother often pops into the home and is welcomed to do so. Daily records indicate that transport is provided for one resident to visit their family, particularly where family members are elderly and unable to visit the home. Residents also assist in shopping, menu planning and preparing meals where appropriate. The tea time meal on this visit was relaxed and informal, drinks and snacks were offered to residents on their return home from day time activities. Residents said that they enjoyed the meals and there was always plenty to eat and drink. Comments include ‘I like the food here’ and ‘I can eat the things I like’. Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Sensitive and flexible personal support is provided that serves to maximise residents privacy and dignity. Healthcare needs are identified and met to promote residents well being. EVIDENCE: Care plans demonstrate that personal and healthcare support is provided that meets with the assessment and is flexible to allow for changes in need. Care staff know the needs of residents well and supportive relationships with residents are demonstrated. Residents access healthcare facilities and a record is kept of dental appointments, eye sight tests and other checks. Support is given to residents to attend hospital appointments with clearly recorded outcomes, where a change in need is identified appropriate follow up action is taken. Systems are in place for the administration of medication with residents being largely reliant upon staff to assist with the administration of medication. Staff had completed a certified training programme regarding the safe handling and administration of medicines. This served to assist in safeguarding residents. Advice and information is sought from a local pharmacist regarding medicines Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 Page 14 policies within the home. The medicines reference book used was not up to date and it is recommended that more up to date information is sought. Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Staff training, policies and procedures are in place that assist in the promotion and protection of residents’ rights. EVIDENCE: No complaints have been received by the home or by the CSCI regarding this home since the last inspection. A complaints procedure is in place that is in pictorial form and is appropriate for the residents accommodated. Policies and procedures in the home regarding safeguarding adults assist in the protection of residents. Staff have attended training regarding abuse awareness and the procedures to follow if they were concerned about the welfare of a resident. Updates in training regarding safeguarding adults are not always carried out and it is recommended that all staff do attend regular updates regarding these procedures. Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 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): 24, 28, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. A homely, comfortable and personalised environment is provided that suits the needs and lifestyle of those residents accommodated. EVIDENCE: Cornerways is generally well decorated and furnished in a homely way that residents say they like and is suitable for their needs. Two residents who showed the Inspector their bedrooms indicated that they had chosen the decoration and furnishings and had arranged the room in the way they preferred. Ornaments and photographs that they had chosen were placed around their rooms and reflected the particular interests of the person. There are plans to provide new flooring throughout the downstairs area to include new carpet for the lounge. It is reccommended that this is included in the homes development plan with timescales for achievement. The home is clean and hygienic throughout. A requirement made in previous inspection reports for private accommodation separate from the residents own rooms to be provided has not been met. It is recommended that this be included in the homes development plan and that Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 Page 17 residents and visitors to the home are consulted regarding the provision of private space. Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 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 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, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are supported by appropriately trained staff, where gaps are highlighted this is addressed in order to meet the needs of residents. EVIDENCE: Staff say that the home is well staffed and the rotas examined support this. A comprehensive training programme is well established and staff attend training on a regular basis to include fire training, moving and handling, the safe handling of medicines and safeguarding adults. Other courses are available to meet the specific needs of individuals such as communications and epilepsy. However the training records are not always up to date and do not reflect all of the courses that staff have attended, there are also some gaps where staff have not attended updates such as moving and handling. This has been recognised by the home and staff are booked in to attend these courses in the near future. A requirement has been made in respect of this. There are established recruitment and employment processes and policies in place. Pre inspection information indicates that pre employment checks are made prior to staff being employed and working in the home. Staff say that they work well together in the best interests of the residents. Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The health, safety and welfare of residents and staff is promoted. EVIDENCE: Although the registered manager was not present on this visit, staff were clear about their roles and responsibilities and a designated person was leading the shift. A quality assurance system is in place that includes a recorded monthly monitoring visit from the service manager. Formal consultation takes place with residents and other interested parties via way of resident questionnaires in formats that are appropriate to the needs of individuals. Meetings also take place in the home both formally and informally. The small nature of the home enables daily consultation to take place in an informal manner, often around the dining table at meal times. Some work has taken place on the quality assurance system to ensure that the results of any surveys are availableto residents / their representatives. Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 Page 20 Pre inspection information indicated that maintenance records were kept and reviewed. (Comments have been made regarding mandatory training under Staffing). Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 3 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 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 3 X 3 X 3 X X 3 X Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 Page 22 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. 1. Standard YA32 Regulation 18 1 a Requirement Staff must attend training in all mandatory areas to include specifically moving and handling. Timescale for action 01/01/07 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. 3. 4. Refer to Standard YA20 YA23 YA24 YA28 Good Practice Recommendations Up to date medicines information for reference should be obtained. Staff should attend regular updates in training regarding safeguarding adults. Plans for new flooring in the dining / living room should be included in the homes development plan including timescales for achievement. Residents and visitors to the home should be consulted regarding the provision of private space and the results to be included as part of the homes quality assurance cycle. Cornerways DS0000019966.V313340.R01.S.doc Version 5.2 Page 23 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.V313340.R01.S.doc Version 5.2 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. 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