Inspection on 09/02/06 for Cornerways

This inspection was carried out on 9th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Cornerways 27/11/08

Cornerways 13/12/06

Cornerways 28/07/05

Cornerways 05/01/05

Cornerways 09/07/04

Cornerways 03/03/04

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 Cornerways 2 Dudley Avenue Hordle Lymington Hampshire SO41 0HY Lead Inspector Mr Rodney Martin Unannounced Inspection 9th February 2006 10:00 Cornerways DS0000012279.V282884.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 DS0000012279.V282884.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 DS0000012279.V282884.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Cornerways Address 2 Dudley Avenue Hordle Lymington Hampshire SO41 0HY 01425 613 297 01425 614 595 info@glyn-residential.co.uk 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) Glyn Residential Limited Mrs Shirley White Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places Cornerways DS0000012279.V282884.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th July 2005 Brief Description of the Service: Cornerways, 2 Dudley Road is a care home offering accommodation and personal care to three younger adults with learning or physical disabilities. The service is overseen by Glyn Residential at 6 Dudley Avenue and is owned by Mr and Mrs Hayward. There is a high level of interchange between the homes, with regard to staffing, activities, et cetera. The home is located in a village in the New Forest and there are local shops and a pub within easy reach of the service. All three bedrooms are single rooms. One bedroom is provided with an en suite toilet. The other two bedrooms have external access by means of a French door or patio door. Communal space includes a kitchen/diner but not a lounge/sitting room. The home has a pagoda with decking, which includes a summerhouse, patio tables, chairs and umbrellas. It is established practice that service users go to Glyn Residential at 6 Dudley Avenue, every day, where they can interact with service users there and use facilities such as the computers. Service users have access to a mini-bus and this is wheelchair accessible. Cornerways DS0000012279.V282884.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. 2 Dudley Avenue has a house name, ‘Cornerways’, and so for the purposes of this report the home will be referred to as Cornerways. There were no action points in the previous inspection report, dated 28 July 2005, and again none were made following this inspection visit. The unannounced inspection took place between 10am and 2pm. As noted in the description of services, the three service users go to Glyn at number 6 Dudley Avenue after breakfast each day, returning after tea. The manager was available on the day of the visit. One service user went swimming during the morning. She stated that she enjoys the three weekly trip to Poole and relaxing in the water. The two service users had lunch at Glyn and whilst there the inspector met Sue Bull, manager of Glyn and Mandy Henry, manager of Little Orchard. On the day of the visit the home was accommodating three female service users, whose ages ranged from 33 to 52 years old. One service user has been in the home nearly fourteen years and there have been no new admissions since May 1998. There was a relaxed atmosphere in the home and a good rapport was observed between staff and service users. All forty-three standards were inspected on the previous inspection and so on this occasion, the inspector took time to talk to service users and staff. What the service does well: The home enables residents to participate in appropriate activities, which are tailored for each service user. Meals are varied, plentiful and well managed to meet residents’ needs and preferences. There is continuity of care with staff having worked in the home a long time. Residents support needs are met within Cornerways. Cornerways is a well run home, where the management of Glyn Residential are continually seeking ways of improving the services and facilities provided for service users. Cornerways DS0000012279.V282884.R01.S.doc Version 5.1 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Cornerways DS0000012279.V282884.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 DS0000012279.V282884.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): 1 and 2 The assessment process ensures that individuals’ aspirations and needs are identified and that changing needs continue to be met. EVIDENCE: There have been no admissions since 20 May 1998 and consequently there has been a long settled period within Cornerways. However, prospective residents would be involved in a comprehensive introduction process, before a final decision is made to admit. The placement would be reviewed on a regular basis. Cornerways does not take emergency admissions. The same three service users have been together in Cornerways for a eight years in May 2006. They are very much part of a ‘family’ unit, where the registered manager and her partner live on the premises. One service user said, “The staff really look after me”. In discussion with the manager and service users, as well as evidence from the service users’ files, the assessed needs of the three service users are being met in Cornerways. Cornerways DS0000012279.V282884.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9 Service users are involved as much as possible in developing support plans that reflect their needs and objectives. They are supported to make decisions about their lives, within a risk management framework. EVIDENCE: Since the last inspection the manager has changed the residents’ files over to a modular, indexed file, with key information, care plan reviews, contacts relevant to the individual resident, medical information, financial information and confidential information et cetera. The files were up to date and included all the relevant information to ensure that staff are able to carry out the care required. The files were easy to read and gave a good pen picture of the individual service user. The manager also said that having the files in this format has helped to maintain the records and also are easier to access. The service users plan is reviewed every three months, instead of the required minimum six-monthly. Staff are actively encouraged to help service users make decisions in Cornerways DS0000012279.V282884.R01.S.doc Version 5.1 Page 10 promoting independence. One service user manages her money, where her allowance is paid, by standing order, into her bank account, and the resident is confirmed this. The manager oversees the other two service users’ money. Service users have a lockable moneybox. Individual choices are documented in the service user’s care plan, residents’ meetings minutes and in the service user’s daily diary. Service users are able to voice their opinion at the regular residents’ meetings. They are also involved in their reviews. Each service user has a separate activities’ plan, which details an extensive list of activities. Risk assessments and manual handling assessments are carried out as part of the referral procedure and are updated, as appropriate. The manager and her partner live on the premises and are involved on a daily basis with the service users, whilst they are in Cornerways. The three service users, after breakfast, spend the rest of the day at Glyn, as there are more facilities. The manager then becomes a senior carer. Service users are generally happy to go to Glyn and this was discussed with a service user, on the day of the inspection. However, if they did not particularly want to go on a given day, the manager or a carer, would stay behind to care for them. This would also happen if a resident were unwell. Apart from sitting in the garden, on a warm summer’s day, there is not a communal lounge in Cornerways. Cornerways DS0000012279.V282884.R01.S.doc Version 5.1 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): 11, 12, 13, 14, 15, 16 and 17 Residents are able to engage in a variety of activities in the home, as well as the community, enabling independence, development and choice. The nutritional needs of residents are well managed and the home offers variety and choice. EVIDENCE: All three-service users are confined to a wheelchair and one service user has communication difficulties, however, there is a varied programme of relevant social activities for each service user. Day services/activities and the service user’s social life is part of the care plan. Service users attend various clubs and activity centres. One resident said how much they enjoy going, once a week, to the on-line centre in the Hexagon Centre, where they can develop their computer skills. Service users have opportunities for personal development and fulfil their spiritual needs. Service users have access to the various computers at Glyn where they have the opportunity to become computer literate and have access to the Internet. The service users in Cornerways have use of the minibus from Glyn, 6 Dudley Avenue, as well as the minibus from Little Orchard, 17 Lavender Road and so Cornerways DS0000012279.V282884.R01.S.doc Version 5.1 Page 12 have access to the local community and beyond. Staff have received specialist mini-bus training through a nationally recognised training programme [MIDAS]. Service users have access to a specialist swimming pool in Poole and on the day of the inspection one of the residents left for the hour session in the pool, from 12noon to 1pm. Once a week residents enjoy going ‘wheelchair dancing’. There are visits to local pubs. All three-service users went for thirteen days, in November 2005, to the registered persons’ holiday place in Spain. Two service users told the inspector how much they enjoyed the holiday and how ‘wheelchair friendly’ the Spanish were, especially when eating out and shopping. Two service users have booked to go Netley Waterside in July 2006. The home has Sky television installed and is connected to each bedroom. Glyn has a beach hut at Milford-on-Sea, where service users can enjoy a break by the seaside, during the summer months. There is also the opportunity to go to Spain. All service users have family and friends involved. The home actively encourages and supports the service users to maintain family links. One service user’s relative has moved abroad and it was agreed that the home would establish whom to contact in the event of an emergency. Service users’ rights are respected and this is reflected in their care plan. The three service users are part of the extended ‘family’ at Glyn and interact well with the staff and other service users. Service users are involved in the care planning process and in their reviews. Only breakfast is taken in Cornerways as other meals are taken at Glyn. Service users can choose what to have for breakfast and tend to have it together. This is served between 8.30am and 9am. They generally arrive at Glyn for 10am. Some service users help to choose the menu. On the day of the visit the inspector had lunch with the service users, at Glyn. Residents were given a choice of the main course and were able to choose from a selection of desserts. Residents, spoken to, were very complimentary about the quality and quantity of food provided in the home. Cornerways DS0000012279.V282884.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): EVIDENCE: These standards were not inspected on this occasion, although the home previously met all four standards on the last inspection. Cornerways DS0000012279.V282884.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): EVIDENCE: These standards were not inspected on this occasion, although the home previously met both standards on the last inspection. Cornerways DS0000012279.V282884.R01.S.doc Version 5.1 Page 15 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, 25, 26, 27, 28, 29 and 30 A very good standard of accommodation is provided ensuring residents live in a homely, comfortable and safe environment and equipment to meet their needs. EVIDENCE: Cornerways is a chalet bungalow with the service user accommodation on the ground floor with the manager and her partner living upstairs. The home was found to be extremely clean and well furnished, decorated and well maintained. There is attention to detail and is homely in atmosphere. The three service users are all wheelchair users and can get around the ground floor. The only communal space is a kitchen/diner. The home does not have a sitting room. However, the garden has been developed for the service users to enjoy being outside, with a pagoda and decking provided. A summerhouse has also been erected and a wooden garden summer swing. Patio tables, chairs and umbrellas are also available. Cornerways DS0000012279.V282884.R01.S.doc Version 5.1 Page 16 The inspector had the opportunity to view service users bedrooms. All threeservice users have their own bedroom. Two bedrooms have external access with a French door or patio door. Rooms were found to be individual in layout and in decoration. Service users were involved in choosing the colour of their own rooms. Rooms are bright and stimulating and have good lighting and ventilation. All bedrooms have TV aerial points and one room has it’s own telephone line. One service user has an en suite toilet provided. The bedroom doors do not have locks and the reasons and risks are detailed in the service user plans. There is one bathroom, which is provided with a hoist, toilet and bidet. There is a separate toilet. Hoists are provided in the home, funded by the provider. Service users are able to call for assistance from their bedrooms via a call system. The home was found to be clean and free from unpleasant odours. The laundry room is situated away from the kitchen and food preparation. Control of Substances Hazardous to Health assessments [COSHH] policies and procedures are in place, to ensure that staff and residents’ health and safety is promoted. A locked cupboard is provided for kitchen and cleaning materials. Cornerways DS0000012279.V282884.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 Residents are well supported by a sufficient, well-trained and consistent supervised staff team, who offer continuity of care. EVIDENCE: Cornerways currently employs three specific staff members, who also work in the other Glyn Residential homes. As noted in other parts of this report, after breakfast, the three service users spend the day at Glyn, 6 Dudley Avenue. However, there is a pool of staff from the other two homes that are involved with their care. All staff have job descriptions. As part of the home’s induction programme, staff familiarise themselves with the company’s policies and procedures and staff sign to confirm that they have read and understood policies and procedures. The home does not have any volunteers or have needed to employ agency staff. Staff receive regular supervision sessions. The manager, who lives on the premises, provides the majority of staffing hours, when the service users are in the home. The home does not use agency staff, but fills last minute gaps in the rota with existing staff. There is a large pool of staff that work interchangeably at all the homes and cover when the manager has time off. There are no staff vacancies for Cornerways. Staff have training, skills and knowledge specific to the needs of service users, including different methods of communication. The home has a settled staff team, who have been employed by Glyn Residential for some years. Staff in Cornerways DS0000012279.V282884.R01.S.doc Version 5.1 Page 18 Glyn Residential have also worked there a long time and so there is continuity of care. There was evidence of the whole staff team working well together. Cornerways DS0000012279.V282884.R01.S.doc Version 5.1 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 Cornerways is a well run home, where the management of Glyn Residential are continually seeking ways of improving the services and facilities provided for service users. EVIDENCE: Shirley White is the registered manager and has worked for Glyn Residential since October 1994. She keeps up to date with the core-training subjects of manual handling, first aid, health and safety, food handling, medication and fire safety. The manager recently attended a ten-week course on basic BSL [British sign language] through Brockenhurst College and has completed a safe handling of medicines course. Service users spend most of the day at Glyn. The manager would then be involved in activities and care for them, as well as other service users, in Glyn. The manager then becomes a senior carer in Glyn. Staff meetings are held for all staff employed in the three homes. Cornerways DS0000012279.V282884.R01.S.doc Version 5.1 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 Standard No Score 1 3 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 X 23 X ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X X X X X X Cornerways DS0000012279.V282884.R01.S.doc Version 5.1 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Cornerways DS0000012279.V282884.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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