Inspection on 07/06/05 for Cotswold Court

This inspection was carried out on 7th June 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

Cotswold Court 13/06/07

Cotswold Court 09/05/06

Cotswold Court 03/12/05

Cotswold Court 21/12/04

Cotswold Court 22/07/04

Cotswold Court 15/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Cotswold Court Browns Lane Stonehouse Gloucestershire GL10 2JZ Lead Inspector Simon Massey Announced 7/06/05 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. Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Cotswold Court Address Browns Lane Stonehouse Gloucester GL10 2JZ 01453 825115 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) Stroud & District Mencap Homes Foundation Ltd Anne Case (to be registered) Care Home 6 Category(ies) of LD - Learning Disability - both (6) registration, with number of places Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: LD(E) applys to one named sevice user Date of last inspection 21ST December 2004 Brief Description of the Service: Cotswold Court is a residential care home for six adults with learning disabilities. The home is situated on the outskirts of the town of Stonehouse and is set in large grounds that it shares with another house. This other house provides supported tenancies for adults with learning disabilities and was formally a registered home. Both these properties are owned and maintained by the Stroud and District Mencap Society. The house provides spacious and homely accommodation, with all single bedrooms having en-suite facilities. The home provides twenty-four hour staffing and is well situated to access local facilities and amenities Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over a period of 6 hours and the inspector was able to interview staff, meet all the service users, inspect the environment and also examine records and documentation. What the service does well: What has improved since the last inspection? The home now has a care planning system in place from which it can build on and plan further improvements to the care provided. The home is now properly and professionally organised with staff supervisions and staff meetings taking place, improved recording and monitoring and better organising of the care hours provided. There is evidence of increased activities and a commitment to providing choice through better communication. Efforts have also been made to encourage independence skills and to involve service users in more aspects of the daily running of the home. Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 Page 6 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. Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 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 Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 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&5 The home has a Statement of Purpose and a Service User Guide but there is a need to update the information contained in these. Consideration should also be given to whether they can be produced in formats that would be easier to understand for the service users. EVIDENCE: The Statement of Purpose and Service User Guide were seen. There have been no admissions to the home during the past twelve months. All service users have tenancy agreements and placement contracts in their personal files. Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 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&9 The home has taken action to address the shortfalls in care planning that were identified at previous inspections. All service users now have up to date care plans and a system is in place to begin the reviewing process. EVIDENCE: The home have produced new care plans for all the service users. Basic assessments were completed and then plans have been developed involving service users and key-workers. The plans contain a good level of detail and are divided in to sections that are easy to follow. All service users have had Individual Personal Planning meetings and these have produced goals and objectives. These meetings focus on activities and routines and can involve parents and staff from the day centre. The staff meetings have regularly discussed the key working role and staff are being supported through supervision to develop their understanding of the care planning process and their role within it. There is a need to ensure that all paperwork is dated and that the involvement of the service user in any planning is clearly recorded. Various risk assessments are in place in the individual files and these had all been recently reviewed and updated where necessary. Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 Page 10 Service users are supported to make decisions, and any limitations have been recorded or risk assessed where seen appropiate. Some staff are currently undertaking a Total Communication course and with some service users having limited verbal communication, it is intended that this training will further promote the making of choices. Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 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) 12,13,14,16&17 The home has improved the quality and variety of activities that are supported and supports people to have individualised lifestyles, both in terms of daily activities and also leisure time. People are supported to develop skills that will maintain or increase independence. EVIDENCE: Recording and interviews with staff and service users showed that the home has increased the amount of activities and trips out that are supported. People all have regular routines that provide a degree of variety. The home also has a day-care worker from the organisations day-centre who is supervised by the manager. The home makes use of all local facilities and amenities, with one service user able to do this independently. One parent spoken to said that his daughter “enjoyed the independence that she was being given”. All service users able to, expressed satisfaction with their current routines and could not identify any unmet needs in these areas. Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 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 standard(s) 18,19&20 The home has systems in place for monitoring health needs that are effective and meet the needs of the service users. The home provides a good standard of personal care and support. EVIDENCE: All service users have had care assessments completed and the support required is detailed in their files. A system has been introduced whereby the staff ate allocated responsibility for individual peoples personal care on each shift. The aim of this is to ensure consistency and that staff are competent at all the routines. Some staff commented that they thought the home had made improvements in this area, as this was now better organised and the guidance clearer. There was evidence of the involvement of outside professionals and of the home seeking input and guidance. There was evidence of regular health checks being completed and of appointments being recorded. It was noted that two people’s dental checks were overdue and this needs to be addressed. The personal files showed clear recording of concerns being monitored and appropiate action being taken. The homes medication storage and administration system was examined and seen to be in order. One issue was identified regarding the stock taking of Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 Page 13 medicines and the procedure the home follows when medication has to be disposed of due to it being dropped or damaged. This needs to be resolved by the home by liaising with the pharmacy. Each service user file has a form in that will contain the information required for planning for illness and bereavement. These need to be completed. Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 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 standard(s) 22 The home provides a safe environment for service users in which they are respected and treated with dignity. EVIDENCE: Service users appeared comfortable and confident in their home and those with verbal communication expressed their satisfaction with the staff. No complaints have been made in the home or to the Commission. Several staff are undertaking “Total Communication” training and this should further ensure that staff are able to respond to the views and wishes of the service users. Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 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 standard(s) 24,27,29&30 The home is well maintained and decorated throughout and provides a comfortable homely environment. Service users are supported and encouraged to personalise their living space and are involved in all decisions relating to redecoration of the home. EVIDENCE: The environment of the home was inspected and seen to be maintained to a high standard. Parts of the home have been redecorated and several new pieces of furniture have been purchased. Two bedrooms were seen, and these were personalised, clean and reflective of the needs of the service users. The home was clean and hygienic throughout. Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 Page 16 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) 31,32,33,34,35&36 The home has a motivated staff team that after a period of change is growing in effectiveness and is committed to meeting the needs of the service users. EVIDENCE: After a period when there have been changes in management and staff, the new manager and deputy have taken action to build up the effectiveness of the team and improve the care being delivered. All staff have completed the required statutory training. Other training that has been completed includes medication, health and safety, communication and mentoring. The home has bought in an induction package for new staff, who will be mentored by staff who have completed the “mentoring” training. The majority of the staff are registered to undertake NVQ training. The home has regular staff meetings and the manager has begun a process of providing formal supervision for the staff. Staff stated that they felt well supported by the management team and were encouraged to contribute ideas, which were always listened to. The staff files contain the required information and an examination of recently appointed staff showed that the correct procedures for recruitment were being followed. Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 Page 17 The inspector was informed about the dismissal of two staff members and also a disciplinary that had occurred. The Commission should have been informed of these events and clarification over the responsibility of the manager in relation to Regulation 37 notices was given. Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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) 37,38,41&42 The home is being run and managed in a professional and competent manner and there was evidence of improvements being made in a number of areas EVIDENCE: The manager was going through the registration process at the time of this inspection. The home appears now to have a clearer direction and there was evidence of improved team working, resulting in improved delivery of care. Improvements have been to the organisation and planning of care and input has been provided to staff to ensure that they are fully involved in the progress the home is making. All the required health and safety checks have been completed and recorded and the home provides a safe environment for the service users. Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 x x x 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 x 3 3 Standard No 11 12 13 14 15 16 17 x 3 2 3 3 3 x Standard No 31 32 33 34 35 36 Score 2 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cotswold Court Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 3 x D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 Page 20 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. 2. Standard 19 34 Regulation 13(2)(b) 37 Requirement The home must ensure that all service users have regualr dental checks The home must enusre that the Commission recieves Reg 37 notifications in relation to events in the home. The home must liase with the pharmacy to ensure medication stock control is correct The home should complete the bereavement questionaires in the individual files Timescale for action 31/08/05 31/-6/05 3. 4. 20 21 13(2) 12(3) 31/07/05 31/08/05 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 Good Practice Recommendations Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 Page 21 Commission for Social Care Inspection 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester GL3 4AB 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 Cotswold Court D51_D03_S16415_Cotswold Court_V193900_070605_Stage4_A.doc Version 1.30 Page 22 - 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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