Inspection on 06/12/05 for Coveham

This inspection was carried out on 6th December 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 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

Coveham 25/06/07

Coveham 04/05/05

Coveham 11/11/04

Coveham 02/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Coveham Annyards Road Cobham Surrey KT212 2LJ Lead Inspector Peter Benthom Unannounced Inspection 6th December 2005 10:00 Coveham DS0000034623.V252233.R01.S.doc Version 5.0 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 Coveham DS0000034623.V252233.R01.S.doc Version 5.0 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. Coveham DS0000034623.V252233.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Coveham Address Annyards Road Cobham Surrey KT212 2LJ 01932 864115 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) Surrey County Council - Adults & Community Care Mrs Carole Ann Gardner Care Home 20 Category(ies) of Learning disability (20), Learning disability over registration, with number 65 years of age (1) of places Coveham DS0000034623.V252233.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Accommodation and services may be provided to named persons aged 65 years and over with prior written agreement of the CSCI. 4th May 2005 Date of last inspection Brief Description of the Service: Coveham is a purpose built local authority home providing accommodation for twenty service users. The home is located in a residential road in Cobham and has easy access to shops, public transport and other local services. On the day of inspection there were seven service users currently at home. The accommodation for service users is provided on two floors. All bedrooms are single. In addition to this there are two self-contained flats linked to the main building where service users are afforded a supported living environment. The communal space provided comprises of a bright and comfortably furnished lounges, dining rooms, well fitted kitchens, a communal laundry and suitable bathroom/toilet facilities. There is a large garden at the rear and a good-sized lawn area in the front. There are parking facilities in the front drive for up to ten cars. The home has its own vehicle for use by its service users. Coveham DS0000034623.V252233.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was the second of the year 2005/6 and was conducted by an inspector from CSCI. The manager has recently been registered. Three members of staff were on duty and five of the Service Users in the home were spoken with. A tour of the premises took place and care, training; staff personnel and Health and Safety records were inspected. The inspection was undertaken in the presence of an agency shift leader who was competent and illustrated a good knowledge of th4e home and its service users. What the service does well: What has improved since the last inspection? There is a genuine commitment to NVQ and other training opportunities for staff. Whilst this was in place at the last inspection, it was noted that even more members of the staff team have been afforded appropriate support and training. Coveham DS0000034623.V252233.R01.S.doc Version 5.0 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. Coveham DS0000034623.V252233.R01.S.doc Version 5.0 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 Coveham DS0000034623.V252233.R01.S.doc Version 5.0 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): 1,2 3, 4 and 5 Service users are admitted only following a full assessment undertaken by people trained to do so. The management team were able to demonstrate the homes capacity to meet the assessed needs. EVIDENCE: The statement of purpose was professionally produced and was considered comprehensive and contained all the relevant information required by schedule 1 of the Care Homes Regulations 2001. The manager is competent to carry out full assessments on service users prior to admission. Relatives and/or representatives are involved in this process when service users have problems expressing themselves. Observation and discussion with staff members and an inspection of records indicated that the home had the capacity to meet the service users’ assessed needs. Overall care plans were very well documented The organisation’s policy on transitional arrangements and admission process is detailed in the Statement of Purpose and Service Users Guide Coveham DS0000034623.V252233.R01.S.doc Version 5.0 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, 9 and 10 The systems for Service User consultation are good with a variety of evidence that indicates Service Users views are both sought and acted upon. EVIDENCE: Each service user has a care plan in place, which is detailed and covers the assessed needs of the service user. Care plans reflect input from other support agencies such as health and social care. Extensive care plans have been drawn up, with the help of the service user wherever possible and relatives/representatives. Care plans were well documented and highlighted all areas of care needs for each service user. All care plans showed evidence of regular reviews. Risk assessments were in place where appropriate. Coveham DS0000034623.V252233.R01.S.doc Version 5.0 Page 10 During the inspection it was evident that staff respect the Service Users’ right to make decisions. Evidence was provided with examples of the Service Users’ opportunities to participate in the day-to-day running of the home e.g. helping with food shopping, assisting with meal preparation. Staff enabled Service Users to take responsible risks - wherever possible – and this was clearly documented in each individual care plan. Risk assessments were being carried out as/when necessary and existing ones regularly updated. The risk assessments covered a range of incidents including outings and activities that the Service Users participate in. Coveham DS0000034623.V252233.R01.S.doc Version 5.0 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 Links with the local community are good and serve to enrich Service Users lives. EVIDENCE: All Service Users have full and varied activity programmes. Examination of the home’s records confirmed a high degree of personal empowerment and choices in services users daily lives. They were encouraged and supported in the use of community amenities and in maintaining relationships with friends and families. Service users attend various day centre and adult education activities. A different variety of community-based activities are available. The activities programme was individualised in accordance with service users wishes and made appropriate use of college courses, community amenities and facilities. Service users had access to a range of appropriate leisure opportunities in accordance with individual preferences. They were encouraged to pursue individual interests and hobbies. Staff attempt to maintain links with Service Users’ families. Coveham DS0000034623.V252233.R01.S.doc Version 5.0 Page 12 The service users were free to move around the home consistent with individual risk assessments in place. Coveham DS0000034623.V252233.R01.S.doc Version 5.0 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 and 20 The healthcare needs of Service Users are well met with evidence of good consultation with other professionals taking place on a regular basis. EVIDENCE: The home had adopted a key worker system and each individual service user had a key worker who knew them and their family well. The key worker with support from the management team was responsible for developing and reviewing the service users’ care plan. Staff ensured that specialist support was provided where necessary. All service users are registered with the local GP. A local surgery provides health care to the service users, which includes health checks, continent assessment and some staff training. The arrangements for all aspects of administration of medication appeared to be satisfactory. Medicines for each service user were recorded and stored accordingly in line with the RPS (Royal Pharmaceutical Society) guidelines. Coveham DS0000034623.V252233.R01.S.doc Version 5.0 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): 22 and 23 The home has a satisfactory complaints system that is made available to all Service Users and staff. EVIDENCE: The complaint procedure was compliant with statutory requirements and is provided in pictorial form for Service Users. Complaint forms were available for recording complaints. Records demonstrated there had been no formal complaint received by the home or the regulator within the last twelve months. There was no evidence of u to date training in the Protection of Vulnerable Adults. This must be put into place as soon as possible. Please see requirements on Page 21 Coveham DS0000034623.V252233.R01.S.doc Version 5.0 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 The standard of décor and equipment in this home is very good with evidence of improvement through continual maintenance and refurbishment. EVIDENCE: The position of the home is suitable for its purpose; it is easy to get to, safe and well maintained, meeting service users’ individual and shared needs in a comfortable and informal way. All areas were found to be clean, tidy and well organised. The garden was observed to be well maintained and easily accessible. The premises were bright, homely and comfortable. The lighting and heating appeared sufficient as to meet the needs of the service users. Service users bedrooms contain furniture and fittings that were homely and non-institutional and these were provided with full discussion with service users. Coveham DS0000034623.V252233.R01.S.doc Version 5.0 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 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): 31, 32, 33, 34, 35 and 36 The manager is supported well by the senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. EVIDENCE: Staff spoken to at the day of the inspection had a good understanding of their job descriptions and their responsibilities and they were able to identify the roles of other members of staff in the hierarchy. Communication between staff was good. Staff meetings are in place and are organised monthly. Staff meeting-minutes were seen as part of the inspection process. All members of staff receive supervision on a regular basis. Coveham DS0000034623.V252233.R01.S.doc Version 5.0 Page 17 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, 38, 39, 40, 41, 42 and 43 The manager has a clear development plan and vision for the home, which she has effectively communicated to the Service Users, staff and relatives. EVIDENCE: The manager holds the Certificate in Social Services and currently undertaking training to achieve the Registered Managers Award. Both the manager and the deputy manager are highly experienced in their profession and both have worked for the organisation for a number of years. The manager is NVQ Level 4 qualified and has had extensive relevant experience. She is employed full time working supernumerary to staffing levels. Relevant policies and procedures were in place. Systems existed to demonstrate these had been communicated to staff. Also those of relevance to Service Users had been shared with them. Coveham DS0000034623.V252233.R01.S.doc Version 5.0 Page 18 Records examined included; care plans, medication procedures, and staff meeting minutes, risk assessment policies and service user activity programmes. They were observed to be in good order. Detailed policies and procedures were in place in relation to safe working practices. Staff were trained in First Aid, Food Hygiene and other aspects of Health and Safety. Coveham DS0000034623.V252233.R01.S.doc Version 5.0 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 3 3 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Coveham Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 DS0000034623.V252233.R01.S.doc Version 5.0 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 Standard YA35 Regulation Requirement Timescale for action 28/02/06 18(1)(c)(i) It is required that up to date training in the protection of vulnerable adults is made available to all staff RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. N/a Refer to Standard N/a Good Practice Recommendations N/a Coveham DS0000034623.V252233.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Coveham DS0000034623.V252233.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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