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Inspection on 05/12/05 for Creative Support

Also see our care home review for Creative Support for more information

This inspection was carried out on 5th 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a well-qualified and experienced stable staff team. Residents are supported and encouraged to work towards independent living. Documentation is very comprehensive and detailed, care plans and risk assessments are regularly reviewed and updated. Residents are fully involved with all aspects of their care and know what is expected of them in terms of living in the home. The quality assurance systems in place helps to ensure that the service continues to look for ways in which they may improve.

What has improved since the last inspection?

Improvements have been made to the menu and now more fruit and fresh vegetables are included, which are purchased daily. The quality assurance is now locally organised rather than centrally form head office in Manchester. A resident`s visits another service, speaks to residents and staff and completes documentation giving their comments. A walking group has been organised by staff and recently some of the residents and staff had walked up Roseberry Topping. A resident interviewed commented on how much she had enjoyed the walk.

What the care home could do better:

From discussion with the manager it was agreed that staff could encourage residents with more one to one activities such as board games when they were in the home. Whilst staff works very well alongside residents it was felt that at times they could motivate them more.

CARE HOME ADULTS 18-65 Creative Support 35 Coatham Road Redcar TS10 1SA Lead Inspector Val Daly Unannounced Inspection 5th December 2005 09:30 Creative Support DS0000000067.V251404.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 Creative Support DS0000000067.V251404.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. Creative Support DS0000000067.V251404.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Creative Support Address 35 Coatham Road Redcar TS10 1SA 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) 01642 493500 01642 482990 Creative Support Ltd Miss Lucy Elizabeth Chapman Care Home 12 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (12) of places Creative Support DS0000000067.V251404.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th June 2005 Brief Description of the Service: Creative Support is a home for 12 adults between the ages of 18 -64. The home describes the house as a hostel and the residents are cared for in the home for up to 2 years. There are planned programmes of rehabilitation to prepare people to live independently. There is a team of mental health care professionals monitoring each persons well being. The house has 12 single bedrooms 6 of which are en-suite; a large communal lounge has a TV music system and a pool table. The fully equipped kitchen encourages residents to be assisted with cooking and cleaning. Staff support the residents with household activities. The house is located close to the beach and the shops and the residents spend a lot of time out in the community. Creative Support DS0000000067.V251404.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection commenced at 10am and lasted for two and a half hours. A resident, a visitor, two members of staff and the manager were spoken to during the inspection. Numerous records including, staff training, activities, policies and procedures and care plans were examined. Residents were spending their time in the lounges in their own rooms or were out and about in the community. A resident interviewed said she found the staff very supportive and ‘always there when she needed them’. A visitor interviewed said he was always made welcome and had made friends with quite a few of the residents in the home. What the service does well: What has improved since the last inspection? Improvements have been made to the menu and now more fruit and fresh vegetables are included, which are purchased daily. The quality assurance is now locally organised rather than centrally form head office in Manchester. A resident’s visits another service, speaks to residents and staff and completes documentation giving their comments. A walking group has been organised by staff and recently some of the residents and staff had walked up Roseberry Topping. A resident interviewed commented on how much she had enjoyed the walk. Creative Support DS0000000067.V251404.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. Creative Support DS0000000067.V251404.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 Creative Support DS0000000067.V251404.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): 2 Resident’s needs are always assessed prior to admission in order to determine that their needs can be met in the home. EVIDENCE: Two care plans were examined and they both contained detailed assessments, which had been carried out prior to the resident being admitted to the home. A core assessment is completed which contains the referral information and a needs assessment is also carried out. A plan is then developed which contains the resident’s needs, desired outcome, how will this be achieved and by whom. The plan is reviewed monthly or more often if required and the resident is involved throughout the process. There is also a transition/planning meeting, which takes place prior to admission and all those people involved in the care attend. Creative Support DS0000000067.V251404.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): 9 Residents are supported to take risks within a risk management framework. This helps to ensure they remain safe and that their independence is promoted. EVIDENCE: Examination of care plans showed that risks are identified on the initial assessment and reviewed six monthly or more often if required. A risk management strategy is in place, which includes the identified risk and any trigger factors. An action plan is agreed and formulated and this is reviewed regularly. Creative Support DS0000000067.V251404.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 15 & 16 Residents are assisted to lead active and fulfilling lifestyles by having a regular community presence and by accessing a range of community facilities. Visitors are welcome to visit friends and family in the home. EVIDENCE: There was information in care plans, which showed that residents are encouraged by staff to take part in activities and leisure pursuits as part of their individual care. A resident interviewed said she enjoyed attending college, going to the local pub and taking part in a craft group. She said the staff were always encouraging her and giving support whenever she needed it. Staff will always listen and go out for a walk with her when she was ‘feeling down’. A visitor was interviewed and he said he was always made welcome. He said he had made friendships with quite a few of the residents and had become close friends with one in particular. Staff and residents have recently started a walking group and had recently enjoyed a long walk up Roseberry Topping. Creative Support DS0000000067.V251404.R01.S.doc Version 5.0 Page 11 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 Residents receive good support from staff to ensure that their personal, physical and emotional needs are met. EVIDENCE: A resident interviewed told me how helpful the staff are. She said ‘I only have to say I am not feeling very well and my key worker or another member of staff will take me out for a walk perhaps to a café and have a cup of coffee and a chat’. Resident’s are registered with a General Practitioner for any physical needs. Other professionals, such as Consultants, Community Psychiatric Nurses are involved in the resident’s care when required. Creative Support DS0000000067.V251404.R01.S.doc Version 5.0 Page 12 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 The home has a good complaints system which residents can use if they are unhappy. The home has measures in place, which protect residents from harm. EVIDENCE: The home has a robust complaints policy and procedure in place. There had not been any complaints made to the home since the previous inspection. A resident interviewed said she would talk to her key worker, or if she wasn’t on duty, any member of staff if she had a concern or complaint. Examination of staff training files showed that training in adult protection had taken place. A member of staff confirmed she had received the training. Creative Support DS0000000067.V251404.R01.S.doc Version 5.0 Page 13 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): EVIDENCE: These seven standards were not assessed at this inspection. Creative Support DS0000000067.V251404.R01.S.doc Version 5.0 Page 14 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): EVIDENCE: These six standards were not assessed at this inspection. Creative Support DS0000000067.V251404.R01.S.doc Version 5.0 Page 15 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 Arrangements to make sure that the service continues to improve and to ensure that resident’s views are taken into consideration are in place. A wellmanaged staff team promotes the health and safety of the residents. EVIDENCE: The home is well managed; senior staff are qualified and experienced in caring for people with mental health needs. There are meetings for residents held monthly. An agenda is put on the notice board prior to the meeting and residents have the opportunity to add items to it. A resident usually takes the minutes of the meeting. An annual quality audit is carried out by the organisation to ensure the home is meeting their aims and objectives. There is also an internal quality assurance whereby a resident visits another service as a ‘lay assessor’ and speaks to staff and residents, and completes documentation. The home has a health and safety policy and procedure in place. Examination of staff files showed that staff receives training in health and safety as part of their continuous programme of training. Creative Support DS0000000067.V251404.R01.S.doc Version 5.0 Page 16 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 X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Creative Support Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000000067.V251404.R01.S.doc Version 5.0 Page 17 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. 3. Standard YA1 YA6 YA17 Regulation 4,5,6 Requirement Timescale for action 31/08/05 31/08/05 31/08/05 4. 5. YA20 YA34 The statement of purpose must include the sizes of the rooms in the home. 4,5,13,14,15,16,17 Care records must be up to date and reflect the persons health status 12 Service users must be encouraged to have a healthy diet in keeping with the government guidelines and the National Minimum Standards 4,23 A policy is required for the safe disposal of medication 24,25,41 The personnel files for staff must be retained in the home. 31/08/05 15/07/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Good Practice Recommendations DS0000000067.V251404.R01.S.doc Version 5.0 Page 18 Creative Support Standard Creative Support DS0000000067.V251404.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 Creative Support DS0000000067.V251404.R01.S.doc Version 5.0 Page 20 - 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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