Inspection on 15/12/05 for Darley Cottage

This inspection was carried out on 15th 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

Darley Cottage 17/11/06

Darley Cottage 27/07/05

Darley Cottage 15/12/04

Darley Cottage 13/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Darley Cottage 6 Hoole Road Chester Cheshire CH2 3NH Lead Inspector Mr Val Flannery Unannounced Inspection 02:15 15 and 22 December 2005 th nd Darley Cottage DS0000006610.V271686.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 Darley Cottage DS0000006610.V271686.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. Darley Cottage DS0000006610.V271686.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Darley Cottage Address 6 Hoole Road Chester Cheshire CH2 3NH 01244 350128 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) www.macintyre-care.org MacIntyre Care Cherie Ann Jenkins Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Darley Cottage DS0000006610.V271686.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 6 service users in the category LD (Learning disability) The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Staffing must be provided to meet the dependency needs of service users at all times and will comply with any guidelines which may be issued through the Commission for Social Care Inspection 27th July 2005 3. Date of last inspection Brief Description of the Service: Darley Cottage is a care home for six adults with a learning disability. Located in a residential area of the city of Chester the home is close to shops, pubs and other local facilities. It is also on the bus route to the city centre. Access between the ground and first floors of the two-storey building is via the stairway. Five of the single bedrooms are in the main part of the home; a separate self-contained flat is located on the ground floor. One large lounge and a lounge/dining area are located on the ground floor. One communal bathroom/shower/toilet is provided, as is a separate toilet. Two of the bedrooms have en-suite facilities. Aids are provided for a service user with mobility problems. Staff are on duty twenty-four hours a day to deliver care to service users. Darley Cottage DS0000006610.V271686.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This second inspection was carried out over five hours on the 15th and 22nd December 2005 as part of the yearly inspection process. One hour was spent preparing for the inspection which included reading the previous inspection report and reviewing the service history of the home. During the inspection five service users, the registered manager and three support staff were spoken with. Three service user care files were seen as were a number of the policies and procedures. A partial tour of the building was carried out. What the service does well: What has improved since the last inspection? The alteration to the garage will improve the leisure opportunities for service users. A senior support worker has been appointed and will assist the manager in the management of the home. Darley Cottage DS0000006610.V271686.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. Darley Cottage DS0000006610.V271686.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 Darley Cottage DS0000006610.V271686.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): 1/2/3/4/5/ Prospective service users are given information about the service offered by the home and organisation. EVIDENCE: A copy of the statement of purpose and service user guide was seen on the day of the inspection. The service user guide is kept in individual service user files. MacIntyre have a procedure that allows prospective service user the opportunity to ‘test’ drive the home before making a decision about moving in. This includes overnight stays, visits for meals and to meet service users and staff. Copies of tenancy agreements between service users and MacIntyre were seen on service users personal files. Darley Cottage DS0000006610.V271686.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): 6/7/8/9/10 The care planning and risk assessment procedures in place help service users’ achieve an independent lifestyle. EVIDENCE: Three service users plans of care were seen during the inspection. Information on service users is kept in two files, one is entitled ‘ Care Package’ the other is service user Person Care Plan. These contained a range of information including assessment of need, how these needs are to be met and records to show how the changing needs of service users are monitored. For example, a service user has increasing mobility problems which the home have addressed by providing a walking aid. Another service user is supported with part time employment in a local take away. Service users said they are asked about the day-to-day running of the home and that staff help them with their finances. Risk assessments are carried out that ensure a safe environment is maintained for service users. Also assessments are in place that identifies the level of help and guidance required by service users to carry out daily living tasks. Darley Cottage DS0000006610.V271686.R01.S.doc Version 5.0 Page 10 MacIntyre have provided a policy on the confidentiality of information, a copy of which is kept in the home. Darley Cottage DS0000006610.V271686.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): 11/12/13/14/15/16/17 Service users are enabled to live a fulfilling lifestyle, both in the home and in the local community. EVIDENCE: The location and design of the home is in keeping with the local community. It is close to shops and other amenities and is on the bus route to Chester city centre. Service users said they are able to visit the shops and use the leisure facilities with staff support. Three service user plans of care were seen. These included details on daily activities and how service users are enabled to maintain contact with families and friends. During the inspection service users were seen moving freely between their bedrooms and communal areas including the kitchen. Service users were seen asking staff for help and advice. Staff offered help in a manner that respected service users privacy and dignity. Service users said they like the food and that they are able to help prepare their meals. Darley Cottage DS0000006610.V271686.R01.S.doc Version 5.0 Page 12 Darley Cottage DS0000006610.V271686.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): 18/19/20/21 Service users’ health and personal care needs have been assessed and are included in their plans of care. They receive appropriate levels of support from staff. EVIDENCE: Service users said staff help them with practical day-to-day things like dressing, bathing and meal preparation and also with any worries or concerns they may have. Person Centred Plans showed that the level of help required by service users has been identified. Service users said they are aware that information is kept on them and that that are able to see their personal files if they wish. A service user said they have visited their doctor recently. Person Centred Plans showed that the health needs of service users is monitored and action taken to address any concerns. The record of medication administered to service users by staff was seen during the inspection and was satisfactory. Service users need assistance with their medication. MacIntyre have provided policies and procedures on the administration of medication, a copy of which is kept in the home. Darley Cottage DS0000006610.V271686.R01.S.doc Version 5.0 Page 14 MacIntyre have provided policies and procedures on caring for service users who are ill or dying. A copy of these are kept in the home. Darley Cottage DS0000006610.V271686.R01.S.doc Version 5.0 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): There are satisfactory arrangements in place for responding to complaints from service users and others. There are procedures in place to protect service users from abuse. EVIDENCE: A copy of the complaints procedure was seen during the inspection. Details on how to contact the Commission for Social Care Inspection were included in the procedure. The home has not received any complaints since the last inspection. CSCI has not received any complaints since the last inspection. The service users spoken with said they are able to raise concerns and worries with the manager and are confident they will be listened to. Also that action will be taken to address their concerns. A copy of the organisation’s adult protection procedure is kept in the home. Included in the procedure was a copy of the government guidelines ‘No Secrets’. Darley Cottage DS0000006610.V271686.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24/25/26/27/28/29/30 Service users live in an environment that is comfortable, safe and respects their privacy and dignity. EVIDENCE: The home provides a comfortable and safe environment for service users. It is well-maintained and provides sufficient private and communal space for service users. Service users are accommodated in single bedrooms that are, according to service users, suitable for their needs. One service user is accommodated in a self contained flat that is attached to the home. Three bedrooms were seen and were individually furnished and decorated. A communal bath/shower/toilet is located on the first floor and a toilet on the ground floor. The self contained flat has its own bathing and toilet facilities. One bedroom has en-suite shower and toilet; another bedroom has en-suite shower facilities. A large communal lounge and a dining room/lounge are provided on the first floor. A bath and walking aid is provided for a service user with mobility problems. Darley Cottage DS0000006610.V271686.R01.S.doc Version 5.0 Page 17 On the day of the inspection the home was clean and free from unpleasant smells. The detached garage is the process of being converted to a games room, this will improve the leisure opportunities for service users. The door on a service user’s bedroom has been replaced. However, the new door needs to be decorated (Recommendation Number 1) Darley Cottage DS0000006610.V271686.R01.S.doc Version 5.0 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31/32/33/34/35/36 Service users are cared for by staff who know their likes and dislikes. Training opportunities are provided for staff by the organisation. EVIDENCE: Three staff were spoken with during the inspection. They said the manager discusses their roles and responsibilities with them in one to one supervision and at staff meetings. They also said the majority of the staff team have worked together for a number of years. Service users said they like the staff that work in the home. They said staff sit and listen to them and spend time with them. During the inspection staff were seen talking with and helping service users. Service users were comfortable in the company of staff. Staff said they are encouraged to attend training opportunities provided by the organisation. The record of training seen included food hygiene, first aid, fire awareness and caring for service users. Five of the eight staff have achieved an NVQ qualification, one is in the process of completing the training. The staff information required to maintained in the home did not contain the following information: • References • Record of Qualifications/Experience • Position in the Home. Darley Cottage DS0000006610.V271686.R01.S.doc Version 5.0 Page 19 (See Requirement Number 1) Staff spoken with said they receive one to one supervision from the manager. Also that they have regular staff meetings. Staff commented that they are looking forward to having the manager back in the home full time. Darley Cottage DS0000006610.V271686.R01.S.doc Version 5.0 Page 20 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): 37/38/39/40/41/42/43 The home manager listens to the views and concerns of service user, relatives and staff. Policies and procedures are in place that safeguard the interest of service users. EVIDENCE: The registered manager divides her time between managing Darley Cottage and another MacIntyre home in the Chester area. This is a temporary arrangement pending the appointment of an area manager. Staff spoken with said that, although the management arrangements in place are satisfactory and that they are able to get advice and guidance on any issues that may arise, they are looking forward to the manager being in the home fulltime. The area manager makes monthly visits to the home and reports of these visits are sent to CSCI. The manager has worked for the organisation for a number of years in a senior capacity. Service users and staff said the manager is approachable, will listen to any concerns/worries and will take action to address the issues raised. Darley Cottage DS0000006610.V271686.R01.S.doc Version 5.0 Page 21 Staff said the manager offers support and guidance on the delivery of care. She is keen to ensure the needs, and views, of service users are met. Service users said their opinions are sought about meals, activities, holidays and any changes to the décor/furnishings in the home. During the inspection staff were seen talking to service users and seeking their views on day-to-day issues. Service users said they able to approach the manager and ask her advice and guidance. A tour of the building showed that maintenance issues are addressed; also that health and safety issues are identified and action taken to ensure the safety of service users. Darley Cottage DS0000006610.V271686.R01.S.doc Version 5.0 Page 22 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 2 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 2 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Darley Cottage Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 DS0000006610.V271686.R01.S.doc Version 5.0 Page 23 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard YA32 Regulation 17(2) Requirement That staffing details are kept in the home Timescale for action 28/02/06 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 YA24 Good Practice Recommendations The service users’ bedroom door identified during the inspection should be decorated. Darley Cottage DS0000006610.V271686.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Darley Cottage DS0000006610.V271686.R01.S.doc Version 5.0 Page 25 - 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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