Inspection on 27/07/05 for Darley Cottage

This inspection was carried out on 27th July 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

Darley Cottage 17/11/06

Darley Cottage 15/12/05

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 Val Flannery Announced 27 July 2005 14:50 th 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. Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Darley Cottage Address 6 Hoole Road Chester CH2 3NH 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) 01244 350128 01244 350 128 www.macintyre. Diane Williams/Macintyre Care Cherie Ann Jenkins Care home only 6 Category(ies) of Learning disability (6) registration, with number of places Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 6 service users in the category LD (Learning Disability) 2. The registered provider must, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 3. 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. Date of last inspection 15th December 2004 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 Cheshire 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 are 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 F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over four and a half hours on the 27Th July 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. Two relatives, five residents and three staff were spoken with during the inspection. Six service users, three relatives and one general practitioner comment card were returned. Two residents care files as well as a number of home records were seen. A partial tour of the building was carried out. What the service does well: A copy of the statement of purpose and service user guide is given to prospective service users and their representative. The pre-admission procedure ensures the care needs of service users are identified and are included in the plans of care. Risk assessments are in place that ensure service users are enabled to manage their daily lives which in turn promotes their independence. Service users are encouraged to be involved in the day to day running of the home, for example, cooking, cleaning. Service users are enabled to use local shops and other community facilities. This can be with staff help or by themselves. The record of food showed that service users are offered a choice of menus. Service users are able to move freely between their bedrooms and the communal areas. Service users are comfortable in approaching staff for help with personal issues and worries. Staff offer help and assistance in a sensitive and caring manner. The organisation has provided a complaints and adults protection procedure that helps protect service users. Service users live in a safe and comfortable environment that is well maintained to a high standard. Staff are aware of the needs of service users and how these can be best met. Service users feel safe in the home and trust the staff to support and help them in their daily lives. Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.doc Version 1.30 Page 6 The comment cards were very positive about the service offered by the home. 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. Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.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 Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.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) 1/2/3/4/5/ Information is available on the service provided by the home. This, combined with pre-admission visits, ensures service users can make an informed choice about the home. 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. Information seen on the service user most recently admitted to the home showed that pre-admission assessments were carried out. This included discussion with the service user on how her care needs would be best met. Personal information on their background was provided by the placing authority. Discussion has also taken place with a relative of the service user. The service user was able to visit the home to meet the staff and the other service users. A copy of the residency agreement between MacIntyre and the individual residents was seen on the day of the inspection. Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.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) 6/7/8/9/ The assessed care needs on individual service users are included in their person centred plans. These will help ensure the home is meeting these needs. Service users are consulted on all aspects of their care and on how the home is run. EVIDENCE: Residents spoken with said staff talk to them about their care and ‘help them sort out any problems’. The relatives spoken with said staff keep them informed of any incidents/accidents involving the service user. They also said that staff ‘know the service users and how best to support them’. Two service user care files were seen during the inspection. These showed that their care needs have been identified, for example, what help they need with daily living activities. Also included were risk assessments which showed service users are encouraged to take responsible risks. For example, a service user has employment in the community and is able to travel to and from his place of work unsupervised. The care planning in place is called Person Centred Plans and includes a wide range of personal information about individual service users. Service users said changes to the care plans are discussed with them and that they are able to see their PCP as they wish. Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.doc Version 1.30 Page 10 Residents said they are enabled to make decisions about when they go to bed, when they get up (depending on their daily routines) and how they spend their leisure time. They also said they are asked about what meals they would like and what activities they would like to do. Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.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) 11/12/13/14/15/16/17 Service users are enabled to take part in a range of activities which helps their personal development. They are supported and encouraged to use local community facilities. EVIDENCE: Service users said they are able to use shops and other local facilities. This can be with staff supervision or by themselves. One service user was very aware of the local shops, pubs and takeaways. A number of service users said they attend a day centre where they are involved in various activities. The person centred plans seen contained a list of daily activities for the service users. This included activities in the home and in the local community. Residents said staff will help them if they wish to try different things. The mealtime observed during the inspection was relaxed, most of the service users were able to manage their meal by themselves or with minimal staff help. Menus showed that service users are offered a choice of meals. Service users were seen helping with the meal and washing up. Residents said they like the food and that they ‘get enough to eat’. Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.doc Version 1.30 Page 12 Residents talked about their relatives and how they keep contact with them. This can be by residents going on home visits or their relatives visiting the home. Relatives spoken with said they are made to feel ‘very welcome by staff ‘and are able to ‘visit the home as they wish’. Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.doc Version 1.30 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 standard(s) 18/19 Service users are well looked after with regard to personal and healthcare needs. Staff offer support in a manner that service users prefer. EVIDENCE: Person centred plans showed that the service users need different levels of help with personal care. Some of the service users require verbal prompting whilst others require staff assistance. During the inspection staff were observed helping service users move about the home, use the bathroom and eat their meal. This was carried out in a caring and respectful manner. Residents said staff do help them but ‘its best if they try and do things for themselves’. When helping service users staff were aware of their individual needs and how best to offer assistance. The person centred plans showed that doctors and other health professionals are consulted about service user health care needs. Service users, and relatives, said they can request to see a doctor if they are not feeling well. Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.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) 22/23 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, and relatives, 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 F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.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) 24/25/26/27/28/29/30 Service users live in an environment that is homely and safe. Single bedrooms ensure service users privacy and meets their needs. 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. Residents are accommodated in single bedrooms that are, according to service users, suitable for their needs. Three bedrooms were seen and were individually furnished and decorated. The service user living in the flat said it has recently been re-decorated and re-furnished. 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. Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.doc Version 1.30 Page 16 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. On the day of the inspection the home was clean and free from unpleasant smells. Relatives said the home is always clean and tidy when they visit. Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.doc Version 1.30 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 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 Staff are employed in sufficient numbers to meet service users’ needs. Satisfactory staff recruitment procedures are in place which protect service users. EVIDENCE: The staffing rota showed that there are normally two staff on duty during the day/early evening. One member of staff sleeps in the home overnight and is available to respond to service users requests for help and other emergencies. The registered manager can be included as part of the rota. The manager said that all the staff (bar one) have achieved NVQ Level 2 or 3 in care. Staff spoken with said they have received training on, for example, Person Centred Planning, Health and Safety, First Aid and Fire Safety. Three staff personnel files were seen, these were satisfactory and contained the necessary information including two references, application form and Criminal Record Bureau checks. Staff spoken with said they receive support and guidance from the manager. Also that they receive one-to-one supervision from the manager on a regular basis. Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.doc Version 1.30 Page 18 Staff said they are aware of their roles and responsibilities. This is re-enforced via a thorough induction programme, staff meetings, supervision and ‘on the job’ support and guidance from senior staff. Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.doc Version 1.30 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 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) 37/38/39/42/ The home is managed efficiently and is run in the best interest of service users. Staff receive leadership and direction which ensures service users are offered quality care. 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 the management arrangements in place are satisfactory and that they are able to get advice and guidance on any issues that may arise. Monthly visits are made to the home by the area manager 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, relatives and staff said the manager is approachable, will listen to any concerns/worries and will take action to address the issues raised. Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.doc Version 1.30 Page 20 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 were comfortable in approaching the manager and asking 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 F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.doc Version 1.30 Page 21 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 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Darley Cottage Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 x F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.doc Version 1.30 Page 22 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 Regulation None 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. 1. Refer to Standard None Good Practice Recommendations Darley Cottage F51 F01 S6610 Darley Cottage V232579 270705 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 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. 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