Inspection on 15/04/05 for Dawnings

This inspection was carried out on 15th April 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

Dawnings 15/09/06

Dawnings 20/12/05

Dawnings 09/11/04

Dawnings 30/06/04

Dawnings 16/01/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Dawnings 1 Vaga Crescent Ross-on-Wye Herefordshire HR9 7RQ Lead Inspector Martha Nethaway Unannounced 15 April 2005 11:30 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. Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Dawnings Address 1 Vaga Crescent Ross-on-Wye Herefordshire HR9 7RQ 01989 565101 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) Royal Mencap Society Mrs Melanie Keighley Care Home 6 Category(ies) of LD Learning Disability - 6 registration, with number LD(E) Learning Disability (over 65) - 6 of places Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9 November 2005 Brief Description of the Service: Dawnings is run by the Royal Mencap Society (Mencap), a registered charity. The property is owned and maintained by New Era Housing Association Limited and they have a management agreement with Mencap. The home is registered to provide personal care for six adults (men and women) who require care due to learning disabilities. The provider intends that Dawnings provides a home to the service users for as long as it can meet their individual needs. The Dawnings is an extended modern house situated on a residential estate in the market town of Ross on Wye, about a mile from the town centre. There is a good range of local facilities and services nearby and the service users also have the use of a car. There are two single bedrooms located on the ground floor that can cater for the needs of older and/or less mobile service users. Four more single bedrooms are situated on the first floor. There is a range of communal rooms on the ground floor and a reasonably sized, enclosed garden to the rear of the house. Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and started at 11:30am. It took place over 4.5hrs. The manager and two support staff were spoken to and records were examined. Three of the people who live at the service were spoken to and one person gave a guided tour of the premises. The home was in the process of recruiting new staff and the registered manager will be away for maternity leave. What the service does well: 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. Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 Page 6 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 Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 Page 7 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) 2 People who used the service received a proper assessment and written care plans ensured that a good quality of care was being regularly reviewed. EVIDENCE: Since the last inspection a new service user had been admitted to the home. Records sampled showed evidence of an assessment process, including introductory visits to the home. Any new admissions to the home were subject to a three-month trial. One service user spoken to was able to describe the visits that took to the home prior to living at the home. Staff were acknowledged to be ‘warm and welcoming’. Service user’s needs were clearly described in the assessments. These were followed up with service user care plans that explained the specific type of care that was important to each individual. Records included a photograph and a life story for individual service users. Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 Page 8 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 and 9 Care plans provided information relating to decision-making, risk assessments and changing needs of service users. Regular consultations about day-to-day activities were supported. EVIDENCE: The care plans were available in a written format including using pictures and computer graphics. Information covered the type of support needed and recognised those skills that could be developed by a service user and requiring support from staff. Individual choice was actively promoted and took into account their preferences and ensured consistency with care. Records showed this choice was evident in day-to-day activities. Staff gave details of one service user who has autism who required a clear structure with supporting their social needs. This was emphasised within the care plan. In addition the manager provided any new staff employed with extra guidance to work with the service user’s plan of care. Information was prominently displayed about advocacy services and one service user had access to an independent advocate. Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13 and16 College and social activities were well organised. Service users participated and developed self-help skills and were supported by staff. EVIDENCE: Each service user had a weekly activity planner that identified college courses and local community resources. On the day of the inspection visit, one service user had participated in a planned swimming activity at the local leisure centre and two other service users were attending college courses. One service user spoken to indicated that he ‘liked trips out in the car and going for walks’. Another service user spoke positively about his work placement at a garden centre. Staff described weekends as relaxed periods of time and service users were often involved in household tasks. This was consistent with the care plans. The design of the home is domestic in scale and provides good access to the communal shared areas. In addition there is a conservatory and enclosed back garden. One service user stated this was a ‘nice spot’ to relax in. Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 Page 10 A number of the service users prefer to lock their bedrooms when out of the house. Staff respected this. Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 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 standard(s) 18,19 and 20 Arrangements were in place to ensure that health and social care needs were being addressed. Good systems existed for the administration of medication and the training of staff for this. EVIDENCE: Individual care plans covered aspects of health, social and personal care. The records of two service users clearly described their health care needs and information was updated and routinely reviewed. Risk assessments were available and were consistently included within care plans. Staff described one-service user’s health care needs as changing. Records illustrated regular contact with health care professionals in addressing these changes. There was a policy, procedure and training for the administration of medication that guided staff and service users. All care plans included a separate document detailing services user’s current medication. It is recommended that this should be dated. Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 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 standard(s) 23 There was a policy and procedure on the Protection of Vulnerable Adults that was effectively implemented within the home. EVIDENCE: There was a policy on Abuse Prevention and clear guidance on the Protection of Vulnerable Adults and training had been provided. Staff were aware of the policy and it was reinforced during the staff induction process. The Commission for Social Care Inspection had been notified of a staff disciplinary in progress and the outcome was pending. The manager had identified that the staff team had been unsettled by recent events and the management team may need to consider some team building work to deal with their feelings. Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 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 standard(s) 24 The home is a spacious domestic style home for the service users living there. The carpet area in the hallway and dining room should be replaced. EVIDENCE: The home is conveniently located about 1 mile from Ross-on-Wye. The home is a spacious two storey detached property. The home was reasonably maintained and there is a budget for repairs, replacement of furnishings and decoration. Two of the service users showed the inspector their bedrooms that had been decorated to their personal taste. One room was decorated to the service user’s favourite colour blue. As identified in the last inspection, the registered manager was asked to replace the carpet area in the hallway and the adjacent living room. In its current state it was stained and the marks were as a result of a service user persistently spilling drinks and it did now need replacing. A suitable alternative floor covering must be provided. Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 Page 14 During the inspection the conservatory area was considered to be ‘chilly’ and the heating may therefore, need to be reviewed. Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 Page 15 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) 35 Arrangements were in place to ensure staff receive induction training and core training. There were plans in place for NVQ level 2. EVIDENCE: Staff training records showed that training had occurred with the foundation and induction training programmes. One new staff member’s induction file was examined. It was provided in an accessible format and the staff member had made positive comments. Two members of the team were qualified to NVQ level 2 or above. The registered manager had nearly completed the Registered Manager Award. The manager had just recruited 3 new residential staff and was currently organising the induction programmes. Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 Page 16 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) 42 The home was well managed and run, ensuring that service users were safe and well protected. EVIDENCE: Health and Safety records were examined and were up to date. External contracts existed for checking fire, gas, electrical and central heating systems. Risk assessments existed for the premises and were up to date. The management arrangement at the home was to change, as the registered manager was to depart for maternity leave. The intention was for the assistant manager to take responsibility for the day-to-day management of the home and the external service manager was to visit the home every fortnight. Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 Page 17 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 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Dawnings Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x E52 S24712 Dawnings V223199 150405.doc Version 1.30 Page 18 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 24 Regulation 16 Requirement The stained carpet in the hallway and sitting room must be replaced. Timescale for action 15/8/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. 4. 5. Refer to Standard 19 23 24 Good Practice Recommendations The medication record contained in service users files should be dated . Consideration should be given to providing the staff team with additional training and support to assisit with team building. Consideration should be given to providing an additional source of heating in the conservatory area that is independent of the central heating system. Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 Page 19 Commission for Social Care Inspection The Coach House John Comyn Drive, Perdiswell Park Droitwich Road Worcester WR3 7NW 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 Dawnings E52 S24712 Dawnings V223199 150405.doc Version 1.30 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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