Inspection on 03/08/06 for Derby Road Care Home

This inspection was carried out on 3rd August 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Derby Road Care Home 09/06/08

Derby Road Care Home 30/05/07

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Derby Road Care Home Derby Road Doveridge Derbyshire DE6 5JT Lead Inspector Vanessa Davies Unannounced Inspection 3rd August 2006 10:00 Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 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 Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 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. Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Derby Road Care Home Address Derby Road Doveridge Derbyshire DE6 5JT 01543 437030 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) Milbury Stuart McCallum Powell Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection First Inspection Brief Description of the Service: The home is a large detached house. It is surrounded by large well-maintained gardens. All areas of the home and garden are accessible to the service users. There are a number of communal areas including a large. All bedrooms have en-suite bath or shower room. The service users have shared access to a large log cabin within the grounds of the home next door, it has a sensory room and an activity room. The home provides long term care for adults with a learning disability. Transport to access the community is also provided. Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This visit was unannounced and was the first visit since the registration of the home. The manager was present throughout and 2 senior managers visited during the visit. Information for this report was gathered before and during the visit. Information was gathered by reading records, speaking with service users and speaking with staff. What the service does well: Detailed assessments of need provide valuable information assisting staff to meet the needs of the residents. Risk assessments in place ensure that service users are able to lead a full and valued lifestyle taking necessary daily risks. Positive relationships between staff and service users and detailed care plans ensure that social, emotional and physical needs are met. The manager promotes positive working relationships with both the staff team and the service user group. He has gathered valuable information within the assessments of need and developed a service user plan from this. Details of likes and dislikes are documented. Files relating to the service users are kept up to date. Family and friendship contact is supported and encouraged, each file examined had a list of friends contact numbers and addresses. Service users rights to privacy and choice are respected and the inspector observed this on the day of the inspection. Complaints are taken seriously and documented. There is a complaints procedure in place. Fire alarms, lighting and extinguishers are checked weekly. The operations manager completes unannounced visits and seeks the opinions where possible, of the service users during these visits. Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 Page 6 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. Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 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 Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 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 Quality in this outcome area is good. Detailed assessments of need provided valuable information assisting staff to meet the needs of the residents. This outcome has been made from evidence gathered before and during the visit to the service. EVIDENCE: Each of the 2 service users’ files examined had a completed assessment of need, both of the files had detailed information from the previous placement and a community care assessment and review. There was evidence of regular professional reviews taking place. The service user spoken with was aware of his file and his right to access it and it was clear that the manager and staff had worked hard to involve the service users as much as possible with their care file. Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 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): 6,7,9 Quality in this outcome area is good. Risk assessments in place ensure that service users are able to lead a full and valued lifestyle taking necessary daily risks. This outcome has been made from evidence gathered before and during the visit to the service. EVIDENCE: The service user spoken with stated that the staff support him to make decisions and to take risks, this was evident when reading his care file. Service users are supported to continue contact with friends and family. Each of the files examined had risk assessments in place to meet the needs highlighted in the assessments. There was a missing persons procedure in place and service users who are at risk of wandering have an individual risk assessment on place. Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 Page 10 Each of the files had a review of the placement after one month and care plans were reviewed to reflect the change. Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 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): 12,13,15,16,17 Quality in this outcome area is good. Participating in a variety of activities within the community ensures that service users become valued members of society. This outcome has been made from evidence gathered before and during the visit to the service. EVIDENCE: The inspector spoke with 1 service user who confirmed that he participated in a number of activities. Information within the files evidenced a range of activities and likes and dislikes of the service users. The member of staff spoken with stated that they try to involve service users within the local community as much as possible, with visits to the local pub, library, supermarket and again this was confirmed by the service user spoken with. Service users are offered the opportunity to walk to the local shop daily. Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 Page 12 The inspector did not examine the menus, however the manager stated that menus are kept. The service user spoken with stated that they decide menus between them and then do the shopping between them, as well as being involved with the preparation of the food where possible. Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 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 Quality in this outcome area is good. Positive relationships between staff and service users and detailed care plans ensure that social, emotional and physical needs are met. This outcome has been made from evidence gathered before and during the visit to the service. EVIDENCE: It was evident on the day of inspection that service users are treated with respect. Staff knock on doors prior to entering. The manager stated that staff make appointments for service users when necessary and take them to the appointments. It was evident in service users files that staff meet the needs highlighted in the assessments. The home keeps a record of all medication received and administered. Medication was seen to be stored appropriately. The manager provides staff with an induction into safe administration of medication, 3 staff have received formal medication training. Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 Page 14 Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 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): 22,23 Quality in this outcome area is adequate. Policies were in place in respect of Adult Protection, however there is a potential for service users to be at risk of abuse due to the lack of staff training in this area. This outcome has been made from evidence gathered before and during the visit to the service. EVIDENCE: The service user spoken with was confident that staff listened to him and addressed any issues he may have. The complaints record was not examined on this occasion. Training records examined evidenced that three members of staff had received training in NVCI (Non violent physical crisis intervention) to assist them with the management of any aggressive outbursts, however a number of staff still need to receive this training. Two staff had received training in Adult Protection and it was planned for a further 8 over the next four months, training for a further five is still to be planned. There was a clear policy and procedure in place relating to Adult Protection and managing challenging behaviour. Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 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): EVIDENCE: None of the standards within this area were assessed on this occasion. Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 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 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): 32,34,35 Quality in this outcome area is adequate. Lack of staff training potentially puts service users at risk. This outcome has been made from evidence gathered before and during the visit to the service. EVIDENCE: Staff were aware of their roles and responsibilities. All staff observed on the day of inspection worked very well and positively with the service users. Three staff files were examined, each contained 2 written references, a completed job description and a Criminal Records Bureau check (CRB) obtained prior to commencing at the home. The staff training records evidenced that a number of staff still need to complete mandatory training; Adult Protection, manual handling, First Aid. Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area is good. A suitably qualified manager with support from senior management ensures that the service changes with the needs of the service users. This outcome has been made from evidence gathered before and during the visit to the service. EVIDENCE: The manager has relevant experience and the necessary skills to manage this service. He works with an open door policy and service users spoke with on the day of the visit were confident about approaching him with any problems they may have. There are detailed policies and procedures in place to safe guard service users. Staff are aware of these and able to access whenever necessary. The Operations Manager completes monthly, unannounced monitoring visits, in addition to other visits throughout the month. During these visits she seeks opinions of the service users and documents them. Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 Page 19 The fire files are up to date. Alarms, emergency lighting and extinguishers are audited on a weekly basis. Fire drills are completed 2 monthly. Accident records are clear and up to date. Fridge and freezer temperatures are completed daily and within safe limits. Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 Page 20 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? N/A 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 Standard YA23 YA35 Regulation 18.1 a i 13.6 18.1 a i Requirement All staff must receive training in Adult Protection. 31/12/06 All staff must receive mandatory training. 31/12/06 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 YA20 Good Practice Recommendations All staff should receive recognised training in administration of medication, in addition to training with the manager. Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Derby Road Care Home DS0000066510.V307244.R01.S.doc Version 5.2 Page 23 - 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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