Inspection on 20/05/05 for Drummonds

This inspection was carried out on 20th May 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

Drummonds 11/07/07

Drummonds 15/08/06

Drummonds 25/11/05

Drummonds 16/11/04

Drummonds 21/04/04

Similar services:

Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

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Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 Drummonds The Street Feering Colchester Essex, CO5 9QJ Lead Inspector Ray Burwood Final Unannounced 20th May 2005 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. Drummonds I56-I05 S17806 Drummonds V221091 200505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Drummonds Address The Street Feering Colchester Essex CO5 9QJ 01376 570711 01376 570580 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) SCOPE Mrs Sheila Oldham Care Home 46 Category(ies) of Learning disability (46), Learning disability over registration, with number 65 years of age (4), Physical disability (46), of places Phyical disability over 65 years of age (4) Drummonds I56-I05 S17806 Drummonds V221091 200505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1, Persons of either sex, under the age of 65 years, who require care by reason of a learning disability who may also have a physical disability. (Not to exeed 46 persons). Date of last inspection 22/10/04 Brief Description of the Service: Drummonds is a purpose built home, which has four units within the main building. Situated in the grounds is a three-person bungalow, a self-contained flat and two bed-sits within a larger old house used to accommodate overseas student volunteers. Drummonds offers care for service users with physical disabilities and other difficulties associated with cerebral palsy. It provides a wide range of facilities to meet the needs of service users in the home and to support them in the local community. The manager and staff work with the service users to encourage and enable them to lead individual and fulfilling lifestyles through individual service user plans and a commitment to service user input and empowerment. Drummonds I56-I05 S17806 Drummonds V221091 200505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of Drummonds was undertaken on the 20th May 2005 with the assistance of the manager, deputy, service users’ and staff. The inspection was carried out between the hours of 10.00am and 2.00pm. A total of 15 standards were inspected and subsequently found to be met, these included two requirements highlighted at the home’s last inspection. A tour of the premises was undertaken with the manager and service users, with improvements to the environment noted, in relation to the provision of disability aids and changes to communal areas. During the inspection service users’, staff and visitors were spoken with and confirmed that the home was positively run, and offered a wide range of opportunities and activities, both internally and externally. Parents of service users’ were contacted by telephone and provided positive feedback about the services provided at Drummonds. What the service does well: The home provides an environment that is well maintained, decorated and furnished with service users’ input and choices being respected. From discussions with various groups, there was a positive attitude towards people with a disability, and appropriate opportunities to maximise their potential. Educational facilities and support from college tutors, both on site and in the community, were of a high standard and included most of the service users’ living in the home. Other opportunities for service users’ to experience in the home included Arts, Crafts, Horticulture, and I.T. courses. Personal healthcare needs are closely monitored and referrals made to the appropriate professionals. Service users’ are supported by a well qualified team of support workers, with the home/organisation committed to providing staff with training appropriate to service users’ changing needs. Drummonds I56-I05 S17806 Drummonds V221091 200505 Stage 4.doc Version 1.30 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. Drummonds I56-I05 S17806 Drummonds V221091 200505 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 Drummonds I56-I05 S17806 Drummonds V221091 200505 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) 2 and 5. The home had appropriate admission arrangements that contained comprehensive details of service users needs, wishes and aspirations. The contracts of residency clearly outlined what was provided by the service. EVIDENCE: Care files inspected contained admission documentation in relation to Local Authority referrals and Community Care Assessments. In addition, the home carries out initial assessments of needs. These assessment profiles covered all of the sub sections of the National Minimum Standard (NMS) including, speech and language assessments, communication profiles and relatives input. Service users’ contracts of residency were sampled, together with one particular service users’ contract found not to have been signed at the home’s last inspection. All contracts viewed contained details of the services provided, including fees, and had been signed by all concerned. Drummonds I56-I05 S17806 Drummonds V221091 200505 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 and 7. Service users’ healthcare needs are well met with clear records in place to help ensure this Care plans and risk assessments included evidence of service users’ involvement. EVIDENCE: Five service users’ care plans were sampled and seen to include input from healthcare professionals, relatives, tutors, support workers and service users’ likes and dislikes. Reviews are carried on a regular basis and care plans updated with the consent of service users’, or their representative. Reviews included service users’ aims and personal objectives, and choice in relation to activities, leisure, independence, and how their care is provided and by whom. From discussions with the manager and staff it was apparent that advocacy services are available if there was a need for independent advice. Risk assessments were also seen to be included in care plans sampled, with clear guidelines for staff on actions to be followed to minimise the likelihood of the identified risk presenting. Drummonds I56-I05 S17806 Drummonds V221091 200505 Stage 4.doc Version 1.30 Page 10 From discussions with service users’ it was evident that they were involved in making decisions about their lives by being members of various service user led groups. These ranged from activity/leisure planning, including holidays, to health and safety groups. Also, service users’ confirmed that their rights to make decisions were respected by support workers and recorded in care plans. Drummonds I56-I05 S17806 Drummonds V221091 200505 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) 12 and 14. Service users’ were encouraged and supported to take part in appropriate and fulfilling activities within the home and externally. EVIDENCE: No service users’ were in paid employment but all were involved in a range of fulfilling and appropriate activities. During the inspection various groups of people same were observed taking part in educational studies. These included communication skills, art classes, foreign language (French) and gardening groups, supported by external Tutors from the North Essex Community College. These activities were also available externally by the same college. Course Tutors provided comprehensive course details and evidence regarding service users’ achievements. Service users’ spoken to thought the level of support was conducive to their abilities, and looked forward to taking part in the different groups. In addition to educational and craft activities, the home provided a computer suite with programmes supporting service users’ with an interest in I.T. studies. Service users’ had been involved in devising systems by using digital cameras and computers, in producing a letter pro forma for communicating with and informing parents of, their progress. Staff and volunteers observed and spoken with during the inspection were found to be Drummonds I56-I05 S17806 Drummonds V221091 200505 Stage 4.doc Version 1.30 Page 12 confident and enthusiastic in their work and supported service users during their particular activities. This National Minimum standard is therefore exceeded. A range of leisure activities were enjoyed by service users on a group basis including: • • • • Tenpin bowling, Swimming, Pub visits, Theatre trips. Service users’ were also supported in pursuing individual interests such as reading, visits to sporting venues and cinema visits. Some service users’ were involved in drama classes within the home. Drummonds I56-I05 S17806 Drummonds V221091 200505 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) 19 The home’s healthcare arrangements are managed effectively and well documented. EVIDENCE: From the evidence seen in care plans sampled, service users’ physical and emotional health needs were being addressed and met. Records inspected were found to include referrals and outcomes of healthcare appointments. All service users’ are registered with local General Practitioners and are supported in accessing healthcare facilities in the locality. Drummonds I56-I05 S17806 Drummonds V221091 200505 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) 23. The home’s Adult Protection policy and procedures, including staff training, helped to ensure that service users’ were protected from harm or abuse. EVIDENCE: The home’s Adult Protection policies and procedures, (including Whistle Blowing), are in place, with a robust check-list for staff guidance in reporting alleged or actual incidents of Adult Abuse. From discussions with the manager and staff, training had been completed for all staff in relation to Adult Protection and challenging behaviour. Drummonds I56-I05 S17806 Drummonds V221091 200505 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 and 26. The home provides a well-maintained, accessible and safe environment that meets individual service users’ needs and lifestyles. EVIDENCE: A tour of the premises was undertaken with the manager and a service user, and found to be comfortable, homely and well maintained. All areas were safe and accessible. The home’s maintenance programme was seen and reflected the improvements to the fabric and décor of the home. Further planned work involved upgrading the swimming pool and servicing associated disability equipment. Work was also planned to upgrade a kitchen with new equipment already in place. This work was part of an increase in units to provide smaller communal group facilities. Following a recent site survey, signs, walkways and disabled car parking has been provided as part of the Disability Act. Service users’ bedrooms observed were found to be meet individual needs and lifestyles. Furnishings were a mixture of personal items chosen by individual service users, and the home. Drummonds I56-I05 S17806 Drummonds V221091 200505 Stage 4.doc Version 1.30 Page 16 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) 32, 34 and 35. Staff training is provided in a planned way, ensuring that skills requirements are provided to meet the complex needs of service users. The home’s robust recruitment procedures ensured the protection of service users living in the home. EVIDENCE: The home’s induction and foundation training is linked to the Learning Disability Award Framework (LDAF) programme, with progression onto NVQ training courses. The home currently has sixteen care staff that are NVQ qualified to Level 2 or above, with a further eight who are close to completion. The home will have in excess of the required number of 50 care staff qualified by 2005. A number of staff recruitment files were sampled, inspected and found to contain the documentary evidence required under Regulations. Since the last inspection one file that did not contain a declaration of fitness to work now has this information in place. The home had also revised this document to include General Practitioners comments on fitness. The home’s manager confirmed that all staff had a training and development plan and provided evidence of individual staff profiles containing this Drummonds I56-I05 S17806 Drummonds V221091 200505 Stage 4.doc Version 1.30 Page 17 information. SCOPE carry out training needs assessments for the staff team as a whole, and provide refresher training as part of the overall assessed needs identified. Drummonds I56-I05 S17806 Drummonds V221091 200505 Stage 4.doc Version 1.30 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 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) 40 and 42. Appropriate policies, procedures and records are in place, that are regularly reviewed to protect service users’ rights, interests and safety. EVIDENCE: Policies and procedures sampled confirmed that service users’ rights and best interests were paramount. These were contained in an A-Z of corporate and local policies. All policies are reviewed by the home, including service users’ and staff, and signed off by the home’s manager or where corporate, by SCOPE head office (Human Resources). Safety certificates and records associated with internal checks were viewed and included: • Fire protection, • Electrical installations, • Portable appliances, • Servicing of disability equipment, • Water temperatures, • Emergency lighting Drummonds I56-I05 S17806 Drummonds V221091 200505 Stage 4.doc Version 1.30 Page 19 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 3 Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x x Standard No 11 12 13 14 15 16 17 x 4 3 x x x x Standard No 31 32 33 34 35 36 Score x 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Drummonds Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x 3 x 3 x I56-I05 S17806 Drummonds V221091 200505 Stage 4.doc Version 1.30 Page 20 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 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 Good Practice Recommendations Drummonds I56-I05 S17806 Drummonds V221091 200505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection Fairfax House Causton Road Colchester CO1 1RJ 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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