Inspection on 25/07/05 for Emmie Dixon Home

This inspection was carried out on 25th 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

Emmie Dixon Home 03/01/07

Emmie Dixon Home 06/01/06

Emmie Dixon Home 02/12/04

Emmie Dixon Home 11/05/04

Emmie Dixon Home 20/02/04

Similar services:

Ruskin Lodge

Clover House

Dystlegh Grange

The Good Companions

Cuerden Grange Rest Home

Springfield Cottage

Parkside

Park Lodge

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

CARE HOME ADULTS 18-65 Emmie Dixon Home 149 Richmond Road Crewe Cheshire CW1 4AX Lead Inspector Maureen Brown Unannounced 25 July 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. Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Emmie Dixon Home Address 149 Richmond Road Crewe Cheshire CW1 4AX 01270 581314 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) Emmie Dixon Home Litd Miss Deborah Owen Care home 12 Category(ies) of Physical disability (5), Physical disability over 65 registration, with number years (2), Learning disability (5) of places Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 5 physical disabilities PD, 2 elderly physical disabilities PD(E), 5 learning disabilities LD 2. No more than 5 service users may be PD 3. No more than 2 service users may be PD(E) 4. No more than 5 service users may be LD Date of last inspection 2 December 2004 Brief Description of the Service: The Emmie Dixon Home is a two-storey adapted property that provides care for twelve adults (including one respite place) who have a physical and/or learning disability. Located in a residential area of Crewe, it was opened in 1969. Access to the first floor is provided by a stairway, and the home has small paved/concreted areas (with planted tubs and wooden garden furniture) to the front and side, where service users can sit. Accommodation for service users comprises twelve single bedrooms, with one having an en-suite toilet/wash-basin facility. Whilst most bedrooms are located on the ground floor, there are four bedrooms on the first-floor which are used by service users who are independently able to negotiate stairs. There is a separate kitchen, laundry and office. Communal facilities comprise a main lounge, separate dining/lounge area, conservatory, four toilets, two bathrooms and one shower-room. Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out during the day of 25th July 2005. The total time on site was six hours. The inspector spent an hour planning the inspection by reviewing previous inspection reports and the service history. The inspection included a tour of the home, inspection of records and discussions with seven service users, the registered manager and the care assistants on duty. Twenty-four out of forty-three standards were assessed and all were met. Feedback from this inspection was given to the registered manager at the end of the inspection. What the service does well: What has improved since the last inspection? New flooring had been provided in the dining room. The registered manager had gained NVQ level IV Registered Managers Award, the recognised qualifications for the home manager. Two bedrooms had been redecorated. Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 Page 6 A new car had been purchased to transport the residents. Purchase of the car had been discussed at a residents’ meeting. 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. Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 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 Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 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 Sufficient information is provided for residents to make a decision about moving into the home. Full assessments of needs are carried out to ensure that the home can meet the residents’ needs. EVIDENCE: Each resident is given a copy of the home’s welcome pack which includes a welcome letter, general information, aims and objectives, admission procedure, complaints procedure, statement of purpose and function and useful contact numbers. A copy of the most recent inspection report was available on the notice board. The residents and staff confirmed they were aware of this. Care plans examined showed that assessments had been carried out with each person before moving into the home. Residents had visited the home prior to admission and trial overnight visits were encouraged. Admissions were planned and ranged from a short visit to overnight stays, dependent on the needs and wishes of the person. The staff team was well established and staff had completed mandatory training such as moving and handling, food hygiene and first aid courses. Many staff had also completed other courses. Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 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 residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: Three residents’ care records were seen during this inspection. These were comprehensive and well presented in individual folders. Each contained personal information, risk assessments, information on personal care, communication, working and playing and visiting professional sheets. The care plans seen were drawn up in consultation with the residents and family and were based on their assessed needs and risks. The care plans were reviewed every six months or more frequently if necessary. It is suggested that residents weights are recorded to enable staff to monitor changes with the service users. Information with regard to dying and death had been recorded for one of the plans seen. It is advised that this information is completed for each person, so that it is available should it be needed. (See recommendations 1 & 2). Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 Page 10 Daily record sheets seen showed that day-to-day activities were recorded. This enabled staff and family members to see what a particular resident was undertaking during the day. They were written clearly, easy to follow and were signed by carers. Residents confirmed they had chosen the décor and furniture within their own bedrooms and it was seen that each bedroom reflected the residents’ personality and preferred taste of décor. Residents’ meetings were held with records kept. The last meeting was held in January 2005 and areas discussed included fire risk assessment, possible purchase of car, seating at mealtimes, holidays and trips out and making a will. The manager stated that a residents meeting was due to be held in the near future. Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 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, 14, 16 & 17 Residents’ were able to take part in a range of activities of their choosing. Personal and family relationships were encouraged by the home and the staff team supported people with this. Residents’ dietary needs were well catered for with a balanced and varied selection of food that met people’s tastes and choices. EVIDENCE: The residents’ plans reflect the range of activities undertaken which included going for meals out, shopping, bowling, visiting Chester Zoo, going to discos and the theatre. Residents spoken to said they enjoy going out and about in the community, to local shops and out for lunch. The residents had chosen to have a dog and they looked after him with support from the staff. Residents said they enjoyed taking the dog for a walk. This activity was seen during the inspection. Many of the residents had paid jobs, attended the local college or local day services centres. On discussion with residents they said that they enjoyed the Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 Page 12 jobs that they do and one resident was attending a course in catering at the local college. Other residents worked in the local charity shop. A car is available for the residents to get out and about in. Visits from family and friends were recorded in the care plans and case notes. Residents shared with the inspector the contact they had with family members and said they could choose to see visitors within their own room or in the shared lounge, conservatory or dining area. All the residents have had a holiday this year. Residents confirmed that they liked to go away with a friend from the home and staff confirmed that holidays were usually for individuals or small groups of two or three. This year residents have been to Tenby, Colwyn Bay, Blackpool, London, Llandudno and the Isle of Man. The menu was seen and this reflected peoples’ personal choices. A variety of foods are bought each week and staff discussed with residents each day what they would like for their meals. Fresh vegetables, fruit and general groceries are purchased from local shops and farms. Milk and bread is delivered daily. The kitchen was maintained in a clean and tidy condition and fridge, freezer and hot food temperatures were recorded and kept. Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 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 & 20 Residents received support from the staff for personal care in accordance with their stated preference. Administration and control of medications were appropriate for the needs of the residents. EVIDENCE: Within the care plan descriptions of how the residents preferred to be supported in their daily routines were documented. Times for rising and resting preferred moving and handling techniques and personal care preferences were recorded, as was choice of clothing, hairstyle and makeup. All residents were dressed differently according to their own choice. Appropriate storage of medication was available. A monitored dosage system was used and all medication was stored appropriately. The medication administration sheets seen were signed and up to date. No controlled drugs were used at this time, however appropriate facilities were available if required. All staff had received training in administration of medication. The manager said that she had a good relationship with the local chemist. Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 Page 14 Each resident had a health care action plan and visits to the dentist, GP, chiropodist, district nurse and aroma-therapist were recorded. The manager said that other specialist services could be requested through the GP as needed. Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 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 standard(s) 22 Clear policies and procedure were in place to ensure that residents’ views were listened to and acted upon. Residents were satisfied with the support they received from the manager and staff. One complaint had been made since the last inspection. EVIDENCE: The home’s policy on complaints was seen. The complaints procedure included timescales for response to the complainant and to whom you can complain. Residents said that they would speak to the staff or manager if they had a complaint. Staff confirmed that they were aware of the procedure and would pass concerns onto the manager. One complaint had been received and this had been resolved to the complainant’s satisfaction. All relevant paperwork was available. Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 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 standard(s) 24 & 30 The home provided a clean and comfortable environment for the people to live in. EVIDENCE: A tour of the home was undertaken. The home was furnished in a domestic style with additional equipment such as hoists and tracking provided as necessary to meet the residents’ needs. Residents said that bedrooms were decorated to their preferred style. The home was clean, tidy and free from any unpleasant smells. Records of menus and daily checks on fridge, freezer and hot food temperatures were kept. A separate laundry room was available with an industrial style washing machine and a drier. The manager said that these met the home’s needs. Cleaning materials were kept secure and information sheets on hazardous materials were available. The garden area is paved and has tubs and seating provided. The conservatory leads out onto this area. It is accessible to all the residents. Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 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) 32, 33, 35 & 36 The manager provided clear leadership. Records were well maintained. Staff received support to enable them to meet residents’ needs. EVIDENCE: At the time of this inspection the agreed staffing levels were met. Two care staff, the housekeeper and the home’s manager were on duty. Observed day-to-day supervision of staff was good and the staff team confirmed that they were supported by the manager and care managers in their delivery of care to residents. The staff said that formal supervision was conducted on a regular basis and records were kept. Supervision was undertaken every six to eight weeks. The care managers were due to take over the supervision of the care staff. During this inspection staff were seen providing care for residents in a dignified manner. Whilst assisting with mealtime’s food was offered to residents at their particular pace and staff interacted well with residents. Five staff had obtained NVQ level II or III in Care and one staff member was currently undertaking NVQ level II in Care. Mandatory training included moving and handling, first aid, food hygiene and medication training, which had been carried out by all staff. Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 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) 37, 40 & 41 Residents’ records were kept safe and secure. The manager is competent, experienced and able to meet the homes stated purpose aims and objectives. EVIDENCE: The manager has the NVQ level IV Registered Managers Award and has eight years experience as a manager. During discussions with the manager it was apparent that she was aware of the needs of the residents and was familiar with associated disabilities. She was also aware of the homes written aims and objectives and the policies and procedures. Staff said the manager supported them in their role. All records, policies and procedures seen were up to date and accurate. These were kept secure within the home. Residents confirmed that they had access to information kept about them. During discussions with the residents they said that the manager was easy to approach and that they saw her on a daily Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 Page 19 basis. Residents said that they “liked living in the home”, “that they liked their bedroom and had chosen the colour scheme” and “that the home was run well”. Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x 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 x x x x x 3 Standard No 11 12 13 14 15 16 17 3 3 x 3 x 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Emmie Dixon Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x 3 3 x x F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 Page 21 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. 2. Refer to Standard 7 7 Good Practice Recommendations The registered person should ensure that residents weights are recorded on a monthly basis. The registered person should ensure that information with regard to dying and death is recorded for each resident. Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 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 Emmie Dixon Home F51 F01 S6596 Emmie Dixon House V236101 250705 Stage 4.doc Version 1.40 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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