Inspection on 12/07/05 for Essex Care Consortium Marks Tey

This inspection was carried out on 12th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Essex Care Consortium Marks Tey 03/05/07

Essex Care Consortium Marks Tey 01/12/05

Essex Care Consortium Marks Tey 25/01/05

Essex Care Consortium Marks Tey 17/08/04

Essex Care Consortium Marks Tey 15/03/04

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

CARE HOME ADULTS 18-65 Essex Care Consortium: Marks Tey Station Road Marks Tey Colchester Essex CO6 1EE Lead Inspector Tim Thornton-Jones Final Unannounced 12/07/05 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. Essex Care Consortium: Marks Tey Version 1.10 Page 3 SERVICE INFORMATION Name of service Essex Care Consortium: Marks Tey Address Station Road Marks Tey Colchester Essex CO6 1EE 01206 211825 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) Miss Bethan Jess Oliver Ms Gillian Oliver Patricia Owen Care Home 13 Category(ies) of Learning disability (13) registration, with number of places Essex Care Consortium: Marks Tey Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. Perons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 13 persons). Date of last inspection 25/01/2005 Brief Description of the Service: The service is comprised of three dwellings occupying the same site. The largest dwelling accomodates eight younger adults who have a learning disability. The bungalow accomodation enables each person to have their own bedroom and to share other communal spaces. The second dwelling is a smaller bungalow accomodating four adults with similiar disabilites. This dwelling is self contained and provides each person with seperate facilities. The remaining dwelling consists of a self contained studio flat on the ground floor, which accomodates one person. Essex Care Consortium: Marks Tey Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This service has demonstrated a good commitment to achieving National Minimum Standards and has maintained this standard at a high level. This inspection sampled thirteen standards across the range of compliance groups and all were complied with, some rated as commendable. This continues to be a positive achievement. One recommendation has been made relating to the completion of the Manager’s qualification by December 2005. At this inspection one service user was spoken with, which is a small representation of the service user group. It was discussed with the Manager that future inspections would be undertaken at times when service users are more likely to be at home and are able to contribute to the inspection process. 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Essex Care Consortium: Marks Tey Version 1.10 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 Essex Care Consortium: Marks Tey Version 1.10 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) 1 Prospective service users are provided with the information they need to make an informed choice. EVIDENCE: The service was maintaining a Statement of Purpose and service users have individual guide documents in accordance with regulatory requirements and National Minimum Standards. The Service Users Guide and Statement of Purpose are produced in alternative formats. Essex Care Consortium: Marks Tey Version 1.10 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) 10 Staff and service user information is maintained in a confidential manner. EVIDENCE: Service users have access to their own information, although data is carefully managed to ensure that service users’ confidentiality is maintained. This is achieved by the organisational policy and practice procedures. The home’s own quality audit tools monitor compliance with this practice. Arrangements for locked cabinets are available and used appropriately. Staff demonstrated a sound understanding of confidentiality practices. Essex Care Consortium: Marks Tey Version 1.10 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) 17 Service users benefit from a well managed food provision service. EVIDENCE: Service users are positively encouraged to influence the menu planning and, where appropriate, contribute to the preparation of their own meals. Meal times are flexible and meet the lifestyle of service users. Records associated with the provision of food indicated that meals were well balanced and varied. Essex Care Consortium: Marks Tey Version 1.10 Page 10 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) 20 Service users benefit from a well managed medicine administration system. EVIDENCE: The arrangement for the administration and security of prescribed medicines was undertaken. The service operates a monitored dosage system and this was found to be well maintained, accurately recorded and secure. Essex Care Consortium: Marks Tey Version 1.10 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22,23 The complaints procedure and adult protection procedure and practice was very well managed. EVIDENCE: The service continues to maintain a very comprehensive complaints procedure. The detail of the procedure is available in alternative formats for use by service users. No formal complaint investigations have been undertaken by either the service or the CSCI during the period since the previous inspection. The adult protection approach by the service is very well managed and maintained. The professional practice associated with the home’s policy and procedures is commendable. The management of the service has responded to matters associated with the protection of vulnerable adults in a comprehensive and professional manner. Essex Care Consortium: Marks Tey Version 1.10 Page 12 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 Service users environment. EVIDENCE: The standard of accommodation throughout the site, within all dwellings visited, is of a very high standard in decoration, fabrics, furniture and maintenance. The whole of the rooms visited were clean, comfortable and individual. At the previous inspection a trailing power lead was observed, which constituted a potential hazard. This has been improved by the installation of additional power points. All of the bedrooms visited were individual. benefit from a comfortable, safe and well maintained Essex Care Consortium: Marks Tey Version 1.10 Page 13 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 Service users are protected by the home’s recruitment practice and benefit from a staff group of whom a good proportion are trained. EVIDENCE: Staff recruitment practice was examined by reviewing care workers’ files at random. All of those chosen had been recruited recently. All were found to comply with regulatory requirements. The service commitment toward training is positive, being well organised and encouraging. 50 of support workers were trained to at least National Vocational Qualification at level 2 or above/equivalent. Various other support training is provided, including food hygiene and service user specific courses. Essex Care Consortium: Marks Tey Version 1.10 Page 14 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, 39, 42 The service users benefit from a well managed service, subject to quality assured practice and where health and safety practice is well maintained. EVIDENCE: The manager continues to work toward a Registered Manager qualification and stated she hopes to complete as soon as possible. The inspection concluded that the service is well run and reflective of good professional practice. The manager sets a good example and a friendly and supportive environment exists. The quality assurance system continues to be well managed and draws directly from the experiences of service users and stakeholders. This data is analysed and used to drive developments and improvements to the service. The service maintains a health and safety policy and procedure, including a Care of Substances Hazardous to Health register. There were no obvious health and safety concerns noted at this inspection. Essex Care Consortium: Marks Tey Version 1.10 Page 15 Essex Care Consortium: Marks Tey Version 1.10 Page 16 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x x x Standard No 22 23 ENVIRONMENT Score 3 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x x x x x 3 Standard No 31 32 33 34 35 36 Score x 3 x 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x Essex Care Consortium: Marks Tey Version 1.10 Page 17 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 37 Good Practice Recommendations The Registered Person is recommended to ensure that the Manager is qualified to NVQ level 4 in care and Management by December 2005. Essex Care Consortium: Marks Tey Version 1.10 Page 18 Commission for Social Care Inspection 1st Floor 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. Extracts may not be used or reproduced without the express permission of CSCI Essex Care Consortium: Marks Tey Version 1.10 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. 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