Inspection on 16/12/05 for Fledglings Court

This inspection was carried out on 16th December 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

Fledglings Court 18/04/07

Fledglings Court 08/03/06

Fledglings Court 08/02/05

Fledglings Court 24/09/04

Fledglings Court 23/02/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Fledglings Court 11 Beverley Road Market Weighton East Yorkshire YO43 3JN Lead Inspector Mavis Pickard Unannounced Inspection 16th December 2005 11:00a Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 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 Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 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. Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fledglings Court Address 11 Beverley Road Market Weighton East Yorkshire YO43 3JN 01430 871744 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) Joseph Rowntree Housing Trust Mrs Patricia Stainton Care Home 14 Category(ies) of Learning disability (13) registration, with number of places Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th February 2005 Brief Description of the Service: Fledglings Court is a purpose built bungalow style residential home for up to fourteen people with learning disabilities. The premises are located a short walk from the town centre of Market Weighton, close to a number of local amenities including public transport, post office, pubs, churches, shops and a snooker club. Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken over 2.5 hours and took place across the lunch time period. The registered manager was not on duty and the deputy manager assisted with the process of inspection. A range of care, health and safety and staff documents were examined all of which were found to be up to date and accurate. A short tour of the building was taken with assistance from a resident who explained about the way in which the home runs and the responsibilities that residents have in that process. The premises have been decorated in readiness for Christmas and there are parties and gatherings planned for the festive period. Staff explained that as all residents spend Christmas Day and Boxing Day with their family the home is effectively closed during that period but that staff are available should a resident need to return early. What the service does well: What has improved since the last inspection? The carpets in the main lounge and dining areas have been cleaned. Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 Page 6 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. Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 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 Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 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 People accommodated are appropriately assessed. EVIDENCE: The case files of 3 residents were examined, it was found that in the main people have lived at the home a considerable time. Over time people’s individual needs and aspirations change. The home ensures that changes are taken into consideration informally on a day to day basis and more formally by arranging that all people accommodated have regular Person Centred Planning [PCP] meetings, usually 6-12 monthly but may be more often if necessary. Residents invite people who they wish, to set out in a formal way how the individual see’s their future, what changes they may wish to take place, their identified goals and how the goals may be achieved. Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 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 and 9 All people know that their assessed and/or changing needs and their personal goals are assessed and that they are assisted to make decisions about their lives through Person Centred Planning. EVIDENCE: The Personal Centred Planning [PCP] meeting notes for several residents were examined where it was found that people accommodated are supported by people they want to support them, to plan their lifestyle and to make and work toward the achievement of goals that the individual sets. Within the residents individual plan people are supported to take risk as part of an independent lifestyle. Residents spoken with said that they go out into the community to undertake paid employment, to attend day services and to take part in community activities and visits both independently or with discrete support. All these activities involve risk, which is assessed by the resident and/or with staff or other professional or family support. People living at the home said that they live their lives in a way they enjoy and with as little support as is necessary. Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 Page 10 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,and 16 Residents take part in age, peer and cultural activities as part of the local and/or wider community. People’s responsibilities are recognised and their rights are respected. EVIDENCE: From direct observation, from speaking with residents and staff and from the examination of relevant documents it is clear that people living at The Fledglings lead an active and interesting life and meet with people inside and outside the home, whom they wish to spend their time with. Speaking with residents it was clear that all people are expected to take responsibility within their ability and that there is mutual respect within the home. Evidence shows that there is clear recognition by management and staff that people may want to be given the chance develop in respect to their daily living and risk taking; to ‘try out’ situations that may or may not work, and they are given the opportunity and supported so to do. This is to be commended. Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 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 the following standard(s): 18,19 and 20 People are appropriately supported, their needs are met and they are protected by the home’s medication policy. EVIDENCE: From direct observation and from the examination of case files it is clear that people at the home receive the support they need in a way that they prefer. PCP meeting notes show that discussion takes place between residents, staff and other invited people and that decisions are made within a risk assessment framework to ensure that people receive appropriate, discrete support to have a fulfilling lifestyle. The home’s medication policy and procedures are clear, safe and when implemented will and do protect people accommodated. Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 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 the following standard(s): 22 and 23 Resident’s views are listened to and acted upon. People are protected from abuse. EVIDENCE: PCP meeting notes examined showed and people spoken with said that at all times the views of people accommodated are listened to by all people associated with the home. At all times residents views are taken into consideration when decisions about the home and the way it is run are discussed. From direct and indirect observation it is clear that the home is run in the best interest of people accommodated. Staff training matrix shows that all staff receives appropriate training in respect to identifying abuse of any kind and staff understand what action to take should they suspect that abuse has taken place or is likely to take place. Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 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 the following standard(s): 24 and 30 The home is clean, homely, comfortable and safe. EVIDENCE: Tour of the home was undertaken with a resident. The home presented as being clean, pleasantly decorated and well maintained. The resident invited a visit to their private accommodation which was spacious, appropriately furnished and reflected the individuals personality. Records show that personal and environmental safety is paramount for residents and for staff. Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 Page 14 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 and 35 People are supported by sufficient, experienced, qualified and effective to meet their needs. EVIDENCE: The staff training matrix was examined that showed staff undertaken regular training across a range of care related issues and that people are supported by the organisation to revisit specialised and necessary training, periodically. The home’s recruitment systems protect people accommodated by ensuring that appropriate procedures are followed and that all checks required by Schedule 2 of The Care Home’s Regulations 2001 are undertaken. No one is employed before satisfactory CRB/POVA disclosures have been received. The deputy manager said that with the exception of a newly employed support worker, all people employed have achieved a minimum of the National Vocational Qualification [NVQ] at level 2 or above. Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 Page 15 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): 42 The health, safety and welfare of residents is promoted. EVIDENCE: A range of health and safety documents were examined which showed that this issue is taken seriously within the home. Residents have individual risk assessments that evidence where a risk is perceived and how it is to be minimised. There are general health and safety risk assessments undertaken my staff which highlight were a risk is noted and how it is to be minimised. The home has an appropriate fire risk assessment setting out the risks associated with fire and how the home’s fire precautions minimise that risk. Records evidence that regular checks are made in respect to fire alarms and emergency lighting. All hot water outlets deliver hot water at a safe temperature of about 43°C and radiators are either ‘cool touch’ or are guarded. Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 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. 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 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 4 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fledglings Court Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000019670.V271887.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? NO 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. 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. Refer to Standard Good Practice Recommendations Fledglings Court DS0000019670.V271887.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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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