CARE HOME ADULTS 18-65
Freedom Care 68 Conway Drive Shepshed Leicestershire LE12 9PP Lead Inspector
Chris Wroe Unannounced 19 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. Freedom Care C51 C01 S50638 69 Conway Drive V239116 190705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service Freedom Care Ltd Address 68 Conway Drive Shepshed Leicestershire LE12 9PP 01509 821185 01509 821185 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) Freedom Care Ltd Mr Joseph Kinch Care Home 2 Category(ies) of LD Learning Disability - 2 registration, with number MD - Mental Disorder - 1 of places Freedom Care C51 C01 S50638 69 Conway Drive V239116 190705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 1st February 2005 Brief Description of the Service: Freedom Care Ltd/68 Conway Drive is a residential care home for up to two people to live in who have a learning disability. It is in the village of Shepshed. Bus routes and the village centre are within walking distance of the home. The home has two bedrooms and shared lounge and dining rooms. There is a small garden at the back of the house. Freedom Care C51 C01 S50638 69 Conway Drive V239116 190705 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on a weekday, 19th July 2005, starting at 11.30am and lasting for one hour. The inspector talked with one member of staff, who helped give all information needed for the inspection. Only one resident lives in the home at the moment. Although the resident talked to the member of staff during the inspection, they did not want to talk to the inspector. A shorter inspection was completed, because the resident and member of staff were going out for a planned activity. The inspector used ‘case tracking’ in this inspection, looking at the care given to the resident by checking records, talking with the member of care staff, looking round the home and observing care practices. Some information is more limited because of the need for confidentiality due to only one resident living in the home. What the service does well:
Care plans give good information about important things for the resident and what they like and don’t like. The member of staff clearly knows the resident well and understands what is the best way to give care. A lot of attention is given to providing different activities for the resident to do, and helping them to do daily living tasks, like shopping. Menus and food stocks showed that a good variety of meals is given. Good attention is given to making sure that the resident’s health needs are met, and medication is given as needed. Good policies and procedures are in place to make sure that residents complaints are listened to and dealt with, and residents are protected from harm. The home is tidy and clean and provides a pleasant living environment for the resident. Staff are supported and well trained. Policies and procedures are in place to make sure the home is a safe place for residents to live in.
Freedom Care C51 C01 S50638 69 Conway Drive V239116 190705 Stage 4.doc Version 1.40 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. Freedom Care C51 C01 S50638 69 Conway Drive V239116 190705 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 Freedom Care C51 C01 S50638 69 Conway Drive V239116 190705 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) None Not applicable. EVIDENCE: No standards were looked at under this section, because the member of staff was not able to get hold of all information (locked away). This will be looked at during the next inspection. Freedom Care C51 C01 S50638 69 Conway Drive V239116 190705 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, 9 Individual needs and choices are well met. EVIDENCE: Good care plans are in place, with details about things that the resident likes and doesn’t like, and how they like to spend their day. Information is also included about risks and how staff can help to keep the resident safe. The inspector saw that choice was given to the resident about what they wanted to do. The resident also has the chance to be involved in daily living tasks, like shopping. The member of staff and resident got on well, and the member of staff showed that he knew what things were important for the resident. Freedom Care C51 C01 S50638 69 Conway Drive V239116 190705 Stage 4.doc Version 1.40 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 standard(s) 11, 12, 14, 15, 16, 17 Residents are enabled to have a good lifestyle. EVIDENCE: The resident takes part in many different activities, and is able to choose what they want to do – staff take the resident out in the car to different places, or activities are provided in the home. Private time is also given. The resident and staff member talked about planning a holiday for later in the year. The resident sees family often. Meals are varied and healthy, and sometimes the resident goes out for a meal with staff. The resident makes their own breakfast. The inspector saw that the resident was able to choose what they wanted for lunch. Freedom Care C51 C01 S50638 69 Conway Drive V239116 190705 Stage 4.doc Version 1.40 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 standard(s) 18, 19, 20 Residents are well cared for and supported to be healthy. EVIDENCE: Records showed that the resident is helped to stay healthy, with visits to dentist, GP and optician. Staff are trained to give out medication properly and all records and medication stocks were in good order. Freedom Care C51 C01 S50638 69 Conway Drive V239116 190705 Stage 4.doc Version 1.40 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 standard(s) 22, 23 Residents are kept safe from harm. EVIDENCE: There are policies and procedures about complaints and protecting people from harm. The member of staff knew what he was supposed to do if he had any concerns, and he described training he had been on. Risk assessments and care plans showed that good attention was given to the residents’ welfare. Freedom Care C51 C01 S50638 69 Conway Drive V239116 190705 Stage 4.doc Version 1.40 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 standard(s) 24, 27, 28, 30 The home provides a good living environment for residents. EVIDENCE: The home is well maintained, tidy and well decorated. All areas seen were homely and comfortable. Bathrooms and toilets are private. The kitchen is very clean and properly stocked. Staff keep the home very clean. Freedom Care C51 C01 S50638 69 Conway Drive V239116 190705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 35 Residents benefit from good staffing levels and training. EVIDENCE: The member of staff on duty has achieved National Vocational Qualification (NVQ) level 2, to help him to provide good care. Staff are given other training too to help them do their job well. The member of staff showed good understanding of how to give sensitive care. Staff are supported in their work. Freedom Care C51 C01 S50638 69 Conway Drive V239116 190705 Stage 4.doc Version 1.40 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 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) 38, 42 Residents benefit from living in a well managed home. EVIDENCE: The manager is open to residents and staff giving their ideas. The member of staff feels happy to be working at the home, and feels working practices are good. There are good policies about safe ways of working in the home. Tests are carried out to make sure fire equipment is safe and staff know what to do if there is a fire. Other safety checks are done in the home, and staff are given training to make sure they know how to work safely. Freedom Care C51 C01 S50638 69 Conway Drive V239116 190705 Stage 4.doc Version 1.40 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 x x x x Standard No 22 23
ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 3 x 3 x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 3 x x 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 4 x 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Freedom Care Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 x x x 3 x C51 C01 S50638 69 Conway Drive V239116 190705 Stage 4.doc Version 1.40 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 Good Practice Recommendations Freedom Care C51 C01 S50638 69 Conway Drive V239116 190705 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection The Pavilions, 5 Smith Way Grove Park Enderby Leicestershire LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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