Inspection on 27/06/06 for Freedom Care Ltd (68 Conway Drive)

This inspection was carried out on 27th June 2006.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Freedom Care Ltd (68 Conway... 16/11/05

Freedom Care Ltd (68 Conway... 19/07/05

Freedom Care Ltd (68 Conway... 02/02/05

Freedom Care Ltd (68 Conway... 18/11/04

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

CARE HOME ADULTS 18-65 Freedom Care Ltd (68 Conway Drive) 68 Conway Drive Shepshed Leicestershire LE12 9PP Lead Inspector Keith Williamson Unannounced Inspection 27th June 2006 09:00 Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 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 Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 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. Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Freedom Care Ltd (68 Conway Drive) Address 68 Conway Drive Shepshed Leicestershire LE12 9PP 01509 821185 01509 821185 freedom.care@ntlworld.com 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) Freedom Care Ltd Mr Joseph Matthew Kinch Care Home 2 Category(ies) of Learning disability (2), Mental disorder, registration, with number excluding learning disability or dementia (1) of places Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Named Person To be able to admit the named person of category MD named in variation application V16913 dated 27 January 2005. 16th November 2005 Date of last inspection Brief Description of the Service: Freedom Care Limited at 68 Conway Drive is in the village of Shepshed. The home is registered for a maximum of two people with learning disabilities. , The home is a converted detached bungalow, to the ground floor of the property there is a lounge, dining room, kitchen main bath and shower room, and home office. Resident’s bedrooms are situated on the first floor. There is a small garden at the rear of the home, which residents can use. Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users and their views of the service provided. The primary method of Inspection used was ‘case tracking’ which involves selecting residents and tracking the care they received through looking at their records, talking with them where possible, and looking at their accommodation. On this occasion the resident declined to meet with, or speak to the inspector. This inspection took place over one weekday, commencing at 10.00am and took three hours to complete, and was assisted by the staff on duty in the home. An opportunity was taken to look around the home, view records, policies and care plans and to talk to both residents. The current fees charged weekly are £2495 per week. What the service does well: A pre-admission assessment process is in place in the home. Ongoing reviews are held with social services and health professionals. The care plans are based on a person centred approach and incorporated residents aspirations and goals and are individually detailed. Care plans are supported by risk assessments, which detail how risks are to be managed, and detail crisis intervention, including access to external agencies. Positive choice is offered, and each resident’s care plan. Both residents have planned education built in to their daily life; leisure is varied with residents deciding on a daily basis, what they want to do. Families are encouraged to keep in contact, and visiting times not restricted. Residents’ emotional well being is dealt with appropriately in the plan. Menus are made up in advance, staff assist with the nutritional balance and ensure a healthy diet is offered. The monitoring of residents weights and healthcare in general is regularly maintained, with additional input and advice sought from health professionals’. Personal support is offered on a flexible basis. Medication is administered appropriately and risk assessments are in place for “as required” medications. The complaints policy information was available for staff to view and refer to, staff spoken with on the day showed an awareness of the complaints procedure, and were also aware of the whistleblowing and the Protection of Vulnerable Adults policy. The home provides relaxed and comfortable accommodation for the two residents. Bedrooms are personalised and individually decorated. The staff in the home when spoken with demonstrated a good awareness of Health and Safety issues. Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 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 Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 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 Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 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. Quality is this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment process is well managed with assessments of need being carried out to ensure service users needs are met. EVIDENCE: An assessment process is in place in the home, but there have been no new assessments recently, because the same resident is living in the home. The assessment process is ongoing: care plans are regularly updated and reviewed, and staff have a excellent awareness of the changing needs of residents. Ongoing reviews are held with social services and health professionals; evidence of these was evident on files viewed on the day. Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 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, & 9. Quality is this outcome area is good. This judgement has been made using available evidence including a visit to this service. An individual plan of care is in place ensuring that service user is supported to make decisions concerning his care and treatment in the home. EVIDENCE: The Inspector viewed the care plan; this was detailed and regularly reviewed, though not signed by the resident or their relatives. The care plans is based on a person centred approach and incorporated the residents’ aspirations and goals and are regularly reviewed. Care plans are supported by risk assessments, which detail how risks are to be managed, and detail crisis intervention, including access to external agencies. Positive choice is offered, and each resident’s plan has been changed to reflect the coming holiday period from college. Daily records are complete and staff use different records for daily activities and other daily events. Further recording takes place for health related monitoring. Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 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, 15, 16 & 17. Quality is this outcome area is good. This judgement has been made using available evidence including a visit to this service. The resident has choices of various activities both within the home and out of the home, providing a good lifestyle. EVIDENCE: On the day of the inspection the staff and resident was planning a visit out shopping, these outings occur regularly and are accompanied by staff. Though there is a varied plan of activities in place, the resident is fully involved in the choices made to enable a full and diverse lifestyle. The resident has planned education built in to lifestyle, and shall re-commence college after the summer break. Menus are made up in advance, staff assist with the nutritional balance and ensure a healthy diet is offered. Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 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 & 20. Quality is this outcome area is poor. This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs are met on an individual basis. EVIDENCE: Personal support is offered on a one to one, flexible basis. Care plans reflect what abilities the resident has; these are regularly reviewed and updated. The monitoring of the residents’ weight and healthcare in general is regularly maintained, with additional input and advice sought from health professionals. Medication is administered appropriately, the staff when spoken with, showed a good awareness of administration techniques. Medication is stored securely, and medication administration records (mar charts) are up to date and are signed appropriately. However stock medication was the subject of concern, a requirement was left for this issue. Risk assessments are in place for “as required” medications, staff indicating verbal authority was also obtained prior to giving these medicines. Daily records are completed and further recording takes place for health related issues. Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 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 & 23. Quality is this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse, neglect and self-harm. EVIDENCE: The complaints policy information was available for staff to view and refer to, staff spoken with on the day showed an awareness of the complaints procedure, and were also aware of the whistleblowing and the Protection of Vulnerable Adults policy. Residents were aware of a number of contacts other than staff in the home they could make any concerns to. No complaints records were available to the inspector. Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 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, 25 & 30. Quality is this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a homely, comfortable and clean environment. EVIDENCE: The home provides relaxed and comfortable accommodation for the resident. The bedroom is personalised and individually decorated. The staff in the home when spoken with demonstrated a good awareness of Health and Safety issues. Laundry facilities are domestic in nature and suitable for the residents’ needs. Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 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 & 35. Quality is this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ benefit from good staffing levels and training. EVIDENCE: The staff on duty stated he is given training to assist with his work, though staff records were unavailable to confirm this. The staff on duty talked about his job and demonstrated knowledge of the resident’s individual care plans. The staff on duty talked about his recent training but visual confirmation of certificates was unavailable at this time due to staff files being unavailable. There is a one to one staffing ratio with the resident at all times. The staff on duty said he felt well supported by the manager. It was not possible on this occasion to confirm the recruitment practices of the home were secure and the appropriate clearances and references obtained on any recently employed staff, however in previous inspections this area was not in question. Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 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): 37, 39 & 42. Quality is this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Improvements to the availability of information for inspection purposes is required to safeguard service users’ interests. EVIDENCE: Staff feel that the manager is supportive. There are a number of policies and procedures in place to enable staff to care appropriately for the resident. Safety tests are done periodically to ensure the home is safe. The owner has developed surveys to use with other organisations to gain their views of the service, however these were unavailable for inspection purposes, as was any other quality assurance information. Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 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. 1 Standard OP18 Regulation 13 Requirement The registered person must ensure that suitable arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. Timescale for action 27/07/06 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 OP18 Good Practice Recommendations It is recommended that the stock of bulk medication is kept to a minimum. Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Freedom Care Ltd (68 Conway Drive) DS0000050638.V301541.R01.S.doc Version 5.2 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. 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