Inspection on 02/12/05 for High Road 73

This inspection was carried out on 2nd 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

High Road 73 04/10/07

High Road 73 13/12/06

High Road 73 29/04/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 High Road 73 73 High Road Gorefield, Wisbech Cambridgeshire PE13 4PG Lead Inspector Don Traylen Unannounced Inspection 13:30 2 December 2005 nd High Road 73 DS0000063111.V260262.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 High Road 73 DS0000063111.V260262.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. High Road 73 DS0000063111.V260262.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service High Road 73 Address 73 High Road Gorefield, Wisbech Cambridgeshire PE13 4PG 01543 442500 01543 442511 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) Milbury Care Services Anita Dawn Blackburn Care Home 7 Category(ies) of Learning disability (7), Physical disability (7) registration, with number of places High Road 73 DS0000063111.V260262.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th April 2005 Brief Description of the Service: 73 High Road Gorefield is a detached house with seven bedrooms situated in the small village of Gorefield, close to Wisbech in north Cambridgeshire. The home has been completely refurbished for the service that was first registered in December 2004. The home is decorated to a high standard and is well furnished. The comfortable and spacious rooms make the home a relaxing and secure environment for service users. There is a large garden area to the front and left side of the property and a large patio area with adequate seating and table arrangement for all service users to use. The driveway provides ample parking space for the homes vehicle and for staff to park their cars. High Road 73 DS0000063111.V260262.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The seven service users were at home during the inspection and all spoke to and communicated with the inspector throughout the inspection. One service user stayed with the inspector when he and the senior care support worker were inspecting documents in the office. The inspection took place over 3 hours in the afternoon of the 2nd December 2005 when Care Plans, staff training arrangements, medication records and amounts of medication were inspected. One of the two requirements made at the last inspection had been met and the three recommendations made had been met. The unmet requirement has been repeated in this report. What the service does well: What has improved since the last inspection? NVQ level 2 training has been extended and achieved by more staff. High Road 73 DS0000063111.V260262.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. High Road 73 DS0000063111.V260262.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 High Road 73 DS0000063111.V260262.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): None EVIDENCE: These standards were not fully assessed on this occasion, but were at the last inspection. No new service users have been admitted to the home since the last inspection. Service users contracts are now kept in their individual files kept although these were kept locked during the inspection and will be assessed at the next inspection. High Road 73 DS0000063111.V260262.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): 6,7,8,9,10, Service users make decisions and participate in daily routines and daily living activities in the home. EVIDENCE: No care plans were read during this inspection. At the last inspection the Care Plans were read and indicated comprehensive and person centred planning. Two service users were observed to participate in making drinks and helping with food and were encouraged to keep the kitchen tidy. One service user made the inspector a drink of coffee during his visit. Service users were observed to be enabled by staff to make choices about their lifestyles and the atmosphere in the home when they used the music equipment to decided what music to play and what videos they wanted to watch. The senior carer described how care planning for each service included interests such as enjoying a Jacuzzi facility and gym equipment at a sports centre, going 10-pin bowling, using the village pub, attending St Raphael’s club for discos and parties in the evening, using a newly built sensory room (in another care home) and choosing to attend the church across the road from the home and at a Sunday club at Elm Hall village centre. One service user has plans that are designed to help him maintain a level of fitness and to lose weight as advised by a consultant. Another service user has strong interest in gardening and is assisted to work in a neighbour’s garden. One service user has a strong High Road 73 DS0000063111.V260262.R01.S.doc Version 5.0 Page 10 interest in video technology and making videos. Access to college courses are being pursued by staff on behalf of service users. Only one service user attends a day centre. The Learning Disability Partnership has provided a speech therapist to improve communication for one service user. The home has acquired a vehicle able to take wheelchairs when service users need this transport. High Road 73 DS0000063111.V260262.R01.S.doc Version 5.0 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 the following standard(s): 11,12,15,16, Service users live in an environment that promotes their development. EVIDENCE: The previous section (Standards 6-11) indicates the planning behind the approach and encouragement shown by staff. The attitude shown by staff indicated service users’ personal development is likely to occur because their social and emotional welfare is being promoted and extended by staff through their frequency of interaction and because service users are given responsibilities to carry out certain tasks in their daily routines. Service users are encouraged and assisted to fulfil their potential. High Road 73 DS0000063111.V260262.R01.S.doc Version 5.0 Page 12 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): 18,19,20,21, Service users are supported in their emotional, physical and health related needs. EVIDENCE: Medication Administration Record sheets were read and found to be accurate. It was discussed how the home must complete the comments section when service users are away from the home on “social leave” and medication has been given to relatives to administer. It was agreed with the senior carer that relatives must sign for any medications given to them to be responsible for and the MAR sheets must record this. One controlled drug and one non-controlled medication were checked and found to have accurate records kept and had the correct amount remaining. The controlled drug was stored in a separate locked safe within a locked cupboard. The home has a death and dying policy that supports service users throughout a terminal illness if this is medically appropriate. High Road 73 DS0000063111.V260262.R01.S.doc Version 5.0 Page 13 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, Service users are protected from abuse by the homes policies, by staff training and observed good practice in the home. EVIDENCE: Service users interaction with the care staff was observed to determine the amount and quality of this interaction and if service users were able to demonstrate their feelings and wishes to staff. It was observed that service users did exert their rights and were listened to by staff. Internal adult protection training is arranged by the organisation. Training provided by the Learning Disability Partnership had not been undertaken by all staff at the time of inspection although further training had been requested by the home. High Road 73 DS0000063111.V260262.R01.S.doc Version 5.0 Page 14 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): 24,25,26,27,28,29,30, The home is clean, spacious and suitable for service users combined needs. EVIDENCE: The home was found to have a faulty door bell and made entry difficult on the day of inspection. The environment remains safe and hygienic and as at the last inspection: The home was very clean and well decorated. All bedrooms have full en-suite facilities. One room is equipped with a shower facility. All rooms have had their colour scheme chosen by service users. The communal areas include a large dining area and a lounge with French doors leading to a large patio area. Access to the outside is easy for wheelchair users and is on one level. It is bright and has adequate natural and electric lighting. Adequate storage facilities ensure the home is uncluttered and safe. The organisation has provided good quality accommodation with high specification detail. High Road 73 DS0000063111.V260262.R01.S.doc Version 5.0 Page 15 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): 32,33,35, Staff need further training and opportunities for additional training to enable their development. EVIDENCE: Not all staff have achieved NVQ level 2 awards. Standard 32.5 expects staff to achieve NVQ level 2 or level 3. Induction training is thorough and the in-house company organised training is extensive and included equal opportunities, person–centred care and risk assessment. Not all staff have received training in Adult Protection. Only one person has had training in Epilepsy. As this condition affect at least two service users, all staff must be trained in dealing with epilepsy. High Road 73 DS0000063111.V260262.R01.S.doc Version 5.0 Page 16 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): None EVIDENCE: High Road 73 DS0000063111.V260262.R01.S.doc Version 5.0 Page 17 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 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 2 3 X 2 X CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 High Road 73 Score 3 3 2 3 Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000063111.V260262.R01.S.doc Version 5.0 Page 18 Yes 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 YA20 Regulation 13(2)& Sch3 para3(i) Requirement Timescale for action 01/01/05 2. YA23 3 YA35 The home must complete the comments section of the medication records when service users are away from the home on “social leave” and medication has been given to relatives to administer. Relatives must sign for any medications given to them to be responsible for and the MAR sheets must record this. 13(6) All staff must be trained in the protection of vulnerable adults. This requirement remains unmet from the previous inspection. 18(1)(a)(c(i)) All staff must be trained in dealing with epilepsy. 01/02/06 01/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations High Road 73 DS0000063111.V260262.R01.S.doc Version 5.0 Page 19 1. YA32 All staff must be encouraged to develop and to undertake further and additional training such as NVQ level 3 or 4. High Road 73 DS0000063111.V260262.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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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