Inspection on 24/01/06 for ICS 2 Laurel Drive

This inspection was carried out on 24th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

ICS 2 Laurel Drive 10/01/08

ICS 2 Laurel Drive 29/09/05

ICS 2 Laurel Drive 10/03/05

ICS 2 Laurel Drive 18/01/05

ICS 2 Laurel Drive 25/03/04

ICS 2 Laurel Drive 22/03/02

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Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Ics - Laurel Drive, 2 2 Laurel Drive, The Bridleways Hartshill Nuneaton Warwickshire CV10 0XP Lead Inspector Martin Brown Unannounced Inspection 24th January 2006 2:30 Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 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 Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 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. Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ics - Laurel Drive, 2 Address 2 Laurel Drive, The Bridleways Hartshill Nuneaton Warwickshire CV10 0XP 02476 393496 01527 546888 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) Individual Care Services Frank Michael Barnes Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Frank Barnes must complete the NVQ Registered Managers Award or a qualification equivalent to a Diploma in management studies (NVQ 4) and a qualification equivalent to NVQ 4 in Care by 1st July 2007. Frank Barnes must notify the Commission for Social Care Inspection when he has achieved these qualifications. 29th September 2005 Date of last inspection Brief Description of the Service: 2 Laurel Drive is a purpose built bungalow situated in a small residential estate in the village of Hartshill, near the town of Nuneaton in Warwickshire. The home is registered for five younger adults with learning disabilities. The home is within walking distance of local facilities and amenities. The home has use of its own transport, which can accommodate wheelchairs. The shared space in the home consists of a lounge, dining room, kitchen, two bathrooms and shower room. There are six bedrooms, one of which is used as a sleep in room for staff. There is also a utility room housing the laundry facilities. There are well-maintained gardens to the rear and sides of the property. Service users receive all services necessary to deliver personal care and the promotion of independent life skills. Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is of the second unannounced inspection of the year at this home, and should be read alongside the previous inspection report, for a fuller picture. Where key standards have been assessed on the previous inspection and have been met, these have not necessarily been inspected on this occasion. No ‘comment cards’, sent out prior to the inspection, were received by the inspector from relatives or service users. The inspection took place on a weekday afternoon, and lasted two and half hours. All service users were seen, along with several staff and the manager. All were welcoming and helpful. 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 report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: These standards were seen to be satisfactorily met previously, and were not inspected on this occasion. There have been no new admissions since the last inspection, although the home does have a vacancy, which it anticipates filling before too long. Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 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 the following standard(s): 6 Service users needs are meet by a staff team who are aware of, and able to meet, their current needs. Having all care plans completely up-to-date and reviewed will further ensure that this is carried out consistently at all times. Service users, their supporters, and staff, may benefit from information also being available in service user-friendly formats, such as life story books, activity books, and/or communication diaries. EVIDENCE: Care plans were seen to be in place, as previously, detailing needs and how these are met. Few details are available in a user-friendly format. All were due for review, it having been just over six months since their previous review. The manager advised that all staff were booked on a care planning course in six weeks time, and that care plans would be reviewed immediately following that course. One care plan, for a service user with changing dementia needs, had not been fully reviewed since her admission, and was the subject of a previous requirement. The manager was able to show me the almost completed review and update on the computer, and advised that this is about to be printed and made available. Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 Page 9 Observation and discussion showed that staff had a good awareness of the needs of everyone living in the home, and how to support and meet these needs in a consistent and agreed manner. Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 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): 14 Service users continue to enjoy appropriate leisure activities. EVIDENCE: The key standards were met at the last inspection. Staff informed me that all are going again to Butlin’s this year, as they all enjoyed the holiday there so much last year. Service users continue to have a mixture of day services, and activities provided by the home, according to need and wishes. One service user, who does not wish to attend a day service, enjoys a variety of activities organised in and from the home. Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 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): 20 Service users are now much better protected by the home’s practice, policies and procedures for dealing with medicines, and will be more so once the home ensures that all Medication Administration Record Sheets supplied are clear and unambiguous. EVIDENCE: Medication recording and administration was seen to be accurate, and was explained appropriately by a member of staff. All staff have received appropriate medication training. One medication sheet, provided by a different pharmacist to all the other medication, was not very clear in respect of outlining times of medication, and had incorrect dating on, which the staff had corrected. The shortcomings were in the printing of the recording sheet, rather anything done by the home, and the staff were able to understand and explain the appropriate times, dates, and recording for all the medication. Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 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 Service users are protected from abuse, neglect, and self-harm. They are heavily reliant on staff to ensure that their views are listened to and acted on, although staff familiarity with, knowledge of, and commitment to the wellbeing of all the people living in the home, gave confidence that views were listened to and acted upon. EVIDENCE: Two service users are vocal and able to make their views clear, but all require assistance from staff in making their views known, and are reliant on staff interpreting signs of dissatisfaction. Observation and discussion demonstrated that staff were aware of such signs and of appropriate action. Organisational abuse and whistle-blowing policies were seen. There is one male worker, the manager, currently at the home; he was able to satisfactorily explain the practice as regards providing care for vulnerable female service users. The organisational policy for providing cross-gender care deals with service user choice, but not about managing the risk of abuse. The manager was able to give a verbal statement on how this is minimised. A staff member was able to satisfactorily explain the procedure and practice for managing service users’ finances, a sample of which were seen to be in order. Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 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): 24,30 Service users continue to enjoy a spacious but homely well-maintained environment. The storage of clinical waste is acceptable for the current level of need; a regularly reviewed risk assessment will help the home ensure that this remains acceptable in any changing circumstances. EVIDENCE: The environment continues to be a spacious, well-maintained and homely one, furnished and decorated to a high standard. It was clean, tidy and free of unpleasant odours throughout. The procedure and practice for dealing with clinical waste has been much improved, bagged items now being transferred straight to secure bins. These bins are secure in respect of current service users; the manager agreed that this might not always be the case. There was no written risk assessment to confirm this. Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 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 Service users are supported by an effective staff team, who are appropriately recruited, trained and able to meet their care and support needs. EVIDENCE: There were three staff on duty, enabling service users’ needs to be well-met, and giving individual attention. Staff all showed a good knowledge, understanding, and commitment to the people living at the home. Satisfactory recruitment details were seen. The home has a record of Criminal Record Bureau numbers, but not the date on which they were obtained, nor a clear statement that they were satisfactory. Staff were able to show me the training they were currently engaged on, in particular, distance learning in dementia awareness, and National Vocational Qualifications Care, Staff were all about to do training in bereavement, in care planning, and had completed required medication training. One staff portfolio examined clearly showed training undertaken, as well as that planned, and covered all mandatory areas, as well as that specific to the needs of the people living at the home. Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 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): 37,42 Service users benefit from a well-run home, and can now be confident that their health, safety and welfare is promoted and safeguarded. EVIDENCE: The registered manager has still to complete the Registered Manager’s Award, and National Vocational Qualification level four in care; he anticipates that these will be completed by July 2006. Staff were complimentary of the positive input that has been made by the manager. Serious deficiencies identified at the previous inspection have been addressed. Evidence of an up-to-date gas safety check was seen, fire safety checks were up to date, a satisfactory visit by the Environmental Health officer in the previous year was noted. Hazardous substances were seen to be safely stored, and data sheets available for them. Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 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 x 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 4 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 4 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 3 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 2 x 2 x x x x 3 x Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 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 2 Standard YA6 YA6 Regulation 15 15 Requirement Individual care plans must be reviewed at least six monthly. The updated care plan for one identified service user with dementia-related needs must be completed and made available. The home must ensure that all Medication Administration Sheets it uses are clear and unambiguous. A risk assessment regarding the storing/disposing of clinical waste is required. The manager must complete the Registered Manager’s Award. Timescale for action 26/03/06 12/02/06 26/02/06 3 YA20 13(2) 4 5 YA30 YA37 13(3) 9(2) 26/02/06 26/07/06 Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 Page 18 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 YA6 Good Practice Recommendations The home is recommended to include individual information about service users in more user-friendly formats. It is recommended that the available record of Criminal Record Bureau checks also indicates clearly whether they were satisfactory, and what date they were seen. 2 YA34 Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 Ics - Laurel Drive, 2 DS0000004249.V280088.R01.S.doc Version 5.1 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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