Inspection on 03/05/05 for Karamea Care Homes

This inspection was carried out on 3rd May 2005.

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 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

Karamea Care Homes 28/09/07

Karamea Care Homes 14/09/06

Karamea Care Homes 07/11/05

Karamea Care Homes 13/01/05

Karamea Care Homes 12/07/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 1 CHURCH MEWS Church Street Theale Reading Berkshire RG7 5BZ Lead Inspector Katy Brown Unannounced 3 May 2005 @ 12:00 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. 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 1 Church Mews Address Church Street Theale Reading Berkshire RG7 5BZ (0118 930 3695?) 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) Mrs Debbie Dickinson Mrs. Debbie Dickinson Care Home 3 Category(ies) of Learning Disability over 65 years of age (LD(E)) registration, with number of places 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: That the home does not admit anyone over the age of sixty-five. Date of last inspection 13/01/05 Brief Description of the Service: Church Mews cares for three adults. It is set back from the main road, but still in a residential area close to local amenities and the town centre. The home is on two floors and there are some aids and adaptations in the bathrooms to allow residents to move about more independently. All of the bedrooms are single and all of them have ensuite facilities. The is one communal toilet on the ground floor of the home. 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four hours. There has been one additional visit to the home since the last announced inspection to investigate a complaint that was received at the CSCI. The complaint was not upheld. A tour of the premises took place and staff records, residents’ care records and some of the homes’ records were inspected. two staff that were on duty and all three residents were spoken to. What the service does well: The staff have a good understanding of the residents needs and are aware of their likes and dislikes. Residents are comfortable with staff and confirmed that they are encouraged to make choices. Residents that were spoken to say that staff treat them very well and that they are happy living at the home. They enjoy music classes, shopping and walks, knitting, keep fit, bowling and aromatherapy. They also enjoy Friday evenings, when a musical entertainer visits the home. Staff listen to the residents and resolve any issues or concerns that they might have. 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 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. 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 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 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 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) 3 The experience of the staff employed at the home and the services and facilities that are available to residents, are able to meet their identified needs. EVIDENCE: Individual records are kept for each resident and an inspection of the records for the three residents’ living at the home, confirmed that their identified needs were being met and that specialist support had been implemented when required. Residents confirmed that staff care for them and make them happy. 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 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) 7 The residents can make decisions about their lives and are encouraged and supported by staff to do so. EVIDENCE: Individual plans of care are available for all residents and any changes or limitations to their daily living have been agreed with them. Advocacy support is provided if required or requested by residents and they have all been registered to vote. 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 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) 12 and 16 The staff at the home encourage the residents to continue with their hobbies, interests and other activities and provide them with opportunities to maintain their own responsibilities within the home and their daily lives. EVIDENCE: All residents have individual activities programmes, which enable them to be aware of what things they will be doing each day. The activities that are provided are a combination of community events, individual interests and leisure pursuits. Residents that were spoken to said they are supported to continue with their preferred hobbies, which include keep fit, knitting and the study of trains. During the visit a resident was proudly showing off her knitting and another resident was showing staff the pictures of trains in some of his books. Residents are encouraged to manage their responsibilities independently or with support if required. A record is kept outlining all the domestic tasks that have been completed by them. The residents are not provided with regular meetings, however, they are able to attend staff meetings and their attendance is recorded on the minutes of 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 Page 11 these meetings. There is a key worker system in place that allows opportunities for staff and residents’ to identify any concerns or issues and a resident that was spoken to, was aware of, which member of staff was his key worker. 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 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 standard(s) 18 and 20 The residents’ are provided with a good standard of care that reflects their wishes and meets their identified needs and they are protected by the homes policies and procedures. EVIDENCE: Staff that were spoken to have a very good understanding of the residents’ needs, likes and dislikes and were seen treating them with respect and dignity and in a way that made them happy. The information contained about residents in the records that were inspected was consistent with the information provided by staff. All the residents said that they were happy at the home and that they were treated well by staff. Individual records are kept for identified medication needs and staff receive training in medication administration. Satisfactory polices and procedures are in place to provide support for staff. 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 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 standard(s) 22 Residents and relatives are supported to make complaints and all complaints are taken seriously and investigated properly. EVIDENCE: The home has a satisfactory complaints procedure and a copy has been given to all the residents. The staff keep a satisfactory record of most of the complaints that are made at the home. However, although complaints that are made by residents are investigated, a record is not kept of the complaint or the outcome of the investigation. 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 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 standard(s) 30 The home is clean and hygienic and free from infection. EVIDENCE: There are policies available for the control of infection and staff advise the residents of the importance of hygiene. A record is kept of the personal care tasks that have been completed by residents. A tour of the premises identified that the home is clean and hygienic and residents’ are supported to take responsibility for cleaning their own bedrooms and en-suite facilities. There is a washing machine and tumble dryer available and residents’ are supported to launder their clothes and bed linen. One resident enjoys ironing and staff have encouraged her to complete this task independently. 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staff receive an induction to the home and a variety of training that enables them to provide a good service to the residents that live there. EVIDENCE: Staff that were spoken to, confirmed that they receive training that helps them meet the needs of the residents and said that they are provided with refresher courses when required. Staff also said that they felt that it would be beneficial to the service users if they received training in care of the elderly, as the residents are over the age of sixty-five and are becoming increasingly frail. Inspection of records identified that new staff receive an induction when starting work at the home that enables them to become familiar with residents and their needs and also the homes policies and procedures. 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 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 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) 39 and 42 The manager and staff at the home make attempts to seek residents views and opinions and ensure that they are reflected in the way that the home is run. The safety and welfare of residents’ is met through the health and safety policies and care practices at the home. EVIDENCE: The manager has sent questionnaires to relatives; representatives and other people involved in residents lives; to seek their views and opinions about the services provided at the home. The deputy manager confirmed that changes would be made if any issues were identified. The home has satisfactory health and safety policies and procedures in place and an inspection of records identified that regular maintenance checks are completed for equipment used at the home and that regular fire checks and 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 Page 17 drills are carried out. Requirements that were made by the fire officer during a visit in February still remain outstanding. 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 Page 18 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 3 x x Standard No 22 23 ENVIRONMENT Score 2 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x x 3 x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 CHURCH MEWS Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 2 x H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 Page 19 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. 2. Standard 22 42 Regulation 22 13 Requirement That a record is kept of the complaints made by residents. That the requirements made by the fire officer are complaied with. Timescale for action 3rd June 2005 31st May 2005 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 35 Good Practice Recommendations Training in care of the elderly should be provided for staff. 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection 2nd Floor 1015 Arlington Business Park Theale Reading RG7 4SA 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 1 CHURCH MEWS H52-H01 11211 1ChurchMews V217214 030505 Stage 4.doc Version 1.30 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!