Inspection on 06/09/07 for King Edwards House

This inspection was carried out on 6th September 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

King Edwards House 21/09/09

King Edwards House 17/09/08

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 King Edwards House 18 King Edwards Avenue Gloucester Gloucestershire GL1 5DB Lead Inspector Simon Massey Key Unannounced Inspection 6th September 2007 10:00 King Edwards House DS0000069195.V347714.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 King Edwards House DS0000069195.V347714.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. King Edwards House DS0000069195.V347714.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service King Edwards House Address 18 King Edwards Avenue Gloucester Gloucestershire GL1 5DB 01594 840053 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) info@carecommunity.co.uk Care Community Ltd Mrs Elaine Hughes Care Home 6 Category(ies) of Learning disability (6) registration, with number of places King Edwards House DS0000069195.V347714.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: 2. Learning disability (Code LD) The maximum number of service users who can be accommodated is 6. This is the first Inspection of this service which was registered in April 2007 Date of last inspection Brief Description of the Service: 18 King Edward Avenue is a six bedroomed house that provides accommodation for up to six adults with learning disabilities. It is a detached house, which is located approximately two miles from the centre of Gloucester. There is a small garden area to the rear of the property, where there is also a separate laundry room. One bedroom is on the ground floor and the rest are located upstairs. All have en-suite facilities. The home is situated close to local amenities King Edwards House DS0000069195.V347714.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. 18 King Edward avenues was registered in April 2007 and this was the first inspection of this service. At the time of this visit the home was yet to accommodate any service users. There is a registered manager in place, who is also registered for another home run by the same Provider, which is situated in close proximity to the home. As potential service users are identified and admitted the staff team will be built up. The second home has a staff team in place and these staff will be involved in King Edward House initially as well. The home has all the required policy and procedures in place and the home has been adapted and renovated to a high standard. Due to the absence of service users, and a staff team, a full inspection against the National Minimum Standards was not possible at this visit. When the home has admitted some service users the Commission will conduct an additional inspection of the service. During this visit the Inspector met with the Registered Manager and undertook an inspection of the environment. Comments are therefore made under these sections of the standards in the report 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. The summary of this inspection report can be made available in other formats on request. King Edwards House DS0000069195.V347714.R01.S.doc Version 5.2 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 King Edwards House DS0000069195.V347714.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 adequate. Quality in this outcome area is This judgement has been made using available evidence including a visit to this service. The Statement of Purpose provides accurate and accessible information to prospective admissions to the home. EVIDENCE: As part of the registration process the service has provided the Commission with a Statement of Purpose and Service User Guide that comply with the current regulations. Whilst the Manager explained the admission process that would be followed it was not possible to examine this as no service users have yet applied to be admitted to the home. The manager was clear about the need to complete assessments and ensure that the needs of service users admitted to the home could be met. King Edwards House DS0000069195.V347714.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected during this visit. EVIDENCE: King Edwards House DS0000069195.V347714.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected during this visit. EVIDENCE: King Edwards House DS0000069195.V347714.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected during this visit. EVIDENCE: King Edwards House DS0000069195.V347714.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected during this visit. EVIDENCE: King Edwards House DS0000069195.V347714.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment will provide spacious and comfortable accommodation. EVIDENCE: The home has been renovated and decorated to a good standard throughout, with all bedrooms having en-suite facilities. There is scope for the home to be further personalised by the service users when they move in and it is well situated for accessing local amenities and facilities. King Edwards House DS0000069195.V347714.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not inspected during this visit. EVIDENCE: King Edwards House DS0000069195.V347714.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 39 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Management systems need to be put into place that will ensure correct scrutiny and support and the successful developing of the business. EVIDENCE: The Registered Manager is qualified and has experience of leading a staff team. They have had responsibility for setting up the home and taking it through registration. They have had the same responsibility for another home owned by the same Provider, which was registered at the same time. It would appear that additional support and help is required for this home to progress to being fully operational. To simultaneously recruit two staff teams and fully accommodate two care homes without additional management support and limited involvement from the Provider represents a very large range of responsibilities. King Edwards House DS0000069195.V347714.R01.S.doc Version 5.2 Page 15 Prior to this inspection visit the Commission were informed by the Registered Manager that they would be leaving their post in early October 2007. The Provider needs to ensure that satisfactory arrangements are put in place to cover this absence until another Manager is appointed. The Provider also needs to ensure that the required support and scrutiny for the new Registered Manager is in place. It was found during this visit that no Regulation 26 visits had been completed since the home opened and that the Manager received no structured professional supervision in relation to the role they were undertaking. Considering the wide span of responsibilities they were covering over two homes it would have been of benefit for additional support and guidance to have been provided. It would also appear that the decision to make the Registered Manager also the Responsible Individual has not worked well, and the Commission will be requiring that a separate RI is appointed for this service and the other home covered by the Manager. This person will be responsible for completing the required Regulation 26 visits and providing a degree of scrutiny and support to the Manager. Copies of these reports must be supplied to the Commission in the first instance. King Edwards House DS0000069195.V347714.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 “ ” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 X 3 X 4 X 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Scxore CONCERNS AND COMPLAINTS Standard No Score 22 X 23 x ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X x 2 X 2 X X X x King Edwards House DS0000069195.V347714.R01.S.doc Version 5.2 Page 17 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 YA39 YA39 Regulation 7 (2)c 26 Requirement The Provider must appoint a Responsible Individual. The Provider must ensure that Regulation 26 visits are completed and copies of these reports are supplied to the Commission Timescale for action 30/10/07 30/10/07 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 King Edwards House DS0000069195.V347714.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 King Edwards House DS0000069195.V347714.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. 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