Inspection on 14/12/05 for Larches, The

This inspection was carried out on 14th 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 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

Larches, The 29/03/07

Larches, The 17/03/06

Larches, The 04/01/05

Larches, The 20/07/04

Similar services:

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 Larches, The 59 Larches Road Kidderminster Worcestershire DY11 7AA Lead Inspector Dianne Thompson Unannounced Inspection 14th December 2005 10:45 Larches, The DS0000018488.V250239.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 Larches, The DS0000018488.V250239.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. Larches, The DS0000018488.V250239.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Larches, The Address 59 Larches Road Kidderminster Worcestershire DY11 7AA 01562 829000 01562 829001 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) Sunnycroft Homes Limited Sheila Anne Bishop Care Home 6 Category(ies) of Past or present alcohol dependence (6), registration, with number Learning disability (6), Mental disorder, of places excluding learning disability or dementia (6), Physical disability (6) Larches, The DS0000018488.V250239.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The Home to accommodate one named individual who has cerebral palsy with associated physical disabilty, learning disability and challenging behaviour 4th January 2005 Date of last inspection Brief Description of the Service: The Larches offers accommodation and personal care for up to six adults. The home is registered to provide a service for the following categories of service users: • • • • Past or present alcohol dependence Learning disability Mental disorder excluding learning disability or dementia Physical disability These conditions are most likely to be associated with an acquired brain injury. The home is situated in a residential area of Kidderminster on a public transport route. The town centre is approximately ½ a mile from the home. Accommodation is provided in single rooms, one of which is adapted for wheelchair use and is ensuite. Sunnycroft Homes Limited operates the home, and the registered manager is Ms Sheila Bishop. Larches, The DS0000018488.V250239.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place on a weekday morning. Time spent planning for the inspection included reading previous inspection reports, considering monthly provider reports and reviewing the history of the home. The focus of this inspection included meeting with service users and staff, a tour of the building and examining files to monitor service provision. Service users and staff were supportive and helpful throughout the inspection, and this was appreciated. What the service does well: What has improved since the last inspection? The home has a stable staff team that continues to make sure that care and support is provided in a consistent way for all service users. Larches, The DS0000018488.V250239.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. Larches, The DS0000018488.V250239.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 Larches, The DS0000018488.V250239.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): These standards were not assessed during this inspection. EVIDENCE: Larches, The DS0000018488.V250239.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, Service user files are informative and contain completed, reviewed and up to date care plans. This information ensures consistency of care for all service users. Service users are encouraged and supported to live as independent a lifestyle as possible: this is facilitated through the home’s comprehensive risk assessment procedure. EVIDENCE: Assessments and care plans identify the care and support needed for individuals and how this is to be provided. Individual profiles provide clear information about service users including their likes and dislikes which relate to all aspects of their lives, e.g. activities, interests and their choice of clothes. The level of information and recording in individual files is of a very high standard and there is evidence that care plan reviews take place on a regular basis. A statement is held on file where equipment is not required by service users in their rooms e.g. a fireproof box in their bedroom. Larches, The DS0000018488.V250239.R01.S.doc Version 5.0 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, 14, 15, 17 Service users are supported in a variety of activities both in-house and within the local community. All activities are organised to take into account individual service user needs and preferences. The home ensures that everyone has the opportunity to participate. A menu plan and records show that a nutritious and balanced diet is provided. EVIDENCE: Service users are actively encouraged and supported to be involved in the running of the home, with identified areas of responsibility such as laying the table. The home keeps a pet rabbit and its care is shared among some of the service users. External activities include going for a meal at the Watermill, going to the pub, going for walks in the nearby park, a drive out in the home’s vehicle, a walk into town, and a game of pool. Regular activities include hydrotherapy at the pool in Malvern, and art therapy sessions at Lea Castle. A visit to the Severn Valley Railway to see Father Christmas had been arranged for the previous weekend. Larches, The DS0000018488.V250239.R01.S.doc Version 5.0 Page 11 Service Users are supported in their choice of holidays. One service user talked of a holiday spent in Scarborough during the summer with obvious enthusiasm and enjoyment of their time spent there. The homes manager was due to go with a service user to the cinema at the time of the inspection, to see the film Narnia. Service users are supported and encouraged to maintain relationships with their family and friends. Two service users talked about going to stay with their family for Christmas. Files examined contained a dietary intake record sheet, which recorded details of the food offered/prepared/eaten. The home offers a balanced diet, which includes fresh vegetables and salad. A record of alternative menu options is maintained. A meal of Cottage pie with vegetables was planned for the evening. Some service users said they like meat and vegetable meals. Larches, The DS0000018488.V250239.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 The personal and healthcare needs of service users are clearly identified in care plans. This provides detailed information and in this context works to promote consistency of care and support for all service users. However, consistency will be further improved by identifying required frequency of checks on weight check forms. EVIDENCE: There is evidence in files that healthcare needs are being met. A visiting professionals form in service user files provides details of outcomes of all appointments and visits, e.g. dentist, annual health checks, blood tests, and psychiatrist. The level of information available ensures that tracking is possible and any follow up work is identified and completed. There are gaps in the recording on the Record of Weight chart for one service user, e.g. the date of the last entry recorded as 26th November 2005. By specifying the frequency that service user’s weight should be checked and recorded on the Record of Weight charts, effective monitoring and consistency of care will be improved. This is particularly important where weight loss is evident as in one file examined. Behavioural Guidelines for support are evident in service user files. These are informative and clear for all to follow. Recording on the Behavioural charts Larches, The DS0000018488.V250239.R01.S.doc Version 5.0 Page 13 provides detailed accounts of incidents and details of action/support, which was provided. Larches, The DS0000018488.V250239.R01.S.doc Version 5.0 Page 14 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): These standards were not assessed during this inspection. EVIDENCE: Larches, The DS0000018488.V250239.R01.S.doc Version 5.0 Page 15 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, 26, 28, 29, 30 The home is in a residential area of Kidderminster and convenient to local services and facilities. The home is a comfortable environment, which offers service users safety and security. EVIDENCE: The home is situated in a residential area of Kidderminster on a public transport route. The town centre is approximately ½ a mile from the home. Accommodation is provided in single rooms, one of which is adapted for wheelchair use and is ensuite. The inspector was given a tour of the ground floor of the home and this included one service users bedroom. The service users bedroom is individually decorated and furnished, and reflects the service users interests and hobbies. The communal areas of the home are comfortable and well furnished. There is a separate, designated smoking room at the front of the house for service users who wish to smoke. The home is clean and hygienic with no unpleasant odours. Larches, The DS0000018488.V250239.R01.S.doc Version 5.0 Page 16 The new lounge extension appears comfortable and well used by all. One service user, who was keen to demonstrate his ability to change his positioning using the control handset, was using a specialist electric chair. Larches, The DS0000018488.V250239.R01.S.doc Version 5.0 Page 17 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): 31, 32 The home has a stable staff team, which promotes consistency of care and support for the service users. Regular staff training and staff supervision is provided to develop staff skills and knowledge in order to provide the appropriate care and support for the service users. EVIDENCE: The home has a stable staff team. At the time of the inspection, two senior members of staff were on duty, together with a new employee who was shadowing staff as part of her induction training. The home’s manager was due on duty later as planned support for a cinema trip with a service user. All service users and staff were supportive and helpful throughout the inspection, and this was appreciated. Staff told the inspector that training takes place regularly and the new member of staff confirmed she is currently completing the TOPPS induction course. A NVQ standardisation meeting is scheduled for the forthcoming week, as part of the home’s ongoing NVQ training. Larches, The DS0000018488.V250239.R01.S.doc Version 5.0 Page 18 Staff confirmed that the home manager conducts supervision on a monthly basis, and senior staff support and supervise junior staff members. Regular staff meetings are held and the next one is scheduled for January 2006. Larches, The DS0000018488.V250239.R01.S.doc Version 5.0 Page 19 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): These standards were not fully assessed during this inspection. EVIDENCE: Larches, The DS0000018488.V250239.R01.S.doc Version 5.0 Page 20 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 X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 X 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Larches, The Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000018488.V250239.R01.S.doc Version 5.0 Page 21 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. Standard Regulation Requirement Timescale for action 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 YA19 Good Practice Recommendations The frequency of weight checks should be identified to ensure that consistency and effective monitoring is maintained. 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