Inspection on 07/03/06 for Little Paddocks

This inspection was carried out on 7th March 2006.

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

Little Paddocks 01/10/08

Little Paddocks 14/11/06

Little Paddocks 05/09/05

Little Paddocks 22/02/05

Little Paddocks 20/07/04

Little Paddocks 11/02/04

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 Little Paddocks The Street Little Clacton Clacton on Sea Essex CO16 9LG Lead Inspector Ray Finney Final Unannounced Inspection 7th March 2006 09:30 Little Paddocks DS0000036146.V285403.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 Little Paddocks DS0000036146.V285403.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. Little Paddocks DS0000036146.V285403.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Little Paddocks Address The Street Little Clacton Clacton on Sea Essex CO16 9LG 01255 860307 / 9 01473 828057 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) Mr Rohan Vasantha Kumara Dias Mrs Velambah Dias Mr Joseph Roy Nadin Care Home 8 Category(ies) of Learning disability (8), Physical disability (2) registration, with number of places Little Paddocks DS0000036146.V285403.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 8 persons) Persons of either sex, under the age of 65 years, who require care by reason of a learning disability who may also have a physical disability (not to exceed 2 persons) The total number of service users accommodated must not exceed 8 persons 5th September 2005 Date of last inspection Brief Description of the Service: Little Paddocks offers care and accommodation for people with learning and physical disabilities between the ages of 18 and 65 years. Owned by Mr and Mrs Rohan Dias, who also own a number of other homes in the area, the home was first registered in February 2003. The registered manager is Mr Joseph Nadin (Ned). The service comprises of two four bedroom detached bungalows on the same site, purpose built and positioned adjacent to each other. Both properties offer single accommodation with one room in each bungalow having en-suite facilities for adults who have a physical disability. The facilities are domestic in character. There is a large level garden to the rear and side of bungalow 2, with the front garden area being mainly laid to hard standing for vehicular parking. Little Paddocks DS0000036146.V285403.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the inspection year 2005 to 2006 and took place on 7th March 2006 over a period of 3.5 hours. The inspection targeted six outstanding key standards only, with five of the standards being met and one being partially met. During the visit the inspector looked around the home and spoke with one service user and one member of staff. The inspection also included evidence gathered from samples of records and a questionnaire completed by the manager. The registered manager, Mr Nadin gave the inspector every assistance during the inspection. 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. Little Paddocks DS0000036146.V285403.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 Little Paddocks DS0000036146.V285403.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): These standards were not examined on this occasion. EVIDENCE: No evidence was examined at this inspection. However, standards 2 and 5 were inspected and met at the previous inspection on 5th September 2005. Evidence relating to these standards may be found in the Inspection Report for that inspection. Little Paddocks DS0000036146.V285403.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): These standards were not examined on this occasion. EVIDENCE: No evidence was examined at this inspection. However, standards 6, 7 and 9 were inspected and met at the previous inspection on 5th September 2005. Evidence relating to these standards may be found in the Inspection Report for that inspection. Little Paddocks DS0000036146.V285403.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not examined on this occasion. EVIDENCE: No evidence was examined at this inspection. However, standards 12, 13, 14, 15, 16 and 17 were inspected and met at the previous inspection on 5th September 2005. Evidence relating to these standards may be found in the Inspection Report for that inspection. Little Paddocks DS0000036146.V285403.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 The home ensured the physical and emotional needs of service users were met. EVIDENCE: Three service users’ files were examined and contained evidence of appointments with health professionals. The manager said that the dentist visited approximately every six months and the chiropodist came in “as and when required”. Service users had their weight checked on a monthly basis. One service user was supported to attend the ‘smoking’ clinic and had successfully given up smoking. The manager said that meetings with healthcare professionals took place in private. Where service users were able to express a preference, they chose whether to see a doctor in private or to allow a support worker to be present. Where communication difficulties may have presented problems, staff supported service users during appointments. Little Paddocks DS0000036146.V285403.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The home ensured service users were protected from abuse, neglect and selfharm. EVIDENCE: Since the last inspection Protection of Vulnerable Adults training had been provided. Everyone had now received the training except one member of staff who was on holiday and that had been booked for April. Policies relating to protection such as PoVA Policy, Whistle blowing and ‘Offences Committed Against Service Users’ were examined and had been signed by staff. The manager said there had been no incidents of abuse. Service users’ records examined showed information relating to the home’s ‘physical intervention’ policy. None of the service users currently living at Little Paddocks managed their own finances. The home ensured that only small amounts of money were kept in the home. All service users had their own individual bank accounts and documentation relating to finances was appropriately locked away for safety. Little Paddocks DS0000036146.V285403.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 25 The home provided a homely, comfortable and safe environment that suited the needs and lifestyles of service users. EVIDENCE: A tour of the premises showed that service users’ rooms were decorated and furnished individually and showed evidence of a variety of personal possessions, photographs, DVDs, televisions and music systems. One service user was having new bedroom furniture and was waiting for that to be delivered. The home was clean and free from odours throughout. The inspector discussed access to cooking facilities for a service user in a wheelchair. A work surface had been lowered to enable the service user to prepare food. There was a slow cooker and microwave accessible. The manager said they had not yet found a suitable cooker that would be low enough for the service user in a wheelchair but still suitable for other service users living in the bungalow. Alternatives were discussed and the inspector suggested a combination grill/oven/microwave placed on the lowered work surface would extend the range of cooking methods available to the service user in a wheelchair. Little Paddocks DS0000036146.V285403.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 34 Service users would benefit from a greater percentage of qualified staff. The home’s recruitment policy and procedures ensured service users were supported and protected. EVIDENCE: The inspector discussed the situation around NVQ training for staff. The home had still not reached the recommended target of 50 of care staff with a National Vocational Qualification at level 2 or above. The manager said that there had been some difficulties with assessors but they were continuing to pursue alternative providers. Three staff files were examined and found to contain appropriate references. There was evidence that relevant CRB certificates had been obtained for staff and the manager was able to demonstrate an awareness of the CRB procedure and requirements. Staff files examined contained application forms with information on equal opportunities. The manager said that, where possible, service users were involved in the second stage of the staff selection process after an initial interview with the manager. All new staff were provided with the General Social Care Council Code of Conduct. The manager said that they were in the process of preparing new contracts for staff reflecting recent pay rises. New staff were subject to a three-month probationary period. Little Paddocks DS0000036146.V285403.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 The home’s practices ensured the health, safety and welfare of service users were promoted and protected. EVIDENCE: Fire equipment inspected during a tour of the premises had been serviced within the past year. Information was provided that fire alarms were tested, gas installations checked, water temperatures and Legionella checks were carried out, hoists and emergency lighting checked. Policies and procedures were in place around Control of Substances Hazardous to Health and Infection Control. Little Paddocks DS0000036146.V285403.R01.S.doc Version 5.1 Page 15 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 X 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 2 33 X 34 3 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 3 X X X X X X X 3 X Little Paddocks DS0000036146.V285403.R01.S.doc Version 5.1 Page 16 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 YA32 Good Practice Recommendations The Registered Person should ensure that 50 of care staff are trained to NVQ level 2 or above. Little Paddocks DS0000036146.V285403.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Little Paddocks DS0000036146.V285403.R01.S.doc Version 5.1 Page 18 - 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. 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