Inspection on 24/02/06 for Magdalen Close

This inspection was carried out on 24th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Magdalen Close 26/10/06

Magdalen Close 20/09/05

Magdalen Close 03/03/05

Magdalen Close 12/10/04

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

CARE HOME ADULTS 18-65 Magdalen Close 1-5 Magdalen Close Clacton on Sea Essex CO15 3LS Lead Inspector Gaynor Elvin Unannounced Inspection 24th February 2006 12:00 Magdalen Close DS0000030726.V285581.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 Magdalen Close DS0000030726.V285581.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. Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Magdalen Close Address 1-5 Magdalen Close Clacton on Sea Essex CO15 3LS 01255 432951 01255 422784 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) www.essexcc.gov.uk Essex County Council Dennis Bateman Care Home 18 Category(ies) of Dementia (1), Learning disability (18) registration, with number of places Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 18 persons) One person, under the age of 65 years, who requires care by reason of a learning disability and dementia, whose name was made known to the Commission in March 2004. The total number of service users accommodated in the home must not exceed 18 persons 20th September 2005 3. Date of last inspection Brief Description of the Service: Magdalen Close is a local authority residential home, which provides accommodation, personal care and support for people with a learning disability. The property is located at the end of a cul de sac in a residential area, on the outskirts of the town of the seaside resort of Clacton on Sea, Essex. The home is within walking distance to the post office, shops, pubs, GP surgeries, cinema, local theatre and the seaside. The home is made up of four separate houses, each providing more specific services, two units are for people with more complex needs, one for people aiming towards independence and one is a short stay care unit. Each unit is as domestic, unobtrusive and ordinary as is compatible with fulfilling their purpose and includes a kitchen, utility room, bathroom, lounge and dining area, individual bedrooms and a rear and front garden. Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place one day in February 2005 over four hours. All of the key standards and the intended outcomes have been assessed in relation to this service during at least two inspections for the current inspection year (April to March). To view the assessment of standards and outcomes not included within this report, please refer to the previous published report dated 20th September 2005. This inspection focused on the key National Minimum Standards and intended outcomes not assessed in the previous inspection, looking at working practices, supporting documentation and records, as well as progress made in addressing the statutory requirements and good practice recommendations made in the previous inspection report. The inspection process included discussion with the Registered Manager, two support team managers and one care/support worker and three service users. What the service does well: What has improved since the last inspection? What they could do better: There is scope to improve menus to incorporate more variety and healthy options, professional guidance from a dietician regarding nutritional values would benefit service users and promote well-being. Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 Page 6 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. Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 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 Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 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): 1. The Statement of Purpose and Service User Guide were available in various formats, containing all the information required to enable prospective service users to make an informed choice. EVIDENCE: The Statement of Purpose and Service Users Guide were available and maintained to meet with the requirements of National Minimum Standards to a commendable level. In keeping with the recommendations within the National Minimum Standards, the Service User Guide is produced in formats reflective of a total communication environment. Effective time had been invested into the project involving service users and staff using digital and IT equipment provided by Essex County Council. Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 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): 7&9 The home recognises the role and supports service users in accessing independent advocacy and self-advocacy groups. Staff support and provide assistance to the service users in day to day decisions and choices. EVIDENCE: From discussion and inspection of documentation it was evident that service users are supported to the best of their abilities to make decisions about their lives. Informal consultation with service users takes place on a daily basis. The service users were supported in accessing independent advocacy services when they were required and some service users participated in a selfadvocacy group. The risk assessment process takes calculated risks into consideration, which may benefit the individuals’ independence and development. Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 Page 10 Arrangements for supporting service users to access their personal allowances were found to be satisfactory. They were fully involved in the process of maintaining their own finances within an individually named high interest account. Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 Page 11 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): 11,12,13,14,15,16 & 17 Service users are supported to maintain contact with family and friends and staff fully recognise that service users’ rights are protected. Service users would benefit more fully from professional guidance to review the menus to ensure a well balanced diet. EVIDENCE: Service users are encouraged within the limitations of their disability to participate in activities within an ‘ordinary life’ experience such as essential household shopping, contribute to household activities, shopping for own satisfaction, courses and leisure pastimes such as clubs, pubs and restaurants. New support and development approaches continue to be explored particularly for those service users preparing to move on to a more independent lifestyle. The home’s Digital and IT equipment has been utilised for service users, as an effective additional visual and aural learning tool for the development of simple independent living skills. Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 Page 12 The residents are accommodated in small groups within the home in selfcontained houses. The buildings are homely in appearance and service users have access to all areas except for the need to observe the right and privacy of their own bedroom. The home supports and recognises family and friendships as an extremely important factor for service users well being and encourages links. Family and representatives are always invited to reviews and staff support service users in maintaining contact by letter writing and telephone calls. One recently admitted service user has been supplied with a speakerphone to enable regular contact to be maintained with family. No meals were observed during the inspection. Within the Pre Inspection documentation, copies of menus and daily records of meals were submitted. The provision of fruit and/or vegetables with each meal was not evident from the menus and they did not always reflect high nutritional value with regard to promoting health and well being, particularly for those on a weight reducing diet. Professional guidance from a dietician was recommended to review menus. Although it would appear in some cases nutritional knowledge was intuitive rather than knowledge based, those staff spoken with offered positive suggestions to be explored. Although staff indicated that service users participated in menu planning there was no evidence available of practical approaches taken increasing involvement of the service users within the decision making process. The recording and review of diet was not clear, although all meals offered to service users were recorded, they did not indicate how much had been consumed. This may be due to a lack of understanding for the requirement and for the purpose of maintaining the record. Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 Page 13 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 arrangements for care planning in this home are good, providing a person centred understanding of the individual and how they prefer assessed personal, health, emotional and social care needs to be met. Service users benefit from the approach and support from carers who respond appropriately to their physical and emotional health needs. EVIDENCE: Personal support, in the way the service user prefers, is reflected admirably within individual care plans. Clear information gained in partnership with the service user, developed according to assessed needs; precisely details choices and preferences with regard to personal support and how the service user is to be supported by care staff to achieve outcomes. The key working system is linked to the care planning process. Interaction between the service users and staff was observed to be very respectful and supportive throughout the inspection. Staff were observed to consult with service users about their opinions and assisted appropriately to make choices and decisions. The level and style of communication between the carers and service users was reflective of good practice. The service users clearly enjoy the company of the staff and spoke positively about them. Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 Page 14 Healthcare arrangements were sampled and found to be well-organised and appropriate records maintained. Service users have their own GP and follow ordinary life principles, as appropriate. Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 Page 15 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): • None of the standards or the intended outcomes within this group was inspected on this occasion. EVIDENCE: The core standards (National Minimum Standard 22 & 23) were inspected at the previous visit and were found to comply with requirements. Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 Page 16 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): 30 Service users benefit from a clean and well maintained home. EVIDENCE: The group home visited was tidy, clean and well maintained. Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 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): 32 & 35 The majority of staff are suitably qualified to meet service users assessed needs. The home supports a commitment to develop staff knowledge and skill but needs to ensure regular update in mandatory areas. EVIDENCE: Staff spoken with during the inspection knowledgeable about service users. presented as confident and At the time of inspection, the service had exceeded the expectation of 50 of the total workforce, having attained an NVQ qualification in care. Six members of staff were currently working towards attaining the vocational qualification in Learning Disability Award Framework. The pre-inspection documentation identified various other support training undertaken by staff although it is recommended that further attention be given to ensure staff continue to be updated in mandatory training. Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 Page 18 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 & 39 The service users benefit from having a positive, innovative and effective management approach in place, dedicated to raising standards and quality outcomes and a management style that is open and encouraging. EVIDENCE: Excellent progress had been made in the introduction and implementation of an effective quality monitoring and assurance system to look at service provision, care practice and outcomes for service users. An audit framework was used to examine standard objectives in relation to communication and participation; looking at communication methods and formats, staff training and effective communication, meeting service users assessed communication needs, objectives and outcomes. The process audit Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 Page 19 looked at the services being delivered and the audit of outcome assessed the benefits achieved by the service user. The results were formulated and carried forward to inform future service development, some areas, of which, were already being developed. Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 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 Standard No Score 1 4 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 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 X X 3 X 3 X X X X Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 Page 21 No 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. 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 YA17 Good Practice Recommendations Professional guidance from a dietician is recommended to review the home’s menus with regard to improving nutritional value. Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 Page 22 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 Magdalen Close DS0000030726.V285581.R01.S.doc Version 5.1 Page 23 - 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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