Inspection on 31/08/06 for Maple Cottage

This inspection was carried out on 31st August 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

Maple Cottage 16/06/08

Maple Cottage 05/08/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Maple Cottage Maple Cottage 208 Send Road Send Surrey GU23 7EN Lead Inspector Kerry Fell Key Announced Inspection 31st August 2006 9:30 Maple Cottage DS0000013711.V302345.R02.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 Maple Cottage DS0000013711.V302345.R02.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. Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Maple Cottage Address Maple Cottage 208 Send Road Send Surrey GU23 7EN 01483 772168 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 G Enderby Mrs W A Enderby Mrs W A Enderby Care Home 1 Category(ies) of Learning disability (1) registration, with number of places Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th January 2006 Brief Description of the Service: Maple Cottage is a Victorian cottage in the village of Send near Woking. The home provides care to one service user, who has their own bedroom and access to a range of areas around the home. Maple cottage is a family home and has a domestic atmosphere. Parking is available on a nearby street, and the home is near to the village shops. Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the key inspection for the inspection year 2006/2007. The unannounced inspection was undertaken by Mrs Kerry Fell and took 1 hour and 40 minutes to complete. The inspection included observation of the service user’s records and care plans, and discussions with the registered persons. The service user was asleep during the inspection. The home offers one place to a younger adult. The home has not had any new admissions, and does not plan to take new admissions in the event that the service user leaves the home. What the service does well: What has improved since the last inspection? No requirements were made at the last inspection. The service user’s bedroom had been redecorated since the last inspection, and new equipment had been purchased for their sensory/relaxation room. Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 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. Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 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 Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users needs are regularly reviewed. EVIDENCE: No new service users have been or are planned to be admitted to the home. The service users statutory review had taken place in November 2005, and the registered persons had received a date for the next statutory review in autumn 2006. The statutory review report was available at the home, and the registered persons had completed a detailed review report. All of these documents clearly identified the needs of the service user, and how the home met these needs. Evidence was also available to demonstrate that the registered persons identified any changes in the service user’s needs and took action to ensure that these were met. Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 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): 6,7,9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The registered persons are very knowledgeable about the service user’s needs, and are dedicated to meeting these needs. The service user is supported to make appropriate decisions and take reasonable risks. EVIDENCE: As detailed above the service user’s needs are kept under regular review. The service user lives as a member of the family, and has lived at the home for about ten years; therefore the registered persons are highly knowledgeable about the service users specific needs. Records held and discussions with the registered providers evidenced that they were keenly aware of any changing needs. Each year the registered persons write a detailed care plan for the service user’s statutory review, which includes the service users annual goals and detailed how the home would support the service user to meet these. The care plan also included a medical profile, a physical profile which included sections about daily living, sleep patterns, personal care, nutrition, eating, and drinking, and a psychological and social profile, which included sections on Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 Page 10 general behaviour, communication, social interaction, emotional needs, family contact, outings and holidays, religious needs, and recreational activities. The service user continued to have two laminated communication booklets. The inspector was advised that these were due to be reviewed with the seeread co-ordinator. The standard of care planning continued to be at the same high level as at previous inspections, and therefore the home continued to exceed this standard. The service user continued to be supported to be as independent as possible. Photographs were available of events and visits that the service user had attended. The inspector was advised that the service user continued to make independent decisions about their daily life within the home. The inspector was also advised that the service user had begun to make clear decisions about their daily life out in the community and when on activities, which has assisted the service user to reduce their anxiety. The service users needs and choices continued to be paramount in how the home is run. Risk assessments had been completed by the community occupational therapist, and were reviewed as part of the service users annual review. The registered persons supported the service user to take reasonable risk as part of their daily life, and how this is achieved is detailed in the service user’s care plans. The inspector was advised of several examples of how this had been achieved. Risk assessment was also observed to be form an integral part of the care planning. Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 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): 12,13,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service user is supported to maintain good relationships and their rights are respected. EVIDENCE: The inspector was again shown photographs of the service user’s birthday party that was attended by friends, the registered persons’ family and health professionals, and photographs of other parties that they had attended. The registered persons told the inspector about the things that the service user had been doing since the last inspection. The service user continued to be supported to maintain social contact with friends and neighbours and had attended parties in the community. Work placements would not be appropriate for this service user. The service user’s needs and interests are managed and supported throughout the twenty-four hour day. The registered persons ensure that support is Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 Page 12 available when the service user requires it, and the facilities are available within the home for the service user to spend time taking part in activities that are relaxing and meaningful to them. The service user has good relationships with friends, family, people in the local community, the proprietor and their family, and a range of health professionals, and other professionals. The service user has access to all areas of the home. The service user’s needs are paramount to the daily routines of the home. The home continued to exceed the National Minimum Standards for younger adults in that the daily routines of the home continued to be adjusted and adapted to meet the service users needs and choices. The service user continued to have access to sensory/relaxation room, and a new sensory bubble tube had been delivered on the day of the inspection. Meals are prepared in a domestic manner, and the service user takes meals with the registered person and their family. The service user’s care plan allows them to make choices about when they wish to take meals. Snacks and drinks are available throughout the day. Specialist aids are available to assist the service user to eat their meals independently. Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 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): 18,19,20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The service user is offered support as required, and the registered persons ensure that their needs are met. EVIDENCE: Clear guidelines are available that give information about how the service user wishes to be supported, and how the service user communicates how they wish to be supported. The service user is supported and encouraged to develop independence skills, with personal support being offered as required. Bed times and rising times are flexible and although the service user has clear routines, they are still able to make decisions and changes to these routines on a daily basis. A range of health professionals continued to be involved in the service user’s care, and a rang of domiciliary services including dentist, optician and community psychologist had visited the home since the last inspection. Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 Page 14 The service user has small amounts of medication prescribed to them, and where this had recently been changed, the medication administration records confirmed the ongoing changes and were completed clearly and accurately. Letters from the service user’s consultant were available to evidence the changes made to the service user’s medication. The registered persons had acted promptly when the service users health needs had recently changed. Health professionals had visited the service user as required, and the registered persons advised the inspector about how they changed activities and daily routines to ensure that the service users needs were met. Some of the service users medication was prescribed as required, and it was evident from records and discussions with the registered persons that the use of this medication was monitored closely and that the registered persons would be vigilant for any changes in the service user’s needs that may increase the need for this medication. Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 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): 22,23 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The registered persons are dedicated to maintaining the service user’s human rights and ensuring that they are protected. EVIDENCE: A range of professionals are involved in the support and care provided to the service users. The proprietors are very aware of the service users human rights, and are dedicated and work intensely to maintain and to protect the service users human rights and dignity. The proprietors are aware of the recently reviewed Multi-Agency Protection of Vulnerable Adults Procedures, and have a copy of these procedures. The inspector was advised and provided with evidence of how the registered persons safeguarded the service and how they maintained the service user’s human rights. The registered persons continued to be actively involved in ongoing safeguarding adults’ investigations into historic concerns about the treatment of the service user. Further meetings were due to be held following the inspection. Therefore supporting that the care and attention provided to maintaining and ensuring that the service user is protected continued to exceed the national minimum standards for younger adults. No complaints had been received since the last inspection. Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 Page 16 Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 Page 17 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): 24,30 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a homely and friendly atmosphere. EVIDENCE: The service user resides in the proprietors’ home. The home has a family atmosphere, and is domestic and comfortable. The service user has their own bedroom, and shower room, and access to a sensory/relaxation room. The service user has free access to all areas of the home. The home is cleaned and maintained as part of the day-to-day routines of managing a family home. The inspector was advised that the service user’s bedroom had been redecorated. Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 Page 18 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): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The registered persons are the only members of staff, and are experienced and qualified. EVIDENCE: The home has no additional staffing, as the service user lives as a member of the family. The registered persons have extensive experience of supporting the service user and working in social care. CRB checks were available, and as registered persons, Mr and Mrs Enderby will have completed the relevant checks as part of their registration in 2002. No staff had been or will be recruited to the home. Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service user lives as a member of the family. Although formal quality assurance is not in place, the service users views are paramount to the daily running of the home. The registered persons maintain a safe environment within the home. EVIDENCE: The service user lives as a member of the family and their decisions direct the day-to-day running of the home. The registered manager has extensive experience of working in social care and for supporting the service user. The registered manager currently holds an NVQ Level 2 and 3 in care. There are no concerns about the way in which the home is run. The service user would not be able to complete quality assurance questionnaires. However, the service user is capable of communicating their Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 Page 20 needs to the registered persons. A range of health professionals regularly visit the service user at the home. The home continued to maintain the health and safety and welfare of the service user. Gas checks had been completed. The fire safety equipment had been checked as required, and the fire officer had visited the home. No recommendations had been made. Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 Page 21 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 3 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 3 23 4 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 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 Page 22 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. Refer to Standard Good Practice Recommendations Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Maple Cottage DS0000013711.V302345.R02.S.doc Version 5.2 Page 24 - 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!