Inspection on 05/08/05 for Maple Cottage

This inspection was carried out on 5th August 2005.

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 31/08/06

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 208 Send Road Send Surrey GU23 7EN Lead Inspector Kerry Fell Unannounced 5 August 2005 10:00am 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 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 Stationary 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 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Maple Cottage Address Maple Cottage, 208 Send Road, Send, Surrey, GU23 7EN Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01483 772168 Mr G Enderby Mrs W A Enderby Mrs W A Enderby Care Home 1 1 Category(ies) of LD Learning disability - Number registration, with number of places Maple Cottage 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18 February 2005 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 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first inspection for the inspection year 2005/2006. The unannounced inspection undertaken by Mrs Kerry Fell commenced at 10.00am and took two hours and fifteen minutes to complete. The inspection included observation of the service user’s records and care plans, and discussions with the registered persons. The inspector also met the service user 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? Further to the comments made above, the inspector was advised that the structure and support provided by the registered persons has enabled the service user to take part in more activities and become increasingly independent. Maple Cottage 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 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 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Maple Cottage 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 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 standard(s) 2 The service user’s needs are reviewed on an annual basis. There have been no new admissions, and none are planned. EVIDENCE: The home continues to review the service users assessed needs in advance of their annual review, and this information is detailed in the review report completed by the home. 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. Maple Cottage 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 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 standard(s) 6,7 & 9 The proprietors are very knowledgeable about the service user’s needs, and are dedicated to meeting these needs. The service user is able to make decisions and take reasonable risks. EVIDENCE: The service user’s care plan was observed to be very detailed, and a care management assessment of need was available. This document included information about the service user’s needs and goals and how these would be met in relation to all areas of the service user’s life. The proprietors of the home are very knowledgeable about the service user’s needs, and make the meeting of these needs a priority. Highly complimentary comments about how dedicated the proprietors are to meeting the service user’s needs were observed in correspondence made available for inspection. These comments went on to highlight that the high level of awareness and understanding of the service user’s needs were the key element to the success that the proprietors have in supporting the service user, and assisting the service user in developing their skills. Maple Cottage 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 Page 10 The registered persons and the See-Read Co-ordinator had developed two laminated booklets. These booklets provided information about their daily routine and how the service user communicates. One booklet is in a written format and the other is in picture symbols. The home therefore continued to exceed this standard. The service user was observed making decision throughout the inspection. Daily routines are managed around the needs of the service user. The service user is free to move around the home, and can help themselves to drinks and snacks. The proprietors were observed to offer support as required. 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. Maple Cottage 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 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 standard(s) 12,13, 15, 16 & 17. The service user is supported to maintain good relationships and their rights are respected. EVIDENCE: The inspector was shown photographs of the service user’s birthday party that was attended by friends, the registered persons’ family and health professionals. The inspector was also advised about recent and planned trips. 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 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. Maple Cottage 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 Page 12 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 service user was observed to being making choices about what they wished to do throughout the inspection. The home continued to exceed the National Minimum Standards for younger adults in that the routines of the home were adapted to meet the service users needs and choices. Meals are prepared in a domestic manner, and the service user takes meals with the proprietor 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 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 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 standard(s) 18, 19, & 20. 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. Letters were observed during the inspection from a range of health professionals, who provide domiciliary-based health support. The service user is prescribed a small amount of medication. This is monitored and reviewed by relevant health professionals. The registered persons maintain records of medication administered, and evidence was observed that the proprietors take advice to ensure the service user receives health care and Maple Cottage 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 Page 14 medication appropriate to their needs. The inspector was advised, and saw evidence in letters from health professionals that the use of as required medication had reduced greatly in the last 12 months. Maple Cottage 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 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 standard(s) 22 & 23 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 maintained and promoted the service user was protected under the protection of vulnerable adults procedures, but also how they maintained the service user’s human rights. Therefore supporting that the home continued to exceed this standard. No complaints had been received since the last inspection. Maple Cottage 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 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 standard(s) 24, & 30. 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 an activity 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. Maple Cottage 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The registered persons are the only staff and are experienced. EVIDENCE: The proprietors are the sole members of staff at the home. The proprietors are experienced and have provided care and support to the service user for many years. Maple Cottage 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42. The registered persons maintain a safe environment within the home. EVIDENCE: The home continues 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. A new fridge freezer had been purchased since the last inspection, and new thermometers had been purchased to monitor the temperature. A log of this record was being maintained. Maple Cottage 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 Page 19 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 3 x x x Standard No 22 23 ENVIRONMENT Score 3 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Maple Cottage Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 Page 20 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. 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 Good Practice Recommendations Maple Cottage 20050922 H58 H09 s13711 Maple Cottage v243312 050805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection The Wharf Abbey Mill 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. 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