Inspection on 21/07/05 for Maplewood House

This inspection was carried out on 21st July 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

Maplewood House 04/04/07

Maplewood House 05/12/05

Maplewood House 07/12/04

Maplewood House 20/07/04

Similar services:

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

Insight - Eastchurch

Southfields

Thorndene

Magenta

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

CARE HOMES FOR OLDER PEOPLE Maplewood House Off Chatfield Court Caterham Surrey CR3 5YA Lead Inspector Cathy Clarke Unannounced 21 July 2005 11:15 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 Older People. 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. Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Maplewood House Address Maplewood House Off Chatfield Court Caterham Surrey CR3 5YA 01883 383807 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) Surrey Oaklands NHS Trust Oaklands House, Coulsdon Road, Caterham, Surrey, CR3 5YA Mr Krishna Govinden Care Home (CRH) 15 Category(ies) of Learning disability over 65 years of age (LD(E)), registration, with number 9 of places Learning disability (LD), 6 Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 The age/age range of the persons to be accommodated will be: 45 AND ABOVE Date of last inspection 07 December 2004 Brief Description of the Service: Maplewood House is a detached property providing accommodation for 15 service users with mild to moderate learning disabilities. The home is located in Caterham and has easy access to the local shops, public transport and other local services. The home has its own transport and parking is available to the front of the property. The accommodation for service users is provided on the ground and first floors. All service users have their own bedroom. There is a large rear garden that is mainly laid to lawn. Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over 3 hours and was the first inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. Cathy Clarke, Lead Inspector for the service, carried out this inspection Mr Kris Govinden Registered Manager was present as the representative for the establishment A full tour of the premises took place and documents inspected included care plans, risk assessments, staff records, policies and procedures. Six service users and two members of staff were spoken to during the inspection. This was a positive inspection. The inspector would like to thank the staff and service users for their time, assistance and hospitality during this inspection. What the service does well: What has improved since the last inspection? Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 6 The home submitted a variation to the registration of the home and following approval by the Commission for Social Care Inspection is now registered for fifteen service users. The home is now inspected against the National Minimum Standards for Care Homes for Older People. The home has been decorated and in particular the lounge and dining room look much brighter and more appealing. There was a leak in the roof of the smoking room and this has been repaired. A new vehicle has been purchased for the home with a tail lift for wheelchair access. A new barbecue set has been bought and flowers put in the home to create a more homely atmosphere. Quality assurance surveys have produced some positive comments. 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. Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,6 The homes statement of purpose and service user guide has been developed in appropriate formats providing prospective service users with details of the services the home provides enabling an informed decision prior to admission. EVIDENCE: The home provides a welcome and homely atmosphere and service users have confirmed that they are happy living there. The service has developed the service user guide in sign language and a copy is given to each of the service users and these were seen in their rooms. The service does not provide intermediate care. Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,10. Care plans are comprehensive and the health needs of the service users are assessed and reviewed on a regular basis. Staff treat service users with dignity, respect and observe privacy when providing personal care. EVIDENCE: Care plans were sampled during the inspection and were found to be very comprehensive. A person centred plan is drafted between the service user and the key worker. A community learning disabilities nurse is conducting health assessments for six of the service users. A full review of care needs is undertaken by the care manager on an annual basis and a six monthly person centred planning meeting is held. Daily record sheets reflect accurately the day-to-day activities of each of the service users. Each of the service users files contains, medical, optical, and dental records. Risk assessments are undertaken for each of the service users and these are contained within their records. Two staff always assist the service user who requires hoisting from her bed to her wheelchair. The registered manager escorted two service users to the dentist on the day of inspection. A general practitioner was conducting a surgery within the home Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 10 on the morning of the inspection. Staff have confirmed that if they have any queries they can ring the practice nurse or district nurse for advice. The chiropodist visited the home the day before the inspection and the service users receive regular visits from psychologists and psychiatrists. Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14, Service users are encouraged to take an active part in the community in which they live and activities and social events are planned taking into account individual preferences. The practice of staff undertaking cleaning and cooking duties takes contact and activity time away from service users. EVIDENCE: Service users take a full and active part in the community surrounding the home. Staff were very busy during the inspection with cleaning, preparing sandwiches, and assisting the General Practitioner with her visit to see service users. One of the service users informed the inspector that he had walked up to the swimming pool but unfortunately his class was not on. Two of the service users said that they were looking forward to their art classes in the afternoon. Another service user said that she loved bingo. The registered manager is looking into the availability of courses at Caterham College for service users. Two groups of service users have been on holiday, one to Italy and another to a holiday camp. Others are going to Portugal in October. Regular house Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 12 meetings are held to discuss social events, activities and holidays. A new vehicle with a tail lift has been purchased for the home. One of the service users likes to walk to a friends house two miles from the home. Meetings have been held to discuss how safe this is for her and an action plan and risk assessment is in place. Friends and family are welcome to visit the home at any time. Please see requirements section of this report. Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,18 All of the required policies and procedures are in place to ensure that service users feel their views will be listened to. Policies are in place to protect service users from abuse and neglect and the registered manager and staff have been appropriately trained. EVIDENCE: There is a complaints policy and procedure in place and since the last inspection there has been one complaint made which has been fully investigated and a response has been sent to the complainant. One vulnerable adult meeting has been held and the appropriate actions have been put into place. Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,22, The home was found to meet service users individual and collective needs in a comfortable and homely way internally and externally. Garden furniture must be replaced to ensure the enjoyment of the garden can be a comfortable experience for both service users and their visitors. EVIDENCE: The home is clean and tidy and has a maintenance programme in place. The registered manager informed the inspector that the roof to the smoking room has been repaired since the last inspection because it had a leak. Bedroom number eight must be redecorated in a more appropriate style. The garden is well-maintained and laid to lawn. One of the service users said that she loves to go out into the garden. Garden benches need to be replaced to ensure that service users can sit in comfort with their visitors and enjoy the garden. Another service user seeing the inspector in the garden asked if there was going to be a party. Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 15 The registered manager informed the inspector that the service is gaining quotes for the replacement of the dining room chairs and the living room sofas. There are sufficient toilet and bathroom facilities. Water temperatures checked during the inspection were within required limits. The shower was in good working order and alarms are in all of the bathrooms, toilets and bedrooms. One service user has a new bed and hoist, which is being used for safe transfers from bed to wheelchair and bed to commode. The assisted bath in the downstairs bathroom was inspected on the 13/5/05. Please see requirements section of this report. Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29,30 All interactions observed between staff and service users evidenced a high degree of respect and skill in working with the individual service users at the home. A robust recruitment and selection process is in place involving service users fully in the process. EVIDENCE: Staff recruitment files sampled during the inspection contained all of the necessary pre-employment checks. Agency staff spoken to during the inspection confirmed that they have taken part in the induction programme for staff. There are currently fourteen staff with a further member of staff being transferred to the service. One of the service users commented that she is to assist with the recruitment of a new member of staff coming for interview the following day. She has rehearsed her questions and very much enjoys the experience and involvement. The home is to be commended for such practice. There is a full programme of training events planned throughout the year. The registered manager has undertaken NVQ Registered Managers Award and is a qualified NVQ assessor. Four staff have completed level 2 NVQ and of these two have gone onto their level 3 awards. Two staff are presently undertaking NVQ level 2. Two new members of staff are to be registered for the Learning Disabilities Framework Awards. Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,33,38 Service users and staff benefit from the management approach at the home providing an open, positive and inclusive atmosphere. There are systems in place for service user consultation, which have been devised specifically to enable the service users to make their views known. EVIDENCE: The registered manager is qualified and experienced to manage the care of service users within the home. The manager has recently undertaken a programme of training on Diversity and Equality and the deputy manager is to attend next. Management and staff are open to the inspection process and keen to make improvements to the service for the benefit of service users. There is a key worker system in place and regular meetings are held with service users. A recent quality assurance survey was sent to the day centres, operational managers and relatives with positive results. The service has Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 18 obtained details of the Surrey Advocacy service and will be referring service users without family or representatives. Regular health and safety checks are carried out and there are policies and procedures in place. A fire safety inspection was carried out on the 1st July 2005 and fire safety officers were happy with the home. There is a three monthly safety audit conducted in the home and visual checks are carried out every six months. In April this year PAT testing was undertaken for electrical equipment within the home. There is an annual individual bedroom fire risk assessment and this is due in September 2005. Maplewood House H58-H09 S13712 Maplewood V242458 210705 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 Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x x x x 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 x COMPLAINTS AND PROTECTION 2 2 3 3 x x x x STAFFING Standard No Score 27 x 28 x 29 4 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x x x x 3 Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 20 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. 1. Standard OP12 Regulation 18 (1)(a) Requirement The practice of staff undertaking cleaning and cooking tasks must not take contact and activity time away from service users. Bedroom number 8 must be redecorated in a more appropriate style. The garden benches must be replaced. Timescale for action 31/10/05 2. 3. OP19 OP20 23 (2) (d) 23 (2) (c) 31/10/05 30/09/05 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 Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 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 Maplewood House H58-H09 S13712 Maplewood V242458 210705 Stage 4.doc Version 1.40 Page 22 - 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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