Inspection on 01/11/06 for Marston Court

This inspection was carried out on 1st November 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

Marston Court 17/08/05

Marston Court 28/06/05

Marston Court 23/11/04

Marston Court 10/08/04

Marston Court 22/12/03

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

CARE HOME ADULTS 18-65 Marston Court 67 Marston Road Leicester Leicestershire LE4 9FF Lead Inspector Chris Wroe Key Unannounced Inspection 1st November 2006 12:00 Marston Court DS0000046220.V317847.R01.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 Marston Court DS0000046220.V317847.R01.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. Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Marston Court Address 67 Marston Road Leicester Leicestershire LE4 9FF 0116 210 3895 0116 210 3895 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) Marston Court Limited Wendy Sampson Care Home 22 Category(ies) of Learning disability (22), Physical disability (22) registration, with number of places Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No person falling within category PD should be admitted into Marston Court Residential Care Home unless that person also falls within category LD ie dual disability Service User Numbers: No person to be admitted into Marston Court Residential Care Home in categories LD or PD when 22 persons in total of these categories/combined categories are already accommodated in this home. Named Service User: To accommodate 1 older person with Learning Disabilities LD(E) named in variation application number V32968 at Marston Court Residential Home To restrict service users` accommodation to the ground floor: The Service users admitted to Marston Lodge who fall within categories/combined categories LD and PD may only be accommodated on the ground floor. 3. 4. Date of last inspection Brief Description of the Service: Marston Court is a care home, which provides care for up to twenty-two younger adults with learning difficulties and/or physical disabilities. The home was registered in 2002, and was a sixteen-bed home. There is now a house next door, which has been registered as part of the home. Six residents will be able to live more independently in this new part of the home. There are bedrooms on the ground floor and first floor of the main home. There is a lift and stairs for access between the floors. There are lounges and dining areas for residents to use, and shared bathrooms as well as some en suite bathrooms. The home is in an area where other people live. There are shops, pubs and park areas within ten minute walking distance of the home, and there are bus stops nearby. The home has a mini-bus to take people out for activities and holidays. The range of fees charged by the home is £850 to £1500 per week. Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection included a visit to the service. The inspector visited the home on 1st November 2006. The visit started at 12pm and lasted for five hours. Residents were at home during the inspection. The manager, Wendy Sampson, and staff in the home helped the inspector during the visit. The inspector talked with residents about how they liked living in the home. The things they said are included in the report. Everyone the inspector spoke to was happy about living in the home and felt that the staff cared for them well. The main method of inspection used was ‘case tracking’. This means looking at the care given to residents in different ways. The ways this was done are: • talking to residents • talking to staff • watching how residents are given support • looking at written records. All the key standards were checked during this inspection. The information below is based only on those aspects checked in this inspection. What the service does well: Before people come to live in the home, the manager finds out about what they need and the things they like and don’t like. Staff have a lot of training so they can meet the needs of residents who come to live in the home. There are care plans for each person who lives in the home. Care plans tell about what is important for each person. Staff know what each person who lives in the home needs, and about the things they like and don’t like. People who live in the home can choose things that they want to do. There are risk assessments in the home for each person. Risk assessments tell about how people who live in the home can be helped to do the things they want to do and be kept safe. Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 6 People who live in the home can do different things they want to do. Staff arrange social activities and parties for residents. There is a hydrotherapy room and a sensory room for residents to use. People who live in the home can see their family and friends when they want to. Some relatives were visiting residents during the inspection visit. Relatives said that staff made them feel welcome in the home. Residents are able to practice their faith in the way they choose to. Staff respect religious choices. A cook prepares meals in the home. Residents can choose what they would like to eat. Staff help people who live in the home to look after themselves. Everyone has a GP nearby who they can see if they feel poorly. Staff also help people who live in the home to have support from other people, like occupational therapists and psychiatrists, if they need any help. Medicines are kept safely in the home. Staff have had training to show them how to give out medicine. There are good systems in place to make sure residents are kept safe when taking medicine, and that staff follow the rules properly. People who live in the home are able to make choices about how they want to live their daily lives. There is information in the home, which tells people how they can make a complaint if they are not happy about something. Staff mostly know that they need to keep people who live in the home safe from harm. Staff understand what each person living in the home needs to make them feel safe, and they help people in the home to get on well together and to stay safe People who live in the home have their own bank accounts. When staff support people and help them to buy things, they keep receipts. Staff keep records about money that is spent to make sure everyone’s money is looked after. The home is clean and comfortable. People who live in the home have their own things in their bedrooms. Staff make sure that checks are carried out in the home, to make sure equipment is safe. Professional people, like the fire service and environmental health department carry out checks as well. The manager makes sure there are always enough members of staff in the home to give good care to residents. Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 7 There is now a registered manager in the home, and she is working to make improvements for residents. The manager tries to find out what people think about the home. Staff have meetings to talk about working in the home and give their ideas. The manager gives questionnaires to residents and relatives to find what they think about the home. There are policies in the home, which tell staff about how to work safely. Staff do checks to make sure that equipment in the home is safe. Staff have training to help them to work safely – like food hygiene training, so they know how to cook safely. What has improved since the last inspection? What they could do better: There is a policy in the home, which tells people that they have the right to have relationships if they choose to. The manager said that the staff could look more about how to support residents if they want to develop relationships. It would be good if this is done. At the moment, residents do not have keys for their own bedrooms. Care plans do not have information in them about whether residents have been Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 8 offered the choice of a key to their bedroom. The manager said they are planning to change this. It would be good if the manager and staff could show how residents are given choices about keeping their rooms private. This might include having a key for their bedroom, if residents are able to and want to. There are three double bedrooms in the main home. Only one room has a curtain in it to pull across and make some private space for each resident. The manager said that there are plans for curtains to be put into all the shared rooms. It would be good if this is improved. The manager did not report one incident, where some residents may have been at risk, to the Commission for Social Care Inspection or to Social Services. This needs to be done to make sure that residents are kept safe from any future harm. The inspector spoke with two members of staff about how they are told to keep residents safe from harm. The members of staff said different things about the rules in the home, and the manager needs to make sure everyone works in the same way. 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. The summary of this inspection report can be made available in other formats on request. Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 9 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 Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 10 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. 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. Residents benefit from having their needs assessed and met in the home. EVIDENCE: Before people come to live in the home, the manager finds out about what they need and the things they like and don’t like. The manager makes sure that staff can meet the needs of residents who come to live in the home. Staff have different kinds of training, including training to help them to communicate with people who have different communication needs. For example, the manager has brought in an organisation called VISTA, who have helped staff to understand about communicating with people who have visual impairment. This is very good. Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit because staff work well in the home to meet their needs. EVIDENCE: There are care plans for each person who lives in the home. Care plans tell about what is important for each person. Staff know what each person who lives in the home needs, and about the things they like and don’t like. Each resident has a daily diary, which staff write in to tell about things that people do every day. People who live in the home can choose things that they want to do. There are risk assessments in the home for each person. Risk assessments tell about how people who live in the home can be helped to do the things they want to do and be kept safe. Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a good lifestyle, which meets their individual wishes. EVIDENCE: People who live in the home can do different things they want to do. Some people go to day centres. One member of staff spends time helping people to do different things. Some residents like to do knitting or sewing. One person helps with the weekly food shopping at the supermarket. Residents told the inspector about the different things they like to do. Staff arrange social activities and parties for residents. There is a hydrotherapy room and a sensory room for residents to use. Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 13 People who live in the home can see their family and friends when they want to. Some relatives were visiting residents during the inspection visit. Relatives said that staff made them feel welcome in the home. Residents are able to spend time on their own if they want to, or with other people. Staff know how to find out what each resident wants to do and how they like to spend their time. Residents are able to practice their faith in the way they choose to. Staff respect religious choices. There is a policy in the home, which tells people that they have the right to have relationships if they choose to. The manager said that the staff could look more about how to support residents if they want to develop relationships. At the moment, residents do not have keys for their own bedrooms. Care plans do not have information in them about whether residents have been offered the choice of a key to their bedroom. The manager said they are planning to change this. A cook prepares meals in the home. Residents are able to make choices about what they would like to eat. Two residents told the inspector that they are going to move into the new house next to the main home. Residents will be able to be more independent in this house, and to do things like make drinks for themselves. Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 14 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. 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. Residents benefit from good attention to health and personal care. EVIDENCE: Staff help people who live in the home to look after themselves. Everyone has a GP nearby who they can see if they feel poorly. Staff also help people who live in the home to have support from other people, like occupational therapists and psychiatrists, if they need any help. Medicines are kept safely in the home. Staff have had training to show them how to give out medicine. Records are kept to show what medicines have been given to people. There are good systems in place to make sure residents are kept safe when taking medicine, and that staff follow the rules properly. Staff communicate with GPs and psychiatrists to make sure that the right medication is given. Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 15 People who live in the home are able to make choices about how they want to live their daily lives. Residents told the inspector about new clothes they had bought, which they liked. Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are mostly kept safe in the home by good procedures and staff awareness. EVIDENCE: There is information in the home, which tells people how they can make a complaint if they are not happy about something. Staff mostly know that they need to keep people who live in the home safe from harm. Staff understand what each person living in the home needs to make them feel safe, and they help people in the home to get on well together and to stay safe. The manager did not report one incident, where some residents may have been at risk, to the Commission for Social Care Inspection or to Social Services. This needs to be done to make sure that residents are kept safe from any future harm. The inspector spoke with two members of staff about how they are told to keep residents safe from harm. The members of staff said different things about the rules in the home, and the manager needs to make sure everyone works in the same way. People who live in the home have their own bank accounts. When staff support people and help them to buy things, they keep receipts. Staff keep records about money that is spent to make sure everyone’s money is looked after. Marston Court DS0000046220.V317847.R01.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a good living environment. EVIDENCE: The main home is clean and comfortable. People who live in the home have their own things in their bedrooms. Staff make sure that checks are carried out in the home, to make sure equipment is safe. Professional people, like the fire service and environmental health department carry out checks as well. There are three double bedrooms in the main home. Only one room has a curtain in it to pull across and make some private space for each resident. The manager said that there are plans for curtains to be put into all the shared rooms. Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 18 There is no one living in the small house yet, but it is ready for people to move in. It is comfortable and has nice furniture – it is like a family home. The laundry room is clean, with some new equipment in it. There are enough washing machines and dryers to make sure all the laundry is done. Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents benefit from good levels of staffing and having well-trained staff. EVIDENCE: The manager has made new records and forms for staff to fill in. Staff have to fill in an application form and have an interview before they are given a job. The manager carries out checks to make sure staff are people who can be trusted. One resident has been included in choosing new staff to work in the home. Staff are given a lot of training to show them how to do their job well. Training, which staff have had, includes safe handling of medicines, food hygiene, and training to help them meet the needs of residents. This is very good. The numbers of staff in the home depends on how many people are at home, and what the needs of people living in the home are. The manager makes Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 20 sure there are always enough members of staff in the home to give good care to residents. Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 21 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. 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. Residents benefit from good management of the home. EVIDENCE: There is now a registered manager in the home, and she is working to make improvements for residents. The manager tries to find out what people think about the home. Staff have meetings to talk about working in the home and give their ideas. The manager gives questionnaires to residents and relatives to find what they think about the home. Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 22 Someone who is independent from the home comes to do checks to make sure everything is running well. The manager also does her own checks. The manager has meetings with residents and relatives so that they can talk about the home. There are policies in the home, which tell staff about how to work safely. Staff do checks to make sure that equipment in the home is safe. Staff have training to help them to work safely – like food hygiene training, so they know how to cook safely. Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 23 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 2 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 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 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 4 4 4 X 3 X 3 X X 3 X Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 24 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 YA23 Good Practice Recommendations It is recommended that the provider ensures that all incidents affecting the safety and welfare of residents are reported to the Commission for Social Care Inspection and Social Services as required, to ensure residents are safeguarded from harm. It is recommended that the provider ensures that all staff are aware of the procedures regarding managing challenging behaviour and the rules regarding physical restraint, to make sure staff are consistent. It is recommended that the provider shows how residents are given choices about keeping their rooms private. This might include having a key for their bedroom, if residents are able to and want to. It is recommended that the provider ensures that all residents who share bedrooms are given privacy. 2 YA23 3 YA24 4 YA24 Marston Court DS0000046220.V317847.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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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