Inspection on 13/01/06 for May Terrace

This inspection was carried out on 13th January 2006.

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

May Terrace 18/11/08

May Terrace 30/11/06

May Terrace 22/06/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 May Terrace 24 May Terrace Lipson Plymouth Devon PL4 8PP Lead Inspector Wendy Baines Unannounced Inspection 13th December 2005 3.30pm May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 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 May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 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. May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service May Terrace Address 24 May Terrace Lipson Plymouth Devon PL4 8PP 01752 6681139 01752 6681139 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) May Terrace Limited Mr John Leslie Jobling Care Home 5 Category(ies) of Learning disability (5) registration, with number of places May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age Range 18 - 60 years Date of last inspection 22nd June 2005 Brief Description of the Service: May Terrace is a care home for five adults aged 18 to 60 years with a learning disability. The home is a terraced property situated in the residential area of Lipson, Plymouth. It is close to local amenities and has easy access to the city centre. The accommodation consists of five single bedrooms, a large lounge, dining room and domestic kitchen. The services are aimed at people with a mild to moderate learning disability. May Terrace provides a small, homely environment for service users wishing to develop their skills and confidence, usually prior to living independently. The Registered Manager is Mr John Jobling. May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, which took place over three hours. There are five service users living in the home and the inspector was able to meet and speak with four of them. The service users gave an account of life in the home and the opportunities they partake in during the day. The Registered Manager, Mr John Jobling and one other senior staff member were available to assist the inspector and provided necessary information. A sample of service users’ care plans and risk assessments were inspected and three service users were happy to show the inspector around the house and their bedrooms. What the service does well: May Terrace provides a smaller home for up to five service users and is able to promote independence and an individual lifestyle. The admissions procedure ensures that prospective service users are able to make an informed choice about where they live. Pre-admission assessments and visits are arranged to ensure that everyone is in agreement about the suitability of the placement. Service users are supported and encouraged to partake in a range of work, education and leisure opportunities to further enhance their independence and ensure fulfilling lives. Service users are able to attend to their daily personal care needs but have a designated key-worker should they need to discuss any personal issues. Emotional and Health care needs are monitored and referrals made to specialist services when necessary. The house is spacious and well maintained and the location of the home further enhances service users independence. There is a small, consistent staff team who have a good understanding of the needs of service users. Service users spoken to said that there treated with respect and encouraged to be as independent as possible. Service users and staff benefit from an open, positive and inclusive style of management. May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? 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. May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 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 May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5. The homes Statement of Purpose and Service user guide provides service users and their representatives with the information needed to make an informed decision about where they live. The homes admissions procedure ensures that the home and prospective service user knows that the home will meet their needs and aspirations. EVIDENCE: Records confirmed that the home follows a clear admissions procedure for any new service users. Case files were inspected for a recent admission and these contained a pre-admission assessment, Statement of Purpose and Service user guide. Through discussion with the manager it was confirmed that following a referral to the home, senior staff had attended meetings with all parties concerned and agreed a plan for visits and a trial placement. Social Services care plans were available, and a review had been planned to determine the suitability of the placement. At the end of the trial placement the Registered Manager will write to a new service user and their representatives to state whether the home thinks they can meet their needs. Individual contracts were seen in each file. They included the fees charged and had been signed. May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 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): 6,7,8,9. The service users living at May Terrace can be confident that they will be encouraged and supported to make decisions and choices about their lifestyle. EVIDENCE: A sample of Service user plans were seen and covered every aspect of daily care needs. The plans had been signed and included a review date. Individual action plans had been completed for specific areas of care, which included objectives and guidelines for staff. It was evident that these had been agreed with the involvement of the service user, and included any long-term goals and risk- assessments. Information about the home stated that the service aims to provide a living environment, which promotes independence whilst aiming to maximise quality of life. Discussion with staff confirmed that service users are supported and encouraged to make choices about every aspect of their life and opportunities are available for discussion and expressing individual views and concerns. Service users spoken to gave many examples of the ways they make their own decisions and choose what they do. One service user said that ‘ as the staff don’t change very often they are very aware of his needs and skills and can therefore allow him to be as independent May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 Page 10 as possible’ Another service user was keen to tell the inspector about involvement in a National Forum relating to current Legislation and the Rights of Service users with a Learning Disability. Service user meetings are held to discuss matters relating to the home and a record is kept. Risk assessments have been written for all activities inside and outside the home. The manager confirmed that this information is regularly reviewed. Not all risk assessments had been dated. May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17. Service users can feel confident that they will have opportunities for personal development. The lifestyle in the home is relaxed, and promotes independence and choice. EVIDENCE: All service users living in the home attend a range of regular work, education and leisure opportunities. The unannounced inspection started at the end of the afternoon, therefore the inspector was able to meet and see service users arriving home from a busy day at college and work. Service users are able to use public transport and some travel regularly by bus around the city. Staff were exploring daytime opportunities for a service user who had more recently moved to the home. The home is located in a residential area of Plymouth with a small number of shops and amenities nearby, which service users visit. One service user said that ‘ the GP practice and dentist is very close to the home, therefore it is possible to use these services independently’. Service users have their own interests and things they like to do, these include socialising with friends, shopping, visiting family or staying in and relaxing in front of the TV. All service users spoken to said they were free to come and go May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 Page 12 as they please, and did not feel that there were any restrictions. Service users have their own key to the front door and bedrooms. The manager said that any restrictions are only imposed as part of a multi-agency agreement. This was confirmed within care plans and risk assessments. On the evening of the inspection service users were enjoying a meal prepared by the staff. Service users said that this happens twice each week and on other days they plan, prepare and organise their own meals. A healthy meal had been prepared and was presented attractively. Service users were able to enjoy the meal within pleasant surroundings in an unrushed and sociable atmosphere. May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 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): 18,19,20,21. Service users receive support in a way and at a time they want and need. Health care needs are monitored and appropriate advice is sought when necessary. EVIDENCE: Service user plans included information relating to personal and healthcare needs. A key worker system is in place and service users spoken to said that they could discuss any personal issues with their key-worker and other members of staff. One service user said that ‘due to the location of the home it is possible to access the GP and dentist independently’. A daily record is kept of medication received and administered and a secure cabinet is available for storage. It was evident that the home liaises when necessary with specialist services and a range of daily charts were kept to monitor any changes in health. Service users currently living in the home do not require any regular support with personal care needs, however Key-workers provide encouragement and advice when necessary. Risk assessments were in place for bathing procedures and the need for water temperature valves. May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 Page 14 Any visits to the GP, dentist and other health checks were recorded in individual files and daily communication books. Staff spoken to were aware that the needs of service users could vary dependent on their age and related health problems. May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 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): 21. Service users can feel confident that their concerns will be listened to and addressed. EVIDENCE: The homes had a written complaints procedure. One service user wanted to raise an issue with the inspector but did say that they would raise the matter further with a key-worker. A senior staff member confirmed that the matter had been documented and would be looked at again if the service user still had concerns. Other service users spoken to said they were given opportunities to raise any concerns and felt confident that these would be listened to and addressed. Service user meetings are arranged and the documented. May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Service users live in a clean, safe, comfortable and well-furnished home. EVIDENCE: May Terrace is an older property in a residential street in Plymouth. It is indistinguishable from the neighbouring properties. The hall, stairs and landing walls have been decorated and since the last inspection a new hall carpet has been fitted. This gives a warm and welcoming atmosphere, and a modern look to the home. Accommodation is set out on two floors with the living areas on the ground floor. Each service user has a single bedroom. Three of the bedrooms were seen on the day of the inspection and contained many personal items and furnishings to suit individual taste and style. All the bedrooms have appropriate locks and service users hold their own keys. There is one bath/ shower room with a toilet and hand basin upstairs. There is a second toilet with a hand basin also upstairs. There is no toilet on the ground floor. None of the current service users have a physical disability. All service users are able to use the stairs. There is no need for any environmental adaptations or disability equipment at this time. The lounge is spacious and well furnished and provides a comfortable room where service users can watch TV, and socialise. May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 Page 17 The dining room is an area in one of the two kitchens with storage units and drawers. There are all the usual appliances in the kitchens for storage and preparation of meals. Since the last inspection a new boiler has been fitted. On the day of the inspection the kitchen was found to be well organised, clean and hygienic. Laundry facilities are located in outhouses at the rear of the house. The rear garden is enclosed and provides an outdoor space with patio furniture. A service user said that this area was often used for relaxing and BBQs in the summer. The home was found to be clean and hygienic throughout. May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 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): 33,36. An experienced staff team who have worked in the home for some years support the service users to enable them to achieve their goals and be independent. EVIDENCE: May Terrace has a small staff team, and most have worked in the home for many years. The staff spoken to were very aware of service users needs and how best to support them. One service user said that ‘as the staff team tend to stay the same they have a good understanding of his needs and are therefore able to allow him to be as independent as possible’. Records confirmed that the home regularly liaises with outside agencies and takes advice and guidance when necessary. Discussion took place with a senior member of staff for the need to ensure that all staff have the skills required to meet the changing needs of service users and needs of new service users who may move into the home. Staff would benefit from Mental Health training to ensure best practice at all times. Staff spoken to said due to the experience and size of the team support is always available and there are plenty of opportunities for discussion about the home and individual service users. There are currently no formal arrangements for staff supervision. May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 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): 37,38,40 Service users and staff benefit for an open, inclusive and positive style of management. Service users can be assured that the home is well run and takes into account their current and future wishes and preferences. EVIDENCE: Mr Jobling is the Registered Manager and co-owner of the home. He is very experienced and holds the Registered Managers’ Award. Mrs Jobling is a qualified and experienced social worker. On the day of the inspection the atmosphere in the home was relaxed and comfortable. Service users were confident to speak with the inspector and were able to do so in private if they chose. Two service users said that May Terrace had enabled them to develop their skills and consider more independent living in the future. A senior staff member said that management and staff work in an open and inclusive way. May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 Page 20 Records were found to be well maintained and up to date. Policies and procedures were appropriate to the setting and service provided, and those directly effecting service users were copied into the individual file. May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 N/A 3 LIFESTYLES Standard No Score 11 3 12 4 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x 3 x x 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 May Terrace Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x x x DS0000063381.V257945.R01.S.doc Version 5.0 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. 1. 2 3 Refer to Standard YA9YA9 YA33 YA36 Good Practice Recommendations The Registered Provider should ensure that all risk assessments are signed and dated. Staff should undertake appropriate training relating to ‘Mental Health’, and this training should be updated as part of the homes on-going training programme. Staff should have regular, recorded supervision meetings at least six times a year with their senior/ manager in addition to regular contact on day- to -day practice. This should cover the points as listed in Standard 36.4 of the Care Homes Standards 2000. May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 May Terrace DS0000063381.V257945.R01.S.doc Version 5.0 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. 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