Inspection on 22/06/05 for May Terrace

This inspection was carried out on 22nd June 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

May Terrace 18/11/08

May Terrace 30/11/06

May Terrace 13/01/06

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 PL4 8PP Lead Inspector Sheila Giblin Announced 22 June 2005 nd 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. May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service May Terrace Address 24 May Terrace, Lipsom, Plymouth, Devon, PL4 8PP 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) 01752 6681139 01752 6681139 May Terrace Limited Mr John Leslie Jobling Care Home 5 Category(ies) of Learning Disability (5) registration, with number of places May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Age range 18-60 years Learning disabled adults some of whom may have a physical disability Date of last inspection 7th September 2004 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 D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A pre-inspection questionnaire had been returned to the Commission prior to the inspection. This included up to date information regarding the residents living in the home and the staff employed, together with appropriate details as required. Three out of four residents spoke to the inspector at length. Care plans and personal files were viewed. None of the residents take prescribed medication. There was a tour of the building and the private enclosed rear garden seating area was used to look at records and documents during the inspection. The inspection took place over seven hours. What the service does well: What has improved since the last inspection? The staff team have undertaken Adult Protection Training and completed NVQ3 training. Parts of the home have been redecorated and new carpets laid in the bedrooms. May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 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. May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 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 May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 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) 1, 2, 3, 4, 5 Prospective residents can be confident that the information provided to help them make a choice about this home will be available in various formats. EVIDENCE: The Statement of Purpose and Service User Guide have been recorded on audio - tape. Residents’ needs and aspirations have been assessed but no new residents have been admitted since 2004. An initial assessment would be undertaken to complement the one provided by the referring authority. An in depth assessment would be undertaken following admission over a period of observation and familiarisation. The Registered Manager will write to a new resident and their representatives following that initial assessment to state whether the home thinks they can meet their needs. Whenever possible the prospective resident would be welcome to visit the home and stay if a bed was available Individual contracts were seen in each file. They included the fees charged and had been signed. May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 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, 8, 9, 10 Residents at May Terrace can be confident that they will be encouraged and enabled to make choices and decisions about their lifestyle. EVIDENCE: Care plans were seen that included every aspect of the care needs of the residents. The plans were reviewed and had been updated regularly. The Registered Manager promotes individual decision - making and tirelessly works to assist residents to take responsibility for certain aspects of their lives. This includes taking time to explain matters and reinforcing them over again. Residents gave examples of the ways they make their own decisions and choose the things they want to do. Residents are supported to do their own shopping, washing and domestic chores. Residents’ meetings are held to discuss anything they wish and a record kept. Risk assessments have been written for all activities inside and outside the home. Procedures are in place to inform and guide residents and staff as to what actions need to be taken in certain circumstances. Residents files were held securely. Residents said they had access to their files if they wanted to see them. May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 Page 10 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) 11, 12, 13, 14, 15, 16, 17, Residents living in this home can be assured that they will receive the support they need to fulfil their aspirations and lead an independent lifestyle EVIDENCE: One resident said that living in the home had changed their life and that they had ‘blossomed’ because they had been encouraged to do things and participate in activities that had opened up enormous opportunities to affect and influence services for people with a learning disability both locally and further afield. All the residents go out to work, college and educational groups and classes in the local colleges and centres. On the day of the inspection residents had been presented with their end of year certificates for successfully completing various courses. The home is located in a residential area of Plymouth with a small number of shops and amenities nearby which residents visit. Each resident has their own interests and things they like to do. These include socialising with friends in the pub, shopping, visiting family and friends or staying in and relaxing in front of May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 Page 11 the TV listening to music or watching a video. Residents said they were free to do what they wanted. Friends are encouraged to visit. There is a policy on visiting and residents said they understood the ‘rules’. Mr Jobling is very much aware of the rights of the residents living in the home and promotes their decision making abilities with regard to financial and other matters. Residents organise their own meals and do their shopping whenever possible. They are given £15 for individual foods of their own choice and are encouraged to prepare their own meals with the support of staff. During the inspection a resident made a sandwich for lunch and talked about shopping for food, cooking and meal preparation. Each resident has been allocated a section of the freezer in which to keep their own food. Twice a week they have an evening meal together prepared and cooked by staff. A menu plan is not kept. Daily meals are chosen from what’s available in the pantry or residents can go to the local shops. May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 Page 12 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, Residents can feel confident that they will receive emotional confidential support. EVIDENCE: A key worker system is in place and each resident said they could and do confide in their key worker. They gave instances where they had needed help to overcome an emotional or personal problem. No one in the home was taking any medication at the time of this inspection. Should that change there is a suitable secure cupboard to store it. Residents have no need of personal physical care and are encouraged to take care of their personal cleanliness and hygiene by their key worker. Risk assessments were in place for bathing procedures. Visits to the GP and other health care professionals were recorded in the personal file. May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 Page 13 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 Residents can be confident that their complaints will be listened to and taken seriously. EVIDENCE: None of the residents had any complaints about the home that they wished to discuss with the inspector. They said they talked about any day to day problems they had with their key worker or Mr Jobling. Mr Jobling and, all bar one of the staff team, had recently attended Adult Protection Training. There was a copy of the Alerter’s Guide available for staff with the recently reviewed procedure for notifying any alleged incidents of abuse or concern. Residents said they would report any concerns they had to their key worker. May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 Page 14 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, 25, 26, 27, 28, 29, 30 Residents 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 the first overall impression when entering the house would be improved with a new modern carpet. Accommodation is set out on two floors with the living areas on the ground floor. Each resident has a single bedroom which they have furnished and decorated in a colour and style to suit their individual taste. All the bedrooms have appropriate locks and residents 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 residents have a physical disability. All the residents are able to use the stairs. There is no need of environmental adaptations or disability equipment at this time. The lounge is spacious and well furnished and provides a comfortable room where residents can watch TV and videos and socialise. May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 Page 15 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 the storage and preparation of meals. The kitchens were clean and hygienic. Throughout, the home was clean and tidy. Laundry facilities are located in outhouses at the rear of the house. The rear garden provides an outdoor space with patio furniture. All three residents who spoke to the inspector said they liked their rooms and felt at home and comfortable in the house. They said they used the garden in good weather. The barbecue was out of use and awaiting renewal. One resident said a sun bed would be nice. May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 Page 16 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) 31, 32, 34, 35 An experienced staff team who have worked in the home for some years support the residents to enable them to be independent. EVIDENCE: Mr Jobling, the Registered Manager and owner of the home was on duty during this inspection while residents came and went during the day. There is a small staff team who have been employed for some time. They have completed training in Adult protection, first aid and fire safety. Two staff have NVQ3 and 1 has the assessors award. Food Hygiene training is due to be updated. There was a training and development plan showing staff’s training to date. All the staff work part time with Mr Jobling providing most of the support throughout the week. Mr Jobling is to explore the LDAF training opportunities. One staff member is on duty at a time as the needs of residents require. As all the residents currently living in the home have mild learning disabilities, there was some discussion about the possibility of some residents being able to spend ‘time at home alone’ when they preferred. This would assist in their personal development and confidence building. Mr Jobling would risk assess each situation and discuss with the residents their wishes before liaising with their care managers. Any agreements would be recorded in the care plans and notified to the Commission. No new staff members have been recruited since the previous inspection. The procedures and policies that support a robust recruitment process were in place. May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 Page 17 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) 37, 38, 39, 41, 42 Residents can be assured that the home is well run and takes into account their 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. He is currently studying for the NVQ4 in Care. Mrs Jobling is a qualified and experienced social worker. Mr Jobling leads the staff team and supports two male residents in the home as their key worker. The atmosphere in the home was relaxed and comfortable. Residents said it was just like living independently. They had completed satisfaction questionnaires and all said that they spoke up when they wanted anything or had any concerns. The Quality Assurance system had not yet been extended to include care managers or other health and social care professionals. All the information required to be kept on residents’ personal files was accurate and May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 Page 18 up to date. An individual resident’s daily record of events was maintained showing activities and incidents as they occurred. The accident book showed a record of accidents and the Fire Log book showed entries for the regular testing and checking of fire safety equipment. All electrical and gas equipment had been tested according to safety guidelines. Mr Jobling maintains the hot water distribution systems to minimise the risk of legionella. The water heating system is provided by a combi-boiler so there is no hot water holding tank. The shower head is cleaned and flushed through weekly as recommended in the guidelines. May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 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 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 N/A 3 Standard No 11 12 13 14 15 16 17 3 4 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 May Terrace Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x 3 3 x D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 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 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. Refer to Standard 24 28 Good Practice Recommendations The carpet in the hall stairs and landing should be considered for renewal. The introduction of sun beds and a BBQ in the rear garden would benefit residents and add to their social activities at home. May Terrace D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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 D52-D04 S3556 May Terrace V222701 220605 Stage 4.doc Version 1.30 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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