Inspection on 30/11/06 for May Terrace

This inspection was carried out on 30th November 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 13/01/06

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 Antonia Reynolds Unannounced Inspection 30th November 2006 3:20 May Terrace DS0000063381.V290569.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 May Terrace DS0000063381.V290569.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. May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service May Terrace Address 24 May Terrace Lipson Plymouth Devon PL4 8PP 01752 668139 01752 668139 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.V290569.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Age Range 18 - 60 years Date of last inspection 24th January 2006 Brief Description of the Service: May Terrace is a care home providing personal care and accommodation for five people, aged 18 to 60 years, with a learning disability. The service is aimed at people with a mild to moderate learning disability who wish to develop their skills and confidence, usually prior to living independently. The home is privately owned by May Terrace Limited and the Registered Manager is John Jobling. The fee levels are between £295 and £320, although these may vary depending on the individual needs of service users. Information about the service can be obtained from the home. The home was opened in 1992 and is a two-storey mid-terraced house situated in the residential area of Lipson, Plymouth. It is close to local shops and amenities, including the city centre, and public transport is easily available. All the bedrooms are single, with four on the first floor and one on the ground floor. Bedrooms contain wash hand basins and there is one bathroom and a separate toilet on the 1st floor. There are lounge and dining rooms on the ground floor, as well as a domestic kitchen. The home has a small courtyard at the rear of the property and all areas are accessible to the service users. There is no dedicated parking for the home, although on street parking is available nearby. May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection consisted of an unannounced visit between 3.20pm and 6.20pm on Thursday, 30th November 2006 and a follow up telephone call on Tuesday, 5th December 2006. The Registered Manager, John Jobling, was present for most of the visit and the staff member on duty, Debbie Palmer, was present at the end of the inspection. A tour of the premises took place and records/documents relating to the care of the service users, staff and the home were inspected. A pre-inspection questionnaire had been completed by the Registered Manager, which contained information relevant to the inspection. Survey forms had been completed by four service users and all five service users were spoken with during the visit. A questionnaire was received from a social care professional who expressed satisfaction about the care provided. What the service does well: What has improved since the last inspection? Risk assessments have been dated and reviewed. Staff members receive regular supervision from the Registered Manager, which is documented. The kitchen was in the process of being renovated and refurbished. May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 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.V290569.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2, 3 and 4 Quality in this outcome area is good. The home’s admissions procedure ensures that prospective service users and their relatives/representatives know that the home will meet their needs and aspirations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The pre-admission assessment process ensures that the needs of prospective service users are identified. Service users and their relatives/representatives are welcome to visit the home prior to admission to meet other service users, staff and have a look around the home. Discussions with service users, staff and the Registered Manager, as well as observation, show that staff are aware of the needs of the service users. May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7, 8, and 9 Quality in this outcome area is good. Service users can be confident that they will be encouraged and supported to make choices and decisions about their lifestyles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service users’ files contained care plans and risk assessments relating to health and personal care needs that are regularly reviewed in consultation with service users. Discussion with service users confirmed that personal care is maintained, service users can bathe/shower when they choose to and are encouraged to be as independent as possible. Discussion with staff confirmed that service users are supported and encouraged to make choices about every aspect of their lives and opportunities are available for discussion and expressing individual views and concerns. The service users gave many examples of the ways they are consulted about every aspect of life in the home, make their own decisions and choose what they do May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 Page 10 on a day-to-day basis. The Registered Manager and the staff team work hard at assisting service users to take responsibility for decision-making in all areas of their lives. Service users are well aware of their rights, for example, access to their personal files, and have opportunities to be involved in local and national advocacy forums. May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is excellent. Service users can feel confident that they will have opportunities for personal development to fulfil their aspirations, individual lifestyles are respected and independence and choice are promoted. This judgement has been made using available evidence including a visit to this service. 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 and further afield. May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 Page 12 The home is located in a residential area of Plymouth with a small number of shops and amenities nearby, which service users visit, including doctors and the dentist. Service users have their own interests including socialising with friends, shopping, visiting family or staying in and relaxing in front of the television. All service users spoken to said they were free to come and go as they please, and did not feel that there were any restrictions. Service users have their own key to the front door and their own bedrooms. Mr Jobling is very much aware of the rights of the service users living in the home and promotes their decision-making abilities with regard to financial and other matters. Each service user has his/her own bank account and is provided with assistance, advice and guidance to manage their financial affairs should they need this. Service users said that they choose what food they want for meals and have opportunities to plan, prepare and organise their own meals. They also have opportunities to shop for any food they wish to have. Service users are able to enjoy their meals in an unrushed and sociable atmosphere. May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 Quality in this outcome area is good. Service users can be confident that personal support is provided in the way, and at the time, that they want and need. Health care needs are monitored and advice is sought when necessary. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Service user plans provide information about personal, emotional and health care needs. Staff involvement in personal care is minimal due to the needs of the present service users, however staff provide encouragement and support when necessary. Service users confirmed that they are enabled to be as independent as possible. External professional advice and guidance is sought when necessary from local health care professionals or social services. Any visits to the doctor, dentist and other health checks are recorded in individual files. Through observation it is clear that timings are flexible and the choice of the service user. Each service user has a designated key worker and service users said they could discuss any personal issues with their key worker or other members of staff. May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 Page 14 Records pertaining to the administration of medication are up to date and the practice of administering medication was demonstrated by staff and, overall, found to be satisfactory. However, advice was given to transfer medication from the pharmacist’s packaging by using small pots, rather than handling tablets, to reduce the risk of contamination. May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is good. Service users can be confident that any concerns or complaints will be listened to and addressed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with the service users, staff and the Registered Manager, demonstrated that the open culture of the home and the recognition of service users’ rights ensure that service users are protected from harm. The home has a written complaints procedure. Service users are well aware of how and to whom they can make a complaint and feel free to do so. They each have a designated key worker and said they could speak to this person, the Registered Manager or any other member of staff. Service users said they have plenty of opportunities to raise any concerns and felt confident that these would be listened to and addressed. Service user meetings are held and the minutes are documented. The staff member on duty confirmed that all staff have attended training in the protection of vulnerable adults. Previous inspections have identified that the home has a copy of the Local Authority’s Alerter’s Guidance available for staff with a procedure for notifying any alleged incidents of abuse or concern. May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24, 25, 26, 27, 28 and 30 Quality in this outcome area is good. Service users live in a clean, safe, comfortable and well-furnished home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: May Terrace is an older property in a residential street in Plymouth. It is indistinguishable from the neighbouring properties. The home is spacious, comfortable, safe and clean with a good standard of décor and furnishings. The Registered Manager is in the process of completely refurbishing the kitchen and confirmed that repairs/maintenance is an ongoing project. Service users confirmed that they are responsible for cleaning their own bedrooms and the care staff clean the communal areas. Each service user has a single bedroom, four of which are on the 1st floor and one on the ground floor. They all contain wash hand basins. Bedrooms are individually furnished and contain many personal possessions. Service users confirmed that they choose the colour and décor of their bedrooms. All May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 Page 17 bedroom doors are fitted with appropriate locks and service users have keys to their own bedroom door and the front door. The home has a pay ‘phone in the dining room that service users may use privately and each service user has their own mobile telephone. The home has a bathroom on the 1st floor consisting of a bath with an over bath shower, wash hand basin and a toilet and there is a separate toilet beside it. There are shared rooms on the ground floor consisting of a kitchen, dining room and lounge room. Laundry facilities are located in an outhouse at the rear of the property. Service users confirmed that they do their own laundry and are satisfied with the facilities. There is an office on the 1st floor with sleeping-in facilities for staff, although they also have the option of sleeping on the settee in the lounge room should they wish to. The home does not have any specific aids or adaptations because these are not required for the service users. May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 31, 32, 33, 34, 35 and 36 Quality in this outcome area is good. Recruitment procedures are robust and service users’ benefit from an experienced, well-supported and supervised staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: May Terrace has a small staff team who have all worked in the home for over five years. The staff member on duty was very aware of service users’ needs and how to support them. Service users confirmed that the staff team are very good and like the consistency they receive from having the same staff team for several years. All the staff files were inspected and the information in them show that the organisation has a robust recruitment procedure. The staff member spoken with was confident that she receives enough training and supervision to enable her to do her job. Staff are expected to complete training in adult protection, first aid, health and safety, fire safety, medication, food hygiene and National Vocational Qualifications (NVQs). The Registered May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 Page 19 Manager has considered mental health training for all the staff but does not think this is necessary at this time. There is usually only one staff member on duty, who sleeps in at night. However, service user records showed that staffing levels are flexible depending on the activities and needs of service users. Sleeping accommodation for staff is in the 1st floor office or on the settee in the lounge room. Due to only having one staff member on duty, there may be times when some of the service users arrive back at the home when the staff member is out with other service users. However, the staff member on duty confirmed that this is a rare occurrence and each situation is subject to an assessment of each individual’s abilities. May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 Page 20 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): Standards 37, 38, 39, and 42 Quality in this outcome area is good. The management approach is open, inclusive and positive, providing clear leadership and guidance. Service users’ rights, health, safety and welfare are protected and promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager has been managing this home since it opened in 1992 and has gained appropriate qualifications, being the NVQ 4 in Care and Registered Manager’s Award. Discussions with the service users and staff, as well as information received from a social care professional, confirmed that the ethos of the home is very good. This is because the management approach is open and inclusive with the home being organised to meet the needs and aspirations of the service users. The quality of care provided is continually May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 Page 21 being monitored and reviewed by the Registered Manager as he spends a great deal of time at the home talking with service users, their relatives/representatives and staff. Service users and staff confirmed that they are consulted and included in all decisions regarding the running of the home. Records and documents relating to health and safety issues are up to date. Tests and checks of fire safety equipment are carried out as required and the service users and staff are aware of fire safety procedures. The home has a combination boiler, therefore no hot water is stored. Radiators are not guarded, as this is not considered necessary for the safety of service users. Discussions with staff confirmed that all staff are expected attend training in health and safety, emergency first aid, food hygiene and fire safety. May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 Page 22 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 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 N/A 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 4 12 4 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 X May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations May Terrace DS0000063381.V290569.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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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