Inspection on 22/07/05 for Meadow View 1

This inspection was carried out on 22nd July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Meadow View 1 22/11/06

Meadow View 1 13/12/05

Meadow View 1 08/03/05

Meadow View 1 04/08/04

Meadow View 1 23/02/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

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

CARE HOME ADULTS 18-65 1 Meadow View The Lawns Bempton Lane Bridlington YO16 6FQ Lead Inspector Brian Hallgate Unannounced 22 July 2005 09:45 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. 1 Meadow View J53_J04_S19693_Meadow View 1_V235366_210705_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 1 Meadow View Address The Lawns, Bempton Lane, Bridlington, East Yorkshire, YO16 6FQ 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) 01262 400985 Royal Mencap Society Mrs Nancy Eileen Turner Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (1) of places 1 Meadow View J53_J04_S19693_Meadow View 1_V235366_210705_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 8th March 2005 Brief Description of the Service: 1 Meadow View provides personal care and accommodation for a maximum of four people with a learning disability. It is a semi-detached bungalow comprising lounge/diner, sitting room, kitchen, utility room, four single bedrooms and a bathroom. It is situated on the outskirts of Bridlington and located on a residential estate. It has a bus route nearby and the home offers support to the service users in accessing local community facilities. 1 Meadow View J53_J04_S19693_Meadow View 1_V235366_210705_Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over three hours, including preparation time, and was an unannounced inspection that commenced a 09:45 . One service user were seen, the registered manager and a support worker were interviewed, a tour of the home was made and records inspected. The staff were observed interacting with the service users. What the service does well: 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. 1 Meadow View J53_J04_S19693_Meadow View 1_V235366_210705_Stage 4.doc Version 1.40 Page 6 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 1 Meadow View J53_J04_S19693_Meadow View 1_V235366_210705_Stage 4.doc Version 1.40 Page 7 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) 2 The manager has a clear plan that ensures that all prospective service users have a comprehensive assessment prior to placement in the home. EVIDENCE: There are only two service users resident at this time. Both people were admitted many years ago from long term hospital care. The registered manager stated that she will ensure that all prospective service users have a care management assessment prior to admission. 1 Meadow View J53_J04_S19693_Meadow View 1_V235366_210705_Stage 4.doc Version 1.40 Page 8 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 & 9 The service users’ needs are met in a well-structured and considered way. EVIDENCE: One service user has no verbal communication skills and one person has limited verbal communication skills. Staff use non-verbal skills to communicate where necessary. There is a written care plan for each individual giving details of how they wish to be cared for and detailing their health needs. Reviews of care plans are undertaken by the key workers every month. Risk assessments are undertaken both within and outside the home. Actions to reduce risk exposure are recorded for all staff to read. 1 Meadow View J53_J04_S19693_Meadow View 1_V235366_210705_Stage 4.doc Version 1.40 Page 9 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) 12,13,15,16 & 17 Social activities within the community are planned and well organised on a regular basis. Nutritious meals are provided with choices available if required. EVIDENCE: Outreaches services are provided on a daily basis for the service users. These take place in the community and not in a day centre. Activities include ten-pin bowling, friendship first group, walking and visits to places of interests. Contact is maintained with the relatives of service users. An appropriate diet is provided with alternatives available if a service user does not wish to eat the meal on the daily menu. 1 Meadow View J53_J04_S19693_Meadow View 1_V235366_210705_Stage 4.doc Version 1.40 Page 10 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 The physical and health care needs of service users including medication were well recorded and acted upon by staff promoting good health. EVIDENCE: Both service users are registered with a GP. There was evidence on the case files inspected that service users have access to speech and language therapist, occupational therapist, chiropodists, dentists, opticians and learning disabilities nurse. The service users are unable to self-medicate. There is a monitored dosage system. The records and drugs checked were in order and up to date. Staff were observed to respond appropriately to the needs of service users. 1 Meadow View J53_J04_S19693_Meadow View 1_V235366_210705_Stage 4.doc Version 1.40 Page 11 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 There are satisfactory abuse and complaints procedures. EVIDENCE: There is a complaints policy and procedure and blank copies of complaints forms. No complaint had been made since the last inspection. Letters of praise for the care service users receive had been received. There is an appropriate abuse policy with a copy of the East Riding Vulnerable Adults information is available. 1 Meadow View J53_J04_S19693_Meadow View 1_V235366_210705_Stage 4.doc Version 1.40 Page 12 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 & 30 The standard of the environment within the home is good and provides an attractive and homely place in which to live. EVIDENCE: There is a relaxed, friendly and homely atmosphere in the home. There is ample room for the needs of the service users who have single bedrooms. The outside of the home and the garden provide a colourful display of bedding plants. The home is clean and hygienic. 1 Meadow View J53_J04_S19693_Meadow View 1_V235366_210705_Stage 4.doc Version 1.40 Page 13 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) 34 & 35 The service users receive a good quality of care from the well-prepared and motivated staff. EVIDENCE: There is a recruitment policy and procedure. Applicants complete an application form and two written references and a CRB check are obtained before any new staff are employed. New staff receive induction and foundation training to Skills for Care standards. Staff spoken to were experienced and knowledgeable about the service users that they were caring for. They had received appropriate training. NVQ training is undertaken. 1 Meadow View J53_J04_S19693_Meadow View 1_V235366_210705_Stage 4.doc Version 1.40 Page 14 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) 39 & 42 The service users benefit from an open and inclusive management approach. EVIDENCE: There is a quality assurance/monitoring system in place and an annual audit of the quality provided is undertaken. The results of the survey are published in symbol form for the benefit of service users. The health and safety records checked included weekly fire alarm test, fire evacuations, fire alarm service, fire fighting equipment service, emergency lighting and the annual fire risk assessment. The records checked were up to date and in order. Water temperatures checked were satisfactory. 1 Meadow View J53_J04_S19693_Meadow View 1_V235366_210705_Stage 4.doc Version 1.40 Page 15 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 x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 Meadow View Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x J53_J04_S19693_Meadow View 1_V235366_210705_Stage 4.doc Version 1.40 Page 16 N/A 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 None 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 None Good Practice Recommendations 1 Meadow View J53_J04_S19693_Meadow View 1_V235366_210705_Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection York Area Office Unit 4, Triune Court Monks Cross York, YO32 9GZ 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. 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