Inspection on 17/02/06 for Meadow View

This inspection was carried out on 17th February 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Meadow View 30/05/08

Meadow View 30/11/06

Meadow View 30/09/05

Meadow View 09/03/05

Meadow View 06/08/04

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 Meadow View School Street Upton Pontefract West Yorks WF9 1EP Lead Inspector Patricia Pedley Unannounced Inspection 17th February 2006 11:00 Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 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 Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 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. Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Meadow View Address School Street Upton Pontefract West Yorks WF9 1EP 01977 646400 01977 658244 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) Johnston Care Limited Mrs Maureen Chappell Care Home 15 Category(ies) of Learning disability (15), Physical disability (3) registration, with number of places Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of three people with learning disabilities may also have a physical disability. 30th September 2005 Date of last inspection Brief Description of the Service: Meadow View is a registered care home for 15 adults with a mild/moderate learning disability. 13 of those service users have lived in the home for a number of years. The is situated on a housing estate in the village of Upton with good access to local bus routes to other local towns such as South Elmsall and the larger towns/cities of Wakefield, Pontefract and Doncaster. There are a number of local shops and pubs close by. Each service user has single bedroom accommodation, one of which is ensuite. There are two lounges, which have been recently re-furbished to a good standard. There is a car park to the front of the home and a rear garden for sitting out. Most service users attend a day resource, which is run and organised by the registered person whereas others are encouraged to attend college or go to the local authority day service. Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection of the home taking place over 3 hours. The inspector visited several bedrooms and communal areas, examined records and spoke with a good number of service users and staff. The inspector would like to thank everyone for their hospitality and assistance during this inspection visit. 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. Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 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 the following standard(s): 5 EVIDENCE: Since there has been no new service users since the last inspection the majority of these standards were not assessed. The terms and conditions of occupancy were seen on service user’s files. Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 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 the following standard(s): 6, 7 & 9 There are good arrangements for care planning and risk management and for involving service users. EVIDENCE: The manager said that all care plans had either been updated or were being updated and two examples were seen. There was good evidence that care plans have been thoroughly thought through identifying the personal care, healthcare and social care needs of the service user. Risk assessments were clear and informed staff how to minimise risk. The care plans were seen to have been reviewed regularly and showed that there was involvement from service users themselves. Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 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 the following standard(s): 12, 13, 14, 15 & 17 Service users are satisfied with the activities arranged with them. There are opportunities to receive visits from families and friends. EVIDENCE: Service users were at home during the inspection as the rugby club was using the room they use for their day service for the day. Staff on duty were occupying them at home instead. Some were busy chatting; others were playing board games or listening to music. Residents said that they saw their families often and discussed their plans for going out at the weekend. One service user said that he liked going to the pub with friends but didn’t like coming in early. However, discussion with the manager and the care plan highlighted the high risks involved and these had been fully discussed through care management arrangements. Two service users said that they had to turn off their television by 10pm. This was discussed with the manager who said that this had been fully discussed with residents on that one particular corridor as one service user found it difficult to settle at night. She said that service users had agreed they would Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 Page 10 help and that they could continue watching the television until later in both lounges. Service users said that they were going on holiday to Blackpool again this year. They said that they love going away together as they have lots of fun and laughs. Service users said that the food was fine although all had their favourite cook amongst the staff. Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 Page 11 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 Personal and healthcare needs are met in a satisfactory manner. EVIDENCE: From discussion with the manager, staff and residents and through examining service user’s files there was sufficient evidence to support the fact that healthcare needs are met. Service user said that staff help them where that help is needed such as washing their hair and shopping for clothes. Two couples discussed their relationships with one another and said that staff were very supportive of them. The manager said that all staff have received medication awareness training and there are plans to provide further in depth training in the future. The arrangements for safeguarding and the recording of medication were satisfactory at the last inspection therefore these were not checked at this visit. Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 Page 12 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): 22 & 23 There are satisfactory arrangements in place for dealing with complaints. It is pleasing that staff training is in place to safeguard service users and staff to deal with challenging situations. EVIDENCE: There has been no complaint received since the last inspection. There has been no change to the home’s complaint policy. Since the last inspection, four staff have received physical intervention training. The manager said that the company has made this compulsory training for staff and all other staff will be in receipt of this training once it is arranged for them. Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 Page 13 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): 24, 25, 27 & 30 The home is comfortable and well maintained. EVIDENCE: Some service users said that their bedroom had been recently redecorated and they had helped choose colours and fabrics. They were very pleased with the results. All communal areas were visited, as were some bedrooms and some toilets and bathrooms. All areas were found to be clean and tidy. Service users said that they had to help keep their own room clean and staff helped them where needed. One service user was heard vacuuming her room during the inspection. At the last inspection, a gap was seen in the doorframe for one bedroom. The manager said that doorways had been checked for fire safety since then. The home has a large back garden. One service user said that he likes to kick a ball about in the garden. Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 Page 14 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): 32, 33, 34, 35 & 36 It is pleasing that staffing levels have increased so that staff can meet service user’s needs more readily. There are very good arrangements in place to ensure staff are trained and supervised. Staff recruitment practices must be strengthened. EVIDENCE: The manager said that one service user’s needs had changed and therefore waking night staff were needed. This was currently being covered by agency staff but now that funding had been agreed that the home was looking to recruit a permanent member of waking night staff to the team. The manager said that staffing levels have increased since the last inspection with a new member of staff covering 35 hours a week. She said that this has made a lot of difference and service users get out and about more often and staff holidays and periods of sickness are easier to cover. The manager said that the newest member of staff has gone through her induction and is currently undertaking the Learning Disability Award Framework training. The manager said that the new company trainer is working out well and that all mandatory training was up to date. The personnel records for the newest member of staff were examined. These records included an application form, references, and work permit, proof of identity, health questionnaire and CRB check. It was seen that a declaration Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 Page 15 had been made in the application form that the member of staff had not been employed in the UK. However, the references received from the home were from UK employers who had indeed employed the worker in different capacities. These were not mentioned in the employment history. The manager thought that some of the aforementioned discrepancies may have been caused through language difficulties and that the company recruitment officer offered support and guidance. Given the needs of the individual who needs waking night staff the manager said that his funding authority are going to provide epilepsy awareness training to the home’s staff. Most of the staff have received NVQ training in accordance with their role and responsibilities. The manager has been trained in staff appraisal and supervision and said that the new system is being introduced and that all staff have received regular supervision. Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 Page 16 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, 39 & 42 The home is well managed. There are satisfactory arrangements in place to ensure that the health and safety of service users and staff is assured. EVIDENCE: The manager has previously attended the relevant training and successfully achieved her managerial qualifications. The home has gained the Investors in People Award. The manager said that she has submitted an application for variation of registration. This appears to have been lost. Evidence was seen that this had been sent. The manager will therefore resubmit the application form. The minutes for both service user and staff meetings were examined. These take place regularly and show that everyone is involved in the decision-making processes of the home. Service users said that they were asked about where they would like to have a holiday, food and activities. Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 Page 17 Copies of the maintenance certificates were seen and found to be up to date. The fire safety records showed that the fire alarms and emergency lighting are tested regularly and staff training and fire drill are carried out at satisfactory intervals. Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 Page 18 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 X 3 X 4 X 5 3 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 X 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 1 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 Page 19 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 YA34 Regulation 19(2) Schedule 2 Requirement Timescale for action 31/03/06 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 Meadow View DS0000006199.V284283.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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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