Inspection on 22/07/05 for Meadow View 2

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 2 16/11/06

Meadow View 2 15/12/05

Meadow View 2 08/03/05

Meadow View 2 04/08/04

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 2 Meadow View The Lawns Bempton Lane Bridlington YO16 6FQ Lead Inspector Brian Hallgate Unannounced 22 July 2005 08:15 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. 2 Meadow View J53_J04_S56629_Meadow View 2_V235372_210705_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 2 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) 0107 454 0454 Royal Mencap Society Mrs Linda Jane Gregory Care Home 4 Category(ies) of Learning disability (4), Physical disability (4) registration, with number of places 2 Meadow View J53_J04_S56629_Meadow View 2_V235372_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: 2 Meadow View offers 24 hour care to 4 individuals whose primary need is a learning disability. It is a purpose built semi-detached bungalow. The accommodation comprises of four single bedrooms each with washing facilities, one bathroom containing a bath and a shower and two separate toilets, a lounge and separate dining room, kitchen and utility room. 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. 2 Meadow View J53_J04_S56629_Meadow View 2_V235372_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 3 hours, including preparation time, and was an unannounced inspection that commenced at 8.15am. A tour of the home was made with a member of staff and a number of records inspected. Four service users were seen and 2 staff were interviewed. The staff were observed interacting with the service users. Two service users have limited verbal communication skills and two service users have no verbal communication skills. Staff communicate to these two service users with the use of nonverbal skills. What the service does well: What has improved since the last inspection? What they could do better: 2 Meadow View J53_J04_S56629_Meadow View 2_V235372_210705_Stage 4.doc Version 1.40 Page 6 None identified. 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. 2 Meadow View J53_J04_S56629_Meadow View 2_V235372_210705_Stage 4.doc Version 1.40 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 2 Meadow View J53_J04_S56629_Meadow View 2_V235372_210705_Stage 4.doc Version 1.40 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) 2 The manager has a clear plan that ensures that all prospective service users have a comprehensive assessment prior to admission. EVIDENCE: Three of the service users have been resident in the home for many years. One service user was admitted approximately seven months ago. There is a comprehensive care management assessment on the case file that was completed by the care manager before admission. 2 Meadow View J53_J04_S56629_Meadow View 2_V235372_210705_Stage 4.doc Version 1.40 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 & 9 There is a well documented planning system in place to provide staff with the information needed to care for the service users. EVIDENCE: There is a detailed care plan for each of the service users stating what assistance each person needs from getting up to going to bed each day. The key worker completes a written review of the care plan each month and updates the care plan if required. There is a written document entitled ‘What you need to know and do to support me’ written from the service users view point. Risk assessments on activities both inside and outside the home have been completed and control measures identified to reduce exposure to risk. These documents are reviewed at least annually. 2 Meadow View J53_J04_S56629_Meadow View 2_V235372_210705_Stage 4.doc Version 1.40 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) 12, 13, 15, 16 & 17 Social activities are well organised, creative and provide stimulation and interest for people living in the home. Meals are nutritious and offer a varied diet with alternatives where necessary. EVIDENCE: Service users access outreach services during the week. Staff from outside the home take service users out of the home into the community and provide them with a day care activity programme that is based in the community and not in a day centre. Service users also access activities in the community with staff from the home. They take part in ten-pin bowling, barbeques, picnics, special activities at the church, shopping and visits to places of interest. Three of the service users have contact with their families who are encouraged to visit at any time. Staff were observed treating service users with respect as they went about their daily lives within the home. There is an adequate diet with choices available if they do not wish to eat the dish on the menu. 2 Meadow View J53_J04_S56629_Meadow View 2_V235372_210705_Stage 4.doc Version 1.40 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 standard(s) 18, 19 &20 The health needs of service users are met with good access available to specialist medical services when required. EVIDENCE: There is a written document written from the view of each service user on how they wish to be supported in the daily tasks that they need assistance with. All service users are registered with a GP. There was evidence in the case files examined that service users had access to dentists, opticians, clinical psychologists, psychiatrists, epilepsy nurse specialist and speech and language therapist. No service user is able to self-medicate. There is a monitored dosage system for the administration of medication. The records and the drugs checked were in good order and up to date. 2 Meadow View J53_J04_S56629_Meadow View 2_V235372_210705_Stage 4.doc Version 1.40 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 standard(s) 22 & 23 There are satisfactory complaints and abuse policies. EVIDENCE: There is a complaints policy and procedure. There are blank copies of a form to record complaints on. No complaints have been made since the last inspection. There is a copy of the East Riding Policy on Vulnerable Adults. Staff spoken to knew what action to take in the event of a possible abuse situation being reported. 2 Meadow View J53_J04_S56629_Meadow View 2_V235372_210705_Stage 4.doc Version 1.40 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 standard(s) 24 & 30 The standard of the environment within this home is good providing service users with an attractive and homely place to live. EVIDENCE: The home is a large semi-detached bungalow on the outskirts of Bridlington. There is a lounge. dining room, kitchen, four single bedrooms and a bathroom and toilets. The home is adequately furnished and decorated and provides a large spacious home for the four service users who live there. The home is clean and hygienic. 2 Meadow View J53_J04_S56629_Meadow View 2_V235372_210705_Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None EVIDENCE: 2 Meadow View J53_J04_S56629_Meadow View 2_V235372_210705_Stage 4.doc Version 1.40 Page 15 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) 42 There was evidence that proper attention is given to health and safety promoting a safe and secure environment in which service users can live. EVIDENCE: The health and safety records examined included the weekly fire alarm test, the service of fire fighting equipment, emergency lighting checks, the temperature of the hot water in the bathroom and a service users bedroom, the temperature of the stored water and the annual fire risk assessment. All records checked were in order and up to date. 2 Meadow View J53_J04_S56629_Meadow View 2_V235372_210705_Stage 4.doc Version 1.40 Page 16 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 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 2 Meadow View Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x J53_J04_S56629_Meadow View 2_V235372_210705_Stage 4.doc Version 1.40 Page 17 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 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 2 Meadow View J53_J04_S56629_Meadow View 2_V235372_210705_Stage 4.doc Version 1.40 Page 18 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. Extracts may not be used or reproduced without the express permission of CSCI 2 Meadow View J53_J04_S56629_Meadow View 2_V235372_210705_Stage 4.doc Version 1.40 Page 19 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!