Inspection on 06/07/05 for Meadow View 3

This inspection was carried out on 6th 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 3 23/10/08

Meadow View 3 15/11/06

Meadow View 3 19/01/06

Meadow View 3 03/02/05

Meadow View 3 05/08/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 3 Meadow View The Lawns Bempton Lane Bridlington YO16 6FQ Lead Inspector Brian Hallgate Unannounced 6 July 2005 08:20 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. 3 Meadow View J53_J04_S56636_Meadow View 3_V233970_060705_Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 3 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 Brenda Ann Moore Care Home 4 Category(ies) of Learning disability (4), Physical disability (4) registration, with number of places 3 Meadow View J53_J04_S56636_Meadow View 3_V233970_060705_Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 3rd February 2005 Brief Description of the Service: 3 Meadow View provides care and accommodation for up to 4 service users with a learning disability. It is a semi-detached purpose built bungalow. The accommodation comprises of four single bedrooms each with washing facilities, one bathroom containing a specialist bath and a standard bath, a lounge, dining room, kitchen and utility room. The home 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. 3 Meadow View J53_J04_S56636_Meadow View 3_V233970_060705_Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over 4 hours, including preparation time, and was an unannounced inspection that commenced at 8.20a.m. A tour of the home was made with the registered manager and a number of records were inspected. Four service users were seen and the registered manager and four staff spoken to. The staff were observed interacting with the service users during the inspection. 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. 3 Meadow View J53_J04_S56636_Meadow View 3_V233970_060705_Stage 4.doc Version 1.30 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 3 Meadow View J53_J04_S56636_Meadow View 3_V233970_060705_Stage 4.doc Version 1.30 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 assessment prior to admission is comprehensive and provides service users and/or relatives informed decisions about moving into the home. EVIDENCE: The majority of the service users have been resident in the home for many years. An examination of the records of the most recently admitted service user showed that a comprehensive written care management assessment had been completed by the local authority social worker. 3 Meadow View J53_J04_S56636_Meadow View 3_V233970_060705_Stage 4.doc Version 1.30 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 and 9 The service users’ needs are met in a well-structured and considered way. EVIDENCE: An inspection of the service users files showed that there are comprehensive care plans for each service user. These are clearly documented and easy to follow when new or relief staff are working in the home. There was documentary evidence showing that each care plan is reviewed as necessary and at least every six months. The staff write daily notes on the individuals living in the home to up date other staff of any changes or developments. None of the service users are able to communicate verbally. Staff have learned what their non-verbal communication signals mean and can act appropriately. Staff detailed situations in which service users communicated to them that they did not wish to go out or undertake a specific activity. There were detailed risk assessment documents in respect of each service user. The risks had been identified in a number of areas and there was an action plan on how to deal with each risk. 3 Meadow View J53_J04_S56636_Meadow View 3_V233970_060705_Stage 4.doc Version 1.30 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) None EVIDENCE: 3 Meadow View J53_J04_S56636_Meadow View 3_V233970_060705_Stage 4.doc Version 1.30 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 and 20 The staff have a good understanding of the service users’ support needs. This was evident by the interaction of the staff with the service users and the detailed recording of each person’s needs. EVIDENCE: Staff interviewed stated that they followed the care plan to provide the individual support that each service user needed. Observations during the inspection showed that each service user was treated as an individual and care was provided when needed. The registered manager works alongside support staff and observes their work. Discussions on individuals needs take place during supervision sessions. It appeared from discussions with the registered manager and staff and from the records inspected that staff ensured that each person received physical and emotional support when they needed it. All service users are registered with a GP. Visits to the home are made by an epilepsy consultant, physiotherapist, occupational therapist, speech and language therapist and psychologist. Service users attend chiropody, dentists and opticians as necessary. No person is able to self-medicate. There is a monitored dosage system for all service users. The medication and the records checked were in order and up to date. 3 Meadow View J53_J04_S56636_Meadow View 3_V233970_060705_Stage 4.doc Version 1.30 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 and 23 There are satisfactory complaints and abuse policies. EVIDENCE: There is a complaints policy and procedure available in the home. A new poster has just been prepared for the benefit of service users. This is displayed within the home. There is also a brochure for anyone wishing to complain. No complaints have been made. There is a copy of the local authority adult abuse procedures in the office. This is available for all staff to read. All staff interviewed were fully aware of the action to take in the case of suspected abuse. 3 Meadow View J53_J04_S56636_Meadow View 3_V233970_060705_Stage 4.doc Version 1.30 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 and 30 The standard of the environment within the home is good providing service users with an attractive place in which to live. The external paintwork is poor and is in need of urgent re-painting. EVIDENCE: The furniture and equipment within the home is in a satisfactory condition and the decoration is adequate although some rooms are in need of redecoration. The paintwork outside is poor and requires urgent re-painting to preserve the wood. The registered manager has constantly tried to progress this work but the New Era Housing Association who own the property have failed to date to undertake this work. It is the responsibility of the housing association to undertake the work. The home is clean and hygienic. 3 Meadow View J53_J04_S56636_Meadow View 3_V233970_060705_Stage 4.doc Version 1.30 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) None EVIDENCE: 3 Meadow View J53_J04_S56636_Meadow View 3_V233970_060705_Stage 4.doc Version 1.30 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) None EVIDENCE: 3 Meadow View J53_J04_S56636_Meadow View 3_V233970_060705_Stage 4.doc Version 1.30 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 1 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x x x x x x 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 3 Meadow View Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x J53_J04_S56636_Meadow View 3_V233970_060705_Stage 4.doc Version 1.30 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 24 Regulation 23 Requirement The premises must be kept in a good state of repair externally and internally. Timescale for action 30/08/05 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 3 Meadow View J53_J04_S56636_Meadow View 3_V233970_060705_Stage 4.doc Version 1.30 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. Extracts may not be used or reproduced without the express permission of CSCI 3 Meadow View J53_J04_S56636_Meadow View 3_V233970_060705_Stage 4.doc Version 1.30 Page 18 - 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!