Inspection on 30/05/08 for Meadow View

This inspection was carried out on 30th May 2008.

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 30/11/06

Meadow View 17/02/06

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 17/12/2008.

CARE HOME ADULTS 18-65 Meadow View School Street Upton Pontefract West Yorks WF9 1EP Lead Inspector Tony Railton Unannounced Inspection 30th May 2008 10:13 Meadow View DS0000006199.V365051.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 Meadow View DS0000006199.V365051.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. Meadow View DS0000006199.V365051.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadow View Address School Street Upton Pontefract West Yorks WF9 1EP 01977 646400 01977 658244 meadow.view.jcc@craegmoor.co.uk www.craegmoor.co.uk Johnston Care Limited 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) Care Home 15 Category(ies) of Learning disability (15), Physical disability (3) registration, with number of places Meadow View DS0000006199.V365051.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of three people with learning disabilities may also have a physical disability. 30th November 2006 Date of last inspection Brief Description of the Service: Meadow View is a registered care home for 15 people 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 during the summer months. 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. On the 2nd June the acting manager said that the range of fees are £373.00 to £1,8000.00 per week and that there are no extra charges involved. Information regarding the services provided is available from the home or by e-mailing meadow.view@craegmoor.co.uk Meadow View DS0000006199.V365051.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This service has been given a Two Star rating which means that people using the service experience good quality outcomes. This visit to the home started at 08.00 and ended at 11.30. During the visit there was the opportunity to meet and speak to everyone living in the home. There was also the opportunity to speak to the deputy manager, care staff and handyman. Leading up to the visit telephone conversations were had with the Responsible Individual for the service providers, the acting manager and operations manager. A sample of peoples’ records including assessments, care plans, reviews, daily and medical records. A sample of staff records’ was also seen and included application forms, references, police and POVA (Protection of Vulnerable Adults List) checks. Staff training records were seen and discussed with the deputy manager. Other records looked at included the homes monthly quality assurance audits, the minutes of staff and residents meetings, record of Complaints and minutes of one Safeguarding Referral Meeting. Other information considered included the service history and the information sent to the CSCI by the service providers. This was a very positive visit and the inspector would like to take the opportunity to thank everyone living and working at Meadow View for their warm welcome and hospitality throughout the visit. What the service does well: One person living in the home said, “Meadow View is warm and friendly. The staff are very hard working. The staff are very respectful towards our visitors. I have lived at Meadow View for 16 months, I am very pleased to live at Meadow View because of these reasons”. Another said “We have meetings to discuss what meals we like”, another said “they take it in turns to wash up after breakfast”. One person said “they go to the shops”. One person said they “go on the bus to the local market” and “likes going into the café for something to drink and eat”. One person was cleaning her bedroom and said “I like to Hoover up and keep everything clean”. One person said “quite a few people have kettles in their bedrooms so they can make drinks”. Another said they “have lots of coffee in their bedrooms as they do not like tea”. Most people showed the inspector their bedrooms and are very proud of their possessions that included televisions, DVD players, CD players, posters, pictures and photographs. People said they like living at Meadow View and their bedrooms. The person centred assessments and care plans are signed by people to show they have been fully involved and have a say in what happens to them. The daily records show descriptive words to reflect peoples’ choices and Meadow View DS0000006199.V365051.R01.S.doc Version 5.2 Page 6 preferences and any decisions they make about their daily lives. The relationship between people living in the home and those looking after them was observed to be good and very positive. People living in the home are protected by the way staff are recruited and selected. People are supported by staff that are trained and have an NVQ ,(National Vocational Qualification). 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. The summary of this inspection report can be made available in other formats on request. Meadow View DS0000006199.V365051.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 Meadow View DS0000006199.V365051.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): 2 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People are involved and have a say in their assessments and their choices and preferences and support needs are assessed. EVIDENCE: Peoples’ assessments are good and are signed by them to show they are involved and have a say in how they are supported and how they need. This was confirmed by looking at a sample of the Person Centred Plans and assessments. One person said, “They enjoy doing their assessments, and telling people what they like”. To make sure peoples needs can be met the Deputy manager said everyone has their care needs assessed before coming to live in the home. The AQAA Annual Quality Assurance Assessment confirmed this. Meadow View DS0000006199.V365051.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): 6,7 and 9 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People have a say in how they live their lives and in the running of the home. They also take risks as part of living an ordinary lifestyle. EVIDENCE: People sign their Person Centred Plans to show they are involved and have a say in how they will be cared for and supported. A sample of three peoples records confirmed people sign to agree their assessments, care plans and reviews. The Deputy manager confirmed this and said people enjoy sitting with staff and telling them what they want to do and how they like to live their lives. One person said they “tell staff what they want to do”. Another says “Staff listen to them and write it down”. The daily records are good and contain descriptive words to reflect and show peoples’ choices and preferences and any decisions they make about how they live their daily lives. Throughout the visit people were observed being treated with dignity and having their wishes respected. One person said they “like going on the bus to visit a local market and going to the café for something to eat and drink”. The Deputy manager said some people go out independently and there are risk assessments to make sure they Meadow View DS0000006199.V365051.R01.S.doc Version 5.2 Page 10 are safe. A sample of peoples’ records confirmed this and have risk assessments in place to make sure people remain safe. The minutes of the residents meetings show people have the opportunity to comment on the running of the home. On the day of the visit people were observed having a say in what they did and setting the daily routines. Meadow View DS0000006199.V365051.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): 12,13,15,16 and 17 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People have a say in what happens to them and they are encouraged and supported to live as ordinary a lifestyle as possible. EVIDENCE: One person said, “They wish they could go out more”. The deputy manager and acting manager say they are currently recruiting more staff to supervise people and enable them to access more activities in the community. One person said they “Like going on the bus and have renewed their bus pass”. They went on to say they “Like going to the market and to the café for a drink and something to eat”. The daily records show people enjoy outings to the local community including public houses and clubs and restaurants. The minutes of the residents meetings show people have the opportunity to choose where they go on holiday. A number of people said they have chosen to go to Blackpool for their holidays this year. One person said they “enjoy going on holiday”. One person said “Staff are very respectful to their visitors” Meadow View DS0000006199.V365051.R01.S.doc Version 5.2 Page 12 The deputy manager confirmed this and said some relatives are very much involved and are encouraged to visit the home. Most people have kettles in their rooms for making drinks and it was noted everyone has their own door key. The Deputy manager confirmed that people are encouraged to be as independent as possible and their wishes and privacy is respected. One person said, “They have meetings to discuss what meals they like and what they would like to eat”. The minutes of the residents meetings confirmed this, and the menu displayed shows a varied and balanced diet. Meadow View DS0000006199.V365051.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): 18,19 and 20 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People receive personal care and support in a way they prefer and require and they are protected by the way medicines are dealt with. EVIDENCE: The Deputy manager said everyone has a Healthcare Plan and people are supported and encouraged to use ordinary community based healthcare services. A sample of peoples records confirmed this and also contain peoples’ signatures to show their involvement and to show they have a say in what happens to them. Some peoples’ records’ show that they are also supported by the Community Learning Disability Team and hospital based consultants, if required. The minutes of the multi agency reviews show people, their relatives and others are happy with the services provided and feel that peoples’ healthcare needs are met. People are protected by the way medicines are dealt with as staff training records show all staff have training in how to give medicines safely. Three peoples medicines were checked and found to be correct. To keep the medicines safe the home has a new medicine trolley. Meadow View DS0000006199.V365051.R01.S.doc Version 5.2 Page 14 Meadow View DS0000006199.V365051.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): 22 and 23 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People know how to complain and know their comments will be taken seriously and acted upon and they are protected from abuse. EVIDENCE: The service history and the information provided before the visit shows the home has not received any complaints. The Deputy manager confirmed this and said that everyone has a copy of an easy read complaints procedure. A sample of peoples’ records confirmed everyone has a complaints policy and procedure. There is an easy read complaints policy displayed in the home. People living in the home said they “have never had to complain”, one said they would “Talk to staff and things are put right”, another said, “They have meetings to discuss things”. The minutes of the residents meetings show what people say is taken seriously and acted upon. To make sure people are protected from abuse staff training records show all staff has ‘Safeguarding’ training. Records show to protect people living in the home there has been one Safeguarding Referral made to the Local Authority. The minutes of the Safeguarding Meeting and discussion with the Community Learning Disability Team Manager showed that one staff member is currently suspended from duty following the discovery of financial irregularities and this is been appropriately dealt with. Meadow View DS0000006199.V365051.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): 24 and 30 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People have their home as they want it, it is clean comfortable and safe. EVIDENCE: A tour of the home found it to be homely, comfortable and safe. One person said “Meadow View is warm and friendly”, another said their bedroom is “great”. Another said the new dining room furniture is “Much better” and “really good”. One person using the vacuum cleaner said they “Liked keeping the home clean”. Someone else said “they take it in turns to clean the kitchen”. The certificate displayed shows the homes kitchen was given a Four Star rating by the local authority Environmental Health Inspectors last year. Discussion with the maintenance man found that regular health and safety checks are completed including Fire Alarm Testing and emergency lighting the maintenance records confirm this. To make sure people live in a safe environment staff training records show they have Health and Safety Training. The Deputy manager said a monthly health and safety audit is completed. The monthly audit records confirmed this. Meadow View DS0000006199.V365051.R01.S.doc Version 5.2 Page 17 The minutes of the multi-agency reviews show people, their relatives and others are happy with the home and the services provided. Meadow View DS0000006199.V365051.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): 32,34, 35 and 36 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. Trained and qualified staff meet peoples needs and they are protected by the way staff are recruited and selected. EVIDENCE: Staff training records show people are supported by staff that have NVQ (National Vocational Qualification) Level 2 or above. The Deputy manager confirmed this and said the current acting manager has the Registered Managers Award NVQ Level 4. People are supported by trained staff, and records show they have First Aid, Health and Safety, Moving and Handling, Food Hygiene and Behaviour management training. To make sure people are fully supported, staff training records show specialist training such as Equal Opportunities, Learning Disabilities and Epilepsy training. People are protected by the way staff are recruited and selected as staff records show references, police and POVA (Protection of Vulnerable Adults List) checks are taken up before they are employed. One person said “The staff are very hard working”, anther said the staff are “great”. Positive relationships were observed being fostered between people and those caring for them. Meadow View DS0000006199.V365051.R01.S.doc Version 5.2 Page 19 People would benefit from being cared for by staff whose work is supervised. As staff supervision records show that they have not received the recommended six line management supervision sessions per year. Meadow View DS0000006199.V365051.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): 37,39 and 42 People living in the home experience good quality outcomes in this area. We have made this judgement using a range of evidence including this visit. People live in a well managed home that is run in their best interests and where they are safe. However, their views and the views of others on the quality of care provided is not sought or published. EVIDENCE: The home is currently without a registered manager, however, the acting manager is very experienced and has a NVQ Registered Managers Award Level 4. The care management systems in the home are good and in particular the assessments, care plans, reviews, daily records and minutes of residents meetings. All of these show peoples involvement in the planning and reviewing their care and in the running of the home. However, the deputy manager says no surveys seeking the views or the people living in the home or their relatives on the quality of care provided were completed last year. Meadow View DS0000006199.V365051.R01.S.doc Version 5.2 Page 21 People are protected by the way their finances are dealt with as a sample were checked and found to be correct. Peoples’ health and safety are promoted as the monthly health and safety audits show these are checked regularly. Staff training records also show they have health and safety training that includes, Moving and Handling, Infection Control, Food Hygiene and COSHH (Control of Substances Hazardous to Health) training. Meadow View DS0000006199.V365051.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 X 4 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 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 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 2 X X 3 x Meadow View DS0000006199.V365051.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. 1 2 3 Refer to Standard YA14 YA36 YA39 Good Practice Recommendations People should have more opportunities to go out and be supported to use ordinary community based leisure services. Staff caring for people in the home should be regularly supervised and a record of line management supervision kept for inspection. The views of people living in the home and those of their relatives on the quality of care provided should be sought. The information should be collated and published showing any changes to how the home is run as a result of their comments. Meadow View DS0000006199.V365051.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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. Extracts may not be used or reproduced without the express permission of CSCI Meadow View DS0000006199.V365051.R01.S.doc Version 5.2 Page 25 - 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. 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