Inspection on 30/09/05 for Meadow View

This inspection was carried out on 30th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 2 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 17/02/06

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 30th September 2005 10:00 Meadow View DS0000006199.V258782.R01.S.doc Version 5.0 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.V258782.R01.S.doc Version 5.0 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.V258782.R01.S.doc Version 5.0 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.V258782.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of three people with learning disabilities may also have a physical disability. 9th March 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 en-suite. 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.V258782.R01.S.doc Version 5.0 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 5 hours. The inspector was shown around the home, examined records and spoke with a good number of service users and the homes manager. Service users were visited at their venue for day activities. 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: The registered person needs to apply for a variation in registration to include LD (E). The doorframe mentioned at inspection needs to be repaired and an up to date water chlorination certificate needs to be in place. Meadow View DS0000006199.V258782.R01.S.doc Version 5.0 Page 6 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.V258782.R01.S.doc Version 5.0 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.V258782.R01.S.doc Version 5.0 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 the following standard(s): 3 The registered person must apply for a variation to the home’s registration to include LD (E) in the categories of registration. EVIDENCE: There has been no change to the service user group since the last inspection. From discussion and examining the registration certificate it was observed that there are two service users living in the home who are over the age of 65 years. The reasons for applying for a variation to registration was discussed with the homes manager who said that she would ensure that the registered person attended to this as soon as possible so that the registration of the home could be amended. Meadow View DS0000006199.V258782.R01.S.doc Version 5.0 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 the following standard(s): 6, 8 & 9 Care plans are in the process of being changes so that they are more person centred. As the changes are underway a full review of care planning will take place at the next inspection visit. It is pleasing that service users are encouraged to take risks in their every day activities to develop more independent lifestyles. EVIDENCE: The manager said that new care planning methods have been introduced. This takes a person centred approach and it was pleasing to see an assessment of strengths and needs. The changes are still taking place therefore a full review of these will take place at the next inspection. However, the care plan examined showed that risks were taken into account when looking at encouraging the service user to maintain a good degree of independence and their wishes had been taken into account. The minutes of service users meetings were seen and the records demonstrated that service users were consulted about life in the home. Meadow View DS0000006199.V258782.R01.S.doc Version 5.0 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 the following standard(s): 12, 13 & 15. Service users are encouraged and supported to access services in the local community. Family contacts and other relationships are supported appropriately. EVIDENCE: At the time of the inspection only one service user was at home with others out at the local rugby club where they are receiving day service support. The manager said that service users are well liked locally. The inspector went to visit with them there. Some service users had been out shopping and showed the inspector their new purchases. Service users said that they had enjoyed a great holiday in Blackpool where they had stayed in a different hotel. They said they want to go there again next year. Service users said that they were looking forward to going out for a Chinese meal in Doncaster later in the week and were looking forward to Bonfire night. They said that they liked going out “all together in a large party”. A copy of the outings book was seen which showed that service users have been out locally to the pub, on snooker competitions, shopping and lunches out. Meadow View DS0000006199.V258782.R01.S.doc Version 5.0 Page 11 The manager said that only a few service users maintain contact with family members and service users confirmed in later discussion that they go home to visit or go out with family and friends regularly. Two service users said that they had become engaged. Meadow View DS0000006199.V258782.R01.S.doc Version 5.0 Page 12 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): 19 & 20 Satisfactory arrangements are in place for meeting the healthcare needs of service users. EVIDENCE: From examining care plans there was sufficient evidence to suggest that healthcare needs were being met. Records show that residents receive regular health checks from healthcare professionals including dentists, opticians, GP surgery and named consultants. The storage and recording of medication was examined and found to be satisfactory. Meadow View DS0000006199.V258782.R01.S.doc Version 5.0 Page 13 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 Service users have a good awareness of how to make a complaint and are confident that they will be listened to. Staff have received training in adult abuse. EVIDENCE: Service users said they knew how to make a complaint if they needed. They said they would tell the homes manager and that she “would see to it for them”. The manager said that all staff have received training on adult abuse and refresher training for those who need it is organised for December 2005. Meadow View DS0000006199.V258782.R01.S.doc Version 5.0 Page 14 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, 26 & 30 The home is well maintained, pleasantly furnished and in good order. It was pleasing that arrangements are in place to update and replace items of furniture as needed. There was evidence to demonstrate that service users can choose how they wish their room to be decorated and furbished. EVIDENCE: Since the last inspection, the majority of service users bedrooms have been fitted with laminate flooring, which service users said that they liked as it makes their rooms look more modern. Bedrooms are individualised, reflecting the choices and interests of service users. The manager said that service users are encouraged to look after their own room although some prefer to do so more than others. Staff assist those who need a greater amount of support. In general, the home was found to be comfortable, pleasant and clean throughout. The manager said that she has ordered new dining room chairs as some of the existing chairs, although not old have not proven to be of a strong structure and have broken. The manager said that she is hoping that the perimeter fence can be extended to provide extra security for the home. Meadow View DS0000006199.V258782.R01.S.doc Version 5.0 Page 15 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): 34, 35 & 36 It was pleasing to find that staff training is up to date as is supervision. This equips staff with the skills necessary to carry out their duties both safely and competently. Satisfactory arrangements are made for the recruitment of new staff and the regulatory requirement was found to be met. EVIDENCE: There has been no change to the staff team during the last twelve months. The manager said that she is hoping to recruit another support worker as this will provide greater flexibility for covering annual leave and sick leave and will provide further opportunities for service users to access the community. She is hoping that this move will be supported through the homes budget. The manager said that she is currently employing an agency worker due to the healthcare needs of one resident. The relevant placing authority is funding this extra staffing. Three staff records were examined and found to contain the information required by regulation. The manager said that the staff training is being well supported by the company at the moment. New staff are provided with training through the Meadow View DS0000006199.V258782.R01.S.doc Version 5.0 Page 16 Learning Disability Award Framework and that all existing staff will also be expected to go through this same training so that everyone is trained to a similar standard and will provide better consistency of support to service users. The manager said that by December all staff would be up to date on their mandatory training as this is dealt with on an ongoing rolling programme. The manager said that only two staff have yet to complete their NVQ Level 2 training but both are currently undertaking this training. Two staff are enrolled for NVQ Level 3 training and the Assistant Manager is completing NVQ Level 4 in Care. The manager said that the registered person has employed a training officer who will soon take on responsibility for training on moving and handling, health and safety, COSHH infection control and induction and foundation training. The manager said that there were no training workbooks in the home ready for the trainer to use with staff. The manager said that an external trainer would carry out first aid and basic food hygiene training. Staff supervision records were found to be up to date and the manager said that she has attended a course recently on personal development of staff. She will shortly be attending a course on staff appraisal and will introduce new systems for supervision and appraisal once complete. Supervision records examined provided good evidence that staff supervision was up to date. Meadow View DS0000006199.V258782.R01.S.doc Version 5.0 Page 17 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): 39 & 42 There is sufficient evidence to demonstrate that service users are consulted about life in the home. Generally, health and safety arrangements were good although the manager needs to ensure that an up to date certificate is in place for water chlorination and that the doorframe discussed is repaired to ensure fire safety is assured. . EVIDENCE: Good evidence was seen of service users and residents and staff meetings to show that consultation was taking place between all. Service were seen to sign the minutes as read and agreed. The fire book was examined and the records for fire alarm and emergency testing, fire training and fire drills were found to be up to date. A company has attended recently and carried out a full fire risk assessment in July 2005 with only three fire door closures being identified for replacement. However, on walking around the home, the inspector noticed that part of the doorframe had Meadow View DS0000006199.V258782.R01.S.doc Version 5.0 Page 18 come apart leaving a significant gap compromising fire safety for this bedroom. The manager said that she would get this attended to straight away. The certificates for gas safety, fire alarms and fire extinguisher and portable appliance testing were all up to date. The record for the water chlorination certificate was found to have run out in July 2004. Quality questionnaires completed by relatives were seen. These contained very complimentary comments about the home. The manager said that service users also complete a questionnaire but these were at head office. She said that it had proven difficult getting these returned to the home so that these could be shown at inspection. Meadow View DS0000006199.V258782.R01.S.doc Version 5.0 Page 19 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 X 1 X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Meadow View Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X 1 X DS0000006199.V258782.R01.S.doc Version 5.0 Page 20 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 YA3 Regulation 6(a) Requirement The registered person must apply for a variation of registration to include the category of LD (E) The Statement of Purpose will need to be amended to include this new category of registration. The registered person shall repair the doorframe to the bedroom door so that fire precautions are not breached. Timescale for action 30/11/05 2 YA42 23(4)(a) 30/11/05 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 YA42 Good Practice Recommendations Action should be taken to make sure that an up to date water chlorination certificate is in place. Meadow View DS0000006199.V258782.R01.S.doc Version 5.0 Page 21 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. Extracts may not be used or reproduced without the express permission of CSCI Meadow View DS0000006199.V258782.R01.S.doc Version 5.0 Page 22 - 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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