Inspection on 19/01/06 for Meadow View 4

This inspection was carried out on 19th January 2006.

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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Meadow View 4 21/11/06

Meadow View 4 06/07/05

Meadow View 4 03/02/05

Meadow View 4 05/08/04

Similar services:

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Larch Avenue

Alderson Road 12

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

CARE HOME ADULTS 18-65 Meadow View 4 The Lawns Bempton Lane Bridlington East Yorkshire YO16 6FQ Lead Inspector Brian Hallgate Unannounced Inspection 19th January 2006 1.15pm Meadow View 4 DS0000056638.V277256.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 4 DS0000056638.V277256.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 4 DS0000056638.V277256.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Meadow View 4 Address The Lawns Bempton Lane Bridlington East Yorkshire YO16 6FQ 0207 454 0454 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) www.mencap.org.uk Royal Mencap Society Mrs Janet Elizabeth Gibbons Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (2) of places Meadow View 4 DS0000056638.V277256.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users may also have a physical disability (PD) The category LD(E) only applies to named service users. Date of last inspection 6th July 2005 Brief Description of the Service: 4 Meadow View provides care and accommodation for up to four 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 specialised 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. There is a bus route nearby and the home offers support to the service users in accessing local community facilities. Meadow View 4 DS0000056638.V277256.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two and a half hours, including preparation time, and was an unannounced inspection that commenced at 1.15pm. A tour of the home was made with a service user and a number of records were inspected. The one service user at home and three members of staff were spoken to. The staff were observed interacting with the service user. The key standards not inspected at this inspection were inspected at the previous inspection held on the 6th July 2005 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 4 DS0000056638.V277256.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 4 DS0000056638.V277256.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): None EVIDENCE: Meadow View 4 DS0000056638.V277256.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): None EVIDENCE: Meadow View 4 DS0000056638.V277256.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, 15, 16 and 17 Social activities are provided on an individual basis. Meals are nutritious and provide a balanced diet. EVIDENCE: Activities during weekdays are provided by outreach workers taking service users out into the community or service users attending day care facilities. Two service users go to college two days each week and participate in activities that include gardening, small animal care, dealing with money and shopping. One service user accesses the community independently. He has his own train and bus pass and uses both forms of transport on a regular basis. Those service users who wish attend a weekly social club. Staff involve service users in walking, bowling, discos and indoor games. Staff have the use of a minibus to take service users into the community, but this is shared with the other three bungalows in Meadow View and is not always available. The service user at home was keen to show me letters he had received from his friends. The service users, with staff support where required, access the local shops and the local public house. One service user keeps in touch with friends by writing letters. The three other service users have contact with their families. Service users are able to choose what time they get up and what time Meadow View 4 DS0000056638.V277256.R01.S.doc Version 5.1 Page 10 they go to bed, the service user at home stating “I like to go to bed at 10.30pm”. They choose what clothes to wear and what they wish to eat. There is a planned four weekly rota with alternatives always available if a service user does not wish to eat what is on the menu for the day. The one service user at home saying that “The food is good”. Meadow View 4 DS0000056638.V277256.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): None EVIDENCE: Meadow View 4 DS0000056638.V277256.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): None EVIDENCE: Meadow View 4 DS0000056638.V277256.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 and 25 Recent investment in both external and internal decorations have improved the appearance of this home. EVIDENCE: A requirement was made at the last inspection that the external paintwork was in urgent need of repainting. This has been completed. Internal decorations have been made and some new lounge furniture purchased. A recommendation was also made that all service users bedrooms have at least two double sockets. This work has been completed. The work has improved the appearance of the home. Meadow View 4 DS0000056638.V277256.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, 24 and 35 The service users receive a good standard of care from the well-prepared and motivated staff. EVIDENCE: Three support workers have obtained their NVQ Level 2 award in care. Another member of staff is working towards the award. Staff stated that in addition to work undertaken to obtain their NVQ awards they have received training in health and safety, food hygiene and fire prevention. The staff showed their enthusiasm in caring for the service users. They considered there was a very good team spirit within the home and it was a pleasant place in which to work. The home has a policy on recruitment, which includes obtaining two written references and a CRB check before staff are employed. The service user at home stated “The staff are good and help us when we need it” Meadow View 4 DS0000056638.V277256.R01.S.doc Version 5.1 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 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 and 42 The management of this home is satisfactory overall but the lack of a weekly fire alarm test could potentially place service users at risk. EVIDENCE: The staff on duty at the time of the inspection and the service user who was at home all stated that they considered that the home was well run and managed. The registered manager has obtained her NVQ Level 4 awards. The records checked included the service of the fire prevention equipment, fire drills, gas and electrical safety certificates, the temperature of the hot water and the weekly fire alarm tests. All health and safety records were up to date with the exception of the weekly fire alarm tests. There are four bungalows in Meadow View, all of which are run by Mencap. Each bungalow has the responsibility of testing the fire alarm system on a rota basis as the alarm system is connected to all the bungalows. Although the record showed that the alarm had been tested it had not been tested on a weekly basis as required by the Chief Fire and Rescue Officer and Mencap’s own policy. The records showed, as an example, that the alarm had been tested on the 4th December 2005 and no test had then been recorded until 6th January 2006. An immediate Meadow View 4 DS0000056638.V277256.R01.S.doc Version 5.1 Page 16 requirement notice was issued stating that a fire alarm test must be undertaken and recorded every week. Meadow View 4 DS0000056638.V277256.R01.S.doc Version 5.1 Page 17 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 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X 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 X X X X 3 X 3 X X 1 X Meadow View 4 DS0000056638.V277256.R01.S.doc Version 5.1 Page 18 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 YA42 Regulation 23 Requirement The fire alarm system must be tested and recorded on a weekly basis. Timescale for action 19/01/06 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 4 DS0000056638.V277256.R01.S.doc Version 5.1 Page 19 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 Meadow View 4 DS0000056638.V277256.R01.S.doc Version 5.1 Page 20 - 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. 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