Inspection on 14/09/05 for Meadow View Residential Home

This inspection was carried out on 14th 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Meadow View Residential Home 22/09/06

Meadow View Residential Home 21/02/06

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Meadowview Residential Home 2 Kestrel Rise Halstead Essex CO9 2TU Lead Inspector Neal Cranmer Unannounced Inspection 14th September 2005 09:30 Meadowview Residential Home DS0000062773.V250634.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 Meadowview Residential Home DS0000062773.V250634.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. Meadowview Residential Home DS0000062773.V250634.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Meadowview Residential Home Address 2 Kestrel Rise Halstead Essex CO9 2TU 01787 472211 01787 473198 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) Miss Isabel Mutendadzamera Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Meadowview Residential Home DS0000062773.V250634.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 3 persons) Not applicable as first inspection since registration Date of last inspection Brief Description of the Service: The home is a detached three bedroom service set in a residential area of Halstead in Essex, close to local amenities, and on a local bus route to the town centre. The home provides a service to people who have a learning disability. The home provides accommodation on two levels, with service users’ bedrooms all being on the first floor. The home benefits from a small-enclosed garden area. Meadowview Residential Home DS0000062773.V250634.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 which took place over one day in September 2005. At the time of the inspection no service users were currently in residence at the home. The proprietor and acting manager spoke of being in negotiations with a number of sources, pursuing referrals to the home. As a result the inspection was fairly focussed in terms of standards inspected. The inspection process included: discussions with the proprietor and acting manager. A tour of the premises included observations of service users’ rooms, bathing and toilet facilities, as well as communal areas. During the course of the inspection a range of documentary evidence was sampled, most of which was seen to be in order. Given the fact that no service users were yet in residence, only ten of the forty-three national Minimum Standards were sampled, of these seven were met, the remaining three being partially met. What the service does well: What has improved since the last inspection? What they could do better: The home needs to further develop its Complaints Policy to ensure that it complies with regulatory requirements. The home needs to ensure that a Whistle Blowing Policy is available at the home. The home must develop a policy dealing with the transporting of dirty laundry through the kitchen area which is acceptable to the local environmental health authority. Meadowview Residential Home DS0000062773.V250634.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. Meadowview Residential Home DS0000062773.V250634.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 Meadowview Residential Home DS0000062773.V250634.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): 1, 2 &5 The home’s Statement of Purpose and Service Users Guide contained all of the required information to enable service users to make an informed choice. Evidence presented suggested that the home would carry out a comprehensive pre-admission assessment. The sample contract of residency presented was deemed to comply. EVIDENCE: The home’s Statement of Purpose and Service Users Guide were sampled; both were seen to meet with statutory requirements, being clearly presented. The acting manager spoke of their intention of ensuring that all service users received a copy at the point of their admission to the home. The manager further spoke of their intention to develop both documents further to make them even more user friendly. A pre-admission performa for the home was presented which was seen to be comprehensively detailed in the level of information that would be sought prior to the home deciding on its ability to meet the needs of the referred service user. An example contact of residency was presented for sampling and was deemed to comply with statutory requirements. Meadowview Residential Home DS0000062773.V250634.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): None of the outcomes in this section were sampled on this occasion EVIDENCE: Meadowview Residential Home DS0000062773.V250634.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): None of the outcomes in this section were sampled on this occasion EVIDENCE: Meadowview Residential Home DS0000062773.V250634.R01.S.doc Version 5.0 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 of the outcomes in this section were sampled on this occasion EVIDENCE: Meadowview Residential Home DS0000062773.V250634.R01.S.doc Version 5.0 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): 22 & 23 The home’s Complaints and Adult Protection Policies/Procedures require further development to help ensure service users are adequately protected. EVIDENCE: The home’s Complaints Procedure was sampled which was noted to need to include the timescales within which any complaint received would be responded to. The home has an Adult Protection Procedure which included the contact details of the local Social Services Learning Disabilities Team and the Commission for Social Care Inspection. The policy was comprehensively detailed. The proprietor spoke of having a Whistle Blowing Policy for the home, however on the day of the inspection this was unavailable to sample. Meadowview Residential Home DS0000062773.V250634.R01.S.doc Version 5.0 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, 26, 28 & 30 The home is homely, comfortable and safe for service users. Service users’ bedrooms appeared well equipped for service users’ needs. Shared space at the home was ample to meet the needs of the number of service users for whom the home is registered. The home was clean and tidy, however a policy needs to be developed dealing with the transporting of dirty laundry through the kitchen area. EVIDENCE: The home’s environment is homely and safe, and the premises were in keeping with the local community. Furnishings and fittings were domestic in nature and were seen to be of a good quality. The home is situated close to local amenities. On the day of the inspection the home was bright, cheerful, airy and clean. Meadowview Residential Home DS0000062773.V250634.R01.S.doc Version 5.0 Page 14 The rooms to be used by service users were viewed and were seen to have all of the required equipment specified under National Minimum Standard 26. The kitchen and laundry facilities at the home are domestic in nature; the laundry room is situated off the kitchen. The manager spoke of washing being done at night. As identified above, the laundry is situated off the kitchen and although the manager spoke of washing being done at night, a policy needs to be developed dealing with the transporting of dirty laundry through the kitchen area, which is acceptable to the local environmental health authority. Meadowview Residential Home DS0000062773.V250634.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 The home’s recruitment practices would appear to be adequate to ensure service users are protected by the home’s recruitment practices. EVIDENCE: Although no staff are currently working at the home, appointments have been made. The acting manager was in the process of preparing staff files which, when sampled, evidenced the home’s awareness of the required documentary evidence. This was further evidenced through discussion with the deputy manager who reflected a good understanding of the required process and documents to be held on staff files. Meadowview Residential Home DS0000062773.V250634.R01.S.doc Version 5.0 Page 16 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): None of the outcomes for this section were sampled on this occasion. EVIDENCE: Meadowview Residential Home DS0000062773.V250634.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X X 3 Standard No 22 23 Score 2 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 X 3 X 2 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Meadowview Residential Home Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000062773.V250634.R01.S.doc Version 5.0 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 YA22 Regulation 22 (4) Requirement The registered person must ensure that the home’s complaint policy specifies the timescales within which complaints will be responded to. The registered person must ensure that processes are in place for staff to air their views of the home. This relates specifically to the need for the home to ensure that a Whistle Blowing Policy is available. The registered person must develop a policy for the transporting of dirty laundry through the kitchen area to minimise the possible risk of any spread of infection. Timescale for action 31/12/05 2 YA23 21 31/12/05 3 YA30 13 (3) 31/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Meadowview Residential Home DS0000062773.V250634.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Meadowview Residential Home DS0000062773.V250634.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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