Inspection on 21/02/06 for Meadow View Residential Home

This inspection was carried out on 21st February 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 4 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 14/09/05

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 Meadow View Residential Home 2 Kestrel Rise Halstead Essex CO9 2TU Lead Inspector Neal Cranmer Unannounced Inspection 21st February 2006 09:30 Meadow View Residential Home DS0000062773.V262387.R02.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 Residential Home DS0000062773.V262387.R02.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 Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Meadow View Residential Home Address 2 Kestrel Rise Halstead Essex CO9 2TU 01787 472211 01787 473198 www.meadowviewres.co.uk 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 Mrs Ayshea Jannette Hutchison Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 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) 14th September 2005 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. The correct telephone number is: 01787 479172 The correct fax number is: 01787 472532 Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 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 February 2006, lasting 5.00 hours. At the time of the inspection only one service user was in residence at the home, although at the time they were away from the home for a period of treatment and assessment. The inspection process included: discussion with the proprietor and registered manager. Tour of the premises included observation of the home’s toilet and bathing facilities, as well as communal areas and gardens. During the course of the inspection a range of documentary evidence was sampled. On the day of the inspection eighteen of the forty-three standards were inspected, of these one was exceeded, twelve were met, four were minor shortfalls and one was a major shortfall. What the service does well: What has improved since the last inspection? Since the previous inspection the home has further developed its complaints procedure so it now complies with regulatory requirements. The home has also since the previous inspection now developed a Whistle Blowing Policy. The home has now developed an in-house policy for the transporting of foul or dirty laundry through the kitchen area. Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 Page 6 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 Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 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 Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 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): No outcomes for this set of Standards were inspected on this occasion. EVIDENCE: Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 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, 7 and 9. The service user’s care plan was developed in a person centred style and evidenced that the service user had been involved in the process. Evidence would suggest that the service user is supported to make decisions relating to their everyday life. Evidence was seen of the service user being supported to take risks in their every day life. EVIDENCE: A copy of the care plan of the only service user in residence was sampled. The care plan was written in a person centred style and identified what support was required, by whom and when. The registered manager also presented evidence of plans to further develop the care planning process by the usage of widgets. Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 Page 10 The registered manager spoke of having referred the service user to advocacy services; two meetings to date have taken place. The service user is unable to manage their own financial affairs, although they do have their own bank account and access their money directly via their bankcard with support from staff. Discussion took place around the need to develop a procedure for supporting the service user when accessing their money, which protects both the service user and the member of staff supporting them. The service user’s finances in the home, and the records pertaining to them, were sampled and found to be in order. Risk assessment activity was seen to have been undertaken which included dates being set for review. The assessment included the following information: • • • • • A description of the activity People at risk Significant hazards Adverse effects Risk minimisation measures. Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Service users are supported to take part in community-based activities that are age appropriate. Service users are actively supported to maintain links with members of their families. Service users are supported to make choices, and the daily routines of the home enable service users to take responsibilities over their daily lives, with the necessary support to enable them to do so. Service users are provided with a varied and nutritious diet and are actively encouraged to be involved in the planning of menus. The home is proactive in looking at ways in which to maximise service users’ abilities to make choices. EVIDENCE: The registered manager, in consultation with the service user, has developed a pictorial weekly planner, which indicated that that the service user is partaking in the following activities: Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 Page 12 • • • • • Attending college Bowling Watching DVD Going to the cinema Painting The registered manager spoke of a local resource centre which had been visited where a good range of activities was available. However, at the time of making contact the centre was full, although the service user’s name has been placed on the waiting list. Evidence presented indicated that the service user attends the following community based activities: • • • • • • Visiting local public houses Going for meals out Going out for walks Attends church daily Goes food shopping Visits the local library The manager further spoke of a number of other ideas that are currently being broached with the service user to further facilitate their involvement in the community. The home has an open door policy on the receiving of visitors. The service user’s relative visits every week and has reportedly attended staff meetings. This was further evidenced through the viewing of the minutes of the meetings. Service users are free to choose where they receive their visitors. Due to no service users being in residence at the time of the inspection it was difficult to assess the impact of daily routines in the home upon service users. However, discussion with the registered manager indicated that service users are able to lock their rooms if they choose. An override device was available to staff to enable them to gain access in the case of an emergency. All bedroom doors have a knock symbol on them as a reminder to staff to knock before entering. Service users have unrestricted access to all areas of the home and garden, dependent upon service users’ individual need. Menus are planned week by week in consultation with the service user. The menu is provided in a pictorial format and was seen to be varied and nutritious. The service user is provided with a pictorial folder of meal options which they are supported to use to enable them to make a choice about what they wish to be included in the menu. There is a further pictorial list of shopping items that is constituted of the articles that make up the menu. Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 Page 13 There is a magnetic notice board in the kitchen with pictures of the said food items, which the service user can then use as a prompt when out shopping. The home maintains records of any deviations that take place from the menu. Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 Page 14 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 and 20. Service users’ physical, emotional and healthcare needs appeared to be well met. Although the home’s medication practice was generally felt to be in order and safe, the home needs to make sure that provision is made for service users’ medicines to be stored safely and securely as soon as possible. EVIDENCE: The service user in residence is registered with a general practitioner. Evidence was seen that the service user’s needs are kept under review; records pertaining to healthcare input were clear and concise and included the following details: • • • • Details of appointments Outcome of appointments Any follow up action required The signature of the staff member supporting the service user at the time of the appointment Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 Page 15 Currently medication in-house is all dispensed via a ‘Measured Dosage System’. All staff administering medication underwent training from Boots pharmacy in January 2006. The home does not maintain any medications that fall within the controlled medications remit. The home’s medication practice and records were sampled and were found to be in order. The home returns unused medications to the pharmacy via a pharmacy returns book. At the time of the inspection medication was being stored in a locked filing cabinet, although a proper medication storage cabinet was on order awaiting arrival. Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 Page 16 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 and 23. The home has complaints and adult protection arrangements that are robust in terms of protecting service users from the risk of harm and/or abuse. EVIDENCE: The home’s complaints procedure was sampled at the previous inspection, the only shortfall being identified was the need to include the timescale within which any complaints received would be responded to; this has now been included. At the previous inspection the need was identified for the home to have a Whistle Blowing Policy to supplement their adult protection arrangements; this has now been developed. Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 Page 17 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): 30. The home has in place procedures for the transporting of dirty or foul laundry. On the day of the inspection the home was clean, tidy and free from any unpleasant odours. EVIDENCE: At the previous inspection the need was identified to develop an in-house policy for the transporting of foul laundry through the kitchen area. Policies have now been developed for both daytime and night time, both of which were also seen to be available in pictorial format. Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33 and 35. Evidence would suggest that the care team is competent and well qualified to meet the needs of service users. Each member of staff employed at the care home has a training development plan. EVIDENCE: The home employs five substantive staff and two bank staff, two of whom are qualified at NVQ Level 2 in care. In addition, one member of staff has an Advanced Diploma in Health and Social Care; a further two have applied to the local college to attend the next available intake, which was confirmed by viewing the application forms. The home does not employ any care staff under the age of eighteen. As no service users were in residence the duty rotas seen were not reflective of usual staffing levels. Discussion with the registered manager indicated that staffing levels would be three carers in the morning, including the registered manager, and two carers in the afternoon from 3.00 pm. Nights are covered by one waking night staff and one sleep-in staff. The registered manager spoke of these staffing levels being kept under review, and being subject to change, should the needs of service users warrant it. Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 Page 19 No carers working at the home are under the age of eighteen, and those left in in charge of the home are all aged over twenty-one. Evidence was presented of regular team meetings taking place. Each employee has an individual training record, which is the responsibility of the individual to keep updated. In addition, the manager maintains a quick reference sheet designed to enable them to keep track of staff mandatory training needs which are kept under review as a standard item for discussion during supervisions. Training to date has taken place on effective team working, medication, breakaway techniques, management of aggressive behaviour and appointed person’s first aid training. Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. The registered manager is qualified at NVQ Level 4 in management and has a number of years’ experience of working in the care sector. The home does not currently have in place a process by which to measure the quality of their service provision. The home needs to ensure that its safe working practices are fully complied with. This relates specifically to the need to ensure that all safety installation certificates are current. EVIDENCE: The registered manager has a number of years’ experience of working in the care sector and has the Level 4 registered managers award, although they are not qualified at NVQ Level 4 in care. The registered manager was advised to contact an NVQ provider to discuss their Level 4 in care and what additional evidence they may need. Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 Page 21 The home does not yet have a quality assurance process in place, although they spoke of a range of ideas to take this issue forward. This process has further been impeded by the home not yet having a full complement of service users in residence. The home’s safe working practices were sampled through the viewing of the following safety certificates: • • • • Portable appliances test sheet Fire log Weekly fire exit and escape routes checklist Weekly fire fighting equipment checklist The home’s electrical installation and gas installation certificates were unavailable to view. Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 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 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 3 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 3 36 X 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 2 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 2 X 2 X 1 X X 2 X Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 Page 23 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 YA20 Regulation 13 (2) Requirement The registered person must make arrangements for service users’ medicines to be stored safely and securely. The responsible person must ensure that staff receive the necessary training to enable them to carry out their roles effectively. This relates specifically to the need for the registered manager to be qualified at NVQ Level 4 in care. The registered person must make provision for the home to have a process by which to review and keep under review the quality of the home’s service provision. The registered person must make provision to ensure that safe working practices at the home are maintained. This relates specifically to the need for the home to hold copies of its safety installation certificates. Timescale for action 31/05/06 2. YA37 18 (ci) 31/05/06 3. YA39 24 31/08/06 4. YA42 23 31/05/06 Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 Page 24 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 YA12 Good Practice Recommendations It is recommended that the home further develops opportunities for service users to gain access to educational and occupational activities. Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 Page 25 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 Meadow View Residential Home DS0000062773.V262387.R02.S.doc Version 5.1 Page 26 - 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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