Inspection on 10/10/05 for Meadowcroft, Minehead

This inspection was carried out on 10th October 2005.

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

Meadowcroft, Minehead 17/04/08

Meadowcroft, Minehead 28/06/06

Meadowcroft, Minehead 27/02/06

Meadowcroft, Minehead 08/03/05

Meadowcroft, Minehead 23/09/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Meadowcroft The Parks Minehead Somerset TA24 8BU Lead Inspector Dee McEvoy Unannounced 10 October 2005 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 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 Stationary 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. Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Meadowcroft Address The Parks, Minehead, Somserset, TA24 8BU Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01643 702106 Ms Alison Jane Cliffe Care Home 4 Category(ies) of LD: Learning Disability (4) registration, with number PD: Physical Disability (4) of places Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Registration for 4 persons in the categories LD and PD Date of last inspection 8th March 2005 Brief Description of the Service: Meadowcroft is a large detached house situated not far from the centre of Minehead. The home is registered with the Commission for Social Care Inspection to provide personal care to 4 adults, between the ages of 18 & 65 years, with learning disabilities and/or a physical disability. The home is not registered to provide nursing care. Residents live with the providers as part of the family. The home does not employ staff.All residents are accommodated in comfortable single bedrooms and have access to all communal areas. The providers have plans to provide an additional lounge area for residents. The home has a people carrier, which provides transport for service users. Meadowcroft also benefits from a very large garden, which is enjoyed by all.The registered providers are Alison Cliffe and Lee Clarke. The registered manager is Alison Cliffe. Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken over the course of an afternoon. There were four residents living at the home and the inspector met and spoke with each of them. Residents were happy living at the home and one resident referred to “the family” when talking about the providers and other residents. The registered providers were available throughout the inspection and assisted in a friendly and professional manner. The inspector looked around the home, which was extremely clean and comfortable. A number of records were inspected, including residents’ care notes. 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. Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 Page 6 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 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 standard(s) 3 The admission procedure appears robust ensuring that care needs can be met. EVIDENCE: There had been one new admission since the last inspection. Admissions to the home are rare but appear to be well managed ensuring that the ‘stability’ of the house is maintained, which is important with only four residents. The prospective resident visited the home on a number of occasions prior to moving in, to ensure that the home was right for them. The referring professional had completed an assessment of need, but some important information had been omitted, which the providers were aware of. The resident told the inspector that they were happy and settling in well and that their “friends” had made them very welcome. Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 8 & 9 Care plans generally reflect residents’ needs, interests and aspirations; ensuring that information is available to satisfactorily meet individual needs safely. There is a strong commitment to encouraging participation in aspects of life in the home and developing residents’ independence and choice. EVIDENCE: Two care plans were inspected on this occasion, one for a resident who had lived at the home for several years, and one for a recently admitted resident. The home has developed a good format for care planning, which identifies the areas of support needed. Personal profiles and personal care information is informative, referring to individual preferences and family history. The manager was still developing a care plan with the most recently admitted resident. Care plans are developed with residents, together with family where appropriate and other relevant professionals. The providers showed a clear understanding of residents’ needs and their methods of communication. Any restrictions or limitations on choice or freedom for residents are discussed, recorded and risk assessed, for instance using the bath or being safe when out and crossing roads. The home works hard to ensure that residents participate fully in aspects of daily life in the home; for example residents were fully consulted and involved in the placement of a new resident. Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 Page 10 Risk assessments were good, identifying hazards to residents and the action to be taken to reduce risks. Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 15 16 & 17 All residents enjoy an active and fulfilling social life and also enjoy outings with the providers. Meals are nutritious and balanced and offer a healthy and varied diet for residents. EVIDENCE: Residents appear to enjoy a full programme of activities and are encouraged to use the local facilities such as day centre, gym, dance and drama group, cinema and local shops. Two residents have voluntary jobs, which are very much enjoyed and one attends the local college for adult education. All residents were happy with their programme of activities and talked about the friendships made at various clubs. Links with family and friends is encouraged where possible and appropriate. The home provides support and transport to enable residents to visit family and friends. Residents are involved in planning meals. Menus are not generally used as meals are planned on a daily basis to allow for flexibility and individual choice. Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 Page 12 Each resident had a favourite meal and one resident commented, “ We have lovely food”. All residents were happy with the food provided. The providers are aware of the need for a balanced diet and gave examples of how a resident has been encouraged to change to a healthier style of diet and reduce weight in a healthy way. Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 & 19 The health and personal care needs of the residents are well met with good multi-disciplinary working taking place. EVIDENCE: Routines are fairly flexible depending on the activities organised for that day. Residents told the inspector that they could get up and go to bed as they wished. Care plans detail the level of support required by residents in respect of personal care and the providers demonstrated a clear understanding of residents’ personal and emotional care needs. All residents felt well cared for, one said, “I am treated well by Alison and Lee. I am very happy here” another said, “They are very kind (the providers) and I have the help I need”. Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 Page 14 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 standard(s) 22 & 23 The home has a satisfactory complaints system with evidence that residents feel their views are listened to and acted upon. Residents are protected from abuse and harm. EVIDENCE: The home’s complaints procedure has been reproduced with symbols ensuring that all residents are aware of how to raise complaints. No complaints have been received by the home. Residents said that they could speak with the providers if they had concerns or worries, one said, “They are easy to talk to (the providers). They are wonderful!” The providers demonstrated a good understanding of adult protection issues and had helped to deal with one incident in a robust and multidisciplinary way. The providers were unaware of Somerset’s Adult Protection multi-agency policy and practice guidelines. Contact details were given to ensure that the providers can familiarise themselves with local protocols. The manager handles the finances of three residents; one account was examined. A good system is in place with clear records available. All of the residents confirmed that they felt safe at the home; one said, “We all get on ok. I am happy living here”. Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 Page 15 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 standard(s) 24 Residents enjoy a well-maintained, homely and attractive environment. EVIDENCE: All areas of the home are well maintained, furnished and decorated to a very high standard. The residents benefit from a large garden, which was enjoyed during the summer, one said, “I like the garden and the view of the park”. Further improvements are planned to include a second sitting room for residents to use. Currently residents have access to the large communal lounge and dining area. All residents were very happy with their private rooms, which had been personalised with pictures and posters. Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not inspected on this occasion. EVIDENCE: Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The homes arrangements for ensuring the health, safety and welfare of residents are in the main good. EVIDENCE: The home’s fire precautions are good; smoke and heat detectors are fitted and maintained and all the residents were aware of the procedure to follow if the alarm sounded. Fire procedures are available in symbol form and were seen in residents’ bedrooms. Upstairs windows can be restricted but were not on the day of the inspection; risk assessments have been completed in respect of windows and these should be reviewed as necessary. The inspector was told that residents are assisted to run baths and the risk from hot water was low. The Electrical service certificate was up to date. Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 Page 18 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 3 x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Meadowcroft Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 Page 19 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 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. Refer to Standard YA 23 Good Practice Recommendations It is recommended that the providers are with local adult protection procedures. Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection Suite 1, Renslade House Bonhay Road Exeter EX4 3AY 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 Meadowcroft D54-D06 S16182 Meadowcroft V247684 140905 Stage 4.doc Version 1.40 Page 21 - 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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