Inspection on 28/06/06 for Meadowcroft, Minehead

This inspection was carried out on 28th June 2006.

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 27/02/06

Meadowcroft, Minehead 10/10/05

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 Judith Roper Key Unannounced Inspection 28th June 2006 12:30 Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 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 Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 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. Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadowcroft Address The Parks Minehead Somerset TA24 8BU 01643 702106 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) Ms Alison Jane Cliffe Mr Lee James Clarke Ms Alison Jane Cliffe Care Home 4 Category(ies) of Learning disability (4), Physical disability (4) registration, with number of places Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for 4 Persons in categories LD and PD Date of last inspection 27th February 2006 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 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 DS0000016182.V300734.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection took place over one day between the hours of 12.30 pm – 2. 45 pm. Three service users currently have placements at the home. There is one vacancy at the home. The ethnicities of the service users are white/British and all residents are under 65 years of age. The inspector was aware prior to the inspection that all service users would be out of the home on usual daily activities and one person would be convalescing in a local nursing home but would likely be returning to Meadowcroft in a couple of weeks. The previous inspection was in February 2006 and the inspector on that visit met with residents on that occasion. The proprietors Mrs. Cliffe and Mr. Clarke were at the home to discuss the management of the home with the inspector. The inspector would like to thank Mrs. Cliffe and Mr. Clarke for their time and hospitality shown to the inspector during her visit. No additional staff are employed at this family run business and the proprietors strive to provide care based on best practice guidelines in a comfortable setting. The focus of this inspection visit was to inspect relevant key standards under the CSCI ‘Inspecting for Better Lives 2’ framework. This focuses on outcomes for service users and measures the quality of the service under four general headings. These are - excellent, good, adequate and poor. The inspector has found that on this visit the overall quality of the service is good. Records examined during the inspection were two service user care and support plans, medication administration records and medication storage, and the home’s Statement of Purpose. On request the home completed a preinspection questionnaire. The total time spent in planning the inspection, carrying out the visit, consolidation of evidence and report writing has been 12 hours. As part of the inspection process the Commission wrote to G.P surgeries providing medical support to the home, other visiting community based healthcare professionals associated with service users and the care managers for residents. Three responses have been received to date from the professionals, all giving an overall positive opinion of the service at Meadowcroft. What the service does well: Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 Page 6 The home continues to provide good residential services for younger adults with a learning disability within a relaxed family environment. Social care and living an active supported daily routine are part of the home’s ethos. The environment is homely and to a high standard. Access to community social and leisure pursuits is easy due to the home’s town location. 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. Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 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 Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 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, 3. The overall outcome for these assessed Standards was good. The home has a clearly written Statement of Purpose that informs prospective service users and their families of the aims of the service at Meadowcroft. Admission procedures are robust to aid decision making for appropriate placements. EVIDENCE: A copy of the home’s most recent Statement of Purpose was provided for the inspector to hold on file at the local CSCI office. The most recent admission to the home was in September 2005, the care file for this person was seen and admission process discussed. As a small family home admission processes take place over several weeks to try to ensure that the placement is appropriate and that the harmony of the home mix of service users remains happy. The proprietors have the skills and experience to meet the needs of service users within the stated categories of registration. Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 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, 9. The overall outcome for these assessed Standards was good. Care plans reflect service user current needs, interests and aspirations. There is a commitment to developing service user’s independence and choice within a risk assessment framework. EVIDENCE: Two care plans were viewed. The plans were person centred, reflected current reviewed and assessed needs and clearly identified areas of personal or social support that service users need. Care plans are developed in partnership with service user, family and/or care manager. Risk assessments are completed, identifying hazards and control measures to reduce risk to service user. Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 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, 14, 15, 16, 17. The overall outcome for these assessed Standards was good. Service users enjoy an active social life that includes meeting with friends outside of the home and outings with the providers. Meals are nutritious and balanced and offering a healthy varied diet. EVIDENCE: Service users access a local further education college, work placements and have structured leisure activities in their individual weekly schedules. Service users have at least one annual holiday. The service users and proprietors recently returned from a holiday in Tunisia. If the proprietors take a break, service users access respite care. This has been discussed and agreed with placement care managers. Links with family and friends are encouraged. The home provides support and transport to enable service users to maintain these links. Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 Page 11 Service users participate in meal planning. Menus are not generally used as meals are panned on a daily basis, like most family homes, to allow for flexibility and individual choice. The providers set stall by healthy varied meal choices and have worked hard with service users to maintain normal weights through good diet and regular exercise, in conjunction with service user and G.P. Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 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): 18, 19, 20. The overall outcome for these assessed Standards was good. The health and personal care needs of service users are met with good multidisciplinary working taking place. The management of medicines is safe. EVIDENCE: Care records indicate where community healthcare is accessed or anticipated. Service users receive appropriate healthcare screening by G.P, dentist, optician etc. Where physical intervention is assessed as appropriate as part of a behavioural management programme this is documented clearly in conjunction with care manager, service user and day centre. The proprietors have undertaken training in physical intervention agreed for the service user. Two service users are assisted to manage their medicines. Medication is stored in a locked cupboard, accessed only by the providers. Records are Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 Page 13 maintained of service user’s current medication and a daily record signed when medicines are administered and by whom. Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 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 the following standard(s): 22, 23. The overall outcome for these assessed Standards was good. Service users are encouraged to air their views both in the home or to families/placement care managers. EVIDENCE: The home has received no complaints since the last inspection and in this time no complaints or concerns have been raised directly to the Commission with regard to the service. The home’s complaint’s procedure is written in both English and Somerset Total Communication symbols and is displayed in service user’s rooms. The proprietors employ no staff and do not use volunteers. The proprietors are aware of local vulnerable adults team contacts for reporting purposes or advice. Financial record keeping on behalf of service users by the providers were inspected and clear records were maintained. Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 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 the following standard(s): 24, 26, 28, 29, 30. The overall outcome for these assessed Standards was good. The standard of the environment is high, providing residents with attractive, safe and clean surroundings. EVIDENCE: The inspector was invited by Mrs. Cliffe to view the home. The inspector saw communal areas, bathroom and office, as well as service user’s rooms. Service users have a choice of two reception rooms. Bedrooms are personalised and adapted with physical aids where assessed as required by an occupational therapist. The standard of cleanliness throughout the home was high. There is a domestic laundry area, which suits the requirements of the home. The providers were aware of how to deal with any soiled or infected linen, although this was not a problem currently. Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 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 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): 33, 35. Standards 34 and 36 are not applicable. The overall outcome for these assessed Standards was good. Service user’s needs are met by the owners who are caring and experienced. EVIDENCE: The home does not employ staff. This is a conscious decision made by the providers to enable service users to live in a family environment. The providers have renewed their enhanced CRB disclosures in June 2006. This is good practice. Both providers have experience in caring for younger adults with learning disabilities and have undertaken some training, for example total communication, physical intervention, first aid, moving and handling essential food hygiene and health and safety, in order to meet the needs of the residents. Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 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): 37, 39, 42. The overall outcome for these assessed Standards was good. The home is managed well with clear records maintained. Health and safety in the home is carefully managed. EVIDENCE: The registered owners have many years experience of working with younger adults and managing a home however neither have formal care management qualifications for example NVQ 4 or the Registered Managers Award. The benefit of this to the proprietors is questionable, however, as no staff are employed at the home. Mrs. Cliffe trained and practiced as an occupational therapist prior to being a care homeowner. Both proprietors have undertaken regular periodic training for managerial, healthcare or behavioural management of the home and service users. Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 Page 18 The home does not have a formal quality assurance system in place but consult with service users daily and care managers at planned reviews. The CSCI will require all registered services to submit an annual quality assurance report from 2007. The Commission will publish advice on how to comply with this regulation in due course. The environment is maintained appropriately with safety risk assessed and controlled in the home. Fire alarms are tested weekly and service users participate in fire drills. The home has current public liability insurance. Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 3 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 3 25 X 26 3 27 X 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 N/A 35 3 36 N/A 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 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 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. 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. Refer to Standard Good Practice Recommendations Meadowcroft DS0000016182.V300734.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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. 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