Inspection on 01/07/05 for Meadowcroft Residential Care Home

This inspection was carried out on 1st July 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Meadowcroft Residential Care Home 30/11/07

Meadowcroft Residential Care Home 20/12/06

Meadowcroft Residential Care Home 02/12/05

Meadowcroft Residential Care Home 07/03/05

Meadowcroft Residential Care Home 12/01/05

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 Meadowcroft Residential Care Home Steam Mill Road Bradfield Manningtree Essex CO11 2QY Lead Inspector Neal Cranmer Unannounced 1st July 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 Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Meadowcroft Residential Care Home Address Steam Mill Road Bradfield Manningtree Essex CO11 2QY 01206 393879 01206 390376 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) Ms Jacqueline Louise Volf Ms Jacqueline Louise Volf Care Home 6 Category(ies) of LD Learning disability (6) registration, with number PD Physical disability (6) of places Meadowcroft Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 The home accommodates 6 people with learning disabilities who may also have physical disabilities Date of last inspection 7th March 2005 Brief Description of the Service: Meadowcroft is a purpose built care home for people with a learning disabilty and physical disability. The home accommodates six service users; currently the six service users living at the home have high dependancy needs. Meadowcroft is situated on the outskirts of the village of Bradfield near Manningtree, situated approximately eight miles from the historical town of Colchester. The home consists of six bedrooms on the ground floor and also has two lounges and a dinning room. All bedrooms have en-suite facilities. Meadowcroft Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over one day in July. Twenty four of the forty three standards were inspected; of these one was exceeded, twenty-two were met and one was a minor shortfall. Only three of the service users accommodated at the home were in residence at the time of the inspection, the other three being on holiday at the Norfolk Broads. On the day of the inspection it was very difficult to ascertain the views of the service users in relation to the care provided by the home due to their profound complex needs, particularly in respect of their communication skills. However, observation of service users, and the interactions seen between service users and staff, indicated that they were relaxed and at ease within their environment. Service users were witnessed to have access to all areas of the home. This was evidenced by one service user seen manoeuvring about the home in their motorised wheelchair. Staff were witnessed interacting with service users positively and appropriately, and in styles with which the service users appeared to be at ease. On the day of the inspection the home was seen to be in a good state of repair and decoration. The home was homely and domestic in appearance and there was no evidence of any unpleasant odours. What the service does well: The home provides an environment that is very homely and easily accessible to all. All around the outside of the building is a raised, level paving slabbed patio area with railings. The inside of the building has corridors that are wide enough for wheelchair users to manoeuvre. The home works positively towards maximising service users’ community participation. At the time of the inspection three service users were holidaying at the Norfolk Broads, the remaining three having only recently returned. Meadowcroft Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 Stage 4.doc Version 1.40 Page 6 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 Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 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 Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 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) 2 and 5. The homes pre-admission assessment was comprehensively detailed. Contracts of residency were explicit in detailing the expectations and rights of all relevant parties EVIDENCE: Two care plans were sampled, both of which contained comprehensively detailed needs assessments carried out by the organisation, and which covered all of the areas identified in the sub standards of Standard 2. Both contracts of residency sampled clearly identified the terms and conditions of service users’ residency at the home. One was seen to be signed by the service user’s representative, the other was not. However, the deputy manager advised that this would be addressed at the service user’s forthcoming care review. Meadowcroft Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 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 and 9. Care plans are well detailed and included good evidence of risk assessment activity having been undertaken. EVIDENCE: The two care plans sampled had both been generated from the comprehensive needs assessments undertaken by the organisation; goals set were unambiguous, with clear guidance to staff. Care plans are kept under periodic review. Both plans seen contained evidence of risk assessments having been carried out, once again based upon the detailed information contained in the needs assessments. Meadowcroft Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 Stage 4.doc Version 1.40 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 standard(s) 15 and 17. Service users are well supported to maintain family links. Meals provided by the home are of a good standard. EVIDENCE: The home has an open door policy on the receiving of visitors. The deputy manager spoke of one service user being supported monthly to visit their relative who is in a home, and of another service user who is supported by the home to visit their relative upon request. Discussion with members of the staff team indicated that service users are at liberty to receive their guests wherever they wish. The manager also spoke of the home’s willingness to provide meals to visitors. Meadowcroft Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 Stage 4.doc Version 1.40 Page 11 The home has rotational menus; those seen were varied and nutritious. Three meals are provided daily, at least one of which is cooked. Food stocks sampled on the day were good. Service users requiring assistance to eat receive the necessary help. Meadowcroft Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 Stage 4.doc Version 1.40 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 standard(s) 19 and 21. Service users healthcare needs are well met. The home is working proactively towards addressing the wishes of service users who may be ageing or approaching death. EVIDENCE: All service users are registered with a general practitioner. Care plans sampled contained detailed evidence of service users’ healthcare needs being well documented and recorded. Discussion with the deputy manager indicated that where service users have family involvement, wishes in the event of the service users demise have been recorded. For service users who have no family, consultation has commenced with the local funeral directors regarding setting up arrangements. Discussion took place with the deputy manager around the need to ensure that this issue is kept within the care review process, and to ensure that any identified next of kin or advocate are kept informed. Meadowcroft Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 Stage 4.doc Version 1.40 Page 13 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 and 23. The homes Complaint and Adult Protection policies/procedures were considered to be robust in terms of protecting service users from the risk of harm or abuse. EVIDENCE: The home has Complaints and Adult Protection procedures which were robust. The Complaints procedure is available in pictorial format for ease of use by service users. The deputy manager confirmed that all staff bar one have received training in this area. On the day of the inspection the deputy manager was witnessed endeavouring to set up the said training for the remaining member of staff. Meadowcroft Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 Stage 4.doc Version 1.40 Page 14 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) 24,25,26,27,28,29 and 30. The home provides a very safe and comfortable environment. Bedrooms viewed were seen equipped to meet service users individual needs and lifestyles. Shared space at the home was more than adequate and accessible to the service users. A range of aids and adaptations was available to enable service users to maximise their independance. The home maintains an environment that is homely, clean and tidy. EVIDENCE: Tour of the premises indicated that the home is suitable for its stated purpose, being assessable, safe and well maintained. Meadowcroft Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 Stage 4.doc Version 1.40 Page 15 Furnishings and fittings were seen to be of a good quality and were domestic in nature. The premises have excellent all round level access for service users who are wheelchair bound. The home on the day of the inspection was bright and cheery, and free from any offensive odours. Service users’ bedrooms visited were deemed to meet with individual needs and lifestyles, and were equipped to enable service users to maximise their independence. Each service user’s room was equipped with en-suite facilities. The home has extensive communal space both internally and externally. The kitchen facilities are broadly domestic in nature, as are the laundry facilities, although the machinery is industrial. The home is equipped with an extensive array of aids/adaptations to assist service users to maximise their independence, e.g: • • • • • • • • Hoists Hand rails Shower chairs Hi-lo beds Motorised wheelchairs Wheelchair ramps All round level surfaces Computer, for use by the service users. The home’s laundry facility is positioned well away from areas where food preparation is undertaken, and has a sluicing facility. On the day of the inspection the home was deemed to be clean and tidy. Meadowcroft Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 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) 33,34,35 and 36 Service users are supported by an effective team. The homes recruitment practices are robust. Staff receive training specific to the needs of the service users. Staff receive appropriate supervison to enable them to carry out their roles effectively. EVIDENCE: Staff working at the care home are all aged over 18, apart from one person who is currently undertaking some part-time work, although not of an intimate nature. Staff left in charge of the home are all aged over 21. Staff recruitment files sampled were all seen to contain the necessary documentation required under Regulation19, Schedule 2 of the Care Homes Regulations. Discussion with members of the care team indicated that training is provided by the home specific to the needs of the service users. The deputy manager stated that 7 of the care team are qualified at N.V.Q level 2 or better. Meadowcroft Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 Stage 4.doc Version 1.40 Page 17 Discussion with staff and the deputy manager evidenced that formal supervision is provided every 6-8 weekly, with appraisals being carried out annually. This was further evidenced when sampling staff files. Meadowcroft Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 Stage 4.doc Version 1.40 Page 18 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) 38,40 and 43. Service users benefit from being supported by a well lead team. The home benefits from comprehensive policies and procedures. There is evidence of sound competent and accountable management of the home. EVIDENCE: Staff spoken with spoke of the management team always being accessible and approachable. Evidence seen on the day would suggest that the staff receive leadership and direction from the manager. Staff spoke of having ready access to the home’s policies and procedures. The home has a business plan, which is now available for inspection. Public liability insurance for the home was displayed and was current. Meadowcroft Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 4 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x x x x 3 x 3 Standard No 31 32 33 34 35 36 Score x x 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Meadowcroft Residential Care Home Score x 3 x 2 Standard No 37 38 39 40 41 42 43 Score x 3 x 3 x x 3 I56-I05 S17881 Meadowcroft V220319 UI 010705 Stage 4.doc Version 1.40 Page 20 Yes 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 YA21 Regulation 12 (3) Requirement The registered person must make provision for responding to the wishes of service users and/or their families in the event of the service users demise. Previous timescale of the end of June 2005 was not met. Timescale for action End of September 2005 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 Good Practice Recommendations Meadowcroft Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 1st Floor, Fairfax House Causton House 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 Meadowcroft Residential Care Home I56-I05 S17881 Meadowcroft V220319 UI 010705 Stage 4.doc Version 1.40 Page 22 - 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. 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