Inspection on 02/12/05 for Meadowcroft Residential Care Home

This inspection was carried out on 2nd December 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 Residential Care Home 30/11/07

Meadowcroft Residential Care Home 20/12/06

Meadowcroft Residential Care Home 01/07/05

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 Inspection 09:30 2 December 2005 nd Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 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 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 Jacqueline Louise Volf Ms Jacqueline Louise Volf Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home accommodates 6 people with learning disabilities who may also have physical disabilities 1st July 2005 Date of last inspection Brief Description of the Service: Meadowcroft is a purpose built care home for people with a learning disability and physical disability. The home accommodates six service users; currently the six service users living at the home have high dependency 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 dining room. All bedrooms have en-suite facilities. Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out over one day in December 2005, lasting 5.5 hours. The inspection process included discussion with the registered manager, acting manager and three members of staff. Due to the complex communication needs of the service users it was very difficult to formulate a clear view of their opinion of the home. However, observation of service users and the interactions witnessed between them and the staff supporting them enabled the inspector to form a positive view of the home and the way in which it works. The service users themselves appeared happy, relaxed and at ease within their environment. Tour of the premises included observation of service users’ bedrooms and communal areas, both of which were very homely and decorated to a high standard. Thirteen of the forty-three standards were inspected, all of which were met. A significant number of the remaining standards were inspected at the previous inspection of the 1st July 2005, most of which were also met. What the service does well: What has improved since the last inspection? The only requirement identified from the last inspection was the need for the home to identify the wishes of service users and/or their relatives in the event of a service user’s demise. This requirement has now been met. Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 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. Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 5. Service users are provided with the necessary information to enable them or their relatives to make an informed choice about the home’s abilities to meet their needs. Service users have written contracts of the terms and conditions relating to their stay at the home. EVIDENCE: The home’s Statement of Purpose and Service Users Guide were viewed; the Statement of Purpose was a 2002 version. The Service Users Guide sampled contained a copy of the home’s Complaints Procedure, which was available in pictorial format, and which included the contact details of the local Commission for Social Care Inspection office. A revised Statement of Purpose was received at the Commission’s office between the date of the inspection and this report being finalised which was deemed to comply with requirements. A copy of the service users’ contract of residency was also viewed. This was seen to comply with requirements and had been signed by the service user. The Statement of Purpose requires reviewing to ensure it reflects the current staffing structures at the home. Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9. The care planning process at the home clearly identifies service users’ needs. The home supports service users with the level of necessary support to enable them to maximise their potential. The home carries out risk assessments that are clear and concise, and written in such a way as to support service users to maximise their potential. EVIDENCE: Care plans are developed from the comprehensively completed pre-admission assessments. Those sampled clearly identified needs, objectives and actions to be followed by staff. Evidence was seen of care plans being kept under review. Discussion with the acting manager indicated that service users have periodic service user meetings. Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 Page 10 The needs of all service users are such that they are unable to manage their own financial affairs. The home has in place sound mechanisms for the auditing of service users’ monies; two service users’ finances were sampled and found to be in order. Risk assessments seen were very detailed and explicit in identifying the nature of the risk, the likelihood of the risk presenting, along with the level of risk. The steps to the be followed by staff to minimise the impact of the presenting risk were then laid out clearly and concisely. Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 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, and 15. Service users are supported by the home to partake in activities that are age appropriate. Service users are supported to partake in community-based activities to the best of their individual abilities. Service users are actively supported to maintain and pursue links with family members. EVIDENCE: Discussion with the acting manager confirmed that one service user has a parttime paid job working at one of the organisation’s other care homes sweeping and tidying up. All service users attend Adult Education Classes where they take part in the following classes: Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 Page 12 • • • • • • • Reading and writing Gardening Reminiscence Cookery Art Experiencing my world Music classes Service users take part in the local community through the use of the following community based facilities: • • • • Attendance of progress club Use of local shops Use of local public house Visits to local coffee shops The home has a vehicle available for use by the service users residing at the home. The home has an open door policy on the receiving of visitors. The manager spoke of the home’s relationship with service users’ relatives as being very good. Significant discussion took place around a service user who had had no contact with their family members for a number of years, although the home had been maintaining contact with the service user’s next of kin regularly. Recently a cousin of the service user, who had been searching for the whereabouts of their relative for a long time, has made contact and visited the service user for a tearful but happy reunion. The long lost relative is now maintaining regular contact with their relative. All service users, bar one, now have contact with members of their family. Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 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 the following standard(s): 19, 20, and 21. The home meets service users’ physical and emotional healthcare needs very well. The home’s medication procedure was sampled and deemed to be safe. The home has worked proactively to identify the wishes of service users and their next of kin in the event of a service user’s demise. EVIDENCE: All service users are registered with a General Practitioner and records pertaining to healthcare input were seen to be well kept and included records of: • • • • • • • • Records Records Records Records Records Records Records Records of of of of of of of of visits/appointments with doctors Consultant appointments vaccinations and inoculations visits to the dentist visits to the opticians visits to the chiropodists visits to the physiotherapist visits to the psychologists DS0000017881.V262289.R01.S.doc Version 5.0 Page 14 Meadowcroft Residential Care Home The home’s medication administration process was inspected; only staff who have received training administer medication. The records sampled were found to be in order. The acting manager has written to all service users’ next of kin/representatives regarding the wishes of service users in the event of their demise. These wishes are now recorded and funeral bonds have now been set up for all service users. Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 Page 15 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. Both the home’s complaints and adult protection procedures are comprehensively detailed and help to protect service users from the risk of harm and/or abuse. EVIDENCE: The home’s Complaint Procedure is available in pictorial format to facilitate usage by service users. The procedure is comprehensively detailed. At the time of the inspection no complaints had been received by either the home or the Commission for Social Care Inspection. The home’s Adult Protection Policy is comprehensive and all staff have received training. Where the home has had the need to make referrals these have been dealt with speedily and professionally in an open and transparent way. Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 Page 16 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): No outcomes from this section were inspected on this occasion. EVIDENCE: None of the outcomes for this section were inspected on this occasion, however at the inspection of the 1st of July 2005 all the outcomes for this section were rated as being met. Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 Page 17 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): No outcomes were inspected from this section on this occasion. EVIDENCE: None of the outcomes for this section were inspected on this occasion, however at the inspection of the 1st of July 2005 the four outcomes from the Standards inspected were rated as being met. Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 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 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): 39 and 42. The home has a sound process for monitoring and keeping under review the quality of its service provision. Safety procedures indicate that the safety and welfare of service users is promoted and protected. EVIDENCE: The home disseminates questionnaires annually to a range of interested stakeholders. These are then collated for their responses and actions, if necessary, identified. In addition, the home carries out its own internal quality audit annually of all of its services. Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 Page 19 The following safety certificates were sampled, and found to be in order: • • • • Electrical installation certificate Gas safety certificate Certificate of fire extinguisher testing Hoist certificate of inspection. Meadowcroft Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 x x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Meadowcroft Residential Care Home Score x 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x DS0000017881.V262289.R01.S.doc Version 5.0 Page 21 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 Residential Care Home DS0000017881.V262289.R01.S.doc Version 5.0 Page 22 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. 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