Inspection on 20/12/06 for Meadowcroft Residential Care Home

This inspection was carried out on 20th December 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 2 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 02/12/05

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 20th December 2006 09:30 Meadowcroft Residential Care Home DS0000017881.V302295.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 Residential Care Home DS0000017881.V302295.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 Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Meadowcroft Residential Care Home Address Steam Mill Road Bradfield Manningtree Essex CO11 2QY 01206 393879 01206 390376 mikevolf@longfurrows.com 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 Mrs Tracy Jane Mattin Care Home 6 Category(ies) of Learning disability (6), Physical disability (6) registration, with number of places Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home accommodates 6 people with learning disabilities who may also have physical disabilities 2nd December 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. The base fees for staying at the home are £850.00 per week, additional charges may be made for assessed 1.1 hours; these additional charges are levied on an individual basis. No other additional charges are made, this information was provided by the registered manage during a telephone conversation on the 17th January 2007. Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection to the home, which was carried out over one day in December 2006, lasting 5.0 hours. The inspection included discussion with one service user and the registered manager, due to the complex needs of the remaining service users it was very difficult to formulate a clear view on 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 operates, the service users were witnessed to appear happy, relaxed and at ease within their environment. Tour of the premises included observation of service users bedrooms, and communal areas, all of which were seen to be homely and decorated to a good standard. Twenty-two of the forty-three standards were inspected, of which one was exceeded; eighteen were met, with the remainder of standards constituting minor shortfalls. What the service does well: What has improved since the last inspection? There were no requirements set from the previous inspection to the home, and the home continues to provide a good standard of care and support. Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Meadowcroft Residential Care Home DS0000017881.V302295.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 Residential Care Home DS0000017881.V302295.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is (excellent) This judgement has been made using available evidence including a visit to this service. Service users can be assured that a comprehensive assessment of their needs will be carried out by representatives of the home prior to a service being offered. EVIDENCE: The home has a comprehensive pre-admission assessment process, which covered all of the areas identified under national minimum Standard 2, and from which a detailed care plan would be able to be developed. There have been no new admission to the home since 2001, however the registered manager was able to explain the process that would be undertaken in assessing the needs of any proposed new admission to the home. Meadowcroft Residential Care Home DS0000017881.V302295.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, and 9. Quality in this outcome area is (Good) This judgement has been made using available evidence including a visit to this service. Service users can be assured that their assessed and changing needs will be reflected in their individual plans of care. Service users can be assured that they will be supported to make decisions to the best of their individual abilities, with assistance as required. Service users can be assured of being supported to take risks. EVIDENCE: Each service users has a care plan which is developed from the comprehensive pre-admission assessment which is carried out by the home, each of the care plans sampled contained clear objectives and guidance to staff on how to support the service user. Each service user has an allocated key worker, who where possible the service user has been involved with choosing, for those unable to make the choice the decision is based upon observation of interactions. Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 Page 10 The needs of the service users residing in the home are complex, however observation of interaction witnessed showed that staff made every effort to support service users to make decisions to the best of their individual abilities. Risk assessment s seen were detailed, identifying the nature of the risk, the likelihood of the risk presenting, including the level of risk, also included were the steps to be followed by staff to minimise the impact of the risk should it present. Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is (Good) This judgement has been made using available evidence including a visit to this service. Service users can be assured that they will be supported to participate within the community in activities that are age and peer appropriate. Service users can be assured that the home will actively support them to maintain links with their families and friends. Service users can be assured that their rights will be respected by the home and its staff at all times. Service users can be assured that they will be provided with meals that are healthy and nutritious. EVIDENCE: Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 Page 12 The registered manager confirmed that one service user holds down a parttime job working at one of the home’s sister home’s, sweeping and tidying up, the needs of the remaining service users are complex, therefore making it difficult for them to partake in any employment, however all service users take part in Adult Education classes where they partake in the following classes: • Reading and writing • Gardening • Reminiscence • Cookery • Art • Experiencing my world and music classes. Discussion with the registered manager indicated that service users take part in the local community; accessing the following community based activities: • Progress club • Visiting local shops • Using the local public house • Visits to local coffee shops. The home provides a vehicle for service users use to enable them to access the local community. Discussion with the registered manager indicated that the home has an open door policy on the receiving of visitors, with service users being able to receive visitors at any reasonable time of day, service users are free to choose where to receive their visitors. Interactions observed between staff and service users were seen to be positive and respectful, with staff referring to service users by their chosen form of address, staff were seen and heard to interact with service users and not exclusively with each other. Meals are provided three times daily, at least one of which was hot, the menus seen were varied and nutritious, and it was noted that suppers were also provided. Meals are provided flexibly to facilitate service users daytime activities. The home maintains a record of when service users have chosen a meal that deviated from the main menu. Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 20 and 21. Quality in this outcome area is (Good) This judgement has been made using available evidence including a visit to this service. Service users can be assured that their personal needs will be met in a way that is appropriate to them. Service users can be assured that the home’s procedures for managing service users medication are safe and robust. Service users can be assured that the home will manage the demise of service users with respect and dignity. EVIDENCE: Observation of practice seen on the day of the inspection indicated that service users personal care needs are meet in a way that ensures their privacy and dignity, service users who are able to make a choice choose who they wish to be their key worker, for others the approach is based upon observation of the interactions between service users and staff. Discussion with the registered Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 Page 14 manager indicated that choice of times for going to bed and getting up are flexible, dependant upon service users activities for the day. The home’s medication process is safe and robust, only staff that have received training administer medication, records sampled on the day of the inspection were in order. The home have been proactive in considering the needs of service users who are dying, the views of service users next of kin have been sought, and their wishes recorded, funeral bonds have been set up for each of the service users, to help ease things, at the time of passing, this process of addressing this sensitive matter has been handled by the home sensitively and professionally. Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is (Good) This judgement has been made using available evidence including a visit to this service. Service users can be assured that any concerns or complaints raised in respect of the home would be listened to and acted upon. Service users can be assured that the home’s practice protects them from the risk of harm and or abuse. EVIDENCE: The home’s Complaints Policy and procedure is comprehensive, and is also available to service users in pictorial format, there have been no complaints received in respect of the home since the previous inspection, the home maintains a log for the recording of any complaints or compliments received. The home’s Adult Protection policies and procedures are comprehensive and robust, providing clear guidance to staff on the actions to be followed in the event of an abuse situation arising, all members of the care team have received training in adult protection. Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is (Good) This judgement has been made using available evidence including a visit to this service. Service users can expect to be supported in an environment that is homely, comfortable and safe, and which is kept clean and hygienic. EVIDENCE: The home is fit for its stated purpose, being safe, comfortable, bright and cheery, and was free of any unpleasant odours. The home was in keeping with the local community, and is accessible to local amenities; the home has transport available to facilitate access to community-based facilities. All areas of the home were accessible to the service users, with corridors being amply wide enough to facilitate wheelchair access. Furnishings and fittings were domestic in nature and were of a good quality, and were compatible with fulfilling their purpose. Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 Page 17 The home’s laundry facility is situated well away from areas where food preparation takes place, and is equipped with industrial style washing machines and dryers, the laundry has a sluicing facility, there is no facility for staff to wash their hands, although evidence was seen of hand cleaner being available. Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Quality in this outcome area is (Good) This judgement has been made using available evidence including a visit to this service. Service users can expect to be supported by a team of staff who are competent and appropriately qualified. Service users cannot be assured that the home’s recruitment practice is sufficiently robust enough to ensure that they are protected from the risk of harm and or abuse. Service users can expect that their individual and joint needs will be met by a staff team who have been appropriately trained. EVIDENCE: The home employs eleven care staff, of whom one is qualified at N.V.Q level three in care, a further six are qualified at N.V.Q level two in care, two of the six staff qualified at level two are about to commence their level three award. The home does not employ any care staff under the age of eighteen. Staff Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 Page 19 observed were seen and heard to be accessible, and approachable, and were clearly comfortable and at ease in the company of service users, interactions witnessed indicated that staff listened and communicated well to and with the service users. Four of the home’s staff files were sampled with respect to there recruitment practice, all bar two were found to be in order, in the two that were not, one only contained evidence of one written reference, and the second did not contain evidence of a Criminal Records Bureau Check on file. The files evidence that since the previous inspection visit to the home the following staff training had been undertaken: • Basic food hygiene • Basic life support • Manual handling • Adult protection • Health and safety • Medication administration • Infection control. Brief discussion with members of the staff team confirmed that access to relevant staff training was good. Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is (Good) This judgement has been made using available evidence including a visit to this service. Service users can expect that they will benefit from having their needs met in a home that is well run and managed. Service users can be assured that their views and the views of their representatives will be sought. Service users can expect that the home’s practice will protect and promote their health and welfare. EVIDENCE: Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 Page 21 The registered manager has previous experience of working in a care setting, and is in the process of working towards their N.V.Q level 4 in care. The manager is only responsible for managing the one establishment, and has overall responsibility for the day- day running of the home as described in their job description. The manager undertakes periodic training to enable them to remain current and up to date. The home has a comprehensive process for reviewing and keeping under review the quality of its service provision, which is based upon the views of interested stakeholders. The management of the home in the last year has moved from the registered provider to the current manager, this now necessitates the need for the registered provider to carry out monthly Regulation 26 reports. The home’s safe working practices were sampled through the viewing of the following safety certificates: • Gas installation certificate • Stair lift/ hoist/bathroom adaptation report • Electrical installation certificate • Record of fire drills • Record of fire alarm records and tests • Record of emergency lighting tests • Record of hot water temperature checks. All of the above certificate and inspection records/checks were found to be current and in order. Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 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 4 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 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 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 3 2 X 2 X X 3 x Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 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 YA34 Regulation 19 Schedule 2. Requirement The registered person must not employ any person in the care home without first having obtained all of the documentary evidence required under Regulation 19, Schedule 2 of the Care Homes Regulations. The responsible person must make provision to carry out Monthly Regulation 26 visits to the home. Timescale for action 28/02/07 2. YA39 26 31/03/07 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 YA37 Good Practice Recommendations It is recommended that the registered manager acquire their N.V.Q level 4 in care as soon as possible. Meadowcroft Residential Care Home DS0000017881.V302295.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000017881.V302295.R01.S.doc Version 5.2 Page 25 - 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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