Inspection on 20/03/06 for Meadows

This inspection was carried out on 20th March 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

Meadows 27/10/08

Meadows 16/11/06

Meadows 21/09/05

Meadows 14/03/05

Meadows 17/11/04

Meadows 15/12/03

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 Meadows Fairy Hall Lane Rayne Braintree Essex CM77 6SZ Lead Inspector Steve Boyd Unannounced Inspection 20 March 2006 09:30 th Meadows DS0000046186.V281340.R01.S.doc Version 5.1 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 Meadows DS0000046186.V281340.R01.S.doc Version 5.1 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. Meadows DS0000046186.V281340.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Meadows Address Fairy Hall Lane Rayne Braintree Essex CM77 6SZ 01376 340714 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) Mr Alex A Ohene Mr Alex A Ohene Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1), Physical disability (6), of places Physical disability over 65 years of age (1) Meadows DS0000046186.V281340.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability who may also have a physical disability (not to exceed 6 persons) One named person, over the age of 65 years, who requires care by reason of a learning disability and who also has a learning disability The total number of service users accommodated in the home must not exceed 6 persons The registered person is required to undertake training with regard to adult protection policies and procedures and ensure that staff employed at the home are trained in this area, within three months of the date of registration. All new staff appointed must receive training in adult abuse as part of their induction. 21st September 2005 2. 3. 4. Date of last inspection Brief Description of the Service: The Meadows is a large detached bungalow set in it’s own grounds in the village of Rayne within a bus ride of Braintree in Essex. The Meadows is a residential unit for people with learning and physical disabilities. The home can accommodate 6 people between the ages of 18-65 year of age of either sex. There are 4 single rooms and one double room. Meadows DS0000046186.V281340.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place in one day in March 2006. The inspector spoke to one service user in private and others in general throughout the course of the inspection. The manager Mr Ohene and one other member of staff were spoken with during the inspection. A tour of the premises took place and various records and policies were perused. Of 13 standards assessed during the inspection 11 were found to be met. What the service does well: What has improved since the last inspection? What they could do better: There were some further improvements to the premises which could be made for example redecorating of the corridors where wheelchair users mark the Meadows DS0000046186.V281340.R01.S.doc Version 5.1 Page 6 walls. Also, quality assurance monitoring, review and action planning for 2006 needed to be completed. 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. Meadows DS0000046186.V281340.R01.S.doc Version 5.1 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 Meadows DS0000046186.V281340.R01.S.doc Version 5.1 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): 2 Prospective service users’ needs would be assessed. EVIDENCE: The issue of assessments for service users being available appear to have been resolved since the previous inspection. Service users’ files sampled showed evidence of full assessments having been carried out. There have been no new admissions to the home since the last inspection. Meadows DS0000046186.V281340.R01.S.doc Version 5.1 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 and 9 Service users’ assessed and changing needs are reflected in comprehensive individual plans. Risk assessment is seen as an integral part of supporting people to live independent lifestyles as possible. EVIDENCE: The plans sampled during the inspection were seen to be comprehensive looking at anindividual’s holistic needs. Regular reviews were seen to have taken place. Risk assessments covering potential risks within and outside of the home were seen to be available for service users. These indicated how risk could be minimised to give service users as much independence as possible. Meadows DS0000046186.V281340.R01.S.doc Version 5.1 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): 15 and 16 Service users have appropriate relationships. Their rights and responsibilities are recognised within the home. EVIDENCE: All service users at The Meadows have contact with family. Most receive regular visits from their relatives except for one service user who is assisted to visit their elderly mother. Service users were seen to move freely around the home and were observed being respected and treated with dignity by staff. Service users contribute to the care planning process and in discussion with them they stated they were not subject to any rigid routines or given responsibilities they couldn’t manage. Meadows DS0000046186.V281340.R01.S.doc Version 5.1 Page 11 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 and 20 Service users receive personal support in an appropriate manner. The medication system in operation at the home was seen to be safe. EVIDENCE: The way that service users need and require support is detailed within their individual care plans and service users spoken with during the course of inspection were happy with support given. The home operates a monitored dosage system of medicine administration which was viewed at the inspection and found to be working well. Records were seen to be filled in appropriately and the medication was in a safe and secure place. Meadows DS0000046186.V281340.R01.S.doc Version 5.1 Page 12 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 Service users could be confident their views would be listened to and acted upon. EVIDENCE: There have been no complaints made about the home by any parties since the last inspection. A copy of the complaints procedure was seen and this was appropriate with respect to managing any complaints that may be made. Service users spoken to during the course of the inspection didn’t have any concerns to relay. Meadows DS0000046186.V281340.R01.S.doc Version 5.1 Page 13 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 and 30 Service users generally live in a homely, comfortable and safe environment which is also clean and hygienic. EVIDENCE: The Meadows is a small home with the majority of service users occupying single room accommodation. There is plenty of communal space for service users to utilise. Two areas of the home which would benefit from some attention are the corridor walls which have suffered some damage through the use of wheelchairs and the large bathrooms which would benefit from having some pictures to make it a less bland environment. There was no odour or obvious cleanliness problem detected during the course of inspection individual rooms were seen to be tidy and clean. Meadows DS0000046186.V281340.R01.S.doc Version 5.1 Page 14 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): 32 and 25 Service users benefit from a competent and qualified staff team who have had appropriate training to meet service users’ needs. EVIDENCE: Staff files sampled during the inspection indicated that staff have received training in a range of appropriate areas. Three of the staff team have National Vocational Qualifications at level 2 or above and three are to undertake NVQ 2’s in the coming months. Staff spoken with during the inspection demonstrated competence and knowledge about their roles and the needs of service users. Meadows DS0000046186.V281340.R01.S.doc Version 5.1 Page 15 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 Service users’ views are central to the operation of the home but this needs to be demonstrated in an action plan. EVIDENCE: Satisfaction surveys of service users staff and visitors have clearly been undertaken in 2005. However, the last action plan for the home was dated 2004 and therefore a new action plan for 2006 needs to be developed based on the results of the surveys undertaken. Meadows DS0000046186.V281340.R01.S.doc Version 5.1 Page 16 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 3 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 x ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x x 3 x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 3 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x 3 x x x 2 x x x x Meadows DS0000046186.V281340.R01.S.doc Version 5.1 Page 17 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 YA24 Regulation 23 (2) d Requirement The registered manager must maintain and improve the premises as outlined in the report. The registered manager must complete the cycle of quality assurance monitoring review and action planning for 2006. Timescale for action 31/05/06 2. YA39 24 31/05/06 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 Meadows DS0000046186.V281340.R01.S.doc Version 5.1 Page 18 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. Extracts may not be used or reproduced without the express permission of CSCI Meadows DS0000046186.V281340.R01.S.doc Version 5.1 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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