Inspection on 21/09/05 for Meadows

This inspection was carried out on 21st September 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 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 20/03/06

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 CM7 8SZ Lead Inspector Clare Walker Unannounced Inspection 21st September 2005 09:30 Meadows DS0000046186.V252517.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 Meadows DS0000046186.V252517.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. Meadows DS0000046186.V252517.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Meadows Address Fairy Hall Lane Rayne Braintree Essex CM7 8SZ 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.V252517.R01.S.doc Version 5.0 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. 14/03/05 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.V252517.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a routine unannounced inspection a normal part of the annual inspection programme. 4hours were spent on this inspection. The inspection included a tour of the premises, discussions with 5 service users, the manager/proprietor, the deputy, 1 care worker, 4 care files were reviewed, documents were read and health and safety certificates reviewed. This home provided a good standard of care in a homely environment. There was a warm and welcoming atmosphere and staff and residents communicate well together. One service user told the inspector that they “really like it here ..they look after us well.” Each person has their own programme of activities in the home and in the community. Food is prepared by staff in a family type kitchen and some residents help prepare for meals. Menu’s are produced through residents discussing with staff likes and dislikes. What the service does well: What has improved since the last inspection? The service users are provided with a statement of terms and conditions in an appropriate format. Service user plans are regularly updated. Recruitment processes are comprehensive. There are accurate health and safety records. Meadows DS0000046186.V252517.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. Meadows DS0000046186.V252517.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 Meadows DS0000046186.V252517.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): 1,2,5 Progress has been made on finding an appropriate format for giving information to service users which allows them to make appropriate choices. There has been no progress on the admissions procedure. EVIDENCE: The statement of purpose and an individual’s terms and conditions are available in an appropriate format for the residents. Each person receives a spoken word CD on joining the unit giving all the information. A paper copy of the information is also provided. On reviewing the care plans for the newest resident no assessment was found of this individuals needs being under taken prior to that person taking up residence. Meadows DS0000046186.V252517.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): 6,7,8,9,10 The care plan process is full and comprehensive. Residents are involved in care planning and aware of the content of their care plans. People are consulted on all aspects of their care. Information is held securely and managed well. EVIDENCE: Care plans covered all aspects of care and demonstrated individuals’ changing needs and preferences. Regular reviews are evident. Individuals told the inspector what they did when and what they liked to do. Activities were observed and service users were taking part in community activities on the day of inspection. Information was observed to be used sensitively. Meadows DS0000046186.V252517.R01.S.doc Version 5.0 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): 11,12,13,17 Service users are enabled to take opportunities offered in the community in order to develop personal relationships and skills. A healthy and varied diet is provided. EVIDENCE: Residents take part in a wide range of social and educational activities as evidenced by care plans, discussion and observation. Menu’s seen show variety and residents are encouraged via service users meeting to contribute to the 4 weekly menu. Individuals said the food was what they liked. Meadows DS0000046186.V252517.R01.S.doc Version 5.0 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): 19 Physical and emotional health needs are assessed and met by the unit, to ensure appropriate care is given. EVIDENCE: The care plans show a range of information and specialist service that are used to ensure physical needs are met. On the day of inspection a specialist hospital appointment was taking place for one service user and the domiciliary optician was attending the home the following day. Psychological assistance is available to help with challenging behaviour. Friends and family contacts are also encouraged as are community contacts such as the local church. Meadows DS0000046186.V252517.R01.S.doc Version 5.0 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): 23 Service users are treated with dignity and respect and staff are aware of the importance of protecting vulnerable adults from harm EVIDENCE: There are policies and procedures. Staff are made aware of matters of abuse as part of induction. There have been no report incidents within the unit. Meadows DS0000046186.V252517.R01.S.doc Version 5.0 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): 24,25,27,28,30 Furnishings are homely and all bedrooms have been personalised. The standard of cleaning is good generally. The bathroom needs attention. EVIDENCE: All the rooms visited demonstrated that the resident had been involved in the way the room was laid out and decorated. Service users confirmed that they can choose things for their rooms. Communal rooms –living and dining area’s were appropriately furnished and there is a large and well maintained garden. The bathroom was not clean or tidy on the day of inspection. Items such as a wheelchair appeared to be left there for no reason. The shower tray had mould and lime scale on it. The shower-head had much lime scale on it and shower hose had mould on it. There was no soap or hand wiping facilities in the bathroom or the toilet. Meadows DS0000046186.V252517.R01.S.doc Version 5.0 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): 31,34,36 Staff have clear job descriptions, roles and responsibilities. The recruitment policies and practices protect service users. Staff are regularly supervised. EVIDENCE: The 3 staff files reviewed showed clear job descriptions which outlined roles and responsibilities. 3 recruitment files showed that individuals have all the necessary papers, passport photographs, birth certificates, and references taken up. Criminal record bureau checks were also in evidence. The procedures and policies for recruitment were followed in the files seen. There are induction procedures and the files reviewed showed that staff had been taken through the induction process. Both the recipient and the manager sign off the process once completed. Staff receive regular supervision averaging every 2 months on the files reviewed. The written notes also show the topics that are discussed and the agreements made between the supervisor and supervisee. Meadows DS0000046186.V252517.R01.S.doc Version 5.0 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): 37,42 The home is well run with the interests of the residents as paramount. Health and safety is promoted by ensuring all necessary formal checks are undertaken. EVIDENCE: The unit has a well run office which houses all the documents necessary for the running of the home. All the necessary health and safety certificates-fire checks, environmental health ,gas , electrical, hoists are in place. There are on going plans for up-grading and redecoration. Service users are included in discussion about refurbishment and staff appointments. Meadows DS0000046186.V252517.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 2 X X 3 Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X 3 3 X 2 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 X X 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Meadows Score X 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000046186.V252517.R01.S.doc Version 5.0 Page 17 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 YA2 Regulation 14(1) Schedule 3(1a) 13(3) (4) Requirement The registered manager must arrange for a full assessment of all potential service users to be carried out prior to placement. (Timescale of 31/08/05 not met) The registered manager must ensure that 1) The bathroom is not used to store wheelchairs. 2) The shower is kept free of mould and lime-scale 3) Soap and hand towels are available for use in the bathroom and toilet Timescale for action 31/10/05 2 YA30 31/10/05 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.V252517.R01.S.doc Version 5.0 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.V252517.R01.S.doc Version 5.0 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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