CARE HOME ADULTS 18-65
Meadowside Residential Home 41 Highweek Road Newton Abbot Devon TQ12 1TR Lead Inspector
Sam Sly Announced Inspection 12th January 2006 02:00 Meadowside Residential Home DS0000003753.V263825.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 Meadowside Residential Home DS0000003753.V263825.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. Meadowside Residential Home DS0000003753.V263825.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Meadowside Residential Home Address 41 Highweek Road Newton Abbot Devon TQ12 1TR 01626 363243 01626 363243 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) Newton Abbot & District Society for Mentally Handicapped Children & Adults Julie Anne Bishop Care Home 10 Category(ies) of Learning disability (10) registration, with number of places Meadowside Residential Home DS0000003753.V263825.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 26th July 2005 Brief Description of the Service: Meadowside cares for up to 10 adults with learning disabilities. It is owned by a registered charity. The Home is a large detached house with gardens and a day resource in the grounds, close to the centre of Newton Abbott with all its amenities and transport links. Meadowside is currently set out on a ground and first floor, with all the bedrooms on the first floor with bathroom and toilet facilities and a staff sleepin room. On the ground floor are the kitchen, offices, laundry, a hobbies room, dining room, lounge and a staff sleep-in room. There is an unfinished extension to the rear of the property, which will add additional bedrooms, a sitting area and bathroom facilities when completed. The Owners intentions are not to increase the number of residents cared for at Meadowside but to give all residents a single bedroom and more space. Meadowside Residential Home DS0000003753.V263825.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The Inspection was announced and took place during an afternoon and early evening in January. It included discussion with all the residents, and some staff, discussion with the registered manager Julie Bishop and the responsible Individual Norman Evans and examination of care records, staff files and health and safety records. The Commission also received ten comment cards from a range of people who have contact with Meadowside, and comment cards from each resident. What the service does well:
Meadowside was described in comment cards as ‘an excellent and happy home’, and ‘a well-run and exceedingly happy home’, and ‘residents are treated with respect and consideration in the most caring way. The Home appears to operate as a big happy family’. These comments reflect the findings of this Inspection. It is strongly evident that the residents at Meadowside are encouraged to participation in decision-making, and given a wide range of ways to air their views. Residents say they feel they are listened to, that they feel any worries are dealt with and they know they can contact the Commission if needed. Comment cards said that ‘If at any time there is a problem it is dealt with immediately’. Meadowside is homely, clean and well decorated and furnished with an ongoing maintenance plan. Resident’s are proud of their beautiful bedrooms, which are full of their treasured personal possessions. Comment cards said that residents were ‘happy and content with their surroundings and care; which is excellent’, and that ‘the care provided is extremely good’. Comment cards received from those involved with the residents at Meadowside, show that not only relatives, but also other community members have strong and meaningful relationships with residents. Residents said they liked the Manager Julie Bishop and the staff. Comments received were that Julie was ‘totally committed to the care, welfare and wellbeing of her residents and staff’, and that people had ‘full confidence in her and her team’. Comments also said that ‘staff support resident’s activities enthusiastically’. Residents lead active, interesting lives and are valued members of the local community. One comment card said that ‘the home always helps us to help them play as full a part in the Church as they are able. Brilliant!’
Meadowside Residential Home DS0000003753.V263825.R01.S.doc Version 5.1 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. Meadowside Residential Home DS0000003753.V263825.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 Meadowside Residential Home DS0000003753.V263825.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 Resident’s needs are well assessed, recorded, understood and met by staff. EVIDENCE: Two residents records and plans were examined. Although there had been no new residents at Meadowside since the last Inspection, current resident’s needs were regularly re-assessed and plans updated when necessary. Resident were able to say what staff helped them with, and what tasks they did more independently. Comment cards received said that residents ‘care and wellbeing were ‘first priority to staff and the manager’. Meadowside Residential Home DS0000003753.V263825.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 Care plans reflect the needs and goals of residents, ensuring they can lead as interesting and independent a life as is possible. EVIDENCE: Two care plans were examined and discussed with the resident concerned. Plans recorded and reflected the needs and support given by staff to residents, and were understood and agreed by the residents spoken to, and regularly reviewed. Meadowside Residential Home DS0000003753.V263825.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): 13 & 14 Resident’s lead full active, interesting lives and are active and valued in the local community. EVIDENCE: The registered manager and staff should be commended on the work they put into including the residents in the local community. Comment cards were received from a number of community members who all commended the Home on the commitment and support the staff puts into ensuring residents use local services, attend local groups; both social and religious, and use community leisure services. The registered manager also gave examples during the Inspection of supporting residents to complain to the Council about services that had been stopped, due to what residents perceived as discrimination. Residents said they continued to do a whole range of activities from office skills and educational courses to voluntary work and leisure activities. All things they said they enjoyed. The registered manager demonstrated that she and staff were always on the look out for new things for residents to do. Meadowside Residential Home DS0000003753.V263825.R01.S.doc Version 5.1 Page 11 Residents had recently selected and booked a group holiday for June 2006, after going away in small groups last year. Everyone was excited about the prospect of going somewhere they had enjoyed in previous years. Meadowside Residential Home DS0000003753.V263825.R01.S.doc Version 5.1 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 the following standard(s): 20 Staff administers Resident’s medication safely. EVIDENCE: The medication procedures were examined. Medication was received correctly, stored in a suitable metal cupboard and administered, recorded and disposed of safely. All staff administering medication had received training from the local Pharmacist. Meadowside Residential Home DS0000003753.V263825.R01.S.doc Version 5.1 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 the following standard(s): 22 Residents can be absolutely sure that staff listens to their views, and any concerns will be investigated and acted on swiftly. EVIDENCE: The registered manager and Owners should be commended on the open atmosphere that has been encouraged at Meadowside, where residents spoken to were clear about their right to complaint and who they could complain to. Residents said staff listened to their views, and they were confident Julie Bishop or Norman Evans would act on any concerns they expressed. Residents said Norman and another member of the Home’s Committee spoke with them individually regularly and asked about any worries. The residents were also very clear that they could talk to the Commission about concerns if they wanted to as well. Comment cards said that ‘If at anytime there is a problem it is dealt with immediately’. There were examples in records and during the day of Inspection where residents had disclosed concerns to the registered manager, who had taken their concerns seriously, investigated and fed back the outcome to the resident concerned. Meadowside Residential Home DS0000003753.V263825.R01.S.doc Version 5.1 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 the following standard(s): 24 & 30 Meadowside has a homely, bright, clean, hygienic and well-maintained environment, and the maintenance programme in place will ensure this continues. EVIDENCE: There was evidence that environmental issues identified at the last Inspection had been acted on, and a maintenance and renewal programme was recorded and on going. There was discussion about considering a chair lift in the future, but as handrails had been added and a resident with mobility needs was soon to move into a ground floor bedroom it was decided to do nothing as yet. The Home was extremely clean, tidy and homely. And comment cards received said ‘We were impressed by the cleanliness of the kitchen and the care taken in preparing food’. The laundry room had been completely renovated and washable wall panels were in place. It now looked clean, hygienic and in very good condition. One resident regularly did their own laundry. Fire checks and training was up to date, and staff had all received mandatory health and safety training. Meadowside Residential Home DS0000003753.V263825.R01.S.doc Version 5.1 Page 15 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): 34 Residents are protected by the staff recruitment procedures at Meadowside. EVIDENCE: Two staff files were examined and included all the appropriate fitness checks; Criminal Record Bureau checks, references, I.D and application forms. Staff were regularly supervised, and the registered manager dealt with issues with regard to employment or staff development swiftly and appropriately. Meadowside Residential Home DS0000003753.V263825.R01.S.doc Version 5.1 Page 16 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, 38 & 39 Resident’s benefit from an open, positive and inclusive ethos at Meadowside engendered by a competent registered manager. EVIDENCE: The registered manager and Owners should be commended on the open, positive and inclusive atmosphere nurtured at Meadowside. It was a pleasure to find residents that were confident that their views mattered, and that were fully involved in what went on in the Home. These findings were echoed in comments received by the Commission: ‘there is a congenial atmosphere always present at Meadowside and the residents are treated with respect and consideration in the most caring way. The home appears to operate as a big happy family’. ‘My relative is able to lead a fuller life at Meadowside as opposed to living with me’. The registered manager demonstrated that she operated a well-run home, with all the appropriate systems in place and again this was echoed in comments received. One comment was: ‘In Julie Bishop (Manager) the residents have someone who is totally committed to the care, welfare and well being of her
Meadowside Residential Home DS0000003753.V263825.R01.S.doc Version 5.1 Page 17 residents and staff’. She had recently completed the appropriate training required to be a registered manager too. The Owners and registered manager had a range of quality monitoring methods including regular monthly visits, regular visits to talk 1:1 with residents, resident and staff questionnaires, maintenance and environmental risk programmes and staff training and development plans. The missing element is a pulling together of all these methods to form an annual review and future development plan. Meadowside Residential Home DS0000003753.V263825.R01.S.doc Version 5.1 Page 18 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 4 23 X 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 X 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 4 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 3 4 3 X X X X Meadowside Residential Home DS0000003753.V263825.R01.S.doc Version 5.1 Page 19 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. 1. 2. Refer to Standard YA35 YA39 Good Practice Recommendations The Homes Induction and Foundation training should be accredited to the Learning Disability Award Framework. The Owners should pull together all their quality monitoring strategies into one Quality Assurance system with an annual development plan incorporated. Meadowside Residential Home DS0000003753.V263825.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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