Inspection on 26/07/05 for Meadowside Residential Home

This inspection was carried out on 26th July 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

Meadowside Residential Home 08/05/08

Meadowside Residential Home 26/04/06

Meadowside Residential Home 12/01/06

Meadowside Residential Home 22/01/05

Meadowside Residential Home 15/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Meadowside Residential Home 41 Highweek Road Newton Abbot Devon TQ12 1TR Lead Inspector Sam Sly Unannounced 26th July 2005 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 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 Stationary 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 D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Meadowside Residential Home Address 41 Highweek Road, Newton Abbot, Devon, TQ12 1TR Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01626 363243 01626 363243 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 D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 26th January 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 amenites 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 given all residents a single bedroom and more space. Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and took place on a weekday in July between 1.45pm – and 5.15pm. It included a tour of the premises and examination of care records, staff files, and health and safety records. All residents, except one who was on holiday, were spoken to, some in more depth than others. Staff on duty were also interviewed and there was discussion with the registered manager Julie Bishop. What the service does well: What has improved since the last inspection? What they could do better: There was only one requirement made and that related to the laundry walls, which required sealing and being made washable so as to prevent the spread of infection. Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 Page 6 Some recommendations were also left with the registered manager. 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 D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 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 standard(s) 1 Potential residents would have sufficient information to decide whether to live at Meadowside. EVIDENCE: The registered manager had recently updated Meadowside’s Statement of Purpose and Service User Guide and it contained all the information required to ensure potential residents could make choices about moving to the Home. Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 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 standard(s) 6, 7 and 9 Residents made decisions about their lives, and their care plans reflected their needs and goals ensuring everyone had as independent life as possible. EVIDENCE: There had been no new residents for several years. Several residents care plans and risk assessments were examined and support needs recorded reflected those residents and staff stated during the Inspection. There were detailed health care and personal care plans, and one resident had a My Life My Plan care plan, which had been made with their care manager. Plans were recorded with residents and reviewed regularly. Risks were carefully assessed; however discussion with residents about what they did in the community showed that independence was promoted, not restricted due to risks. Although daily recording was done, it was recommended that staff use it to reflect that the residents care plan is followed, and to show any changes in need. There were many examples during the Inspection of residents making decisions about their lives from what to eat and what to wear to where to go on holiday, and decisions about activities. Residents were confident in making Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 Page 10 decisions, and said they were listened to by staff, the Owners and the registered Manager. Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14, 15, 16 and 17 Residents lead full, active, interesting, lives both at Meadowside and in the local community. EVIDENCE: Residents said they did a range of activities from office skills and educational courses to art, craft, horse riding and cooking classes. Two residents had voluntary jobs and all residents were encouraged to take part in local resident committee’s and Mencap meetings. Residents said they enjoyed all that they did; one resident said there weren’t enough hours in the day to do it all! Examples of pottery and art that the residents had done were tastefully exhibited around the home, and on the day of Inspection three residents had been to the local library for a craft course and made sweets in decorated boxes. They were very proud to show these off. Residents are supported to use the local community for shopping and leisure activities. All of them were going, or had been, on a holiday to Malta this year Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 Page 12 and talked enthusiastically about it. For one resident it was the first time they had flown on a plane. Residents said they were able to see and keep in touch with their families, and an annual fete was being planned for the following month where families, friends and people form the local community were invited. Everyone said they liked the food, and that they helped to prepare, cook, and tidy away after meals on a regular basis. Joining in with household chores was encouraged, and residents said they liked helping. There was a rota with photos to help residents remember what their chores were each day. The meal being prepared; sausage casserole, smelt lovely and residents were looking forward to it. Food likes and dislikes and special dietary needs were well known and catered for by staff. Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 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 standard(s) 18, 19 and 20 Resident’s personal and health care needs are well supported. EVIDENCE: Personal and health care support was clearly documented in care plans, and was being carried out during the Inspection. Residents were encouraged to do as much for themselves as possible so for staff a main task was encouraging and prompting them. Residents said they could go to bed and get up when they liked and choose their own clothes and hairstyles. On the day of Inspection all the residents were dressed to reflect their age, personality and the time of year. There was evidence that appropriate professional and specialist support was sought, and residents had annual health checks and aides for hearing difficulties. None of the residents administered their own medication, and when asked said this was their choice. Medication was being received, recorded, stored, and disposed of appropriately by trained staff. Medication was being taken form the blister packs and put into pots with resident’s names on before being taken to residents and administered; it was required, after discussion with the Commission’s Pharmacist, that this practice cease due to the increased potential of error by staff. One resident required insulin by injection, and staff Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 Page 14 had been trained to administer this via an epipen. A separate fridge was now available to store the insulin. Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 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 standard(s) 22 and 23 Residents could be confident that their views would be listened to and acted on, and that they were protected from abusive situations as far as possible. EVIDENCE: There was a clear complaints policy available to residents. Residents said they felt able and confident to approach the staff or the registered manager if they had a worry or concern. All staff had attended the Protection of Vulnerable Adults training given by Devon County Council. And there were a range of policies and procedures to protect residents. Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 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 standard(s) 24 a 30 Residents are provided with a homely, bright, clean and well-maintained environment, however, the laundry walls need attention to prevent the potential spread of infection. EVIDENCE: There was evidence that a continual programme of maintenance and renewal was on-going. The maintenance plan was in need of updating, however, to reflect current needs. The cleaner, who obviously took great pride in her work, kept the environment immaculate. Residents could help keep their bedrooms tidy, but many liked having the cleaner. The Environmental Health Department had visited the home in January 2005 and left some recommendations that were being implemented. The fire checks and training was up to date. The only area of concern was the laundry walls, which were not sealed or painted with a washable paint in places, which could potentially lead to the spread of infection. Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 Page 17 Meadowside included an extension containing bedrooms and a bathroom that had never been completed. The registered manager explained that the Owners planned to complete this extension in the near future as funds were now available, and this was give more space to residents and ensure everyone had their own bedroom. Some parts of the home are in need of redecoration, but this is being held back until the extension is finished. Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 35 and 36 Residents benefit from fit, competent, qualified and well-supported staff. EVIDENCE: There was lots of staff/resident interaction on the day of Inspection with staff that were interested, accessible and genuinely friendly to residents. The registered manager said the staff were a good team, and this was reflected by the enthusiasm staff showed towards their jobs during discussion. Residents also said they liked the staff and the registered manager, and that they were helpful and approachable. Staff had attended a range of specialist learning disability and health care training, as well as adult protection and health and safety training. Care staff were doing NVQ training, and it was envisaged that by the end of 2005 early 2006 at least 50 would have at least NVQ 2. The registered manager asked for more information on the Learning Disability Award Framework, so that training could be in line with it, as at present the Induction did not appear to reflect this. The registered manager was supervising all staff and when asked they felt supervision was important and useful. Staff said the registered manager was a good boss; not too engrossed in paperwork and approachable. Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 Page 19 Staff files were examined and found to contain all the appropriate fitness checks and identification necessary. It was recommended however that the application form used have space for an employment history with dates so gaps could be examined. There were sufficient staff on duty to meet the needs of the residents, with a cleaner also employed. The home does not have waking night cover; just two care staff sleeping in. Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Resident’s health, safety and welfare are protected at Meadowside. EVIDENCE: Staff have received all the necessary health and safety training. There were records showing all the correct maintenance and servicing checks had been carried out, and risks in the environment are monitored and acted on. Fire checks and procedures were being adhered to, and an accident book was kept appropriately. Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 Page 21 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 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 2 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Meadowside Residential Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 Page 22 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. 2. Standard 30 20 Regulation 13 (3) 13 (2) Timescale for action The laundry walls must be sealed 5th October and be washable to prevent the 2005 spread of infection. Medication must be administered 5th straight from the blister pack to September the resident, not potted up first. 2005 Requirement 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. 3. 4. 5. 6. Refer to Standard 6 24 32 34 35 Good Practice Recommendations Daily recording should reflect the aims and goals of the residents care plan. The homes maintenance and renewal plan should be updated to reflect the current issues, with timescales for action. In this instance a copy should be sent to CSCI. By 31st December 2005 at least 50 of care staff should have NVQ 2. The homes staff application form should include space for past employment with dates worked, so that gaps in employment can be explored. The Homes Induction and Foundation training should be accredited to the Learning Disability Award Framework. Meadowside Residential Home D54-D07 S3753 Meadowside V235181 260705 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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