Inspection on 06/09/07 for The Mews

This inspection was carried out on 6th September 2007.

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

The Mews 09/08/06

The Mews 10/01/06

The Mews 10/08/05

The Mews 10/03/05

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Mews The Main Street Bessingby Bridlington East Yorkshire YO16 4UH Lead Inspector Rob Padwick Key Unannounced Inspection 6th September 2007 1:30 Mews The DS0000063609.V346810.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 Mews The DS0000063609.V346810.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. Mews The DS0000063609.V346810.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mews The Address Main Street Bessingby Bridlington East Yorkshire YO16 4UH 01262 605340 01262 605340 marianne@franklinhomes.co.uk 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) Franklin Homes Limited Miss Marianne Wardle Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Mews The DS0000063609.V346810.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th August 2006 Brief Description of the Service: This service is owned and operated by Franklin Homes Limited and is registered to provide personal care and accommodation for up to 5 service users with learning disabilities. Most of the people living in the home have complex needs. The home is a large building and has 3 bedrooms and 2 self contained flats. There is a variety of communal space a large garden and private parking for visitors and staff. The Mews is located in the small village of Bessingby and within driving distance of the seaside town of Bridlington and is amenities and leisure facilities. The home has its own transport. The current scale of charges is £1,300 to £3,369 and extra charges are made for transport, hairdressing and newspapers. The Mews provides information about the home to service users in its Statement of Purpose and Service User Guide. Mews The DS0000063609.V346810.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report is based on information received by the Commission for Social Care Inspection (CSCI) since the last key inspection of the home on 8th September 2006, including information gathered during a site visit to the home A questionnaire asking for information about the service was sent to the provider before the inspection visit and information from this was included as part of the inspection process. Other information used, included feedback from people living in the home and from questionnaires sent to relatives and professional staff who know them well, together with official notifications received by the Commission for Social Care Inspection about the home. The inspection visit for this service lasted for 5.5 hours and during this period, time was spent talking with people living in the home and observing their daily lives. Other time was spent looking at their care plans and other records and talking to staff and relatives who were visiting. The inspection visit also included a tour of the properties. What the service does well: What has improved since the last inspection? Improvements to the building have continued to be developed to ensure people living in The Mews have an environment that meets their needs safely. A new system of care planning has been developed to ensure the needs of people living in the home are better assessed and the amount of activities available for them have been extended so that they have a better choice of Mews The DS0000063609.V346810.R01.S.doc Version 5.2 Page 6 what to do. Staff have continued to receive training and they now receive specialist advice about how they can support the individual needs of people living in the home better. 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. Mews The DS0000063609.V346810.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 Mews The DS0000063609.V346810.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): 1, 2 and 4 People who use this service experience good outcomes in this area The needs of people living in the home are assessed to ensure the service is suitable for them and information about the home is available to help them make an active choice about moving in. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A recent Community Care Assessment and Care Plan had been obtained for a person moving into the home that day to help the manager confirm whether the service was suitable to meet their needs. People living in the home indicated they were able to visit and stay over before moving in, to make sure the service was right for them. Recently updated information about the service had been developed to help people make an informed decision about moving into the home. Mews The DS0000063609.V346810.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 People who use this service experience good outcomes in this area. People living in the home were involved in the development of their care plans to ensure that their individual needs and choices can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We inspected the case files of three people living in the home and all contained comprehensive information about a range of their individual health, emotional, psychological and social needs. The provider organisation had recently implemented a “Circle of Life” Personal Centred Planning system that focussed on the strengths of people living in the home, together with strategies aimed at developing and maximising their opportunities for independence. Documentation was contained in the case files of regular meetings held with people living in the home and their key workers, to ensure they continued to have input into the type of support that was required and confirm that the care plans were right for them. The group of people living in the home have a generally highly complex set of needs and this sometimes makes it difficult for them to communicate their views easily. However observation indicated that Mews The DS0000063609.V346810.R01.S.doc Version 5.2 Page 10 staff had a good understanding of these and close monitoring of daily recordings about people living in The Mews were included in the case files inspected. Aspects relating to the management of risks to people living in the home were included in the case files and observation and discussion with them indicated they were included in decisions and choices about these that were appropriate to their levels of understanding. Mews The DS0000063609.V346810.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 People who use this service experience good outcomes in this area. People living in the home were being supported towards independence and involved in decisions to ensure their lifestyle needs were met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home indicated they could make choices about what they did and observation confirmed they were supported in making decisions about their lives. The case files inspected contained evidence that people living in the home participated in community activities with regular participation in such things as swimming, bowling, walks or going to the pub with their keyworker. One of the people living in the home attended a specialist community resource one day a week and information provided by the manager indicated that plans were in place to extend this and broaden the range of lifestyle opportunities available, which is in line with relative feedback received as part of the inspection process. Routines were flexibly based and geared around the needs of people living at The Mews. Staff were observed helping them to develop Mews The DS0000063609.V346810.R01.S.doc Version 5.2 Page 12 their independent living skills and carry out tasks such as washing up and tidying their rooms, in order their rights and responsibilities to each other were recognised. Artwork created by people brightly adorned some of their bedrooms and discussion with them indicated they liked going out with staff. Comment cards received from relatives were generally positive and evidence was seen in the case files, that people living at The Mews were supported to maintain regular family contact. A menu system documented a range of nutritious meals and discussion with people indicated the food was of good quality and that they were able to contribute to the choice of what was to be served. Mews The DS0000063609.V346810.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, 19 and 20 People who use this service experience good outcomes in this area. The wishes and feelings of people living in the home were being respected to ensure that their individual health and personal care needs were appropriately met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Information about the health and personal care needs of people living in the home were included in the case files inspected. These carefully documented their individual needs and preferences, together with guidance to staff on the way that they liked their support to be given. People living in the home confirmed they were happy with the way these were provided, and on the day of this inspection visit two of them had visited the doctor for check ups and reviews of their medication. Feedback from professionals associated with the service indicated satisfaction with the home and evidence was seen of close working with them to ensure that the health and personal care needs of the people living in the home were met. The case files inspected contained input from a psychologist in order to give specialist guidance for staff and evidence was seen of staff undertaking refresher courses on the safe use and handling Mews The DS0000063609.V346810.R01.S.doc Version 5.2 Page 14 of medicine. All medication kept in the home was securely stored in a locked cupboard and records for these were being accurately maintained. Mews The DS0000063609.V346810.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 People who use this service experience good outcomes in this area. The concerns of people living in the home were taken seriously and they were safeguarded from abuse by staff that had received training about the protection of vulnerable adults. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Policies and procedures were available to ensure people living in the home were protected from abuse and their concerns taken seriously. The policies however, were not in a format that was easily understandable to them and it is recommended they be developed to help with this. The Commission for Social Care Inspection had not received any complaints about the service since the last inspection visit and the home’s book for these contained evidence of actions taken, to resolve the one complaint that been received. Information provided by the manger, indicated staff had received training on the protection of Vulnerable Adults and confirmation of this was seen in the staff files inspected. Staff were observed to have good relationships with the people living in the home and discussion with them indicated they would act appropriately if they suspected any abuse. The incident records contained evidence of a significant reduction in the amount of times staff had needed to restrain people living in the home who were challenges the service, with the provision of specialist advice to them from a psychologist recruited by the provider organisation. The records of money held on behalf of people living in the home indicated appropriate procedures were being followed to ensure their financial interests were safeguarded. However, a very small error was found in these and a requirement is therefore made about this. Mews The DS0000063609.V346810.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 People who use this service experience good outcomes in this area. People living in the home were provided with an environment that was clean, homely and comfortable and safely meeting their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: People living in the home said they liked living at the Mews, which was warm and clean on the day of this inspection visit. Improvements had been made to the building, which included new carpets being laid and redecoration throughout the home. Bedrooms were comfortable and equipped with items of personal belongings together with artwork that people living in the home had made. Regular checks of equipment were being carried out and maintenance certificates inspected were up to date to ensure people in the home were kept safe from harm. Information provided by the manager indicated staff had not recently had training on infection control, but that a plan was in place to ensure this was appropriately delivered to them. Mews The DS0000063609.V346810.R01.S.doc Version 5.2 Page 17 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 People who use this service experience good outcomes in this area. Staff had been provided with training to ensure they could do their jobs and been safely recruited safely to ensure people living in the home were safeguarded from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Observation indicated that positive relationships existed in the home and discussion with people living in the home indicated they trusted staff to ensure that their needs were met. Staff demonstrated a sound understanding of the needs of the individual’s living at The Mews and discussion with them indicated they were committed to doing their jobs well. The staffing ratios enable one to one attention to be given to people living in the home and evidence of this was recorded in the case files inspected. The file of a newly recruited staff member included evidence of an appropriate induction and foundation programme which was being undertaken whilst that of another staff member, contained evidence of various specialist courses that had been provided to ensure staff were equipped with skills needed to ensure the needs of the people living in the home could be met. A training programme for staff had been developed and information provided by the manager indicated that this would be updated Mews The DS0000063609.V346810.R01.S.doc Version 5.2 Page 18 to ensure they received updated infection control training and discussion with her indicated that over 50 of them had obtained an NVQ at level 2 or above. Recruitment policies and procedures were available to ensure staff were safe to work with people living in the home and staff files inspected contained evidence that these were being appropriately followed. Mews The DS0000063609.V346810.R01.S.doc Version 5.2 Page 19 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 People who use this service experience good outcomes in this area. Administrative and management systems were being appropriately maintained to ensure the welfare of people living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is registered with the Commission for Social Care Inspection and qualified to manage the service. Staff and people living in the home confirmed they had confidence in her and evidence of good communication with them was available in the minutes of meetings held, to ensure that they were consulted about the home. A business plan was available and feedback from those connected with the home were contained in the Quality Assurance systems, to ensure their views could be considered as part of the monitoring of the service. Regular checks of equipment were being carried out and a Mews The DS0000063609.V346810.R01.S.doc Version 5.2 Page 20 random inspection of the maintenance certificates confirmed these were up to date in order to ensure the health and safety of people living in the home. Mews The DS0000063609.V346810.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 X 4 3 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 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Mews The DS0000063609.V346810.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? N/A 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 YA23YA23 Regulation 20 Requirement The registered person must ensure that accurate records are kept of money held on behalf of people living in the home, in order that their financial interests are safeguarded. Timescale for action 06/09/07 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 YA22YA22 Good Practice Recommendations The registered person should develop the home’s key policies (including complaints) into a format that is more accessible to people living in the home, in order that they can understand their rights better. Mews The DS0000063609.V346810.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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 Mews The DS0000063609.V346810.R01.S.doc Version 5.2 Page 24 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!