Inspection on 09/08/06 for The Mews

This inspection was carried out on 9th August 2006.

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

The Mews 06/09/07

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 Mary Slattery Key Unannounced Inspection 9th August 2006 10:40a Mews The DS0000063609.V307748.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.V307748.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.V307748.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 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.V307748.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 10th January 2006 Brief Description of the Service: The Mews is owned by Franklin Homes Limited and is registered to provide personal care and accommodation for up to 5 service users with learning disabilities. 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 £1,377 to £3,369 and extra charges are made for transport, hairdressing and newspapers. The information was provided by the deputy manager in the pre inspection questionnaire. Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report follows an unannounced site visit undertaken on the 9th August 2006. This was carried out by 1 Regulatory Inspector and took five hours plus 4 hours preparation time. A number of the services users completed the service user surveys at the time of the site visit. They said they had the support they needed from the staff, that the staff listened to them and they liked living in the home. The site visit comprised of a full inspection of the premises and facilities. The case records of four service users were looked at, which included the pre admission assessment, risk assessments, care and social plan. A selection of the homes’ records were looked at, which included polices and procedures, staff records, staff rota, menus, medication and health and safety records. Time was spent talking to four service users, four members of staff and the registered manager. Time was also spent in the sitting and dining rooms observing the activity and interaction between the service users and the service users and staff. Information was also used from the Regulatory Inspectors inspection record, which detailed the history of the home and relevant information about what has been happening in the home since the previous inspection visit. The focus of the inspection was on a number of the key standards, inspecting the case records of a number of the service users to establish whether they corresponded to their experiences of life in the home. The registered manager was available throughout the site visit and the findings were discussed with her at the close of the visit. The requirements made at the previous inspection of the service have been met. No requirements or recommendations were made at this site visit. Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? What they could do better: Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 7 The issues raised at the previous inspection of 10th January 2006 have been addressed as required. There were no issues of concern raised at this most recent inspection of the service. 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. Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 8 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.V307748.R01.S.doc Version 5.2 Page 9 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 and 4. Quality in this outcome area was good. The judgement has been made using available evidence and a visit to the service. Service users know what the home offers to provide and their needs will be assessed before they move in. EVIDENCE: Copies of the statement of purpose and service user guide were available in the home and the manager said that all prospective service users and/or their representative are provided with copies to help them make a decision to move in. The policy of the home is that all prospective service users will have their needs assessed before admission to make sure that the staff have the skills to meet their needs. Arrangements are made for people to visit the home, look at the accommodation and to be introduced to the staff and other service users. The assessment records of four service users were looked at and there was clear information about their conditions, their health and social care needs and any known risks to safety. Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 10 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 and 10. Quality in this outcome area was good. The judgement has been made using available evidence and a visit to the service. Service users are involved in the development of their care plans and have the support they need form the staff. EVIDENCE: Four service users were case tracked and their care plans had up to date information about the type and level of care and support they need, their hobbies, interests and daily living activities. The plans described what they did independently and any restrictions on choice and freedom. Risk assessments were in place with specific procedures for the management of challenging behaviour and for the protection of service users likely to be aggressive or cause self-harm. Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 11 The service users have individual support from the staff and daily records gave information about the support and guidance they have both in the home and in the community. The service users know that information about them is recorded and all of the records are held in a secure place. The care plan records showed that multidisciplinary care reviews are carried out on a regular basis and the outcomes of those reviews are recorded and any recommendations made acted upon. The service users were happy to engage in conversation for short periods of time and they told me they were content living in the home, that the staff always listen and they have a lot of support. The service users have support from the staff with the management of their personal finances and they have access to their monies at all times. Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 12 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, 13, 14, 15 and 16. Quality in this outcome area was good. The judgement has been made using available evidence and a visit to the service. Service users have the support and guidance they need to enjoy a wide range of activities and to lead full and active lives. EVIDENCE: The staff, the statement of purpose and the policies and procedures gave information about what opportunities will be available for service users development, social activities, education and contact with family and friends. The service users care plans gave information about how they live their lives each day and what they will be doing. The activities are based on what service users enjoy and in the order they wish to carryout daily living tasks and leisure activities. The service users have the support from the staff with their daily living activities, which includes their personal care, some domestic tasks and social Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 13 and leisure activities of their choice. A number of the service users need the support of two members of staff when they are out of the home and the support of one member of staff in the home. There is a large garden and all of the service users have their own plot for growing vegetables and seating areas when they want to be on their own. Their care plans gave information about what they like to eat and any special dietary need they have. All of the service users are involved in preparing meals and the staff and service users take their meals together. The lunchtime meal was observed and staff offered the service users choice and the meal was unhurried and a pleasant time for both service users and the staff. The staff were also observed treating the service users in a respectful manner and informing them about what was going on in the home the rest of the day. Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area was good. The judgement has been made using available evidence and a visit to the service. Service users health care needs are met and they are treated with respect. EVIDENCE: The care plans looked at gave good information about the service users health and personal care needs and the level of support they need from the staff. They have differing levels of support with their personal care and this is carried out by staff in accordance with their plans. Service users choose their own clothes and decide when they rise and retire. Their records gave information about the contact with GPs’, care managers and any hospital appointment. The staff have built up good relationships with health care professionals and seek advice and guidance as needed and the records reflected how challenging behaviour is managed. Multidisciplinary care reviews have been held and the outcome recorded. Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 15 The Nomad medication system is used and the system and facilities for recording and safekeeping were appropriate. None of the service users administer their own medication. The staff responsible for administering medication have had training. Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 16 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 and 23, Quality in this outcome area was good. The judgement has been made using available evidence and a visit to the service. Service users know their complaints will be heard and they are protected by the homes recruitment procedures. EVIDENCE: The home has a complaints policy and procedure and there have been no recent complaints made against the service. Service users and visitors are informed about how to make a complaint, this information is in the statement of purpose and displayed in the home. Information gathered form the service users surveys show that the staff listened to them when they have been unhappy about anything. The staff records showed that the required CRB and POVA checks had been carried out and that hey have attended abuse awareness training. The staff confirmed that hey had attended the training and that they were clear about the reporting procedure. Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 17 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 26and 30. Quality in this outcome area was good. The judgement has been made using available evidence and a visit to the service. Service users live in a comfortable safe environment with their personal possessions around them. EVIDENCE: An inspection of the communal parts of the home and the bedrooms of four service users took place. The home was clean and tidy and there were systems in place for infection control. There is a range of communal space where service users can meet together to watch television, listen to music or spend quiet time on their own. The service users bedrooms are designed and furnished to meet their individual needs and there was plenty of space for their personal belongings. There is a well-equipped kitchen and dining room, a separate laundry, manager’s office and staff sleeping in rooms. Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 18 There is a maintenance and renewal programme and work currently underway is the refurbishment of service user accommodation. When completed it will comprise of a bedroom, sitting room, bathroom and kitchen. One of the service users currently living in the home will move in when the work has been finished. The service user has been involved in choosing the décor and fixtures. There is large private garden and parking space for visitors and staff. The required safety checks have been carried out and the certificates in place. Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 19 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, 32, 34, 35 and 36. Quality in this outcome area was good. The judgement has been made using available evidence and a visit to the service. Service users needs are met by a well-trained and motivated staff group. EVIDENCE: There were five staff on duty plus the registered manager at he time of the site visit and the staff rota showed that there are sufficient numbers of staff on duty during the day and overnight. Each service users have the support of one member of staff in the home and some have support from two members of staff when they are out of the home. The staff records inspected showed that all staff had a completed application form, relevant references were taken up and the required CRB and POVA checks had been done. The records also confirmed induction, training and development and supervision. The senior members of staff have responsibility for the day-to-day activity, monitoring staff performance and keeping records. All of the staff spoken to confirmed that they had training opportunities, regular supervision and attend staff meetings. Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 20 Training achieved included NVQ Level 2, health and safety, autism, management of challenging behaviour, first aid, fire safety, medication and COSHH. Al of the staff said they are supported by the manager. Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 21 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, 40 and 42. Quality in this outcome was good. The judgement has been made using available evidence and a visit to the service. Service users benefit from a well managed home where their needs and wishes are put first. EVIDENCE: The registered manager has completed the Registered Managers Award and has a experience in managing a service for people with learning disabilities The registered manager is responsible for the day-to-day management of the home, recruitment and selection of staff and management of the homes budget, which includes food, domestic items, minor maintenance emergency repairs and staffing. The registered manager has time to carryout management tasks, staff supervision and monitoring of the direct care to service users. Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 22 She is supported in her management role by the deputy manager and senior staff. The responsible individual visits the home on a regular basis and to monitor and audit the service and produces a report on the conduct of the home and spends time with the manager in supervision. There is a quality audit and a quality monitoring system and the views of service users, relatives and other stakeholders are being sought. All of the required records were in place, up to date and kept secure. Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 23 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 N/A 4 3 5 N/A 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 3 26 3 27 N/A 28 N/A 29 N/A 30 3 STAFFING Standard No Score 31 3 32 3 33 N/A 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 N/A 13 3 14 3 15 3 16 3 17 N/A PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 N/A 3 3 3 3 N/A 3 N/A Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? No. 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. Refer to Standard Good Practice Recommendations Mews The DS0000063609.V307748.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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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