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Inspection on 12/09/05 for Millview

Also see our care home review for Millview for more information

This inspection was carried out on 12th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The atmosphere in the home is warm and friendly; this helps the service users to know and understand that this is their home. Service users are supported in a positive way to make choices and enjoy their chosen activities. Each service user is allocated a named key worker and care plans are kept up to date with review of care as necessary. Each service user has their personal communication passport, which documents words regularly used by service users and their meanings. The inspector found this very helpful in communicating with service users. The staff has enabled and supported service users to participate in a wide variety of social activities such as going to the pubs, restaurants, the cinema day centres doing voluntary work, attending church, and temple and keeping in touch with families and friends.

What has improved since the last inspection?

New banisters have been installed, and new down lighters have also been installed in the hallway. Two new divan beds have been purchased for the use of the service users. Developed a buddy home system, and attempting to maintain good interaction with service users from this home. One service user will be going on holidays with a service user from the buddy home. The home hosted the Prospect fete day on the 2nd July 2005 which was very successful.

What the care home could do better:

The home has consistently offered a good standard of care and support to the service users. No requirements were made during this inspection. During discussion with the service manager and the home manager, it was identified that the menu as presented did not give an accurate indication of the variety of foods the service users consumed. It was agreed that menu documentation is an area that could be improved.

CARE HOME ADULTS 18-65 Millview Millview 38 The Street Charlwood Horley Surrey RH6 0DF Lead Inspector Mavis Clahar Announced Inspection 12th September 2005 09:00 Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Millview Address 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) Millview 38 The Street Charlwood Horley Surrey RH6 0DF 01737 765800 Prospect Housing and Support Services Mrs Sarah Katherine DuMagnee Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The age/age range of the persons to be accommodated will be: 32 65 years. 3rd May 2005 Date of last inspection Brief Description of the Service: Millview is a large detached house situated in the village of Charlwood, with a large secluded and landscaped garden to the rear of the property. Car parking facilities are available to the side and front of the property. The home consists of five single bedrooms, which are decorated and furnished according to the service users’ choice. Ample bathroom and toileting facilities are situated on both floors. Communal accommodation is on the ground floor and consists of a wellequipped kitchen, dining room and lounge. A small pleasantly furnished conservatory is located to the side of the building with access from the lounge. The home owns a vehicle which is used for service users to access community facilities and to participate in a wide range of outdoor activities. Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to march 2006. This announced inspection took place on the 12th September 2005. The inspector arrived to find some service users had already left for their daily pursuits, whilst others were in the process of getting ready to leave. Two service users remained at the home as they indicated their wish not to go out today. The first part of the inspection was spent with the service manager and home manager followed by time spent with one service user. The second part was spent reviewing service users financial records, which were all correct as documented, reviewing areas of the pre inspection questionnaire, which were unclear. A tour of the home and grounds was conducted, and time was spent discussing the running of the home with care workers. The service users of this home are severely disabled in that none of them can converse using verbal language. The staff and the inspector used a variety of communication tools to gain information from the service users. The service users help in maintaining their home, which is, clean and tidy; it was evident that the service users identified their home as their property. What the service does well: The atmosphere in the home is warm and friendly; this helps the service users to know and understand that this is their home. Service users are supported in a positive way to make choices and enjoy their chosen activities. Each service user is allocated a named key worker and care plans are kept up to date with review of care as necessary. Each service user has their personal communication passport, which documents words regularly used by service users and their meanings. The inspector found this very helpful in communicating with service users. The staff has enabled and supported service users to participate in a wide variety of social activities such as going to the pubs, restaurants, the cinema Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 6 day centres doing voluntary work, attending church, and temple and keeping in touch with families and friends. 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. Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 1 2 5 were assessed on the last inspection. EVIDENCE: For information on these standards please refer to the report of 30th May 2005. Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6 7 8 9 were assessed at the last inspection. EVIDENCE: For information on these standards please refer to the report of 30th May 2005. Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17. The meals in this home are good offering both choice and variety and catering for special dietary needs. EVIDENCE: Care workers encourage service users to make their own choices and this is reflected in the variety of foods the service users receive. The home provides three main meals per day with snacks of fruit, soft drinks, tea coffee and biscuits throughout the day. On the day of inspection there was a good supply of food, in the home. Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18 19 20 were assessed at the last inspection. EVIDENCE: For information on these standards please refer to the report of 30th May 2005. Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 23 were assessed at the last inspection. EVIDENCE: For information on these standards please refer to the report of 30th May 2005. Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 25 26 30 were assessed at the last inspection. EVIDENCE: For information on these standards please refer to the report of 30th May 2005. Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32 34 35 were assessed at the last inspection. EVIDENCE: For information on these standards please refer to the report of 30th May 2005. Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37 38 39 40 41 42 were assessed at the last inspection. EVIDENCE: For information on these standards please refer to the report of 30th May 2005. Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Millview Score X X X X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000059973.V249812.R01.S.doc Version 5.0 Page 17 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. 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 Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Surrey Area Office The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Millview DS0000059973.V249812.R01.S.doc Version 5.0 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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!