Inspection on 03/05/05 for Millview

This inspection was carried out on 3rd May 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

Millview 16/12/08

Millview 19/12/06

Millview 12/09/05

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 Millview 38 The Street Charlwood Horley, Surrey RH6 0DF Lead Inspector Mavis Clahar Unannounced 3 May 2005 @ 8:30am rd 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. Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Millview Address 38 The Street Charlwood Horley Surrey RH6 0DF 01293 862443 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) Prospect Housing Association Limited Mrs Sarah Katherine DuMagnee CRH - Care Home 5 Category(ies) of LD - Learning Disability (5) registration, with number of places Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 - The age/age range of the persons to be accommodated will be 32 - 65 years. Date of last inspection 4th October 2004 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 fscilities are avsilable to the side and front of the property. The 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 flooors. Communal accomodation is on the ground floor and consists of a well equiped kitchen, dinning room and lounge. A small pleasantly furnished conservatory is locared to the side of the building. The home has a vechile which is used for service users to access community facilities and to participate in a range of outdoor activities. Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection to be undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. This unannounced inspection took place on the 3rd May 2005. The inspector arrived at 08.30 hours to find the service users and staffs busily making preparation for the day’s activities. The first part of the inspection was spent with those service users who were leaving to go on their various activities, followed by individual time with the remaining service users. Daily records, care plans risk assessments activities of daily living records and the new “my health book” of each service user were reviewed. A tour of the home and grounds was conducted and time was spent discussing the running of the home with staff. The service users of this home are severely disabled in that none of them can converse using verbal language. A variety of communication tools were used to enable the inspector gain an insight into how service users view their home and the care they received. One service user was particularly proud to show the inspector the newly decorated and refurnished dining room and informed the inspector he had chosen the paintings on the walls and the dining tables and chairs. The service users help in maintaining their home, which is clean and comfortable, it was apparent that the residents identified the 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. Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 Page 6 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? 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 H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 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 Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 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 2 5 The home is operating effectively with clear and consistent care planning in place to adequately provide staff with the information they need to satisfactorily meet the needs of service users. EVIDENCE: The home has reviewed and revised both the statement of purpose and the service users’ guide so that it is more user friendly for the category of service users the home caters for. A review of all five-service users file revealed sound assessments of service users needs, good plan of care to meet the identified needs, risk assessments, activity time table, tenancy agreement, service users charter of rights and communication passports. It was evident that the home has established a sound process of delivering and evaluating care and this was being enhanced by the development of the person centred planning and the named key worker approach to care. Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 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 8 9 The staffs have a good understanding of the service users support needs. This is evident from the positive relationships, which have been formed between staffs and service users. EVIDENCE: Service users are encouraged and supported to be involved in the daily running of the home, and decisions that affect their daily lives as reflected in the care plans. On the day of inspection one service user who enjoys walking and will walk miles, was accompanied on his walk. Another who likes the water was accompanied to the swimming pool, and another who likes shopping was accompanied to the super market to do the week’s food shopping for the home. It was noted that the service users all participated in bringing in the shopping and putting it away. Staffs were present and offered support and supervision through out, always being mindful of the service users choice Each service user has their own communication passport which includes words service users regularly uses and their meanings. There is also a personal health book entitled “my health book” with a recent photograph of the service user. This book contains information such as name , address, emergency contact numbers, likes and dislikes from food through clothing to recreation. Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 Page 10 These books accompany the service users whenever they leave the home. Risk assessments for each service user are well developed, includes all actions taken to minimise the risks, and ensure the safety of service users. Both care plans and risk assessments are reviewed and updated on a regular basis. Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 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 The systems for service users consultation are good with a variety of evidence that indicates that service users views on lifestyles are both sought and acted upon. EVIDENCE: Staffs encourage service users to pursue their chosen activities. None of the service users at this home have paid jobs, but one service user likes to tidy gardens and this is encouraged and enabled by key worker who accompanies the service user on these voluntary work experiences which the service user enjoys. Service users are well known in the village, they are encouraged and risk assessed to go to the local shop on their own (the shop is about twenty yards from the home) as evidenced by one service user requested money to go to the shops to get his cigarettes. Service users attend the local church, and one service user is taken to Temple whenever he wants to attend. Citizenship has now been granted to a service user who is now able to visit his family abroad. Normally his family, who resides abroad, visits as often as possible, but keep in touch on a weekly basis by telephone and e-mail. The inspector spoke with the Mother of this service user, who spoke highly of the Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 Page 12 care her off spring receives at Millview. She was particularly impressed with the newly refurbished dining room. Generally service users all keep in touch with their families and most of them spend holidays or weekend with their family. Each service users’ care plan and activity sheet sets out clear details of what service user wants to do and achieve. These include tasks about daily living such as doing the laundry, keeping their bedroom tidy to support in the community, eating out, visiting the cinema and where to go for holidays which are either abroad or in this country. Each service user has at least two weeks holidays per year Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 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 20 The personal and healthcare needs of service users are well met with evidence of excellent teamwork between service users and staffs. EVIDENCE: Service users’ care plans reveal in detail interventions and support each service user require with personal care. Physical and emotional health care needs are also documented along with visits to GP surgeries, dentist, and reviews with care manager and dietician. No service user at this home is capable of self-management or selfadministration of medication. Staffs trained to do so administer all medication. Review of all five service users medication folder revealed medications are being administered within the homes policy and guidelines. Medication Administration Records were signed and up to date. Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 Page 14 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 23 The home has demonstrated that service users are being appropriately protected, and that their views are important in the running of the home. EVIDENCE: Service users spoken to all indicated that they knew to whom they would complain if things were not going well for them. Staffs were observed listening to service users and offering help and support as necessary. The home has not received any complaints since the last inspection. The homes’ complaints policy and procedure is made available in English and also in makaton a style suitable for the needs of the service users. All members of staff have completed the Vulnerable Adults course. Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 Page 15 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 25 26 30 The home provides a good level of accommodation in a homely environment, suitable for the needs of the service users. EVIDENCE: The home was generally operated to a good standard. However, the inspector arrived to find boxes delivered still in the hallway. These were instantly removed, but a recommendation was made to remind staffs of the importance of keeping the hallway clear at all times. Service users bedrooms are furnished to the individual’s taste, are clean and tidy, and are personalised with their personal belongings. One service user indicated that he kept his room tidy. There are adequate bathrooms and toileting facilities for the use of service users. Generally, the home was clean and tidy and free of odour. Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 Page 16 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 Staff morale is good, resulting in an enthusiastic workforce that works well with service users to improve their complete quality of life. EVIDENCE: The manager ensures that the home is compliant with the requirement of the National Minimum Standards and The Care Homes Regulations (amended) 2001;in recruitment and selection of staff to ensure competent staff supports users. The homes’ training programme provides staff with the necessary knowledge and skills needed to meet the assessed needs of service users. A record of staff training is kept in each staff folder. The requirement issued on standard 33 from the last inspection has not been met, and remains outstanding. Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 Page 17 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) 37 38 39 40 41 42 The management of the home is efficient and effective. The manager and staff continue to offer a personalised service to the service users. EVIDENCE: Service users indicated that they are happy in the home and the mother of one service user with whom the inspector spoke also supported this. Staffs on duty commented that the manager was approachable, supportive and deals effectively with situations arising in the home. The manager is qualified to L4 NVQ in care and is currently undergoing the Registered Managers Award. Review of records demonstrated that the homes policies and procedures and record keeping promotes and safeguard the health, safety and welfare of service users and promote their independence. Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 Page 18 Results of service users and relatives survey have not been forwarded to CSCI. The manager explained the survey is still with the company employed to conduct the survey. A recommendation was issued on this standard 39 and it stands unchanged. Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 Page 19 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 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score x 3 2 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Millview Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 2 3 3 x x H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 Page 20 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. Standard 33 Regulation 18(1)(a) Requirement Timescale for action 04.06.05 2. 39.4 24(2) Calculate the number of hours needed to meet the assessed needs of the service users, based on gidelines from the DOH Timescale of 4th Nov.2004 not met. To supply the CSCI with the 04.08.05 results of the Quality survey conducted with service users and relatives. Timescale of 4th Nov.2004 not met. 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 24 Good Practice Recommendations To remind staff of the importance of keeping the hallway free of obstacles at all times. Millview H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 Page 21 Commission for Social Care Inspection 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 H58 H09 S59973 Millview V223472 030505 Stage 4.doc Version 1.30 Page 22 - 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. 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