Inspection on 19/10/05 for Mountview

This inspection was carried out on 19th October 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

Mountview 24/07/09

Mountview 25/06/07

Mountview 06/02/06

Mountview 27/01/05

Mountview 04/08/04

Mountview 04/03/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Mountview 118 Upton Road Bexleyheath Kent DA6 8LX Lead Inspector Lorraine Pumford Unannounced Inspection 19th October 2005 14:30 Mountview DS0000006843.V250003.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 Mountview DS0000006843.V250003.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. Mountview DS0000006843.V250003.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Mountview Address 118 Upton Road Bexleyheath Kent DA6 8LX 020 8306 0269 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) frank.peet@ntlworld.com Mr Frank Peet Mrs J Peet Mr Frank Peet Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Mountview DS0000006843.V250003.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 Male or Female - LD (Learning Disability) Date of last inspection 27.1.05 Brief Description of the Service: Mountview is registered with the Commission for Social Care Inspection to provide personal care and accommodation for three adults with a learning disability. The home is within walking distance of Bexleyheath Broadway and local bus routes. The property consists of service users accommodation on the ground and lower ground floor and the owners living area on the first floor. The building was demolished in 2001/2 and rebuilt with the needs of the current service users taken into consideration. The ground floor now consists of four single bedrooms; two with separate en suite facilities and one with shared en suite space, an open plan kitchen and dining area, lounge, toilet and office. There is a laundry and storeroom on the lower ground floor. At the rear of the property there is a large garden. Visitors can park on the driveway or in the surrounding residential roads subject to parking restrictions. Mountview DS0000006843.V250003.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken by one inspector who was in the home from 2.30pm until 5.30 pm. During that time the homeowner and service users were spoken with, some records were examined and parts of the premises inspected. All Registered Care Homes receive a minimum of two inspections within a 12 months period, as this inspection may not have covered all the “National Minimum Standard” on this occasion, should further information be required it is recommended that a copy of the last inspection report also be obtained. What the service does well: What has improved since the last inspection? Since the last inspection the homeowner has addressed issues raised in respect of risk assessments for service users and intends to continue developing this further. Issues in relation to staff training have also been addressed with two members of staff enrolling on an NVQ 2 course. The manager has successfully completed National Vocational Qualification level 4 in management. Mountview DS0000006843.V250003.R01.S.doc Version 5.0 Page 6 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. Mountview DS0000006843.V250003.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 Mountview DS0000006843.V250003.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): 1,2,5 Service users and their relatives are provided with documentation regarding the fee, facilities and services provided. A Contract of residency ensures that both partys rights and responsibilities are protected. EVIDENCE: Records provided to the CSCI indicate that the home has a Statement of Purpose and a Service User Guide. The homeowner stated that each service user has been provided with a Service User Guide and relatives have also been given a copy of this document. The service users have lived together being cared for by the current provider for the last 15 years. The homeowner stated that in the event of any new service users being admitted to the home and in-depth assessment would be done prior to the persons admission. Documentation seen indicates that the homeowner has a contract with Bexley Council Social Services Department in relation to the care, services and accommodation provided. The homeowner has developed a contract between himself and the service users, this is headed terms and conditions of residency and details both parties Mountview DS0000006843.V250003.R01.S.doc Version 5.0 Page 9 rights and responsibilities. This is in a much more user-friendly format and the copy seen had been signed by the service user. Mountview DS0000006843.V250003.R01.S.doc Version 5.0 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, 9, 10 Service users are provided with a care plan and there was evidence that care needs are regularly reviewed. Service users can be assured that information regarding them is held securely. EVIDENCE: Care records for one of the service users were examined. The current format focuses around the service users strengths and needs. The homeowner stated he is looking to change the format to include individual outcomes for service users. Whilst the record does not include an entry each day, it was apparent that regular entries were being made focusing on significant events in relation to service users health, activities and general demeanour. There was evidence that regular reviews are taking place and service users and their relevant health and social care professionals are involved in this process. Mountview DS0000006843.V250003.R01.S.doc Version 5.0 Page 11 Discussion took place in relation to risk assessments. A requirement had been made regarding this issue at the time of the previous inspection. It was apparent that risk assessments are taking place. Evidence was seen that a risk assessment had been undertaken with relevant parties regarding behaviour exhibited by a service user at a day centre. Evidence was seen of risk assessments to develop safety and independence in relation to a service user and the security of the premises. Further a risk assessment had been completed regarding a service user undertaking a paper round to help the service user to develop appropriate ways to deal with bulling by local youths. Advice was given that evidence was required to highlight the risk assessments were being reviewed and updated along with the care plans. Records were kept securely when not in use. The homeowner was a where of the requirements of the Data Protection Act 1998. Mountview DS0000006843.V250003.R01.S.doc Version 5.0 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): 12,14,15 Service users have appropriate social and leisure activities and are enabled to spend time with family and friends. EVIDENCE: From records seen and discussion with service users it is apparent that they are provided with a number of opportunities to participate in regular social and leisure activities. Two of the service users have had holidays this year, which they were keen to tell the inspector about. The third service user who has a high degree of physical disability spent a week away from the home in a suitably equipped respite care unit. From discussion with service users it is apparent they are able to spend time participating and exploring personal hobbies and interests. Mountview DS0000006843.V250003.R01.S.doc Version 5.0 Page 13 All service users attend local day centres, one service users spends period of time each week employed at a local super market. From discussion with service users it is apparent they are able to maintain relationships of their choosing and the degree of contact that wish to have with friends, family and peers. Mountview DS0000006843.V250003.R01.S.doc Version 5.0 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): 18,19,20 Service Users personal needs are met in private, and their dignity is protected. The storage, administration and recording of medication safeguards service users. EVIDENCE: From discussion with the homeowner and record seen it is apparent that service users receive regular health care checks from community practitioners. Records seen indicate the degree of assistance service users require with personal care. Service users requiring assistance with personal care are assisted in private. Service users were dressed in age appropriate clothes, it was apparent that staff had assisted service users to attain their individual preference. The homeowner stated that when he is away on annual leave a detailed plan and timetable of activities is provided for staff working in the home during the period of his absence. Mountview DS0000006843.V250003.R01.S.doc Version 5.0 Page 15 The small number of staff employed by the homeowner ensures that service users who require assistance with personal care are receiving consistent and continuing support from regular members of staff. Only one of three service users requires medication on a regular basis. Medication is appropriately stored in a locked cupboard when not in use; records seen in relation to the administration of medication were appropriately maintained. Discussion took place in relation to one service user who has an additional physical disability. The homeowner stated that the service user had been assessed as requiring a modified Zimmer approximately 2 years ago however, in spite of regular contact with the physiotherapy department a suitable piece of equipment has failed to be provided. The homeowner voiced concern that during this period of time the service users overall mobility had continued to deteriorate, impacting on her general physical health and well-being and therefore ultimately the service user was failing to attain the quality of life she would be able to have had the equipment being provided. The homeowner stated that he will continue to liaise regularly with the physiotherapy department responsible for providing this equipment and was asked to keep the CSCI informed of the situation. Mountview DS0000006843.V250003.R01.S.doc Version 5.0 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): 22,23 There is a complaints procedure in place which safeguards service users living in the home. Staff working in the home need to receive training regarding current practice in relation to adult protection issues. EVIDENCE: The homeowner stated that relatives have been provided with copies of the homes complaints procedure. To date the CSCI have not received any complaints regarding this home. Documents seen indicated that the homeowner has obtained copies of Bexley Councils guidelines on adult protection and developed a policy in relation to whistleblowing. A recommendation was made at the time of the last inspection advising the homeowner to obtain formal training in relation to current adult protection guidance. The manager stated that as yet due to other training commitments it had not been possible to organise this. The homeowner was advised to contact the recently appointed Bexley Council Adult Protection Coordinator and the CSCI website regarding training opportunities which are currently being arranged. Mountview DS0000006843.V250003.R01.S.doc Version 5.0 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): 24,25,26,27 Service users are provided with a comfortable homely and well-maintained environment with sufficient communal and personal space. EVIDENCE: Service users accommodation is situated on one level comprising of a large kitchen diner and lounge which is comfortably and appropriately furnished. On the day of the inspection all communal areas were clean, light and bright. Each service users bedroom consists of a well-equipped and comfortable room, two have ensuite facilities. Two service users permitted the inspector access to their rooms. In addition to basic bedroom furnishings each service user has a sofa and large wardrobes for personal storage. Service users demonstrated how they had personalised their bedrooms with the use of disco lights, models of vintage cars and other personal effects. The rooms are large enough to enable service users to have TV and music systems in their room. Mountview DS0000006843.V250003.R01.S.doc Version 5.0 Page 18 In addition to the individual ensuite facilities, there is a bathroom equipped with an appropriate hoist, which the service users share between them. Service users stated they had participated in choosing the décor of their room and stated they had everything they required in the room provided. Service users bedroom doors need to comply with current fire prevention standards. Two bedroom doors require adjustment to ensure that they close fully. The homeowners stated that this would be addressed. Mountview DS0000006843.V250003.R01.S.doc Version 5.0 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): 32,35 Sufficient staff are employed to meet the current needs of the service user group accommodated. EVIDENCE: The homeowner stated that since the last inspection he has secured a place to enable the member of care staff employed to commence an NVQ 2 course in care. The homeowner stated that a person primarily employed to undertake domestic tasks in the home has also expressed an interest in undertaking formal training. In addition to general household tasks this member of staff spends time working directly with service users on a one-to-one basis to improve service users daily living skills in respect of maintaining cleanliness of their own rooms. It is commendable that this member of staff has been encouraged to commence an NVQ 2 course in care. General discussion took place around training. The homeowner expressed the difficulty for a small home in covering periods when staff are required to be away on training, however staff have recently managed to attend training regarding epilepsy and health and safety. Mountview DS0000006843.V250003.R01.S.doc Version 5.0 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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 The home is managed by a suitably qualified person. EVIDENCE: The certificate seen indicated that the manager has successfully completed National Vocational Qualification level 4 in management since the last inspection. The atmosphere in the home was relaxed and friendly good interaction was observed between the homeowner and service users. Mountview DS0000006843.V250003.R01.S.doc Version 5.0 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x 3 Standard No 22 23 Score 3 2 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x x x LIFESTYLES Standard No Score 11 x 12 3 13 x 14 3 15 3 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Mountview Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x DS0000006843.V250003.R01.S.doc Version 5.0 Page 22 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 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. 1 2 Refer to Standard 18 23 Good Practice Recommendations Service users must be provided with the equipment they have been assessed as requiring. All staff working in the home should be provided with training regarding current adult protection policies and procedures. Mountview DS0000006843.V250003.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Mountview DS0000006843.V250003.R01.S.doc Version 5.0 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. 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