Inspection on 25/06/07 for Mountview

This inspection was carried out on 25th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 06/02/06

Mountview 19/10/05

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 Ann Wiseman Unannounced Inspection 25th June 2007 10:00 Mountview DS0000006843.V324425.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 Mountview DS0000006843.V324425.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. Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Mountview Address 118 Upton Road Bexleyheath Kent DA6 8LX 020 8306 0269 F/P 020 8306 0269 frank.peet@ntlworld.com 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) Mr Frank Peet Mrs J Peet Mr Frank Peet Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th February 2006 Brief Description of the Service: Mountview is registered with the Commission for Social Care Inspection to provide personal care and accommodation for five adults with a learning disability. The home is within walking distance of Bexleyheath Broadway and local bus routes. The property consists of Residents accommodation on the ground floor and laundry and storage facilities on the lower ground floor and one of the Residents bedrooms and the owners living area is on the first floor. The building was demolished in 2001/2 and rebuilt to high standards with the needs of the Residents taken into consideration. The Home has recently reregistered and has increased the number of beds to five from three, converting an upstairs room and bathroom to be suitable for occupation by a Resident. The ground floor consists of four single bedrooms; two with separate en suite facilities and two with a shared en suite space, an open plan kitchen and dining area, lounge, toilet, group bathroom and office. At the rear of the property there is a large well laid out garden. Visitors can park on the driveway or in the surrounding residential roads subject to parking restrictions. Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place during the morning and most of the people living in the Home had gone to the day centre. One Resident was at home because she was feeling unwell. The Inspector was made welcome and facilitated by the owner who is also the Registered Manager. During the Inspection the Inspector met two of the Residents and was able to talk to a member of staff and two of the Residents family members. The house is furnished and appointed above requirement and offers comfortable, clean and homely accommodation. The number of Residents has recently increased from three to five and great care was taken to make sure that the new Residents were made welcome and that they would fit in well with the other Residents who have lived together for many years. The staff team has been increased to reflect the increase of Residents and now consists of four full time care posts and two part time ones. There is also a full time domestic post. 80 of the staff have archived NVQ qualifications in care including the Domestic staff who works with the Residents, supporting the to keep their rooms clean and tidy. The rest of the staff are working towards their NVQ. The home has a proven record of supporting the Residents to live independent and good quality lifestyles. What the service does well: What has improved since the last inspection? Since the last Inspection the home has enlarged and extra staff have joined the workforce. Another lady has joined the original only female resident and they have built up a good relationship with each other. More Risk Assessments have been carried out; they are detailed and realistic in outcome. Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 6 The policies and procedures for welcoming new residents into the home have been tested and have been found to be effective and were followed in full. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): All of this area was examined during this Inspection. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Mountview offers prospective Residents all the information they need to make an informed decision about the Home. Assessments are carried out prior to them moving in and they and their families are encouraged to visit the home and have some overnight visits to help them decide if they like it. Contracts are given to everyone living in the house. EVIDENCE: Detailed information is offered to any prospective resident about the home that includes all the required information. The assessments of the new Residents were very detailed and the Manager had taken a lot of time and effort to gather as much information as he could about each person. He was given the Local Authority assessment, he met with the Residents and their families and made an in depth assessment of his own, he also contacted the Doctor, daycentre and another interested party to ask for information. The assessment of the latest admission was still ongoing and more information was being added as the Home got to know him. The Manager has carefully ascertained whether the home could meet the needs and aspirations of each newcomer as he was determined that the increase in number of Residents would not effect the three people already living in the house in a negative way. Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 9 Those thinking of moving into Mountview were invited to view the home with their relatives and then to eat with the Residents at first, then they were able to stay overnight in the house for as many times as they needed to see if they would like it and if they would be able to get on with everyone already living there. Once they had moved in they were given contracts and terms of agreement and the new Resident was asked to sign it. Their placement was reviewed after a month. Mountview DS0000006843.V324425.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. JUDGEMENT – we looked at outcomes for the following standard(s): All of these standards have been assessed on this occasion. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Care plans are in place and people are enabled and encouraged to make decisions for themselves and to act on them. Where able, Residents are consulted on and participate in all aspects of life in the home. Risk assessments are being used to enable people to take risks as an independent lifestyle and personal information is handled appropriately. EVIDENCE: Both of the new residents files were examined in detail and the Care plans are drawn up using the extensive information gathered during the assessments, so therefore give a detailed and reflective view of the whole person. They are drawn up with the involvement of both the Resident and their families and are sighed by the residents. The Manager acknowledged that, now as his service has begun to develop and becomes larger and new care workers come on board, the Care Plans will have to include information and knowledge of the people living in the home that he Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 11 has built up over the years and has held mainly in his head and has passed on verbally. Care plans are reviewed regularly and updated as needed. People are able to make decisions for themselves and when they could be at risk, assessments are carried out to help find ways to minimise dangers. One of the Residents has a paper round that takes him into areas that leave him vulnerable. It was made sure that he became familiar with the round and that he carried a phone so that he could call for assistance if needed. Others travel independently and work. When the Owner was considering expanding the service he consulted the Residents and canvassed their opinion. When the new rooms were ready for occupation the present Residents were given the opportunity to move into them before they were offered to others. Once the perspective Residents had visited they were asked what they thought of them. Personal Information is stored in the office and staff are made aware of the importance of keeping confidences shared without endangering their well being. The Inspector was able to talk with the new full time staff member, she is experienced in working with this client group and exhibited a good understanding of their needs and she talked of their right to have their confidentiality respected but was also aware of the situations when she would need to share information disclosed with her Manager. Mountview DS0000006843.V324425.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. JUDGEMENT – we looked at outcomes for the following standard(s): All of this area was judged during this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People are give opportunities to develop personally, attend appropriate activities and are part of the local Community. Personal relationships are supported and encouraged and rights are upheld in the Residents daily lives. Healthy, well-prepared meals are offered in a comfortable and homely environment. EVIDENCE: Residents are given the opportunity to attend further education and go to a daycentre. Clubs are accessed; one of the people likes to go to a differed club almost every day and shopping trips and appropriate leisure activities are arranged. The weekend before the Inspection a Resident had left to go on holiday and on the way stopped off to visit the Glastonbury Music Festival. Something he has always wanted to do. Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 13 Contact with family and friends are enabled and encouraged; visitors are welcomed at all reasonable times. People are asked to take part in chores that are within their abilities and the staff member spoken with said that rights are upheld and that the Residents are treated with respect. She said that the manager had been very clear about the high standards he expected her to work within. The Inspector observed interaction between staff and the Residents and felt that it was done in an appropriate and friendly way. The meals offered took into account personal preferences and are offered in a way appropriate to the Resident. The dinning area is in the kitchen that overlooks the attractive garden and everyone is able to take part in the preparation for the meal. Mountview DS0000006843.V324425.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. JUDGEMENT – we looked at outcomes for the following standard(s): All of this area has been examined on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with flexible personal support in the way they would prefer it. Health care needs are met and Medication is stored and administered as required. EVIDENCE: Care plans are very detailed and show that Residents are offered support in a way that suits their needs and that they are consulted on how they wish to be cared for. Staff showed that they were able to communicate with a client who is unable to speak and were able to understand her request to go back to bed, as she was feeling unwell. She was taken to her room immediately and was observed at regular intervals and her needs met throughout the time the Inspector was at the home. Everyone is registered with the local GP and there is evidence on file that they see him as needed. Specialist support, such as Occupational Therapy and psychology, is sought where appropriate through the Bassett Centre. One person is supported to manage his own medication and it is stored in the medication cabinet with everyone else’s. The medication was inspected and found to be stored appropriately and the records to be up to date. The homeowner stated that Residents would be cared for at home and to their wishes during illness as long as their needs could be met by the home. Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Both of these standard have been looked at during this inspection. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a complaints procedure in place that safeguards Residents living in the home. EVIDENCE: There have been no complaints recorded since the last inspection nor has the CSCI received any directly at the office. The home has a complaints procedure in place. All staff have undertaken Adult Protection training. Discussion with the new staff member left the Inspector in no doubt that she understood what abuse was, knew of the whistle blowing procedure and was aware who she would need to speak to if she believed that the Manager was abusing the Residents in any way. Resident’s finances are protected from abuse by robust procedures; monies are paid directly into bank accounts that are managed on line and are audited each year. Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): All of the above standards have been judged during this visit. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is decorated and furnished to a high standard, it is very much a “home”, it is comfortable and has been built, arranged and furnished with the Residents and their needs in mind. EVIDENCE: On entering the house any visitor will be immediately impressed at the high standard of decoration and furniture in the communal areas, there are good quality and interesting ornaments, plants and flowers around the house and it was obvious that a lot of care had been taken over choosing the fixtures and fittings. The home has family pets: there were dogs and cats around that were goodnatured and who welcomed the Inspector in a calm and friendly way. The kitchen is large with sufficient room for a large dinning table and a comfortable seating area where the Residents socialise and interact while the food was being prepared. Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 17 The sitting room is also comfortably furnished with a television, video player etc and held personal possessions. The garden is accessed through French windows via the kitchen and is beautifully laid out in an interesting and accessible way. It was being maintained on the day of the Inspection. There is BBQ and garden furniture and the whole area is a welcoming place to be. In addition to basic bedroom furnishings some Residents have a sofa and large wardrobes for personal storage. Rooms have been personalised with the use of disco lights, models of vintage cars and other personal effects. The rooms are large enough to enable the occupant to have TV and music systems in their room. Two of the Residents benefit from en suite bathrooms, another two share an en suite and the fifth Resident has exclusive use of a bathroom next to his bedroom. In addition to the individual en suite facilities, there is a bathroom equipped with an appropriate hoist, which is shared. Two people use a wheelchair and have all necessary specialist equipment. The home is clean and hygienic. A domestic staff member is employed who likes to include and interact with the Residents while he works. He also works individually with them in keeping their rooms clean and tidy every week. Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): All of these standards have been examined during this visit. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a staff team that are clear of their roles, are competent and qualified. The recruitment policy is as required and staff are appropriately trained and supervised. EVIDENCE: The homeowner and his wife, two full time staff and two part time workers staff this home. One full time staff member has worked at the home for twelve years and the domestic worker has been employed for the last four years. The house has a recruitment policy in place but when it became necessary to increase the workforce the Manager decided to use agency staff. He informed the Agency of his needs and interviewed a pool of people put forward by the agency. The Manager made sure that all the necessary checks had been carried out and obtained copies of information required by the commission. The full time agency staff works exclusively for this home and the part time agency staff have the hours they work elsewhere monitored. Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 19 When the need arises an ex employee carries out bank duty. All are aware of their roles and records show that enhanced CRB and POVA checks have been done for all permanent staff. All staff in the home are qualified or working towards the required qualification, including the domestic worker who has also undertaken his NVQ 2 in care. Other training takes place as the needs of a small establishment allow and includes Epilepsy, First Aid, Infection Control, Medication Administration and Food Hygiene. Staff are supervised regularly. Mountview DS0000006843.V324425.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): All of this section has been addressed at this Inspection. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The Service Users benefit from a caring ethos in a home that is well run, organised and safe. EVIDENCE: The homeowner has worked with the majority of this group of residents for many years and has known them since they were children. He states that his aim is to offer a quality service that is inclusive and suited to each individual in a way that is as home like as possible. It is the Inspectors belief that he has gone a long was in providing that. He has welcomed new Residents into the home in an inclusive way and has adhered closely to the homes procedure in this area. Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 21 Residents are regularly asked their view of the service they receive both formally and informally. The Service User’s families are also canvassed. The Residents observed appeared relaxed and happy. The Inspector spoke to two family members over the phone at a later date and both were happy with the service offered by Mountview and considered themselves lucky that their relatives had been able to live there. Policies and Procedures that were examined were full and comprehensive and Residents can be confident that they would safeguard their rights and best interests. A random sample of Health and Safety records were inspected and were found to be in order. Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 22 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 4 3 4 4 4 5 3 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 4 25 4 26 4 27 4 28 4 29 3 30 4 STAFFING Standard No Score 31 4 32 3 33 4 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 3 3 LIFESTYLES Standard No Score 11 4 12 4 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 3 4 4 3 4 3 3 4 Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 23 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 Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Mountview DS0000006843.V324425.R01.S.doc Version 5.2 Page 25 - 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!