Inspection on 06/02/06 for Mountview

This inspection was carried out on 6th February 2006.

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

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

Other inspections for this house

Mountview 24/07/09

Mountview 25/06/07

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 6th February 2006 15:30p Mountview DS0000006843.V278173.R01.S.doc Version 5.1 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.V278173.R01.S.doc Version 5.1 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.V278173.R01.S.doc Version 5.1 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.V278173.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 3 Male or Female - LD (Learning Disability) Date of last inspection 19th October 2005 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 to high standards 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 well laid out garden. Visitors can park on the driveway or in the surrounding residential roads subject to parking restrictions. Mountview DS0000006843.V278173.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection started in the afternoon just as the Service Users were arriving back from the day centre. The Inspector was made welcome and facilitated by the owner who is also the Registered Manager. The house is furnished and appointed above requirement and offers comfortable, clean and homely accommodation to the three Service Users who have lived there for many years. The staff team consists of the owner and his wife, one other person who has been in post for twelve years and a domestic staff member who is undertaking his NVQ 2 in care, as he likes to work with the Service Users on a 1-1 basis and is training them to keep their rooms clean and hygienic. Once the NVQ training is finished the home will have attained their goal of having 100 of their staff appropriately qualified. The home has a proven record of supporting the Service Users to live independent and good quality lifestyles. What the service does well: 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. Mountview DS0000006843.V278173.R01.S.doc Version 5.1 Page 6 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.V278173.R01.S.doc Version 5.1 Page 7 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): All this group of standards have been assessed during this Inspection. There have not been any changes to the client group for many years, however all required information is available and the Service Users have copies and it has been shown to relatives. EVIDENCE: The homeowner stated that in the event of any new service users being admitted to the home an 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 rights and responsibilities. This is in a user-friendly format and the service user had signed the copy that was seen. Mountview DS0000006843.V278173.R01.S.doc Version 5.1 Page 8 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): All standards were assessed during this inspection. Care plans are evident and are reviewed regularly. Service Users are enabled to make decisions and are consulted on many aspects of their lives. They are also supported to take risks as part of an individual lifestyle. EVIDENCE: Service Users have their needs reviewed and the care planes seen were updated and detailed. People living in the home are given the opportunity to make decisions about their lives and the running of the home. One of the Service Users travels independently and works at a local supermarket. He also does a paper round. Risk assessments have been done to assess his ability to travel alone and for other risks within the home. While dinner was being prepared a Service User set the table and another made a cup of tea for the Inspector. Throughout the visit interaction between staff and Service Users was positive and supportive, there was also goodhumoured banter from both sides. Information is stored in the office in lockable cupboards. Mountview DS0000006843.V278173.R01.S.doc Version 5.1 Page 9 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): All standards in this area were inspected on this occasion. Service Users have the opportunity to develop and attend daycentres and clubs within the community. They hold responsibilities within the home and enjoy a varied and balanced diet. EVIDENCE: The Service Users are given the opportunity to attend further education and go to a daycentre. Clubs are accessed; one of the Service Users likes to go to a differed club almost every day and shopping trips and appropriate leisure activities are arranged. Contact with family and friends are enabled and encouraged; visitors are welcomed at all reasonable times. Service Users that are able enough have chores that they are responsible for and staff and the Service User spoken with said that rights are upheld and that the Service Users are treated with respect. The Inspector observed interaction between staff and Service Users and felt that it done in an appropriate and friendly way. The meal offered during the Inspection looked and smelt appetising and was given in sufficient quantities. Service Users are able to help themselves to food and snacks at any time the fridge was well stocked. Mountview DS0000006843.V278173.R01.S.doc Version 5.1 Page 10 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 – 21 were assessed during this visit. Service Users care plans reflect way they prefer to receive personal care, all are registered with the local Doctor and the homes medication policy meets requirement. EVIDENCE: Care plans show that Service Users are offered support in a way that suits their needs and that they are consulted on how they wish to be cared for. A Service User told the Inspector that he was happy with the way staff looked after him, that they helped when he needed it and respected his wishes. All the Service Users are 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 Service User 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 Service Users 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.V278173.R01.S.doc Version 5.1 Page 11 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): Both standards were assessed on this occasion. There is a complaints procedure in place which safeguards service users 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 and the Service User who spoke with the Inspector said he was confident that he knew how to make a complaint and that he knew it would be taken seriously. All staff have undertaken Adult Protection training or have training planned. Service Users finances are protected from abuse by robust procedures; monies are paid directly into bank accounts that are are managed on line and are audited each year. Mountview DS0000006843.V278173.R01.S.doc Version 5.1 Page 12 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): All these standards have been assessed during this Inspection. The home is decorated and furnished to a high standard, it is very much a “home”, it is comfortable and has been arranged and furnished with the Service Users and their needs in mind. EVIDENCE: On entering the house the Inspector was immediately impressed at the high standard of decoration and furniture in the communal areas, there were good quality ornaments, plants and flowers around the house and it was obvious that a lot of care had been taken over the fixtures and fittings. There were dogs and cats around that were good natured that welcomed the Service Users on their return from Day Centre. The kitchen is large with sufficient room for a large dinning table and a comfortable seating area where the Service Users could socialise and interact while food was being prepared. The sitting room is also comfortably furnished with a television, video player etc and held some of the Service Users personal possessions. The garden is accessed through French windows via the kitchen and is beautifully laid out in an interesting and accessible way. There is BBQ and garden furniture and the whole area is a welcoming place to be. Mountview DS0000006843.V278173.R01.S.doc Version 5.1 Page 13 In addition to basic bedroom furnishings each service user has a sofa and large wardrobes for personal storage. They have been personalised 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. Two of the Service Users benefit from en suite bathrooms and the other has an en suite that would be shared if the house had a fourth occupant. At present there are no plans to increase the numbers of Service Users and the room is empty. In addition to the individual en suite facilities, there is a bathroom equipped with an appropriate hoist, which the service users share between them. One Service User said he had participated in choosing the décor of his room and stated he had everything he required in the room provided. Another of the Service Users uses a wheelchair and has all necessary specialist equipment; the homeowner has tried to obtain a walking frame to maximise mobility but the standard ones have been assessed as unsuitable for the Service User, it would be possible to have a bespoke model made but it would be out of the Service User’s price range. The home is clean and hygienic. A domestic staff member is employed who likes to include the Service Users while he works individually with one in keeping his room clean and tidy every week. Mountview DS0000006843.V278173.R01.S.doc Version 5.1 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): All these standards were assessed during this inspection. There is people employed to meet the needs of the Service User. EVIDENCE: This home is staffed by the homeowner and his wife, supported by one other support worker who has been employed for twelve years and a domestic worker employed for the last three years. The house has a recruitment policy in place. 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. Once the two people working towards attaining NVQ in care have finished all staff in the home will be qualified to required standard, including the domestic worker. 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. One Service User said he liked the people who worked with him and another who is none verbal clearly displayed her pleasure when a staff member arrived for duty, indicating that she too was happy with the staff. Mountview DS0000006843.V278173.R01.S.doc Version 5.1 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): All standards The Service Users benefit from a caring ethos in a home that is well run, organised and safe. EVIDENCE: The homeowner has worked with 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. Service Users are regularly asked their view of the service they receive both formally and informally. The Service User’s families are also canvassed. The Service User who talked with the Inspector believed that his views would be taken into account in the running of the home. Policies and Procedures that were examined were full and comprehensive and Service Users 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. There was an Environmental Health visit on 22nd November 2005 that raised no issues. Mountview DS0000006843.V278173.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 3 3 3 4 3 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 3 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 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 4 4 3 3 3 3 3 Mountview DS0000006843.V278173.R01.S.doc Version 5.1 Page 17 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 Mountview DS0000006843.V278173.R01.S.doc Version 5.1 Page 18 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. 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