Inspection on 23/02/06 for Mrs Floretta McLune

This inspection was carried out on 23rd 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Mrs Floretta McLune 29/09/07

Mrs Floretta McLune 20/02/07

Mrs Floretta McLune 25/08/05

Mrs Floretta McLune 23/02/05

Mrs Floretta McLune 16/09/04

Mrs Floretta McLune 23/03/04

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Polesworth Group 70 Long Street

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10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Mrs Floretta McLune 10 Maple Leaf Drive Marston Green Solihull West Midlands B37 7JB Lead Inspector Sarah Bennett Unannounced Inspection 23rd February 2006 14:00 Mrs Floretta McLune DS0000004550.V284554.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 Mrs Floretta McLune DS0000004550.V284554.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. Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Mrs Floretta McLune Address 10 Maple Leaf Drive Marston Green Solihull West Midlands B37 7JB 0121 770 8931 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) Mrs Floretta McLune Mrs Floretta McLune Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Three permanent places for adults with a learning disability. One respite place for an adult with a learning disability, who is known to, and has been assessed as compatible with, the permanent service user group. Use of the room measuring 7.9sq metres to be reviewed when vacated by the current permanent service user, and prior to the possible admission of any future service users to this room. 25th August 2005 Date of last inspection Brief Description of the Service: 10 Maple Leaf Drive is an attractive five-bedroom family home in the Marston Green area of Solihull. It is situated in a pleasant newly built private estate. There is a bus route and local amenities within walking distance of the home. The main Chelmsley Wood shopping centre is a short car or bus ride away. The home caters for younger adults who have a learning disability. It is registered to provide care for three people on a long-term basis and one person for short-term respite care. The condition that is placed upon this service by the Commission for Social Care Inspection is that the residents who reside at the home must know the person that is receiving respite care and be happy for them to stay at their home. Each resident has their own bedroom. The respite bedroom has an en suite shower and WC. There is a separate bathroom with a bath, shower and WC. There is a WC on the ground floor. Care and support, is provided in the main by Mrs McClune and her family. Mrs McClune lives in the property with her husband. The philosophy of the home is that the residents are considered to be members of the family. Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out in two hours. Three residents and the Manager were spoken to. A partial tour of the premises took place. Care, staff and health and safety records were looked at. This was the second of the statutory inspections for this home for 2005/2006 and not all of the National Minimum Standards were assessed. To get a full picture of the home it is advised to read this report in conjunction with the report from August 2005. What the service does well: What has improved since the last inspection? Each resident has a Health Action Plan as required in the Government White Paper ‘Valuing People’. This is a personal plan that states what a person needs and what services they need to use to stay healthy. Guidelines have been written for residents that are prescribed PRN (as required) medication. These state when and why the medication is to be given to the resident. Incidents that residents have been involved in and things that have affected their well-being have been reported to the CSCI as required. Risk assessments have been developed for fire and food storage and preparation. This makes sure that all safety issues have been considered and the risks of food poisoning and a fire starting are minimised. Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 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. Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 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 Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 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): 2 Prospective residents individual needs are assessed. EVIDENCE: One resident has been on a respite stay since November 2005 and a meeting is arranged next week to discuss whether this is to be permanent. The Manager said that the resident has stayed at the home on a respite basis before so the Manager and the other residents know them. Prior to their admission an assessment was completed by their social worker. The Manager said that they knew the resident from previous respite stays and their assessment has been ongoing during their stay. A care plan has been developed for the individual based on the assessment. Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Residents assessed needs are reflected in their individual care plans so that staff know how to support the individual. Residents are supported to make decisions about their lives. Residents are supported to take risks within a risk assessment framework. EVIDENCE: The care plan of the resident who is on respite was looked at. It included their likes and dislikes and some basic information about how staff are to support the individual. As the resident is on respite stay there were no long or shortterm goals identified. If they are to stay at the home on a permanent basis these should be included. Residents said that they can choose how they spend their day, their leisure time and what they spend their money on. Residents financial records sampled showed that residents choose what they spend their money on and receipts are kept of all purchases. Resident’s records sampled included individual risk assessments. These included all the risks to the individual and how the resident should be supported to ensure the risks are minimised. Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 16 Arrangements are in place so that people living at the home experience a meaningful lifestyle. EVIDENCE: One resident goes to college three days a week, where they do cooking and computers and to a day centre two days a week. One resident goes to a dropin centre. The resident who is currently at the home on a respite stay goes to a day centre from Monday to Friday each week. One resident has chosen not to attend a day centre and their day care is provided at home. Two residents had been out to the cinema and to McDonalds for lunch with a member of staff. They said that they went there by bus. Residents were observed making their own drinks when they came home. Residents said that the Manager is a good cook and they did not want to help cook the evening meal. They said that they do set the table and do the washing up. Residents said that they clean their own bedrooms. Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20 Adequate arrangements are in place to ensure that resident’s health needs are met. Arrangements are adequate to ensure that the management of the medication protects residents. EVIDENCE: Since the last inspection individual Health Action Plans have been developed in line with the Government White Paper ‘Valuing People’. This is a personal plan about what a person can do to stay healthy and what services they need to access. These included the necessary information for about each person’s health needs. Residents records sampled showed that residents are weighed regularly and this is monitored. Medication is stored in a locked cabinet. Boots supply the medication to the home using the monitored dosage system for all but the resident who is on respite stay. A local pharmacist supplies their medication in a bottle and packets. All Medication Administration Records (MAR) were signed appropriately. The MAR cross-referenced with the blister pack indicating that medication had been given as prescribed. Since the last inspection protocols have been put in place for as required (PRN) medication stating when and why this medication should be given. Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 The arrangements for managing complaints ensure that resident’s views are listened to and acted on. Arrangements are not adequate to ensure that residents are always protected from abuse. EVIDENCE: The complaints policy was seen at the last inspection and included all the required and relevant information. The Manager said that there have been no complaints since the last inspection. The CSCI have not received any complaints about this home. One of the residents alleged that their friend at the day centre had hit them. The Manager had dealt with this appropriately by contacting the resident’s social worker. The resident was upset when returning from the day centre. The Manager reassured them and in discussion with staff at the day centre looked at alternative ways for the resident to spend their time away from this person. The resident was happy with this and said that they no longer wanted to spend time with them. Two residents financial records were sampled. The amount in their individual wallets/ cash tins cross-referenced with the amount in their records. Receipts are kept of all purchases. A relative looks after one of the resident’s money and forwards the personal allowance to the resident each month. The Manager is the signatory on the other resident’s bank account. Their bank deposit book showed that their personal allowance is regularly paid directly into their account. Financial records showed that all expenditure is for the resident, their leisure activities, clothes and personal items. Residents sign their financial records to say that they have received the money given to them. One resident Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 Page 13 said that the Manager looks after their money and they can have it when they want it. They said they like to spend their money on tea, pop and sometimes crisps and buy their own clothes. A Criminal Records Bureau check has been undertaken for the part-time member of staff. No other records pertaining to their recruitment were available. The Manager said that they have known the person for several years. However, the required records must be available to ensure that the person is suitable to work with the residents. Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 Page 14 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, 30 Residents live in a homely, comfortable, safe and clean environment that meets their individual needs. EVIDENCE: A partial tour of the premises on the ground floor showed that these areas continue to be well decorated and maintained. Resident’s bedrooms were not seen. One resident chose to sit in the conservatory to watch some DVD’s, they said it was a bit cold in there so the Manager turned up the heating so they would be warm enough. Other rooms were sufficiently warm. The home was clean and free from offensive odours. Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 Page 15 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, 33, 34 A qualified staff team who know residents’ individual needs and how to meet them support the residents. Adequate arrangements are not in place to ensure that residents are protected by the home’s recruitment practices. EVIDENCE: The Manager said that there is one member of staff employed part-time on a casual basis who has NVQ level 2 in Care. They were on duty at the time of this inspection as was the Manager. Another member of staff is to be employed part-time from April 2006. The Manager and her husband both work at the home, as do other members of their family, who know the residents well. A Criminal Records Bureau check has been undertaken for the part-time member of staff. No other records pertaining to their recruitment were available. The Manager said that they have known the person for several years. However, the required records must be available to ensure that the person is suitable to work with the residents. Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 Page 16 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, 42 Adequate arrangements are in place to ensure that residents benefit from a well run home. Adequate arrangements are in place to ensure that the health, safety and welfare of residents are promoted and protected. EVIDENCE: The Manager has NVQ level 4 and has been a Registered Manager for several years. The Manager undertakes training in order to update their knowledge and skills. Fire records showed that the smoke detectors are tested weekly to make sure they are working. A fire drill is held every six months to ensure that all residents and staff are aware of the procedure to follow if there was a fire. An engineer serviced the fire extinguishers the day before. Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 Page 17 Water temperatures are tested weekly to make sure that they are not too hot or cold for the residents. Records showed that these are maintained at the recommended safe temperature of 43 degrees centigrade. Since the last inspection risk assessments for fire and food storage and preparation have been developed to ensure that the risks of fire and food poisoning are minimised. Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 Page 18 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 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 X 3 X X X X 3 X Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 Page 19 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. 1. Standard YA34 Regulation 7 9 19 Sch 2 Requirement For all staff employed at the home the following must be available: a recent photograph, two written references, proof of identity, a completed application form, evidence of qualifications and evidence that they are physically/mentally fit to do the job they are employed to do. Timescale for action 31/03/06 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 YA6 Good Practice Recommendations All residents care plans should include the short and longterm goals and aspirations of the individual. Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 Mrs Floretta McLune DS0000004550.V284554.R01.S.doc Version 5.1 Page 21 - 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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