Inspection on 08/02/06 for Myland House.

This inspection was carried out on 8th 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Myland House. 11/08/08

Myland House. 12/10/07

Myland House. 27/09/06

Myland House. 17/08/05

Myland House. 29/03/05

Myland House. 11/01/05

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Myland House 81 Mile End Road Colchester Essex CO4 5BU Lead Inspector Neal Cranmer Unannounced Inspection 8th February 2006 09:30 Myland House DS0000017893.V262380.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 Myland House DS0000017893.V262380.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. Myland House DS0000017893.V262380.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Myland House Address 81 Mile End Road Colchester Essex CO4 5BU 01206 853604 01206 853604 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) The Brain Injury Rehabilitation Trust Mrs Suzette Anne Doherty Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Myland House DS0000017893.V262380.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th August 2005 Brief Description of the Service: Myland House is one of a number of homes owned and run by the Brain Injury Rehabilitation Trust. The registered manager is Mrs Suzette Doherty. The home is a detached former family dwelling located in an established residential area of Colchester. It is situated within easy walking distance of all of Colchesters main shopping facilities. The accommodation is arranged on both the ground floor and first floor of the premises. Furnishings throughout the home are in keeping with the needs of the service users. The home provides a service to five service users aged between 18-65, who all have an acquired brain injury. Myland House DS0000017893.V262380.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 8th February 2006, lasting 5.25 hours. The inspection process included: discussion with three service users, the registered manager and one member of staff. Tour of the premises included observation of service users’ bedrooms, bathing and toilet facilities, as well as communal areas. During the course of the inspection a range of documentary evidence was sampled. Twelve of the forty-three standards were inspected, of which ten were met with the remaining two being minor shortfalls. The remainder of the core standards were inspected during the previous inspection. What the service does well: What has improved since the last inspection? Since the previous inspection the home has improved its facilities for staff who are carrying out sleeping in duties. The registered manager has, since the previous inspection, addressed the issue of ensuring that service users’ relatives are made aware of the home’s complaints procedure. Myland House DS0000017893.V262380.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. Myland House DS0000017893.V262380.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 Myland House DS0000017893.V262380.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): No outcomes for this set of standards were inspected on this occasion. EVIDENCE: Myland House DS0000017893.V262380.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): 7. Service users are supported to make decisions with respect to their daily lives, with the necessary degree of support as required. EVIDENCE: One service user has access to a formal advocate who is involved in supporting the service user to sort out access to their finances. All service users have a bank account. Money held in the home on behalf of service users is paid out to them by either the registered manager or their deputy each Monday and Friday. The service users themselves have agreed this frequency and the amount paid out. The home’s audit trail of monies held on behalf of service users was sampled and was found to be in order. Myland House DS0000017893.V262380.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): 16. The home’s daily routines promote independence, individual choice and freedom of movement. EVIDENCE: Discussion with a service user indicated that they always receive their mail unopened and that they are always referred to by their preferred term of address. The service user also spoke of being free to choose when to spend time alone. Staff were witnessed during the course of the inspection to interact with service users and not exclusively with each other. Service users have unrestricted access to the home and grounds. The home has in place rules on smoking and alcohol consumption; this is reiterated in the service users’ contracts of residency. Myland House DS0000017893.V262380.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. Records pertaining to service users’ healthcare needs were seen to be well documented. EVIDENCE: All service users are registered with a general practitioner. In addition, all service users have access to the following professionals via the Brain Injuries Rehabilitation Trust: • • Clinical Psychiatrist Clinical Psychologist All other healthcare professionals are accessed via generic healthcare services. Two care plans sampled in respect of healthcare records were seen to be detailed in terms of input from healthcare professionals. Clinical review records were seen to be maintained. Myland House DS0000017893.V262380.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. The home has in place an effective complaints procedure which is designed to ensure that service users and relevant others’ views are listened and responded to as necessary. EVIDENCE: The home has a complaints procedure which meets with all regulatory requirements. At the previous inspection during discussion with a relative of a service user recently admitted to the home mention was made of the relative not being aware of the home’s complaints procedure. Discussion with the registered manager indicated that they have since re-discussed this matter with the relative and have also provided them with a copy of the policy/procedure. Myland House DS0000017893.V262380.R01.S.doc Version 5.1 Page 13 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): 28 and 30. The home’s shared space is adequate to meet the needs of the service users. On the day of the inspection the home was clean, tidy and free from any offensive smells or odours. EVIDENCE: At the previous inspection concerns were expressed about the sleeping in facilities at the home. Since then a new divan bed has been purchased. The home’s office doubles as the sleep-in room. Although hand washing facilities are available, there is also a designated toilet and shower room available to staff situated on the landing outside. The office is lockable and so provides staff with a safe place to store personal belongings whilst on duty. At the previous inspection concerns were expressed about the transporting of soiled laundry through the kitchen area. Discussion took place around the need to develop a local policy/procedure for this function at the home. The registered person spoke of having written the policy/procedure, but on the day of the inspection it was unavailable. However, discussion with staff indicated that the said policy is now in place and they were able to explain the procedure. Myland House DS0000017893.V262380.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): 32, 34 and 35. Service users are supported by a team of staff who are competent and receive the appropriate levels of support necessary for them to carry out their roles effectively. Some further work is required to ensure that the home’s recruitment practices are meeting regulatory requirements. Service users are supported by a team of staff who have received the necessary training to enable them to carry out their roles effectively. EVIDENCE: Discussion with a service user indicated that carers at the home appear to be good listeners and communicators and, in the opinion of the service user, were interested and motivated. The home does not employ carers under the age of 18 and staff left in a position of being in charge of the home are all aged over 21. The registered manager’s hours are supernumerary, predominantly MondayFriday 9-5. Myland House DS0000017893.V262380.R01.S.doc Version 5.1 Page 15 Outside these hours, carers have access to a designated on-call person, with the on-call person themselves having further support available to them should they require it through access to the Brain Injuries Trust’s on-call clinical psychology service. Staff files sampled at the previous inspection were found to have two omissions in respect of the documentary evidence required under Regulation 19, Schedule 2 of the Care Homes Regulations. Sampling of files at this inspection indicated that one omission still remains, this being confirmation that the employee is mentally and physically fit to undertake their role. The home accesses training for its staff via the Brain Injuries Trust, who have a training needs co-ordinator based at one of their other homes locally. Carers spoken with at the time of the inspection spoke of access to training at the home being good. Myland House DS0000017893.V262380.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, 38 and 42. Service users are supported by a team of staff who are well supported. The home is well managed and run. Discussion with staff indicated that the management ethos at the home is one of openness and transparency. The home is run in a way in which ensures that service users’ health, safety and welfare are promoted. EVIDENCE: The registered manager has been in post at the home for a number of years and has significant experience of working in the care sector. The manager is qualified at N.V.Q Level 4 in management and is close to completing their N.V.Q Level 4 in care, being one unit away from completion. The registered manager undertakes periodic training to maintain and update their knowledge. Myland House DS0000017893.V262380.R01.S.doc Version 5.1 Page 17 Discussion with staff indicated that the management ethos of the home is one of openness and transparency. They felt that the management team provided them with a clear sense of leadership and direction. The home’s safe working practices were sampled through the viewing of the following safety certificates: • • • • • • Gas safety certificate Electrical installation certificate Portable appliance test certificate Record of weekly fire alarm checks Record of fire drills Record of emergency lighting/alarms certificate of inspection Two of the care team are qualified first aiders, up to HSE standard, with the remainder currently being in the process of doing the one day refresher course through Asset Training. All the safety certificates sampled were in order. Myland House DS0000017893.V262380.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 X 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 x ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 3 29 x 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X x LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X x 2 3 X X X 3 x Myland House DS0000017893.V262380.R01.S.doc Version 5.1 Page 19 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA34 Regulation 19 Requirement Timescale for action 31/05/06 2. YA37 18 (c1) The registered person must ensure that records pertaining to staff recruitment are held by the home, as listed under Schedule 2 of the Care Homes Regulations. The previous timescale set of the 30th of November 2006 was not met. The registered person must 31/05/06 make provision for staff to be trained to the appropriate standard for the work that they are employed to perform. This relates to the need for the registered manager to be N.V.Q Level 4 qualified in care. 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 Myland House DS0000017893.V262380.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Myland House DS0000017893.V262380.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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