Inspection on 27/10/06 for Nationwide Community Care Limited

This inspection was carried out on 27th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Nationwide Community Care Limited 07/10/08

Nationwide Community Care Limited 10/10/07

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 Nationwide Community Care Limited 35 Mede Way Wivenhoe Colchester Essex C07 9HW Lead Inspector Ray Finney Key Unannounced Inspection 27th October 2006 10:00 Nationwide Community Care Limited DS0000066756.V319714.R02.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 Nationwide Community Care Limited DS0000066756.V319714.R02.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. Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Nationwide Community Care Limited Address 35 Mede Way Wivenhoe Colchester Essex C07 9HW 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) Care Home 3 Nationwide Community Care Limited Category(ies) of Learning disability (3) registration, with number of places Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability This is the first inspection for this service since it was registered in May 2006. Date of last inspection Brief Description of the Service: 35 Mede Way is a compact three-bedroom bungalow situated in a residential area of Wivenhoe, near Colchester. The property has been adapted to accommodate three adults with learning disabilities. One bedroom has separate en suite facilities; the remaining two bedrooms share a well-equipped bathroom that is sited between the two rooms and may be accessed from either room. Communal areas include a lounge/dining room, fitted kitchen and small quiet lounge where service users can meet with visitors in private. To the rear of the property is a patio area and a compact garden. There is a small area for parking in front of the property and ample parking in the surrounding roads. The service will support younger adults with complex needs to live in an ordinary home environment. Information about the service may be obtained by contacting the manager. The home charges £1190.00 a week for the service they provide, with additional costs for one-to-one support at £12.00 per hour for the first 15 hours per week and £10.00 per hour for one-to-one support over 15 hours per week. This information was given to the Commission in October 2006. Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to compile this report. Documentary evidence was examined, such as policies, procedures and proposed formats for service user documents such as care plans and risk assessments. This was the first inspection visit to the home since it was registered. The visit took place on 27th October 2006 and included a tour of the premises and discussions with the acting manager. At the time of the inspection visit, there were no service users living in the home, although the acting manager and the Responsible Individual of Nationwide Community Care are in the process of arranging admissions. This inspection explored how the policies, procedures and proposed care practice would support service users. A future inspection will take place when service users have been admitted to gain their views about living at the home. 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. The summary of this inspection report can be made available in other formats on request. Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 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 Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The documentation available would ensure prospective service users have the information they need to make an informed choice about where to live. The assessment process in place would ensure service users would be admitted after a full assessment of their needs and an assurance that their needs could be met. EVIDENCE: The home was registered with the Commission in May 2006. As part of the registration process, the service’s Statement of Purpose and Service User Guide were examined; both meet the required standard and contain appropriate information to ensure prospective service users and their representatives have sufficient information about the service to decide if it will meet their needs. There is a pre-admission assessment process in place. The home will use a recognised assessment tool, the Everyday Living Skills Inventory (ELSI), to carry out an assessment of prospective service users. The acting manager was able to demonstrate a good awareness of the assessment process. The home’s assessment process will be carried out in addition to any social service assessment. Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are processes in place to indicate that service users needs and goals would be reflected in their individual plans and that they would be supported to make decisions about their lives. The process in place indicates service users would be supported to take risks within the limitations of their capacity to understand. EVIDENCE: Although there are no service users living in the home, a format for compiling care plans is in place. The care plan design is comprehensive and covers areas such as communication, health needs and daily living skills. The acting manager explained about the process of Essential Lifestyle Planning (ELP) that will be used to ensure service users’ individual needs and aspirations are identified in a person centred way. Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 Page 9 Individual choice is central to the ELP process. Although there are not yet any service users in the home, the acting manager is looking a developing a variety of tools to help with communication, as the prospective service user group may have complex needs. The acting manager demonstrates an awareness of the importance of developing good communication aids so that service users are able to make their choices known. There are guidelines in place around the process of risk assessment and there is a format for carrying out comprehensive risk assessments for prospective service users. Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The process in place indicates that service users would expect to be able to take part in a range of age, peer and culturally related activities and be part of the local community. Service users would be supported to maintain appropriate relationships. The home’s processes in place would support the protection of service users’ rights. Service users would expect to be offered a varied and healthy diet that they enjoyed. EVIDENCE: The acting manager has obtained information and brochures for a wide-range of activities in which service users may wish to participate. These include information about local churches and courses available at colleges in the surrounding area. Discussions with the acting manager demonstrate a good awareness of the importance of maintaining family links and how the information provided by Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 Page 11 relatives makes a useful contribution to understanding the needs of service users. The acting manager is able to demonstrate an awareness of the importance of ensuring service users rights and responsibilities are recognised. The systems in place for pre-admission assessments, care-planning and risk assessments should ensure daily routines promote independence and individual choice (see evidence for standards 1, 6, 7 and 9). The acting manager is able to demonstrate an awareness of the contribution a healthy, enjoyable diet makes to a fulfilling lifestyle. The dining area of the home is pleasant. Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 Page 12 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): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has processes in place that would support service users to receive personal support in the way they required and their physical and emotional needs are met. The home’s policies and procedures for dealing with medicines would indicate that service users would be protected. EVIDENCE: The care plan format has been designed to ensure that members of staff have appropriate information to carry out personal care in the way service users prefer. Bathrooms have excellent facilities with access straight from bedrooms that should ensure all service users have privacy when being supported with personal care. Staff already recruited have received the General Social Care Council Code of Practice. The acting manager has obtained details of local healthcare facilities, such as information about G.P.s, chiropody services, dentists and opticians. The assessment process is comprehensive and covers issues around health needs (see evidence for standard 2). Storage for medication was examined at the inspection visit. The home has two lockable medicine cupboards, but the acting manager is considering Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 Page 13 changing these for individual lockable cupboards in service user’s rooms. The home intends to use a monitored dose system for medication. Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 Page 14 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): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident their views will be listened to and acted on. The arrangements in place would help to protect service users from abuse, neglect and self-harm. EVIDENCE: As part of the registration process, the service’s complaints policy and procedure was examined. It meets the required standard and contains appropriate information to ensure prospective service users and their representatives have a clear route to follow if making a complaint. The policy also gives information on how to contact the Commission for Social Care Inspection. On the day of the inspection visit, copies of the complaints procedure were seen to be available in prospective service users’ rooms. There is a book in place for recording complaints and the acting manager is developing an improved form for the recording of complaints. The acting manager is able to demonstrate a good awareness of the Protection of Vulnerable Adults (POVA). The home has policies and procedures in place relating to protection, including a whistle blowing policy so that staff may be assured that they will be protected if they feel the need to raise concerns about practices. As previously reported, staff are provided with a copy of the General Social Care Council good practice guidelines. Enhanced Criminal Record Bureau (CRB) checks have been carried out for staff that have already been recruited and training around protection has been arranged. Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 Page 15 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): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a homely, comfortable and safe environment for service users and they would expect it to be kept clean and hygienic. EVIDENCE: A tour of the premises showed that the home is well maintained throughout. The standard of furnishings and décor remains as it was when the home was registered, with good quality, modern, domestic furniture. Service users’ bedrooms remain decorated in neutral colours, but the acting manager stated that rooms would be personalised to service users’ individual tastes when they come to the home. There are no offensive odours in the home and there is a good standard of cleanliness. The laundry facilities are clean and appropriate for the size of the home. The kitchen is a modern domestic fitted kitchen and is clean and well maintained. Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 Page 16 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): 32, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Overall service users could expect to be supported by a competent and qualified staff team. Service users would expect to be protected by the home’s recruitment policy and procedures. Service users can expect to be supported by staff who have received appropriate training. EVIDENCE: The home has prepared an in-house induction pack to be delivered to all new members of staff when they commence work in the home. Newly recruited staff are given a staff handbook. The home has an appropriate recruitment procedure in place. The manager is able to demonstrate a good awareness of the requirements of the standards relating to the recruitment of staff. Some staff have been recruited in readiness for when service users move in to the home. Staff files are well organised and contain required documentation including application form, photograph and proof of identity; CRB checks have been carried out. Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 Page 17 The home has arrangements in place for staff to receive appropriate training when they take up their posts. Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 Page 18 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): 37, 39 and 42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective service users could expect to live in a home that would be well run, although the manager should continue to develop their management skills and complete management qualifications. Service users could expect their views to be taken into account, however the quality assurance system needs further development. Prospective service users can expect their health, safety and welfare to be promoted and protected. EVIDENCE: The acting manager is able to demonstrate a good awareness of the skills and processes needed to run the home. Evidence was presented of having enrolled on course to undertake a National Vocational Qualification (NVQ) level 4 in care and the Registered Manager’s Award. The acting manager demonstrated an enthusiasm to complete this award. An application for registration is to be completed and sent to CSCI. Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 Page 19 The home has made some progress with establishing a Quality Assurance system, although further development is needed. The effectiveness of the system cannot be tested until service users have been admitted to the home and their views are sought. Information provided during the registration process and records examined on the day of the inspection visit show that appropriate Health and Safety checks are being carried out on the premises. There is a fire alarm system in place and a Fire Certificate and an Electrical Installation certificate dated 14th March 2006 were examined. Colchester Borough Council Planning and Protection Department’s environmental health officer has visited the premises and carried out a Health & Safety inspection and a Food Hygiene Inspection. A copy of the report was provided and recommendations have been actioned. Hot water outlets are regulated and radiators are covered. Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 Page 20 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 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 3 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 X 34 3 35 3 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 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 3 X Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 Page 21 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. 2. Standard YA37 YA37 Regulation 8(1) Requirement Timescale for action 31/01/07 30/06/07 3. YA39 The Registered Person must appoint an individual to manage the care home. 9(2)(i) The Registered Manager must have the qualifications, skills and experience necessary for managing the care home. 24(1)(2)(3) The Registered Person must establish and maintain a system for reviewing and improving the quality of care provided and make a copy of the report available. The system shall provide for consultation with service users and their representatives. 31/03/07 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 Nationwide Community Care Limited DS0000066756.V319714.R02.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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. 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