Inspection on 11/05/06 for Plas Newydd

This inspection was carried out on 11th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Plas Newydd 27/11/07

Plas Newydd 15/11/05

Plas Newydd 05/04/05

Plas Newydd 22/12/04

Plas Newydd 18/05/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Plas Newydd 34 Hereford Road Shrewsbury Shropshire SY3 7RD Lead Inspector Mike Moloney Key Unannounced Inspection 11th May 2006 09:00 Plas Newydd DS0000020669.V294699.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 Plas Newydd DS0000020669.V294699.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. Plas Newydd DS0000020669.V294699.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Plas Newydd Address 34 Hereford Road Shrewsbury Shropshire SY3 7RD 01743 271064 01743 289127 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) Bethphage Great Britain Mr Darren Foster Care Home 5 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (1) of places Plas Newydd DS0000020669.V294699.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th November 2005 Brief Description of the Service: Plas Newydd is a large adapted town house situated in the Meole Brace area of Shrewsbury and has good road access and parking. The landlords of the property are Bourneville Village Trust, however, the home is operated by Bethphage Great Britain and registered to provide personal care and accommodation for up to five adults with a learning disability. The companys web-site (www.bethphage.co.uk) outlines their core values as being: Safety People we support live and work in physical situations that are safe, whilst being able to take acceptable risks. Those people are supported in an environment that is free from abuse and neglect. Respect People are treated with the respect they deserve as citizens regardless of their differences, and that peoples diversity is celebrated. Personal Growth Opportunities are provided for people to maintain existing skills and learn new ones. Efficiency The services are provided efficiently, and in a reliable and consistent way. To ensure that all our resources are used efficiently to meet the needs of the people we support. The home has a service user guide which it make available to all stake holders and is available in an “easy read” version for those who may require it. The home receives payment through a block contract system with the local authority and therefore it is not possible to quote the range of fees charged to individuals. Plas Newydd DS0000020669.V294699.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, discussion with the manager, tour of the premises, previous inspection reports, the quality assurance process and observation of care experienced by people using the service. The nature of the needs and disabilities of the service users concerned made ascertaining their views by direct means very difficult. Therefore the views of the managers and staff had to be relied on to a great extent. However, observation confirmed that the service users were calm and relaxed in their company approaching them freely when the need arose. 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. Plas Newydd DS0000020669.V294699.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 Plas Newydd DS0000020669.V294699.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): EVIDENCE: No new service users have been admitted to this home for some time therefore it was not possible to assess the key standard in this outcome group on this occasion. Plas Newydd DS0000020669.V294699.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): 6, 7 and 9 Quality in this outcome area is adequate. The inaccessibility of the information casts some doubt on whether or not those who should be reading them are doing so on a regular basis. Given the nature of the disabilities of the service users the home makes every effort to ascertain their wishes and work to meet them safely. EVIDENCE: Of the two sets of service user records looked at during the visit both contained information around the care that needed to be provided. Given the range of needs and the dependency levels of the service users these had, of necessity, involved very little direct input from the individuals concerned. Various elements identified within the Individual Plans had also been risk assessed and it was seen that these assessments were regularly reviewed. The plans for each of the service users were seen to have been reviewed on a monthly basis and modified as necessary. It is recommended that the home review the way in which these records are filed and stored as it was with some difficulty that the relevant information Plas Newydd DS0000020669.V294699.R01.S.doc Version 5.1 Page 9 was found within the files. Plas Newydd DS0000020669.V294699.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, 15, 16 and 17 Quality in this outcome area is good. The manner in which the staff team have interpreted the residents needs is also good enabling their views to be taken into account. However, as stated in the previous outcome group, better presentation of the information within the service users’ files could improve the monitoring of the service users enjoyment of any activity undertaken. EVIDENCE: Given the dependency and disability levels of the service users it is not possible for their education and occupation to be considered in other than the broadest sense as it is unlikely that they would be able to access the world of work or any of the mainstream education establishments. Talking with the staff confirmed that the families of the residents are encouraged to visit and keep contact with them and the manager also confirmed that key workers sit with them to go through any letters and cards that they may receive from friends and family. Plas Newydd DS0000020669.V294699.R01.S.doc Version 5.1 Page 11 That discussion with the staff and the manager as well as looking at the individuals records showed that maintaining the current level of skills of the service users has been given a high priority. They also showed that the service users are also assisted to access such resources as swimming pools, horseriding and other activities that the service users have shown that they enjoy being involved in. Service users also have a number of vehicles available to them so that they can get to the various venues. During this visit the residents ate their lunch and this was obviously an enjoyable experience for all of them. Each had been offered something slightly different with the staff explaining that they had come to know each ones preferences through experience. They said that main meal menus had been arranged and agreed on a similar basis and the records showed that the residents are offered a balanced and varied diet. Plas Newydd DS0000020669.V294699.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. The personal and healthcare needs of the service users are met. EVIDENCE: Residents were observed being treated in a respectful and dignified manner. Any personal care needs were dealt with discreetly. Preferences about how they preferred to be dealt with were seen outlined within their personal plans and any necessary specialist equipment was seen to be available. All of the service users looked well cared for. Numerous references were seen in the service users’ records that related to arrangements with healthcare professionals towards meeting any medical needs that had been identified. On the morning of the visit one of the residents went out to a medical appointment accompanied by one of the care staff. Plas Newydd DS0000020669.V294699.R01.S.doc Version 5.1 Page 13 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 and 23 Quality in this outcome area is good. The service users are protected from abuse and the staff enable their views to be taken into account despite the nature of their disabilities. EVIDENCE: The manager stated that no complaints or any allegations of abuse had been made since the last inspection. The home had a copy of their complaints procedure and policies which complied with the local policies and procedures for the protection of vulnerable adults, both being part of the systems that ensures that the service users are listened to and protected from abuse, neglect and self-harm. The level of the disabilities of the service users means that most are unlikely to be able to access these formal policies but observation of the staff interacting with them and communicating between themselves indicated that they would be aware of any dissatisfaction expressed. Plas Newydd DS0000020669.V294699.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, 27 and 30 Overall the standard of the environment is good providing service users with an attractive and homely place to live. EVIDENCE: The home is situated in southern Shrewsbury and is an older property that has been converted to its present use in a sensitive and practical manner. The home has its main laundry area situated so that access is through areas that are not used for food preparation or consumption thereby reducing the risk of cross contamination. These facilities remain unchanged. Walking around the home it was seen that everywhere was clean with the grounds providing a similarly pleasant but secure area for the service users to be. One area of concern was the upstairs bathroom which was in need of some redecoration. The service users’ bedrooms were all seen and these were all pleasantly decorated. The manager explained that some were due to be re-decorated in the near future. Plas Newydd DS0000020669.V294699.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, 34, 35 and 36 Quality in this outcome area is poor but would be much improved if the staff, who were available in appropriate numbers, were to receive basic safety training alongside the acceptable levels of professional training and supervision. EVIDENCE: Talking to the staff and looking at the staff rota showed that appropriate numbers of staff are on duty at all times. The staff also confirmed that they receive a range of training opportunities that they are encouraged to undertake. These included some of the mandatory safety training through to qualifying through the NVQ system. This had ensured that over 50 of the staff team had qualified to NVQ2 or above and therefore would have provided the service users with a trained staff team who could give them with the support that they require had not the records also showed that the more basic safety training such as fire training had not been carried out for some. This had not been identified as part of the home’s training needs analysis. Records were seen that showed and talking to the staff confirmed that they had received regular supervision. Plas Newydd DS0000020669.V294699.R01.S.doc Version 5.1 Page 16 The records of the two staff who had started at the home since the last inspection were looked at and appropriate background checks had been carried out. The staff present on the day of the visit were able to confirm that they had received the appropriate professional induction. Plas Newydd DS0000020669.V294699.R01.S.doc Version 5.1 Page 17 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, 39 and 42 Quality in this outcome area is adequate with some shortfalls in the way that the home records that it is a safe environment for the residents to live in. EVIDENCE: A variety of checks designed to enhance the safety of the service users within the home were looked at. Records such as electrical safety checks and bathwater temperatures checks were seen, however, not all of the checks designed to monitor fire safety were seen to have been maintained. The storage of hazardous substances was seen to be adequate, however, whilst data sheets were available for each substance not all had risk assessments carried out on them. As mentioned elsewhere not all of the staff had received the full range of safety training that is required to ensure that they can more readily keep the service users safe. Plas Newydd DS0000020669.V294699.R01.S.doc Version 5.1 Page 18 Proprietor visits required under the Care Homes Regulations 2001 had taken place on a regular basis. The registered manager confirmed that he has now commenced the Registered Managers Award which will give him the qualifications required of anyone in his position. Plas Newydd DS0000020669.V294699.R01.S.doc Version 5.1 Page 19 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 N/A 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 2 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 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 3 x x 2 x Plas Newydd DS0000020669.V294699.R01.S.doc Version 5.1 Page 20 no 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 2 Standard YA27 YA35 Regulation 23(2)d 18(1)a Requirement The upstairs bathroom requires redecorating. The home must carry out and implement a training needs analysis in relation to health and safety training. The manager must complete the Registered Manager Award The home must ensure that fire safety checks are carried out at the required intervals. Timescale for action 31/08/06 30/11/06 3 4 YA37 YA42 9(2)(b)(i) 13(4)(a) 30/04/07 30/06/06 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 The home should maintain their care records in a more systematic format. Plas Newydd DS0000020669.V294699.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 Plas Newydd DS0000020669.V294699.R01.S.doc Version 5.1 Page 22 - 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. 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