Inspection on 27/11/07 for Plas Newydd

This inspection was carried out on 27th November 2007.

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

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

Other inspections for this house

Plas Newydd 11/05/06

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 27th November 2007 09:30 Plas Newydd DS0000020669.V353717.R01.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 Plas Newydd DS0000020669.V353717.R01.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. Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 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.V353717.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th May 2006 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.V353717.R01.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 make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, tour of the premises, previous inspection reports and talking with as well as observing the care experienced by people using the service. The Regulation Inspector was accompanied on this inspection by an Expert by Experience. Details of the Expert by Experience scheme can be found on the Commission for Social Care Inspection web site at www.csci.org.uk. What the service does well: What has improved since the last inspection? Since the last key inspection the standard of decoration has been improved, particularly in the upstairs bathroom. Staff are now trained in a more planned way. Safety checks, in particular the fire alarm tests, are now carried out regularly. Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 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 Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. Prospective people to use a service and their representatives have the information needed to choose a home, which will meet their needs. They have their needs assessed to ensure that the home can look after them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of the one person admitted to the home since the last inspection were looked at and these showed that the home had completed an assessment of that person to ensure that they could met her needs. This assessment had included information provided by the service user and her family about her preferred lifestyle and any health issues. Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. Individuals are involved in decisions about their lives and play an active role in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A number of records were looked at and these showed that the likes, dislikes, needs and wishes of the people living in the home had been recorded. Those records also showed, and talking with the staff confirmed that this information was reviewed on a regular basis. The records also contained information about how each person should be approached when carrying out such things as personal care, getting up in the morning and taking medication. A variety of documents were seen that identified what situations and activities contained hazards of varying levels of risk and these also identified ways in which those risks could be reduced to an acceptable level. Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 Page 10 Talking with the staff established that, because of the difficulties that the people living in the home experience when expressing themselves, they monitor reactions to different situations, people and food, so that they can tell when someone is happy or not and make the rest of the staff team aware of what they have seen. This information is then incorporated within their care plan. At the time of the inspection the care plans were being reviewed by the staff team. Part of that process included the use of wall charts that recorded personal likes and dislikes. The manager may want to reconsider whether or not this was the most discreet place for this information to be collected. Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 Page 11 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. Although limited by their ability to communicate the people who live in this home are able to make choices about their life style and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The records of the activities that two of the service users had been involved in were looked at in detail. These included attendance at a local day centre, trips to the local shops which, for one of the people included going to a local butcher where they had developed a friendship with the staff, visiting paces like the Ironbridge Gorge, garden centres, the lake at Ellesmere and local groups such as ‘Good Companions’. All of the people living in the home had access to mobility vehicles and made regular use of the ‘park and ride’ system into Shrewsbury. It was suggested Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 Page 12 that it may be a good idea to consider obtaining bus passes for each person so that a more varied approach to transport could be adopted. Looking at the care plans showed any restrictions on the activities of the residents due to their disabilities and how some of these issues could be overcome. Throughout the inspection staff were seen behaving in caring and respectful manner towards those people living in the home and spending a lot of time chatting to them and explaining what they were doing as they were doing it. The reactions from the people that they were working with seemed to indicate that they appreciated this. They were also seen doing such things as knocking on bedroom and bathroom doors and then asking permission to enter before going in. Each bedroom door was fitted with an appropriate lock but none of the current group of people living in the home made use of this facility. The deputy manager also talked about how, when a letter or postcard is received, a member of staff will sit down and read and show it to the to the person it was sent to. The records of the meals that had been provided to the people in the home were looked at and these showed that the diet was varied and balanced and the staff confirmed that they had been chosen because of the known likes and dislikes of each individual. It was suggested that the use of ‘picture menus’ may help when getting residents to make a choice. The individuals records also outlined any help needed at meal times, such as the liquidising of food, and talking with staff and observation during the visit confirmed that this assistance is given. Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 Page 13 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. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Support plans were seen to contain guidance to staff on how personal care and healthcare should be given. Talking with the deputy manager and the other staff on duty during the inspection confirmed that the support that the residents receive from healthcare professionals is both sensitive and positive. One of the people who live in the home had recently had an operation that had significantly improved his eyesight and staff spoke of how he had been treated with respect, dignity and kindness by the medical professionals. The way the staff talked about this showed that they also shared those values and attitudes. Records seen in both of the files looked at showed the dates, times reasons for and results of healthcare consultations. The administration and storage of medication was looked at with storage consisting of a secure cupboard in a room that contained the facility to store Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 Page 14 controlled drugs. Appropriate administrative systems were seen to be in place and the records showed that they had been followed. The staff confirmed that they receive training in the safe handling of medication. Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 Page 15 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. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The deputy manager confirmed that no complaints had been received since the last inspection. Given the nature of the people living at the home it is difficult to seen how they would access the more formal complaints process however, looking at the records of reviews and other notes as well as talking to and observing the interaction between the people living at the home and the staff it was clear that anything that upsets an individual would be investigated. The deputy manager and other staff spoken to confirmed that they had received or were about to receive training in the procedures involved in the protection of vulnerable adults. It was also clear that the staff team knew of and felt able to use the home’s Whistle Blowing policy. Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 Page 16 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. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Plas Newydd is a large adapted town house situated in the Meole Brace area of Shrewsbury and has good road access and parking. It is an older building that has been converted to it’s current use in a sensitive manner being one of a number of similar houses in the area with nothing done to it that makes it stand out amongst it’s neighbours. Looking around that building showed it to be in good decorative order as well as being clean and odour free. Some work had been carried out by the owner of the property since the last inspection and this had, puzzlingly, involved making one of the toilets accessible only from the garden, an action which effectively make it inaccessible to the residents on a day to day basis. Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 Page 17 The home was seen to have a fully equipped laundry that was capable of dealing with heavily soiled items. The deputy manager also stated that should it be necessary a domestic washing machine could be installed in the kitchen that would be for training purposes only. At that time this was not needed. Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 Page 18 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 excellent. Staff in the home are trained, skilled and in sufficient numbers to fill the aims of the home and meet the changing care needs of residents as well as being able to support a large number of their social activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Throughout the inspection staff were seen to be interacting with the service users in a sensitive, caring and professional manner. Looking at the rota and talking to the staff established that there were enough staff on duty to meet any changes in the needs of the service users. The deputy manager explained and staff confirmed that more staff are made available should the need arise for such things as outings. Records were also seen that confirmed that pre-employment background checks were carried out on people before they started working with the vulnerable people living at the home to ensure that they were fit to do so. These records were kept at the provider’s office which was a few hundred yards from the home. The records were made available immediately upon request Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 Page 19 Looking at the records and talking to the staff established that the managers and individual staff meet on a regular basis to discuss issues of practice and any change in care needs in a confidential manner. Looking at the staff training records and talking with the staff confirmed that there are training opportunities for all of the staff ranging from the mandatory safety training to such things as National Vocational Qualifications in Care. More than half of the staff team have at least National Vocational Qualification level 2 in care. Appropriate induction and foundation training was also available to staff who are new to the care industry. Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 Page 20 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 good. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a competent manager. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Talking with the deputy manager established that she had completed her National Vocational Qualification level 4 in care and that the manager was near the completion of the Registered Managers Award both of which are qualifications considered to be appropriate for people managing this type of service. Records of the visits by senior managers of the providers company were also seen to be both regular and comprehensive giving the provider a good insight into the way the home was caring for the people living there. Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 Page 21 A variety of policies and procedures were seen showing the home’s commitment to equal opportunities for service users and staff. A variety of records that showed that the safety of the environment in which the service users live is monitored were looked at and found to be up to date. These included records of the monitoring of fridge and freezer temperatures, hot water temperatures and the portable appliance test records. The home was also seen to have secure storage for hazardous materials as well as risk assessments that outlined their safe use. As stated elsewhere in this report the staff team receive appropriate safety training in infection control, the safe handling of medicines, first aid, food hygiene, manual handling and fire prevention. Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 Page 22 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 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 4 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 3 x 3 x x 3 x Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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. Extracts may not be used or reproduced without the express permission of CSCI Plas Newydd DS0000020669.V353717.R01.S.doc Version 5.2 Page 25 - 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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