Inspection on 07/03/06 for Queen`s Retreat

This inspection was carried out on 7th March 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 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

Queen`s Retreat 01/05/07

Queen`s Retreat 17/11/05

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Queen`s Retreat 7 Russett Road Cheltenham Glos GL51 7LN Lead Inspector Mr Simon Massey Unannounced Inspection 7th March 2006 03:00 Queen`s Retreat DS0000060869.V285746.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 Queen`s Retreat DS0000060869.V285746.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. Queen`s Retreat DS0000060869.V285746.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Queen`s Retreat Address 7 Russett Road Cheltenham Glos GL51 7LN 01242 703100 01242 706080 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) Chances Gloucestershire Community Child Care & Family Support Services Mrs Beverley Anne Morgan Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Queen`s Retreat DS0000060869.V285746.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th November 2005 Brief Description of the Service: Queens Retreat is an older style detached property, set in private grounds on the edge of Cheltenham. The house is part of the Chances organisation, which has other homes in Gloucestershire. The home offers individually tailored packages of care and education to adults with disabilities. The Home was previously registered as a children’s home but has recently successfully gone through the process of changing its category to Younger Adults. There is a strong emphasis on helping residents achieve a level of independence. The home also provides and supports education packages, both from its own education facility through to college and work placements Queen`s Retreat DS0000060869.V285746.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 7th March 2006 and lasted two hours. The inspector met the Registered Manager, three care staff and all of the service users. Records relating to health and safety and service user’s finances were examined and parts of the environment were also inspected. A full inspection against the core standards was undertaken on 17th November 2005. This previous inspection recorded that the home met all the minimum standards, exceeding several, and was providing a high standard of care and support to the service users. For a more detailed appraisal against the standards readers are referred to this previous report. No requirements or recommendation were made as a result of this inspection. The inspector is grateful to the staff and service users for their co-operation and input to the inspection process. What the service does well: The home provides an excellent level of care and support to meet the needs of the service users. The home has a comprehensive system of care planning and reviewing that fully involves the service users. The home has a positive and pro-active approach to staff training and development. The home provides a structured but homely environment appropriate to the needs of the service users. The home is managed to a high standard and has a motivated and professional staff team. The home provides good support and guidance in the development of independence skills for the service users. The home provides a quality service that produces positive outcomes for the service users. Queen`s Retreat DS0000060869.V285746.R01.S.doc Version 5.1 Page 6 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. Queen`s Retreat DS0000060869.V285746.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 Queen`s Retreat DS0000060869.V285746.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): Not inspected during this visit. EVIDENCE: There have been no admissions to the home during the past twelve months. Queen`s Retreat DS0000060869.V285746.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): 10 The home is effective in ensuring privacy is protected and that information is securely stored. EVIDENCE: Discussion with the service users showed that they are fully involved in the planning and reviewing of their care plans. The service users stated that the staff respected their privacy and that they could talk in confidence if they wished. People knew were their personal information was stored and knew how to access it if they wished. Queen`s Retreat DS0000060869.V285746.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): 11,12,14 &15 The home supports the service users to develop individual lifestyles and plan for the future by encouraging the development of independence skills EVIDENCE: The service users explained how they are being supported to learn about budgeting skills and how this will help with future independence. Support in this area is structured into the weekly independent skills training done by all the service users. People explained how the staff were supporting them to manage money, make savings, and to get value for money when shopping for clothes. All service users have individual weekly routines that they are fully involved in organising and all expressed satisfaction with the support they receive. Examples were given of how difficulties could be discussed with staff and how they are involved in the planning of any changes. Regular social activities are undertaken and supported, both in the evenings and at weekends. The home provides communal entertainment facilities and service users have also developed their own interests in their rooms. Queen`s Retreat DS0000060869.V285746.R01.S.doc Version 5.1 Page 11 Queen`s Retreat DS0000060869.V285746.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): Not inspected during this visit. EVIDENCE: Queen`s Retreat DS0000060869.V285746.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): 23 Service users are protected by clear and well-recorded accounting of personal monies. EVIDENCE: The home has introduced a new system for the managing of the service user’s personal finances. Its purpose is to provide more control for the service users and to further develop budgeting skills. The service users explained the benefits and also gave examples of how they exercise choice over expenditure. A sample of one personal finance record was examined and this showed accurate accounting, correct receipting and the correct amount of cash in the secure cash tin. All service users have individual accounts, for which the Registered Provider is the appointee. The records clearly detail personal monies being received and accounted for. All the service users have signed an agreement about the managing of their monies and copies are held in the individual files. This has been provided in written and symbol format. Queen`s Retreat DS0000060869.V285746.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): Not inspected during this visit. EVIDENCE: The work required on the bathroom has been started with the new shower being installed. The rest of the updating is due to be finished shortly. All the communal areas of the home were seen and these were clean and well maintained and were homely and comfortable. Service users stated they were happy with their rooms. Queen`s Retreat DS0000060869.V285746.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): Not inspected during this visit. EVIDENCE: There have been no new staff employed since the previous inspection. Service users were observed interacting positively with staff and appeared comfortable and confident in their home. They were very positive about the staff team and the support and advice they receive. Service users stated they worked well with their key-workers and also that staff respected their privacy. Queen`s Retreat DS0000060869.V285746.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): Not inspected during this visit. EVIDENCE: Queen`s Retreat DS0000060869.V285746.R01.S.doc Version 5.1 Page 17 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 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 3 15 3 16 X 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X x X X X X X X X Queen`s Retreat DS0000060869.V285746.R01.S.doc Version 5.1 Page 18 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. 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 Queen`s Retreat DS0000060869.V285746.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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. 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