Inspection on 17/08/05 for Queens Drive

This inspection was carried out on 17th August 2005.

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

Queens Drive 29/11/07

Queens Drive 22/01/07

Queens Drive 20/01/06

Queens Drive 01/11/04

Queens Drive 08/06/04

Queens Drive 14/11/03

Queens Drive 01/07/03

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

CARE HOME ADULTS 18-65 Queens Drive 199 Queens Drive Nantwich Cheshire CW5 5LB Lead Inspector Julie Porter Announced 17 August 2005 at 12 noon 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 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 Stationary 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. Queens Drive F51 F01 S36469 Queens Drive V236209 170805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Queens Drive Address 199 Queens Drive Nantwich Cheshire CW5 5LB 01270 626080 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Cheshire County Council Sheena Farr Care Home 6 Category(ies) of LD Learning (6) registration, with number of places Queens Drive F51 F01 S36469 Queens Drive V236209 170805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 The service should at all times employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. 2 A maximum of 6 adults in the category LD shall be accommodated. Date of last inspection 1st November 2004 Brief Description of the Service: 199 Queens Drive is a care home providing personal care and accommodation, on a short stay basis, for six service users with a learning disability. One of the places in the home is allocated for emergency admissions only.The home is located on a residential estate in the town of Nantwich, close to shops, pub and other local amenities.The home was first registered in May 2003 and consists of a two-story detached building with an extension to the ground floor. The home is in keeping with the local community.All of the home’s bedrooms are single, 5 of which are located on the first floor and 1 on the ground floor. Access between the ground and first floor is via the stairs. The bedrooms contain hand-washing facilities and furniture/fittings suitable to meet the service user needs. The garden to the rear of the home is secure, and accessible to the more physically able service user. Queens Drive F51 F01 S36469 Queens Drive V236209 170805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during an afternoon and early evening and involved reading of information held at the CSCI Northwich office and the pre-inspection material completed by the manager before the visit. Completed CSCI comment cards were received from six residents, two relatives one healthcare professional. The inspector had the opportunity to talk with two residents in the home on the day, two members of staff and the manager. 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. Queens Drive F51 F01 S36469 Queens Drive V236209 170805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Queens Drive F51 F01 S36469 Queens Drive V236209 170805 Stage 4.doc Version 1.40 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 standard(s) 1-5 Residents’ care needs are assessed before they stay at the home, so they know that their needs can be met. Information is available so that they and their relatives can make informed decisions about undertaking a period of respite care. EVIDENCE: Information is available for new service users of the home although the majority of people who use this service have done so for a number of years, and have planned respite care whilst living either at home with family on their own in the community. They have become familiar with what is available in the home, how the home is run and they know the staff well. Before people come to stay overnight in the home, a full assessment is available to ensure that the home can meet their individual needs and wishes. During the inspection, arrangements were being made for a service user to come to the home for a second visit and to have a meal. One service user spoken with said that she knew how many weeks she could stay at the home and said staff always tried to make sure she had the same room, because she liked that one. Queens Drive F51 F01 S36469 Queens Drive V236209 170805 Stage 4.doc Version 1.40 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 standard(s) 6-10 Temporary residents in the home are supported by a group of staff that know them well but staff should work within the agreed care plan so that the residents’ independence continues to be promoted. EVIDENCE: Two residents plans were reviewed during the inspection; one care file was looked at with a resident, the resident confirmed that the information was up to date although there were aspects of the plan that the staff needed to be aware of the resident did not wish to discuss. The resident was aware of the confidential nature of information on file and stated, “this is my file and it’s only for me and staff to read, other people can with my permission.” Annual reviews were available on the residents’ files, care plans and assessment of risks have been updated after each visit to the home. A daily report is made about the residents’ activities for that day although these notes did not reflect how the individual felt the day had gone. One resident’s plan stated, “can bathe independently” although the resident said one of the members of staff “always come into the bathroom to see if I’m alright.” See recommendation 1 Queens Drive F51 F01 S36469 Queens Drive V236209 170805 Stage 4.doc Version 1.40 Page 9 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 standard(s) 11-17 Residents are encouraged to maintain their current lifestyles and become involved in new activities to give them new experiences and help their personal development. EVIDENCE: People staying in the home on a temporary basis so they are encouraged to continue with day and evening activities that they are usually involved with, for example day centres and clubs. Activities in the home include videos, music and cooking. The care plans reviewed showed that residents had been involved in attending a local disco, shopping trips, swimming and a visit to the local pub for karaoke. The inspector saw meals being served and these appeared to be social occasions with lots of chatting and joking. Residents are encouraged to help in some aspect of meal preparation. A record was seen in the kitchen of each person’s likes and dislikes relating to food. Queens Drive F51 F01 S36469 Queens Drive V236209 170805 Stage 4.doc Version 1.40 Page 10 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 standard(s) 18-20 Residents choose to spend short breaks in the home and see it as an extension of their family life; they are supported by a long-standing staff team who know them well so can meet their care needs well. EVIDENCE: Staff were observed supporting residents with activities and were seen speaking with them in an appropriate manner. Families provide the home with updated information about the residents’ health before they come to stay. Other records seen demonstrated that each resident’s health care needs were being met by healthcare professionals in the same way as they would be if they were at home with their families. One resident spoken with said that staying at the home gave her and her family “space” and gave her the chance to do things she wasn’t able to do when at home, including spending time with “friends” who were staying at the home. Staff receive training on medication administration and the medication records were being maintained appropriately. Due to the confidential nature of the information, during the inspection, steps were taken to improve the storage of medication records. Residents have the opportunity of keeping their own medication subject to a risk assessment. Queens Drive F51 F01 S36469 Queens Drive V236209 170805 Stage 4.doc Version 1.40 Page 11 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 standard(s) 22-23 Residents know who to speak to so their views will be listened to. There are policies and training available to staff in respect of adult protection so that residents are protected from potential harm and poor practice. EVIDENCE: Written complaints were seen and appropriate responses had been made. The home has regular “visitors” meetings and records were seen from the last meetings. Minutes of one meeting held in December recorded that a resident thought that the staff were “bossy.” The manager discussed the action she took relating to this statement but was unable to locate the written record. Other verbal complaints made by the residents are not always recorded, however in discussion with residents they felt sure that staff responded to issues promptly. The absence of records in respect of all complaints and the availability of records regarding the action taken was discussed with the manager and a complaint log has now been developed. Staff spoken with were aware of the procedure to follow in relation to reporting suspected abuse. Queens Drive F51 F01 S36469 Queens Drive V236209 170805 Stage 4.doc Version 1.40 Page 12 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 standard(s) 24-30 The home is clean and maintained so that the residents live in a comfortable, homely environment. EVIDENCE: A guided tour was taken with one of the residents in the home. The resident was able to explain why some rooms and cupboards were locked - the main reasons were identified for safety, the storage of cleaning products and confidentiality. Bedrooms are well furnished and residents bring small personal items with them, for example photographs and soft toys. Televisions are available should the resident want to borrow one. One bedroom is situated on the ground floor for people who may have problems with mobility and a hoist is available. All areas of the home were tidy, clean and fresh at this inspection. However, consideration should be given in the near future to decorate the hall, lounge and two of the bedrooms to maintain the high standard in the home. Queens Drive F51 F01 S36469 Queens Drive V236209 170805 Stage 4.doc Version 1.40 Page 13 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31-36 Staff in the home have worked there for a number of years so they know the residents well and have developed a good knowledge of their needs. EVIDENCE: Four staff files were looked at during the inspection. The senior staff and the managers’ file are currently held in the Social Services Offices in Northwich and are available for inspection. Staff files seen contained relevant information including criminal record bureau checks. A chart showing what training staff had completed was available and evidence that the training had been completed was kept on personnel files. Some training relating to emergency aid and adult protection was not current and this needs to be addressed. See requirement 1 Staff spoke positively about the support and guidance they get from the manager of the home. Team meetings and formal staff supervision are in place to ensure the staff work in a consistent manner. Queens Drive F51 F01 S36469 Queens Drive V236209 170805 Stage 4.doc Version 1.40 Page 14 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37-39 & 41-42 Staff enjoy the work that they do and feel supported by the management of the home to promote the best interests of the residents. EVIDENCE: One resident spoken with talked about the manager using her first name, and said that if there were a problem she would speak first with the staff and then with the manager. The manager was described as “great.” During the inspection, the manager’s office door was open and residents had access to her throughout the day. During the inspection the following records were checked and found to be in order; accident records, fire alarm testing, emergency lighting, and service contracts for equipment and the boiler. The home’s health and safety audit was available and was thorough, including risk assessments for the building and transport. Queens Drive F51 F01 S36469 Queens Drive V236209 170805 Stage 4.doc Version 1.40 Page 15 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 2 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 2 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Queens Drive Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x 3 3 x F51 F01 S36469 Queens Drive V236209 170805 Stage 4.doc Version 1.40 Page 16 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 35 Regulation 13 & 18 Requirement Staff must receive updated training in relation to emergency aid and adult protection Timescale for action 31/12/05 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 9 Good Practice Recommendations Care practices should be reviewed to ensure that staff follow care plans to maintain privacy and dignity and promotion of each residents independence. Queens Drive F51 F01 S36469 Queens Drive V236209 170805 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Unit D, off Rudheath Way Gadbrook Park Northwich Cheshire CW9 7LT 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 Queens Drive F51 F01 S36469 Queens Drive V236209 170805 Stage 4.doc Version 1.40 Page 18 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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