Inspection on 20/01/06 for Queens Drive

This inspection was carried out on 20th January 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

Queens Drive 29/11/07

Queens Drive 22/01/07

Queens Drive 17/08/05

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 Queens Drive 199 Queens Drive Nantwich Cheshire CW5 5LB Lead Inspector Ms Julie Porter Unannounced Inspection 20th January 2006 11:00 Queens Drive DS0000036469.V274173.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 Queens Drive DS0000036469.V274173.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. Queens Drive DS0000036469.V274173.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Queens Drive Address Queens Drive 199 Queens Drive Nantwich Cheshire CW5 5LB 01270 626080 01270 628249 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) Cheshire County Council Sheena Farr Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Queens Drive DS0000036469.V274173.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the National Care Standards Commission. A maximum of 6 adults in the category LD shall be accommodated. Date of last inspection 17th August 2005 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 homes 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 DS0000036469.V274173.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over two hours on the 20 January 2006. On the day of inspection only three residents were due to stay, one resident was staying in the home whilst his home was being refurbished and his usual care team was supporting him with his stay. None of the residents were available on the day to speak with; the inspection involved a tour of the premises and a review of a selection of records. What the service does well: What has improved since the last inspection? What they could do better: The home needs to be more proactive in addressing minor repairs and decoration before the usual good standards in the home deteriorate. Queens Drive DS0000036469.V274173.R01.S.doc Version 5.1 Page 6 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 DS0000036469.V274173.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 Queens Drive DS0000036469.V274173.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): 1-4 Service users and their families are provided with information about the home to ensure that their needs’ can be met during their stay. EVIDENCE: The home has an up to date statement of purpose and service user guide providing information about the home and the services on offer. An assessment of service users needs is completed before they come to the home to ensure their needs’ can be met there, including assessments of associated risks. Visits for coffee, meals and activities are arranged before service users decide to take up the opportunity to have a short stay in the home. Queens Drive DS0000036469.V274173.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): 9 Care plans; staff supervision and staff meeting minutes record how to support service users in maintaining and promoting independence. EVIDENCE: Evidence was reviewed to demonstrate that the staff follow care plans in relation to promoting independence, this was a recommendation following the last inspection. The manager has addressed this in staff supervision and staff meetings. Queens Drive DS0000036469.V274173.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): None of these standards were assessed as they were fully met during the last inspection. EVIDENCE: Queens Drive DS0000036469.V274173.R01.S.doc Version 5.1 Page 11 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 & 21 Service users are encouraged to comment on all aspects of their stay in the home to ensure they are supported in the way they prefer. EVIDENCE: Following a short stay at the home, service users comments regarding their stay and how they are supported are included in a summary report, historically staff use to completed this after the service users visit. Service users are given opportunities to comment on staff, the activities, the food and positive or negative aspects of their stay. Policies are available in the home regarding action for staff to take when service users are ill or dying, these were last reviewed in 2004. Queens Drive DS0000036469.V274173.R01.S.doc Version 5.1 Page 12 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 & 23 The home has a written complaints procedure available to service users and their families. The home has policies and training available to staff in relation to adult protection to ensure service users are protected from potential abuse and harm. EVIDENCE: Following the last inspection the home has developed a complaint log to record all complaints made by residents, recording the nature of the complaint and the outcome. A review of these records identified that the complaints were generally about food and individual likes and dislikes, and relationships between others staying in the home. All staff have recently attended training in relation to Adult Protection. Queens Drive DS0000036469.V274173.R01.S.doc Version 5.1 Page 13 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): The home was clean, fresh and comfortable. EVIDENCE: The inspection involved a tour of the building; all areas of the home were tidy, fresh and clean, however the standard of the decoration in the hall and bedrooms has deteriorated since the last inspection. The manager said that paint and equipment had already been purchased but she was unaware when the decorating would be done. This should be done sooner rather than later to avoid major refurbishment. See recommendation 1 Queens Drive DS0000036469.V274173.R01.S.doc Version 5.1 Page 14 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, 33 & 34 The home operates robust recruitment procedures to ensure service users are safe. Staff training plan ensures that staff have the knowledge to support the service users. EVIDENCE: One new member staff has been recruited since the last inspection, the home has a low turn over of staff. Staff in the home have worked there for a number of years and have therefore developed good knowledge of the service users needs. The home has a rolling staff-training program and Emergency Aid training is planned for all staff in March 2006 following a requirement from the last inspection. One staff file was reviewed during the inspection and contained relevant information including POVA 1st and criminal records check. Queens Drive DS0000036469.V274173.R01.S.doc Version 5.1 Page 15 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): 40 & 43 Policies and procedures are reviewed regularly to ensure staff work in a way to promote residents rights. EVIDENCE: The manager of the home is registered with the Commission for Social Care Inspection (CSCI) and has worked in the home for a number of years; she achieved the Registered Managers award (NVQ 4) in December 2005. Staff receive regular supervision and monthly staff meetings are held. Cheshire County Council has recently developed a Community Services handbook; this is issued to all staff and includes valuable contact numbers, and summaries of policies and procedures. Staff sign to say they have received the book and this forms a basis for supervision to check staff understanding of the important policies. Queens Drive DS0000036469.V274173.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X 3 X X X 3 X X 3 Queens Drive DS0000036469.V274173.R01.S.doc Version 5.1 Page 17 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. 1 Refer to Standard 24 Good Practice Recommendations The home should undertake some decoration of bedrooms and the hallway before the standard of décor deteriorates necessitating major work Queens Drive DS0000036469.V274173.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich 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 DS0000036469.V274173.R01.S.doc Version 5.1 Page 19 - 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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