Inspection on 22/01/07 for Queens Drive

This inspection was carried out on 22nd January 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Queens Drive 29/11/07

Queens Drive 20/01/06

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 22nd January 2007 4:00 Queens Drive DS0000036469.V316168.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 Queens Drive DS0000036469.V316168.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. Queens Drive DS0000036469.V316168.R01.S.doc Version 5.2 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) http/www.cheshire.gov.uk Cheshire County Council Sheena Farr Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Queens Drive DS0000036469.V316168.R01.S.doc Version 5.2 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. A maximum of 6 adults in the category LD shall be accommodated. 2. Date of last inspection 20th January 2006 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 on a residential estate in Nantwich, close to shops, pub and other local amenities. The home 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 are 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 users’ needs. The garden to the rear of the home is secure, and accessible to the more physically able service user. Information provided by the manager on 24 January 2007 identified that fees are £436.00 per week. Queens Drive DS0000036469.V316168.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit took place on the 22 January 2007 and lasted 3.5 hours. Feedback was given to the manager over the telephone on 23 January 2007. The visit was carried out by one inspector. This visit was just one part of the inspection. Before the visit the home owner/manager was asked to complete a questionnaire to provide up to date information about services in the home. CSCI questionnaires were also made available for residents, families, and health and social care professionals to find out their views. Other information received by CSCI since the last key inspection was also reviewed. During the visit various records and the premises were looked at. A number of residents were also spoken with and they gave their views about the service. What the service does well: What has improved since the last inspection? Staff have received training in first aid and adult protection so that service users’ welfare is safeguarded. Some areas of the home have been decorated since the last inspection to make sure that it continues to provide safe and comfortable surroundings for the service users. Queens Drive DS0000036469.V316168.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. Queens Drive DS0000036469.V316168.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 Queens Drive DS0000036469.V316168.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): 1, 2, 3, 4, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ needs are assessed before they are offered a service and information about the home is available to them so that they know their needs can be met. EVIDENCE: Information is available to new service users and their families about the home and what it can offer. Most of the service users know the home because they’ve stayed there many times. Service users have planned respite care either whilst living at home with their families or on their own in the community. Before service users are introduced to the service a full assessment of their care needs is undertaken by their social worker. An introductory period usually involves visits to the home, visits for lunch or evening meal and short stays, usually overnight initially. Two care files were inspected and included information about the service users’ needs and a record of any visits made to the home before they stayed there for respite care. Queens Drive DS0000036469.V316168.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, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by a staff team who know them well. Care plans accurately reflect their needs so they get the care/support they need. EVIDENCE: The home offers a respite service where residents come for short stays only. Two service users’ plans were inspected and both contained valuable information on how the service user needed to be supported during their stay in the home. As the home only offers respite care, health information is obtained before each visit to make sure that the records are kept up to date. One plan contained information on how to communicate with the service user who had very limited verbal communication. Staff were seen during the evening meal discussing with other service users in the home what the different signs and gestures meant to help them to understand and promote communication with each other. Queens Drive DS0000036469.V316168.R01.S.doc Version 5.2 Page 10 One plan contained restrictions for one of the service users. This had been discussed with the service user and evidence was available that a psychiatrist, psychologist and advocate was also involved in their care. Risk assessments were seen for both service users in relation to daily living, activities and accessing the community. Service users spoken with said that they enjoyed their stay in the home; they could meet up with friends and treat it as a holiday away from home. Service users said that that they knew the staff well. All the service users continue with their usual activities when they stay at the home. When services users stay at the home, there is an understanding that they go to bed at 10pm. Staff confirmed this is because they finish their shift at 10pm and staff usually go to bed then. Televisions and DVD players are available in bedrooms for residents. Occasionally some residents do stay up with some staff and this could lead to confusion or resentment from others. This was discussed with the manager following the inspection and agreed that the terms and conditions of the stay in the home should be clear regarding this, and the home’s own risk assessment process should be used to determine if service users can stay up later alone. Queens Drive DS0000036469.V316168.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 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged to continue with their usual activities while having a respite service so that their skills are maintained. EVIDENCE: The home offers a respite service and therefore only provides short breaks for service users. When they stay at the home, service users carry on with their usual activities such as going to centres, college, clubs or work placements, as they normally would while living in their own home. Information was available on individual service users’ files relating to cultural needs and information for staff to be aware of when providing support. The evening meal was observed during the visit and was seen to be used as an opportunity to socialise, discuss the day and plan the evening activities. Queens Drive DS0000036469.V316168.R01.S.doc Version 5.2 Page 12 The home has a record of service users’ likes, dislikes, and cultural needs in relation to food and several different meals were prepared during the visit to accommodate this. Queens Drive DS0000036469.V316168.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 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by staff who have worked with them for a long time so they know what to do to meet the service users’ needs. EVIDENCE: Staff were observed throughout the visit chatting with service users, preparing for the evening meal and supporting them with settling in and unpacking. One resident spoken with said that he chose to come to the home while he was waiting for somewhere new to live. Service users appeared comfortable with staff, laughing and sharing a joke. Records inspected showed that the health care needs of service users were being met by healthcare professionals in the same way as they would be if they were at home with their families. Policies and procedures are in place on medicine administration and staff receive training so they can give medicines to the service users safely. On the day of the visit none of the service users in the home were taking prescribed medicines and therefore no records were available for checking. Queens Drive DS0000036469.V316168.R01.S.doc Version 5.2 Page 14 Residents have the opportunity of keeping and administering their own medication subject to the home’s risk assessment. Queens Drive DS0000036469.V316168.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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Cheshire County Council’s policies, procedures and staff training are in place in relation to adult protection to ensure service users are safeguarded from harm. EVIDENCE: The home has a written complaints procedure and information was seen around the house about the action service users should take if they are unhappy about any aspect of the service. Two service users spoken with said that they would talk with staff if they were unhappy. The complaints record was inspected and information provided by the manager stated that sixteen complaints have been made in the last 12 months. The nature of the complaint and the action taken had been recorded in each case. Policies and procedures are in place for protecting service users from harm. Staff training records demonstrate that the majority of staff have attend training in relation to adult protection procedures. The home has made one referral to the adult protection team regarding an incident that happened away from the home. Queens Drive DS0000036469.V316168.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, 25, 29 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides specialist equipment and is clean and well maintained to ensure that resident live in a safe homely environment. EVIDENCE: The visit included a tour of the home including some of the empty bedrooms. All areas of the home were clean and fresh. The hall, stairs and landing have been painted since the last visit. Bedrooms were well furnished and service users are encouraged to bring small personal items with them on their stays. Televisions and DVD players are available in the service users’ rooms. Queens Drive DS0000036469.V316168.R01.S.doc Version 5.2 Page 17 One bedroom is situated on the ground floor and is equipped to be used for service users needing more support due difficulties with mobility. The path to the entrance to the home is past this bedroom so, since the last inspection and to maintain some privacy, the windows have now been fitted with frosted glass. Staff said that one service user who has some challenging behaviour spends time in the home. External window coverings are fitted to this room so they can be used when this service users is staying to prevent injury. Queens Drive DS0000036469.V316168.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, 33, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Robust recruitment processes and adult protection training is in place to ensure that residents are protected from possible abuse. EVIDENCE: The home has a very low turn over of staff. Four of the eight staff members have a National Vocational Qualification at level 2 or above. Cheshire County Council offers a wide range of training courses for staff throughout the year. Staff achievements in relation to refresher and mandatory training are monitored by the manager. A chart showing what training staff had completed was available and evidence that the training had been completed was kept on personnel files. Training relating fire safety was not up to date and this needs to be sorted out. Staff personnel files were not available during the visit as they are stored in a locked cabinet to which only senior staff have access. However the following day the manager provided information relating to the staff team which identified that the home follows robust recruitment processes in line with Queens Drive DS0000036469.V316168.R01.S.doc Version 5.2 Page 19 Cheshire County Council’s policies. Criminal Record Bureau clearance has been obtained for all staff working in the home. Staff spoke positively about the support and guidance they get from the manager of the home. Team meetings, house meetings and formal staff supervision are in place to ensure the staff work in a consistent manner. Queens Drive DS0000036469.V316168.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 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed to provide a service that is run in the best interests of the service users. EVIDENCE: The manager of the home is registered with the Commission for Social Care Inspection and has worked there since 1992. She was not available at the time of this visit. Staff were complimentary regarding the support and guidance she offers. One member of staff was spoken with clearly enjoys her work in the home. Queens Drive DS0000036469.V316168.R01.S.doc Version 5.2 Page 21 A complaints procedure is available for service users in the home and information how to complain is available in communal areas. Service users spoken with said that they would be quite happy to let staff know if they were unhappy with any aspect of their stay. Service users chose to spend time in the home for respite care. One service user said that if he didn’t like it he would not come. Following each visit service users are asked to complete a questionnaire about their stay. During the inspection the following records were checked and found to be in order; accident records, fire alarm testing and emergency lighting. The home’s health and safety audit was available and last reviewed in October 2006. Staff have attended mandatory training in relation to 1st Aid; moving and handling, food hygiene and infection control. Staff have not attended recent fire safety training and this was discussed with the manager after the visit. The manager has provided information that fire training will take place on 6 February 2007 for all staff. Queens Drive DS0000036469.V316168.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 3 2 3 3 3 4 3 5 3 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 3 26 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 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 Queens Drive DS0000036469.V316168.R01.S.doc Version 5.2 Page 23 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. 1 Standard YA42 Regulation 23(4)(d) Timescale for action The manager must ensure that 31/03/07 all staff receive training in fire prevention Requirement 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 YA9 Good Practice Recommendations Staff should enable service users to take responsible risks subject to a risk assessment with regard to staying up without staff support after 10pm. Queens Drive DS0000036469.V316168.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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 Queens Drive DS0000036469.V316168.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. 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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