Inspection on 29/11/07 for Queens Drive

This inspection was carried out on 29th 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

Queens Drive 22/01/07

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 29 November 2007 16:00 Queens Drive DS0000036469.V355725.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.V355725.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.V355725.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 sheena.farr@cheshire.org.uk http/www.cheshire.gov.uk Cheshire County Council 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) Sheena Farr Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Queens Drive DS0000036469.V355725.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 6 adults in the category LD shall be accommodated. Date of last inspection 22nd January 2007 Brief Description of the Service: 199 Queens Drive is a care home providing personal care and accommodation, on a short stay basis, for six people 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, a pub and other local amenities. The home is a two-story detached building with an extension to the ground floor and the building is in keeping with the local neighbourhood. All of the bedrooms in the home are single rooms; 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 at the rear of the home is secure and accessible to some of the people who stay there, depending on their level of mobility. Information provided by the manager on 24 January 2007 identified that fees are £436.00 per week. Queens Drive DS0000036469.V355725.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection visit took place on the 29 November 2007 and lasted 3.5 hours. The visit was carried out by one inspector. This visit was just one part of the inspection. Before the visit the 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, such as nurses and social workers, 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. One resident and one potential resident were also spoken with and they gave their views about the service. What the service does well: Care plans and risk assessments accurately reflect each person’s needs so that they receive appropriate care a support when staying in the home. During their stay in the home people are encouraged to continue with their usual activities such as college, day centres and clubs so they can keep up their usual routines and maintain friendships. The health of people staying at the home is monitored by a staff team who know them well and supported by health care professionals in the same way as when they are at home so that their health care needs continue to be met. The home is clean and well maintained so people coming to stay there live in safe, comfortable surroundings. People who use the service are encouraged to be involved in the running of the home so they can have a say in what happens when they stay there. Questionnaires are used to find out what people thought about their stay in the home so that their views are taken into account in planning developments to the service. Queens Drive DS0000036469.V355725.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Queens Drive DS0000036469.V355725.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.V355725.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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is information available for people who might use the service, and their families, so they know what is offered at the home. However, lack of available up to date information about new people planning to use the service could mean that their needs cannot be met adequately at the home. 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 either live with their families or on their own in the community and their periods of respite care at the home are planned with them in advance. The information that was available for one person hoping to start using the respite service soon was checked. This person was also spoken with during the visit as they had come to see the home and to have their tea there. The standard assessment documents that had been made available to the home from the local authority were dated December 2004. The person has complex needs around challenging behaviour. There have been a number of changes to his personal circumstances and a breakdown in a residential placement that meant that he needed support away from the family home. Queens Drive DS0000036469.V355725.R01.S.doc Version 5.2 Page 9 These things were not reflected at all in the assessment. The staff sent to support him during his visit did not know him well enough to know this already. The matter was discussed with the senior carer during the visit who said that she had made several attempts to get more up to date information but the assessment from December 2004 was the one that they had been provided with. The person said he knew the home from before when he use to stay and when asked he said “don’t mind if I come to stay.” Information about the visit he made to the home was recorded on his care plan following the visit. Queens Drive DS0000036469.V355725.R01.S.doc Version 5.2 Page 10 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, 8 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans and risk assessments accurately reflect each person’s needs so that they receive appropriate care a support when staying in the home. EVIDENCE: The home offers a respite service where people come for short stays only. Most of the people using the service have done so for a number of years and therefore they know the home and the staff well. One care plan was inspected during the visit and it contained details of the persons’ assessment, completed in 2004 and subsequently reviewed with the person, their family, staff from the home and social services. The last review took place in February 2007. Details were available about the person’s health care need and the levels of support they needed for daily living. The risks involved with the person’s care had been assessed and completed for going out and showering. Queens Drive DS0000036469.V355725.R01.S.doc Version 5.2 Page 11 During the visit people staying in the home were observed and seen to be encouraged as far as they could be to be involved with preparing for the evening meal and tidying away following the meal. After each stay in the home people are asked to give their opinion of how their stay was; one summary seen reported that the person said, “he enjoyed his stay.” Queens Drive DS0000036469.V355725.R01.S.doc Version 5.2 Page 12 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. People are encouraged to continue with their usual activities during their stay at the home so that their skills are maintained and they can carry on their regular routine. EVIDENCE: This service is for respite care only, so people come to stay at the home for short breaks only. When they stay at the home, people 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. The inspection visit took place late in the afternoon so that people staying in the home could be spoken with. Two people in the home during the day of the visit had limited verbal communication, but appeared settled and content with the activities they were involved with. Queens Drive DS0000036469.V355725.R01.S.doc Version 5.2 Page 13 Information was available on individual service users’ files relating to cultural needs, their likes and dislikes in relation to food and information for staff to be aware of when providing support. The evening meal was observed during the visit and was unhurried and relaxed. Queens Drive DS0000036469.V355725.R01.S.doc Version 5.2 Page 14 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. The health of people staying at the home is monitored by a staff team who know them well and supported by other health professionals in the same way as when they are at home so that their health care needs continue to be met. EVIDENCE: Staff were heard and seen throughout the visit chatting to and guiding the people staying about what was going to happen next or what they could do to help. Relationships between staff and the people staying at the home appeared to be comfortable and relaxed. Records 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. There are policies and procedures in place on medicine administration and staff receive training so they can give medicines to the service users safely. People who come to stay at the home have the opportunity to look after their own medication, subject to a risk assessment carried out by staff at the home. On Queens Drive DS0000036469.V355725.R01.S.doc Version 5.2 Page 15 the day of the visit one person staying in the home had chosen to have her medicine stored in the medicine cupboard. It was unclear why she chose to do this as she kept her own medicine when living in her own home and was also administering them herself during her stay. The staff had signed the medicine administration records to say that they had given the medicine to this person. The record needs to be clearer in that staff dispense the medicine but they do not actually administer medicine to this person. Queens Drive DS0000036469.V355725.R01.S.doc Version 5.2 Page 16 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. The home is run by Cheshire County Council and its policies, procedures and staff training are in place in relation to adult protection to ensure service users are safeguarded from harm. EVIDENCE: The complaint log kept in the home was inspected; each complaint had been recorded with details of what it was about, how it was investigated and the outcome. All complaints/concerns had been dealt with within 28 days as stated in the complaints procedure. Information provided by the registered manager states that all staff have received current training relating to protecting vulnerable adults. The County Council’s policies and procedures on safeguarding adults are followed at the home and the staff have received training so they know what to do to protect people staying at the home from possible harm and abuse. Queens Drive DS0000036469.V355725.R01.S.doc Version 5.2 Page 17 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is clean and well maintained so people coming to stay there live in safe, comfortable surroundings. EVIDENCE: The home was recently been closed for a week so many of the rooms have been decorated. Bedrooms are well furnished and people coming to stay are encouraged to bring small personal items with them to put into their rooms. Televisions and DVD players are available in the service users’ rooms if they wish. A games area has been set up in the lounge and many of the people staying enjoy playing computer games. The visit to the home included a tour of the premises. All areas of the home were fresh and clean. The floor in the pantry appears to be porous and in speaking with staff it is difficult to make it look clean. If further investigations Queens Drive DS0000036469.V355725.R01.S.doc Version 5.2 Page 18 prove that the floor is porous consideration must be given as to whether this is suitable in the food storage area. Queens Drive DS0000036469.V355725.R01.S.doc Version 5.2 Page 19 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 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who stay at the home benefit from a low turn over in staff. There are thorough recruitment procedures for new staff to make sure that they are suitable to work with the people who use the service. EVIDENCE: There has been no change to the staff group since the last inspection in January 2007. The staff had undertaken all mandatory training when this was checked at that inspection, so it was not checked again at this visit. Fire safety training was given to all staff on 13 March 2007 following the last inspection; a further fire drill and instruction took place on 25 November 2007 and included the people staying in the home at the time. The fire record was inspected and found in order. All staff are recruited in line with Cheshire County Council’s policy and procedures and as staff have not changed since the last visit this was not checked this visit. Queens Drive DS0000036469.V355725.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 runs smoothly and appears to be run in the best interests of the people who use the service. EVIDENCE: The manager of the home is registered with the Commission for Social Care Inspection and has worked there since 1992. Evidence was seen during the visit of meetings held with people staying in the home regarding the quality of the service. Satisfaction questionnaires are completed following each visit to the home and a concerns/complaints log was seen with the action taken by the home to improve any of the services offered. Queens Drive DS0000036469.V355725.R01.S.doc Version 5.2 Page 21 A sample of safety certificates was inspected and included; the lighting and the fire equipment. The accident record showed that a person staying in the home had pulled a wardrobe over. This matter was investigated and the wardrobe is now fixed to the wall. Queens Drive DS0000036469.V355725.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 2 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 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 3 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 Queens Drive DS0000036469.V355725.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. 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 2 Refer to Standard YA20 YA30 Good Practice Recommendations Cheshire County Council’s guidance on administration of medications and self medication should be followed by all staff. Checks should be made to ensure that the flooring in the pantry is non porous so that good standards of hygiene can be maintained. Queens Drive DS0000036469.V355725.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.V355725.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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