Inspection on 20/06/05 for Russell Street 40- 44

This inspection was carried out on 20th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Russell Street 40- 44 26/03/07

Russell Street 40- 44 13/12/05

Russell Street 40- 44 05/01/05

Russell Street 40- 44 18/11/04

Russell Street 40- 44 04/02/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Russell Street (40 - 44) 40 - 44 Russell Street Cambridge CB2 1HT Lead Inspector Nicky Hone Unannounced 20 June 2005 at 07:50 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. Russell Street (40 - 44) I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Russell Street (40-44) Address 40-44 Russell Street Cambridge CB2 1HT 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) 01223 712261 01223 714297 Cambridgeshire Social Services Sarah Swallowe Care Home 8 Category(ies) of Learning Disability (7), Learning Disability over registration, with number 65 years of age (1), Physical Disability (7), of places Physical Disability over 65 years of age (1), Sensory Impairment (3) Russell Street (40 - 44) I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 5th January 2005 Brief Description of the Service: 40-44 Russell Street is a purpose built home for people with learning and physical disabilities; the home is owned and managed by Cambridgeshire County Council. The home consists of two houses, one being a permanent home for four adults with learning disabilities, the other providing short term respite accommodation for up to four adults with learning disabilities. Both houses have their own kitchen/dining room and sitting room, four single bedrooms and toilet and bathing facilities. All service users’ accommodation is on the ground floor. The two houses share an enclosed garden which is provided with patio furniture. The home is within a short walk of a range of local shops, pubs, restaurants, and a new leisure complex which includes a bowling alley and cinema. The centre of Cambridge is a short bus ride or drive, and Cambridge station is close by, giving easy access to London, Peterborough and other major cities. Russell Street (40 - 44) I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was started at 07.50, and ended at 11.45. The majority of the inspection was spent speaking to service users and observing the morning routine at the home. The inspector also spoke to staff and the manager and checked some of the records. 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. Russell Street (40 - 44) I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 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 Russell Street (40 - 44) I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 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 The statement of purpose does not give prospective service users the correct information about all aspects of the service they will receive. EVIDENCE: The statement of purpose for the respite unit states that service users will stay a maximum of six months. One service user’s review, carried out in September 2004, stated that an alternative placement was to be found within 12 months and at the time of the inspection, this person had lived at the home for over 9 months. This person has taken a long time to settle at the home and there is now concern about the effect a move will have on him/her. Russell Street (40 - 44) I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 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, 7, 8, 10 Care plans need to be reviewed to ensure that service users’ current needs are documented, and they must be kept securely. Information recorded about each person’s daily life is good and weekly meetings encourage service users to participate in the running of the home. EVIDENCE: Care plans for two service users were looked at. One of these service users said he had not been involved in writing the care plan, and did not know what was in it. From discussion with the service user and staff it was clear that the care plan had not been updated. Daily notes made by staff in the care plans are good: there is a lot of detail about the way each person has spent their day, including what activities they have participated in and what they have eaten. One service user talked about the meetings that take place every Monday when service users decide on the menu for the week, and any activities they wish to undertake. Care plans were on a shelf in the kitchen. Russell Street (40 - 44) I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 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, 12, 13, and 14 The home continues to offer a range of day and leisure activities, and is working with service users and care managers to find alternative ways of meeting service users needs. EVIDENCE: Each service user has an individual plan for day activities. The Learning Disability service in Cambridgeshire is working towards providing day services for people in alternative ways to the traditional large day centres, so only two of the people who reside at Russell Street go to a day centre. Service users are encouraged to take part in the daily household chores such as shopping, cleaning, cooking and helping with the laundry. One service user said he makes cups of tea for himself and others, cooks the evening meal one day a week, and is responsible for watering the garden. Service users decide each week what they want to do in the evenings and at weekends: the evening before the inspection there was a barbeque organised at the home as a farewell party for one of the respite service users who was moving to a new home. Service users said how much they had enjoyed it. Russell Street (40 - 44) I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 Page 10 Russell Street (40 - 44) I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 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 standard(s) 20 The home’s medication administration practices are not robust enough to ensure that service users are not put at risk. EVIDENCE: Records of the administration of medication (MAR sheets) were looked at in one unit. There were some gaps where signatures were missing so it was not clear whether or not the service user had received the medication. Changes to these records were not signed or dated, and there were labels stuck over entries on the MAR sheets. All medications received had been signed for. The CSCI pharmacist will be asked to carry out an inspection and report on the pharmacy aspects of the home. Russell Street (40 - 44) I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 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 standard(s) EVIDENCE: These standards were not assessed on this occasion. Russell Street (40 - 44) I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 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 standard(s) 24, 25, 26, 27, 28 and 30 The standard of the decoration and maintenance of both houses, including the courtyard, is good, giving the residents a comfortable, clean and homely place to live. EVIDENCE: All areas of the home seen on the day of the inspection were clean, tidy and reasonably well decorated. Some of the carpets in the lounges/corridor areas were slightly stained: the manager reported that they get cleaned commercially every six months. One resident showed the inspector his bedroom: the bedroom is large, has a large ensuite toilet and washbasin and there is plenty of space for all his personal possessions. He was very happy with his bedroom. The lounges and dining/kitchens in each house are comfortably furnished with adequate space for the number of service users who live there, although slightly cramped if several people are in wheelchairs. Both lounges open onto a large central courtyard where activities such as barbeques are held. The courtyard was full of flowers and plants and looked most attractive. Russell Street (40 - 44) I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 At the time of the inspection there was no evidence to suggest that staff numbers were not adequate to meet the needs of the service users. EVIDENCE: On the morning of the inspection an agency staff member had failed to turn up for work. The remaining staff were very busy, as one service user was moving to a new home, and people were being supported to get ready for their day activities, but they worked calmly and efficiently and there was no evidence that service users’ needs were not met. Staff spoken to said how much they enjoyed working at the home, and they were pleased with the training opportunities that had been made available to them. Russell Street (40 - 44) I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 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 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 and 38 Service users benefit from a home that is managed well. EVIDENCE: The registered manager is also managing several other services: she reported that a new manager has been appointed to manage 40/44 Russell Street. This person has attained the Registered Manager Award and will be applying to the CSCI for registration. The home appeared to be well managed, with good communication and staff confident about their roles and responsibilities. Russell Street (40 - 44) I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 2 x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 3 x 2 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x x Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Russell Street (40 - 44) Score x x 2 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x x I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 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. 1. 2. 3. 4. Standard 1 6 10 20 Regulation 4 15 17(1)(b) 13(2) Requirement The home must work within its statement of purpose Each service user must have a care plan that accurately reflects their needs Service user records must be kept securely Procedures for the administration of medication must ensure that service users are not at risk Timescale for action 30 September 2005 31 August 2005 20 June 2005 20 June 2005 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 Good Practice Recommendations Russell Street (40 - 44) I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 Page 18 Commission for Social Care Inspection CPC1, Capital Park Fulbourn Cambridge CB1 5XE 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 Russell Street (40 - 44) I53 I03 s33505 RUSSELL STREET v232920 200605 - STAGE 4.doc Version 1.30 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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