CARE HOME ADULTS 18-65
Satya Nivas Residential Home 71/73 Checketts Road Leicester Leicestershire LE4 5ES Lead Inspector
Mrs Bhavna Keane-Rao Unannounced Inspection 1st November 2005 10:45 Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 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 Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 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. Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Satya Nivas Residential Home Address 71/73 Checketts Road Leicester Leicestershire LE4 5ES 0116 224 1802 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) Mrs Tara Pankhania Ms Devi Sundavadra Care Home 10 Category(ies) of Learning disability (10), Mental disorder, registration, with number excluding learning disability or dementia (10) of places Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 16/06/05 Brief Description of the Service: Satya Nivas offers long-term accommodation for 10 adults with learning disabilities. It is situated on Checketts Road off the Belgrave Road, within easy reach of the City of Leicester, in a large detached property. It is within the immediate vicinity of all amenities, and bus routes. The Homes primary purpose is to meet the cultural, religious and language needs of Asian people. The furniture and decoration in the home is authentically ethnic to suit Asian needs. Rooms are decorated to a good standard. There is a large lounge, which has television, video, and satellite facilities. There is also a rear garden, a front patio garden and parking facilities available. Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection took place during Tuesday morning, on Diwali day. Diwali is the festival of light, which is celebrated by Hindus all over the world. It took two hours to complete. This home provides care for up to ten people who have a learning disability and a mental health problem. Discussions were held with five residents. However other residents were observed in their daily routine. Two resident were spoken with in great detail. One resident asked not to be disturbed. All the residents and the staff were in a festive mood. There was music, singing and dancing to mark the beginning of these celebrations. The primary method of inspection was observing and speaking with the residents who use the service provided. All the required key standards were inspected during the last visit on 16th June 2005. Therefore only specific standards were inspected this time. All the areas of concerns raised at the last inspection have now been complied with. A tour of the premises was undertaken and opportunity was taken to view MAR sheets and menus of meals. The registered owners and the registered manger were on duty during the whole of the inspection. What the service does well:
The registered owners and manager and the staff at the home are very willing to learn and improve the service provided for the residents. All festivals such as Diwali, Eid and Christmas are noted and celebrated. The home is commended for this working practice. One resident stated, “ I like to go out to do shopping”. One resident stated, “I love to go out eat.” It is noted that at least once a week residents go out to eat at the local restaurants. Another resident stated that they watched Indian films. There are regular culturally appropriate activities that are arranged by the staff at the home. Some of these activities are facilitated by staff and others by external entertainers.
Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 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. Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 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 Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 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): None EVIDENCE: All the required standards were inspected at the last inspection. The admission procedures are in place and assessments of individuals are carried out by the registered manager, health and/or social care professionals, as part of the referral process. Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 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): None EVIDENCE: All the required standards were inspected at the last inspection. Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 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): 14 and 17 Residents’ religious needs, hobbies and interests are met. Residents’ individual dietary needs are met. EVIDENCE: All the required standards were inspected at the last inspection. There are number of organised structured activities planned and provided for the residents. This is always done after consultation with residents. Residents religious needs are discussed recorded and met. Some residents like to attend the local mandir (temple). This is facilitated. On the day of the inspection there were prayers undertaken to mark Diwali. On the day of the inspection number of residents went out shopping after a celebratory breakfast. Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 Page 11 The meals provided for the residents encourage positive choice and are culturally appropriate. All the residents spoken with were very positive about the food provided. A special meal was being cooked for lunch and evening. All residents were very excited about the whole day. They were also looking forward to going out later in the evening to watch the fireworks on Belgrave Road in Leicester. Some of the residents had participated in taking some Indian food and sweets to their friends, relatives and neighbours house. This is an Indian tradition. The inspector was also given some Indian saviour snack; colleagues at the CSCI office enjoyed these. The providers are thanked for the food. Residents also stated that they were looking forward to going to a Mela at the National Exhibition Centre in Birmingham on 17th November 2005. The registered owners, manager and their staff are commended for this positive working practice. Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 Page 12 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): 20 There is a safe system in place for administration of medication. EVIDENCE: All the required standards were inspected at the last inspection. Medication is stored in a locked cupboard in the treatment room and administered by staff who are trained. Administration of medication and recording was seen and is considered to be safe. There is a system in place where all areas of concerns are highlighted and dealt with promptly. Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 Page 13 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): None EVIDENCE: All the required standards were inspected at the last inspection. However there are procedures in place and training provided to all the staff to ensure that residents are always safe. Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 Page 14 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): 24 A comfortable, safe and clean standard of accommodation is provided for the residents. EVIDENCE: All the required standards were inspected at the last inspection. The home is well maintained and suited to residents needs. There is ample natural light throughout the home. It is decorated and furnished to a high standard that creates a comfortable homely atmosphere. The home was found to be clean and free from malodour. There is a large lounge areas and a dining area leading to the kitchen and to the back garden. Entry to the home and to the garden is wheelchair friendly. The residents who were spoken with expressed their satisfaction with the physical state of the home. The area of concern raised at the last inspections, regarding the door handle, has now been dealt with. Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 Page 15 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): None EVIDENCE: All the required standards were inspected at the last inspection. On the day of this unannounced inspection there were three members of staff on duty to provide care for the residents, including owner, manager and a carer. The second owner joined them half way through the inspection. Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 Page 16 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): 37 The home is well run and managed. EVIDENCE: All the required standards were inspected at the last inspection. Residents who were spoken with were positive about the staff employed at the home. One particular resident stated that she loved the owners, manager and the staff at the home. The observed interaction between the staff and residents was relaxed and friendly. Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 Page 17 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 X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30
STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 4 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Satya Nivas Residential Home Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X X X DS0000006443.V263108.R01.S.doc Version 5.0 Page 18 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. Refer to Standard Good Practice Recommendations Satya Nivas Residential Home DS0000006443.V263108.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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