Inspection on 11/10/06 for Satya Nivas Residential Home

This inspection was carried out on 11th October 2006.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Satya Nivas Residential Home 01/11/05

Satya Nivas Residential Home 16/06/05

Satya Nivas Residential Home 03/02/05

Satya Nivas Residential Home 13/07/04

Satya Nivas Residential Home 11/03/04

Similar services:

Hillside

Applegarth

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Jubilee Villa Care Home

Thornham Grove

Beech Lodge

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Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Satya Nivas Residential Home 71/73 Checketts Road Leicester Leicestershire LE4 5ES Lead Inspector Ruth Wood Unannounced Inspection 11th October 2006 09:00 Satya Nivas Residential Home DS0000006443.V314750.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 Satya Nivas Residential Home DS0000006443.V314750.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. Satya Nivas Residential Home DS0000006443.V314750.R01.S.doc Version 5.2 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) jag-jamjar@yahoo.co.uk 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.V314750.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 1st November 2005 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. Its 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. Current fees range from £280 to £327. Satya Nivas Residential Home DS0000006443.V314750.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a weekday between 9am and 2pm. The residents’ first language is Gujrati and this is the primary language spoken in the home. An interpreter was therefore used for some of the time so that the inspector could ask residents questions and understand the communication between them and staff. The time spent on this was limited as the majority of residents were getting ready to attend college when the inspector arrived. Discussion was held with the provider and manager and various records were examined. These included those relating to the care needs of three residents and discussion about these was held with the provider, manager and one of the residents. Records for medication, staff, maintenance and fire were also examined. Two residents showed the inspector their bedrooms and the provider showed the inspector the rest of the home. What the service does well: What has improved since the last inspection? What they could do better: Some improvements are needed in how medicines are looked after in the home. One resident’s tablets were not locked away. The provider said that the resident collected and looked after this tablet himself. It was recommended that the provider talk to the resident to make sure they understood how to store and take this medication safely and they should make sure that this assessment was written down. A requirement was also made that all medicines in the home must be locked away safely. The details of when one resident should take a tablet had been changed on the medication record. There were no records to say that a doctor had authorised this change. Alterations must not be made to the medication record unless authorised by a medical practitioner. This tablet was being given ‘as required’ Satya Nivas Residential Home DS0000006443.V314750.R01.S.doc Version 5.2 Page 6 to the resident. It should be written down which doctor has said this tablet can be given and under what circumstances. 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.V314750.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 Satya Nivas Residential Home DS0000006443.V314750.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are competently assessed and good arrangements are in place to allow new residents to test drive the home. EVIDENCE: One resident spoke about their recent move to the home. They came to look around the house and later returned to have a meal and stay overnight before deciding to move in on a trial period. Details of this residents’ needs (including dates for review of the placement) were outlined in the placing social worker’s and the provider’s assessment. These documents contained comprehensive information about the resident’s needs. The files for two other residents were examined and both contained appropriate documentation. Satya Nivas Residential Home DS0000006443.V314750.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 at least once during a 12 month period. 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. Residents are involved in day to day decisions, are supported to take reasonable risks and care plans accurately reflect their needs. EVIDENCE: Three residents’ care files were examined; two contained a plan of support, one for a recently admitted resident was still being formulated. Care plans had been reviewed in September following consultation with the resident and their relatives. Plans were comprehensive, outlining needs in all areas. Risk assessments relating to residents’ individual needs were in place. A suggestion was made that where responsibility for reducing the risk was detailed this should include the resident as well as staff, where appropriate The majority of residents (8) manage their own finances and records were seen for the two residents who staff support in this area. These were comprehensive and accurate. Residents are encouraged (and allowed) to make decisions for themselves for example deciding on their daytime activities. Efforts are made to inform Satya Nivas Residential Home DS0000006443.V314750.R01.S.doc Version 5.2 Page 10 residents about how the home is run and information is available in a variety of formats. Regular (monthly) residents’ meetings are held and recorded. Satya Nivas Residential Home DS0000006443.V314750.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents enjoy a stimulating and varied lifestyle, receive excellent support in maintaining their links with family and friends and enjoy good, nutritious food. EVIDENCE: Residents spoke about the college courses they attend (such as English, computers and yoga) and said that they enjoyed these. Some residents also attend specialist day care services for part of the week. The home has a strong, positive presence in the community enjoying good relationships with neighbours and residents’ families, many of which live locally. Residents are kept informed of all events in the local area and are supported to play an active role in the religious and cultural life of the community. A party to celebrate the Hindu festival of Diwali was arranged for the weekend and members of the local community and residents’ families had been invited attend. Residents’ families visit regularly and staff actively support residents to maintain contact, providing transport to visit those who live some distance away. Satya Nivas Residential Home DS0000006443.V314750.R01.S.doc Version 5.2 Page 12 Social activities include visiting local restaurants and pubs, going shopping and day trips. All residents are given the opportunity to go on extended holidays (with staff support) to places such as India, the Far East, America as well as various destinations in Europe. Risk assessments and detailed itineraries were available for these trips, the most recent of which was in December 2005. All residents hold a key to their room and open their own mail. Staff interact well with residents and genuine, warm relationships appeared to exist between them. A rota details residents’ responsibilities for chores in the home and they are supported to play a part in preparing meals, shopping etc. Residents are given a choice about what food to eat and the provider and staff are aware of residents’ individual food preferences. Residents said the food was well cooked and enjoyable. Food is culturally appropriate and relies heavily on fresh vegetables. Some staff have received training in nutrition. Satya Nivas Residential Home DS0000006443.V314750.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 at least once during a 12 month period. 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. Residents’ health and personal care needs are well met but improvement is needed in aspects of medication management to ensure this process is consistently safe and accurately recorded. EVIDENCE: Residents’ support needs are detailed in their care plans and range from active support with personal hygiene to prompting. All residents are registered with a local GP and have access to NHS dentistry. Annual health screens are available either through their General Practitioner or through the learning disability service. Optical prescriptions were on file and it was documented that a resident with diabetes had attended their regular eye screening. Residents also have access to consultant psychiatrists, psychologists and specialist nurses. One resident’s prescribed paracetamol was not stored securely in their bedroom. The provider said that the resident collected and administered this himself. There was no risk assessment on record relating to this activity and a recommendation was made that this should be put in place. A requirement was also made that all medication must be stored securely. All other medication is appropriately and securely stored and medication records Satya Nivas Residential Home DS0000006443.V314750.R01.S.doc Version 5.2 Page 14 examined were generally accurate with medication received and returned being clearly documented. Alterations had been made to the Medication Administration Record with regards to one drug for one resident. This was prescribed to be given regularly at night but had been changed by the provider to be given ‘as required’. There were no protocols in place stating who had agreed that the medication could be used in this way and in what circumstances. A risk assessment did state however that staff should not administer the medication without consulting the provider or manager first. Requirements were made that protocols be put in place clearly stating who has prescribed the medication and in what circumstances it should be given on an ‘as required’ basis. Alterations of this kind must not be made to the administration record; a requirement was made to this effect. Satya Nivas Residential Home DS0000006443.V314750.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 at least once during a 12 month period. 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. Residents are listened to and good systems and practice are in place to protect them. EVIDENCE: The Complaints Procedure is displayed and available in both written and pictorial form. The Commission has received no complaints or concerns about the service since the last inspection. Residents are aware of who to contact if they have any concerns. Internal procedures are in place to protect residents from abuse and the provider and manager are aware of local and national guidance in this area. Staff covered recognition and protection against abuse when undertaking their National Vocational Qualifications. Residents are also protected by thorough recruitment practices (see Standard 34) Satya Nivas Residential Home DS0000006443.V314750.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, comfortable and culturally appropriate environment, which meets their needs EVIDENCE: A full tour of the home was made. All areas were clean, tidy and free from any unpleasant odours. Staff members have completed training in infection control. The laundry is sited appropriately away from food preparation areas and equipment is suitable for the needs and requirements of the people living in the home. Bedrooms are spacious with sufficient natural and artificial light and have been personalised by residents. Communal areas are decorated and furnished appropriately and a record of maintenance required and completed is kept. The home blends in well with properties in the surrounding area. Satya Nivas Residential Home DS0000006443.V314750.R01.S.doc Version 5.2 Page 17 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, 34, 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported and protected by well-trained staff and effective recruitment practices. EVIDENCE: All staff in the home have achieved National Vocational Qualifications at level 2 in care and the manager and provider are qualified assessors for these qualifications. Staff have also received training from a Community Psychiatric Nurse on understanding mental health needs. Staff can communicate with residents in their preferred language and at the appropriate level. Two staff members’ records were examined; these included an application form, two written references and documentation that indicated that staff had undergone a period of induction. Evidence that staff had obtained Criminal Records Bureau checks was also available for inspection. Each staff member has a training and development record and copies of training materials are retained. Regular staff supervision and appraisal sessions are held and these are recorded. Staff will receive training in personcentred planning in the near future. Satya Nivas Residential Home DS0000006443.V314750.R01.S.doc Version 5.2 Page 18 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, 39, 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Effective management ensures that health and safety practice promotes residents’ welfare and that residents’ views inform the way the service is delivered. EVIDENCE: Both the provider and registered manager are sufficiently qualified and experienced to manage the home effectively and undertake regular training to maintain and update their skills. The provider works at the home on a daily basis and personally oversees the care of the people living there. Residents and their relatives are consulted by means of structured questionnaires and a selection of these was examined. All comments made were very positive expressing satisfaction with the service provided. Both staff and resident meetings are held monthly and are documented. Effort is made to actively involved residents in the running of the home. For example the impact of new guidance on fire safety had been discussed at the last residents’ meeting. Satya Nivas Residential Home DS0000006443.V314750.R01.S.doc Version 5.2 Page 19 Good systems are in place to promote the health and safety of both residents and staff members. Staff have received training in moving and handling, fire safety, first aid and infection control. Documentary evidence was available that gas and electrical systems had been regularly serviced. Records were available to suggest that fire systems were regularly serviced and tested. Satya Nivas Residential Home DS0000006443.V314750.R01.S.doc Version 5.2 Page 20 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 X 2 3 3 X 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 4 14 4 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 1 X 3 X 3 X X 3 X Satya Nivas Residential Home DS0000006443.V314750.R01.S.doc Version 5.2 Page 21 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 Standard YA20 Regulation 13 Requirement All medication must be stored securely to ensure that it is not accessible to residents for whom it is not prescribed Alterations must not be made to the medication record unless authorised by a medical practitioner. This authorisation must be documented and available for inspection. Timescale for action 11/10/06 2 YA20 13 11/10/06 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 YA20 Good Practice Recommendations A risk assessment must be undertaken and documented for the resident administering their own paracetamol. This should be regularly reviewed. A protocol must be put in place stating who has prescribed the ‘as required’ medication for the identified resident and under what circumstances they have authorised that it should be given. Satya Nivas Residential Home DS0000006443.V314750.R01.S.doc Version 5.2 Page 22 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 © 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 Satya Nivas Residential Home DS0000006443.V314750.R01.S.doc Version 5.2 Page 23 - 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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