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Inspection on 10/11/05 for Simmins Crescent Care Home

Also see our care home review for Simmins Crescent Care Home for more information

This inspection was carried out on 10th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The registered manager and the staff at the home are very willing to learn and improve the service provided for the residents. There is an extensive programme of activities so that hobbies and interests are accommodated. One resident stated that he was going to the resource centre to dance top Cliff Richards`s music. One person wanted to go out to buy a key ring, this was to take place later on in the afternoon. The philosophy of care is very much based on the provision of individual care and this includes social, cultural, dietary and religious needs being identified and met. The registered manager and his staff are commended for the positive choice made available at all meals times. This is a very positive working practice. The interactions observed between staff and residents were very positive. On the day of the inspection the home was also having visit from the Environmental Health Officer. This was a positive visit as standards were met.

What has improved since the last inspection?

Residents are now offered chapattis with their meals everyday.

What the care home could do better:

Since the philosophy of care is that this is the resident`s home and so based on outcomes for residents it is not possible to suggest any improvement.

CARE HOME ADULTS 18-65 Simmins Crescent Care Home 2-6 Simmins Crescent Eyres Monsell Leicester Leicestershire LE2 9AH Lead Inspector Mrs Bhavna Keane-Rao Unannounced Inspection 10th November 2005 10:00 Simmins Crescent Care Home DS0000006444.V265612.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 Simmins Crescent Care Home DS0000006444.V265612.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. Simmins Crescent Care Home DS0000006444.V265612.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Simmins Crescent Care Home Address 2-6 Simmins Crescent Eyres Monsell Leicester Leicestershire LE2 9AH 0116 278 1152 0116 278 1152 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) VISTA Mr Peter Kazakevics Care Home 15 Category(ies) of Learning disability (15), Learning disability over registration, with number 65 years of age (15), Sensory impairment (15), of places Sensory Impairment over 65 years of age (15) Simmins Crescent Care Home DS0000006444.V265612.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Minimum age for admission to the home is 16 years. Persons admitted to the home who fall within category LD must also fall within category SI - ie dual disability. Date of last inspection Brief Description of the Service: Simmins Crescent is a residential home providing care for up to 15 people. It is registered to provide care for people who need care because of visual impairment, who also have a learning disability and possibly physical disabilities. The emphasis is on homeliness, and there is no feel of an institutional setting, about the home, which is made up of three separate bungalows each providing care for up to five people. Each bungalow has a small individual garden and a larger connecting garden. Each bungalow has a shared dining room, through lounge and kitchen facilities together with a garden and patio. On the grounds there is another bungalow used as a resource building, which offers activity rooms and office space together with a garden. All rooms are single and en-suite and are decorated to the wishes of the individual service users Simmins Crescent Care Home DS0000006444.V265612.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 Thursday morning. It took two hours to complete. This home provides care for up to fifteen people who have a visual impairment and learning disability. Discussion was held with a number of residents, but not in great detail due to their care needs. However they were observed in their daily routine. The primary method of inspection was observing and speaking to the residents who use the service provided. All the required key standards were inspected during the last visit on 19th May 2005. Therefore only specific standards were inspected this time. There were no areas of concerns raised at the last inspection. A tour of the premises was undertaken and opportunity was taken to view MAR sheets, menus of meals provided, the Environmental Health Officers report and staff rota. The registered manger was not on duty during the inspection. The deputy manager spent time discussing many issues that arise in the running of a residential home and facilitated this inspection. What the service does well: The registered manager and the staff at the home are very willing to learn and improve the service provided for the residents. There is an extensive programme of activities so that hobbies and interests are accommodated. One resident stated that he was going to the resource centre to dance top Cliff Richards’s music. One person wanted to go out to buy a key ring, this was to take place later on in the afternoon. The philosophy of care is very much based on the provision of individual care and this includes social, cultural, dietary and religious needs being identified and met. The registered manager and his staff are commended for the positive choice made available at all meals times. This is a very positive working practice. The interactions observed between staff and residents were very positive. Simmins Crescent Care Home DS0000006444.V265612.R01.S.doc Version 5.0 Page 6 On the day of the inspection the home was also having visit from the Environmental Health Officer. This was a positive visit as standards were met. 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. Simmins Crescent Care Home DS0000006444.V265612.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 Simmins Crescent Care Home DS0000006444.V265612.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. Simmins Crescent Care Home DS0000006444.V265612.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. Simmins Crescent Care Home DS0000006444.V265612.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, 17 Residents’ religious, cultural, 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 are provided for the residents. These encourage and enhance the resident’s divers needs. This is always done after consultation with residents. On the day of the inspection one resident was going to go out with a member of staff to the resource centre and another resident was planning to out to the shops. On the day of the inspection all three bungalows were providing varied meals. While viewing the menu records, it was noted that on some occasions all the residents were having a different meal. Resident’s likes and dislikes are discussed and recorded to ensure that residents are never provided a meal, which they are not happy with. Simmins Crescent Care Home DS0000006444.V265612.R01.S.doc Version 5.0 Page 11 There are always positive choices available at all meal times and residents were observed going into the kitchen to help make drinks for themselves. The management and the staff at the home are commended for this working practice. Simmins Crescent Care Home DS0000006444.V265612.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: Medication is stored in a locked cupboard in the treatment room or in individual residents bedrooms 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, introduced on the day of the inspection, where all areas of concerns are highlighted and dealt with promptly. Simmins Crescent Care Home DS0000006444.V265612.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. Simmins Crescent Care Home DS0000006444.V265612.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. The staff has recently decorated all the bungalows. They are decorated and furnished to a high standard that creates a comfortable homely atmosphere. All the three bungalows were found to be clean and free from malodour. There is, per bungalow, individual lounge, dining room, a kitchen and individual garden. There is also a communal garden, which links all three bungalows and the resource building. Entry into individual bungalows and to the garden is wheelchair friendly. The residents who were spoken with expressed their satisfaction with the physical state of the home. Simmins Crescent Care Home DS0000006444.V265612.R01.S.doc Version 5.0 Page 15 The home provides sufficient lavatories and bathing/shower facilities to meet the needs of residents. Residents have access to equipment such as hoists to assist them and staff in the delivery of personal care. Simmins Crescent Care Home DS0000006444.V265612.R01.S.doc Version 5.0 Page 16 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 two to three members of staff on duty, per bungalow, to provide care for the residents. This calculation does not including the assistant manager and a deputy manager. Simmins Crescent Care Home DS0000006444.V265612.R01.S.doc Version 5.0 Page 17 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): None EVIDENCE: All the required standards were inspected at the last inspection. The observed interaction between the staff and residents was relaxed and friendly. On the day of the inspection the home also had a visit from the Environmental Health Officer. This was a positive visit. Simmins Crescent Care Home DS0000006444.V265612.R01.S.doc Version 5.0 Page 18 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 3 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 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Simmins Crescent Care Home Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000006444.V265612.R01.S.doc Version 5.0 Page 19 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. Standard YA17 YA20 Regulation 12,16 13 Requirement It is required that residents are provided with chapatti as part of a culturally appropriate meal. It is required that medication must be given out and then MAR sheets signed. This must be done on individual basis. This is in line with the homes own Policies and Procedures. It is required that staff must not blot out, use correcting fluid on the MAR sheets. Timescale for action 19/05/05 19/05/05 3. YA20 13 19/05/05 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 Simmins Crescent Care Home DS0000006444.V265612.R01.S.doc Version 5.0 Page 20 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 Simmins Crescent Care Home DS0000006444.V265612.R01.S.doc Version 5.0 Page 21 - 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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