Inspection on 19/05/05 for Simmins Crescent Care Home

This inspection was carried out on 19th May 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

Simmins Crescent Care Home 24/07/06

Simmins Crescent Care Home 10/11/05

Simmins Crescent Care Home 01/12/04

Simmins Crescent Care Home 10/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Simmins Crescent 2-6 Simmins Crescent Eyres Monsell Leicester LE2 8AH Lead Inspector Bhavna Keane-Rao Unannounced 19 May 2005 at 9:30am th 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. Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Simmins Crescent Address 2-6 Simmins Crescent Eyres Monsell Leicester LE29AH 0116 2781152 0116 2781152 None VISTA 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) Mr Peter Kasakevics Care Home 15 Category(ies) of LD Learning disability (15) registration, with number of places LD(E) Learning disability - over 65 (15) SI Sensory Impairment (15) SI(E) Sensory Impairment - over 65 (15) Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 27/11/04 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 shared dining room, through lounge and kitchen facilities together with a garden and patio. On the ground floor there is a resource building, which offers activity rooms and space together with a garden. All rooms are single and ensuite and are decorated to the wishes of the individual service users Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place during a Thursday morning and early afternoon. A number of residents were not able to communicate due to their care needs. However they were observed in their daily routine. Two residents were spoken with in detail. A tour of the premises was undertaken and opportunity was taken to view residents daily records, menus of meals, fire records and staff rota. The registered manager was not on duty on the day of the inspection. The deputy manager and assistant manager spent time discussing many issues that arise in the running of a residential home and facilitated this inspection. One comment card was received from a resident’s relative who was satisfied with the provision of care at this home. What the service does well: What has improved since the last inspection? A number of staff have now completed training in the development of person centred plans (PCP). There is on going training to ensure that all care staff receive this training. There has been great deal of work on the internal décor of the individual bungalows. The kitchen in one of the bungalows has now been refitted to a high standard. In one particular bungalow the staff have decorated the lounge. They are commended for their hard work. Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 Page 6 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 C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 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 standard(s) 2, 4 and 5 The admission process is very well managed and residents and their relatives entering the home are given all the information regarding the service. Residents and their relatives entering the home are always aware of their rights and the condition of their residency. Resident entering the home are always assessed and their needs are fully met. EVIDENCE: Examination of the Statement of Purpose indicated that the document accurately describes the services provided in the home. The admission procedure is adequate in that assessments of individuals are carried out by the staff at the home and health and/or social care professionals, as part of the referral process. Three service users files were viewed they detailed the specific care needs of service users, identifying the needs that would be met by health and/or social care professionals. Two recently admitted resident’s files indicated that their care needs were assessed in detail, staff from the home visited them on a number of occasions in their previous place of residency. One new resident was spoken with who stated how the transition from her sisters’ home to this home was very well managed. Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 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 standard(s) 6,7,8 and 9 All residents individual care needs are assessed and met. Residents’ choices and decisions have a direct impact on the care they receive and their preferred daily lives. Residents and their relatives are involved in all areas of care and so they control what happens to them. EVIDENCE: There has been improvement in the development of person centred plans for residents. A number of Staff have completed training in the development of person centred plans (PCP). Two residents were spoken with about the care they received at this home. They were both very positive about the staff and the care provided. Three individual care plans of residents were viewed. These were found to be up to date and accurately reflect the care needs of residents. One resident spoken with stated that she was very involved in what happened to her in this home. She was able to choose the food she ate, what clothes she wore and what actives she participated in. Review records for residents were found to contain minutes of meetings and action plans. Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 Page 10 Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 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 standard(s) 12,13,1415,16 and 17 Residents’ interests and hobbies are accommodated. Contact with families is positively encouraged and maintained. The meals provided for the residents are varied and balanced. The cultural dietary requirements of residents are not totally met. EVIDENCE: One service user spoken to stated she has been able to maintain close link with her family and that she is able to go to the mandir (temple) every Wednesday. This lady stated that she was able to have control over the amount of input staff had over her life. There was one area that she wanted more input from the staff; she wished to learn to speak English. This has been discussed with the staff and tentative discussions are already underway to facilitate this is. This is recorded in the residents individual care plan. Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 Page 12 Another resident spoken with stated that she liked it at the home as it was ‘nice here’. Her care records indicated that her mother was encouraged to be involved in her life. The home has positively encouraged this involvement, as per the resident’s wishes, by enabling her mother to visit the home and paying for the taxi on a weekly basis. This is commended as good working practice. It was not possible to have detailed discussion with other residents due to their care needs. However observations of the provision of care showed high quality of care and very positive interaction between the residents and the staff. One resident was leaving to go to the provider’s headquarters on an errand with another member of staff. He stated that he was looking forward to going there. One resident was on holiday with his family during the week of the inspection. All the staff were seen to seek the permission of residents before entering bedrooms; some residents hold a key to their bedroom. Residents wandered around their own bungalows freely, accessing communal areas. Residents spoken with stated that they enjoyed the meals. Meals are cooked and prepared by staff within individual bungalows; one resident stated that the food was ‘ really good’ only problem was that ‘they never provide roti’. Roti, chapatti, is equivalent to bread or potatoes in the Asian diet. The staff at the home cook culturally appropriate food but have not cooked rotis, discussion was held with the deputy manager who started to deal with this issue on the same day. Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 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 standard(s) 18,19 and 20 Staff, residents and their families work together to meet the physical and emotional needs of residents. Administration of medication was seen and is considered to be satisfactory. The recording of medication was seen and is considered to be unsatisfactory. EVIDENCE: The records for three residents were viewed, two contained good detail and these demonstrated that there was ongoing consultation with health care professionals in the provision of care. This also includes Community Psychiatric Nurses, Psychologists, Psychiatrists, Community Nurses, Social Workers, Dentists and Opticians. One file contained inadequate information. Two residents spoken with were aware of their health care needs and that these were monitored. One resident stated, “ When I came here I was asked many questions so that they (staff) can look after me”. One resident was not able to have detailed discussion due to her care needs. Medication is stored differently in individual bungalows. One bungalow has the medication in a walk in cupboard in the hallway, in one bungalow it is kept in locked cupboard in individual bedrooms. It is always administered by staff that are trained to do so. Administration of medication and recording was seen and Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 Page 14 is considered to be unsafe. On a number of occasions it was noted that on the MAR sheets ‘o’ had been inserted after they had been signed. Discussion was held with the deputy manager on duty as this indicates that staff are actually signing records prior to giving out the medication. Another area of concern was that ‘o’ is used as per the key symbols at the bottom of the MAR sheets. However no further explanation is given, against the homes own administration of medication guidance. Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 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 standard(s) 22 and 23 Residents and their families can express their views. Any concerns are dealt with, before the situation affects the Residents’ wellbeing and results in a complaint. There is robust policy and procedure to protect residents from abuse, neglect and self-harm. EVIDENCE: Residents’ comments has shown that people feel very comfortable discussing any concerns with the staff at the home. Complaints forms are available. The Commission for Social Care Inspections have been not received any complaints since the last inspection. There are records kept of any concerns and complaints made. Residents spoken with felt they were safe and protected. The adult protection procedure has been reiterated to all the staff and the staff spoken with showed their awareness of their duty to alert a senior member of staff. One particular staff was able to clearly demonstrate the value of having a whistle blowing procedure. Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 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 standard(s) 24,25,27,28,29 and 30 The residents are provided with a well run, comfortable and safe standard of accommodation, which includes the garden area, which individually and collectively meets the resident’s needs. EVIDENCE: Each individual bungalow is run as a separate home, each with individual staff group and a deputy manager. The bungalows are generally well maintained and suited to the needs of service users. It is decorated and furnished to a standard that creates a comfortable and homely environment. Residents are involved in the planning of the décor and depending on their care needs with the maintenance of the home. One resident who was spoken with stated that she had been involved in deciding how her room was decorated and where she wanted her furniture and culturally appropriate ornaments. Three resident’s bedrooms were viewed in three different bungalows. These were all found to be comfortable and clean. Residents who were able to expressed their satisfaction with the accommodation provided. Since the last Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 Page 17 inspection there has been a new kitchen installed in one bungalow, bath/shower room has been decorated and in one lounge/dining area has been redecorated and new furniture purchased. Comments received from residents included: • “My bedroom is very comfortable”. • “I love listening to old Asian songs in my room and in the lounge”. • “I like to go out”. 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 C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 Page 18 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) 32,35 and 36 The staff at the home are competent and able to provide for the general care needs of residents at the home. There is ongoing training to ensure that all the staff are providing high quality care. The staff try hard to ensure that they meet the care needs of residents. EVIDENCE: Since the last inspection four members of staff have left the home. Additional staff have been employed to fill these vacancies. There are always at least three staff on duty to provide care for the residents in each of the bungalows. At present there are fifteen residents for whom care is provided. The responsibilities of the staff in the home, in addition to care, include cleaning, preparation and cooking of meals, the laundry and any other tasks as identified by the manager. Two staff files were viewed, these contained all required checks and paperwork. Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 Page 19 The residents that were spoken with were positive about the staff employed at the home. One particular resident stated that she was always encouraged to go out to the day centre and also to try to be more independent. The observed interaction between the staff and residents was relaxed and friendly. One resident has input from the staff to enable her to learn basic spoken English. This is part of her independent living skills. This is being further explored to formalise it. All mandatory training has been provided for all the staff employed and additional training as identified due to care needs of residents. Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 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 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) 39 and 42 The Registered Manager and his deputies offer a clear sense of leadership, which reflects on the day-to-day delivery of care of residents and running of the home. The outcomes have been positive. EVIDENCE: There are regular staff meetings, which identified the expectations of the Registered Manager of his staff. The staff and the residents who were spoken with felt that they could go to either the manager or the deputy manager at any time with any concern. This is positive working practice. The staff who were spoken with have had formal supervisions and the day-today supervision of staff by the individual deputies enable staff to have a clear understanding of their roles. There is a maintenance programme for the home and the equipment. A random sample of records checked was up to date including fire drills. During the tour of the home, fire exits were clearly marked and were not obstructed. Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 Page 21 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 3 x 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 2 Standard No 31 32 33 34 35 36 Score x 3 x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Simmins Crescent Score 3 3 1 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 Page 22 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. Standard 17 20 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 home’s own Policies and Procedures. It is required that staff must not blot out, use correcting fluid on the MAR sheets. Timescale for action Immediate Immediate 3. 20 13 Immediate 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 None Good Practice Recommendations Simmins Crescent C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 Page 23 Commission for Social Care Inspection 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 C51 S6444 Simmins Crescent Care Home V227650 190505.doc Version 1.30 Page 24 - 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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