Inspection on 24/07/06 for Simmins Crescent Care Home

This inspection was carried out on 24th July 2006.

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 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 10/11/05

Simmins Crescent Care Home 19/05/05

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 Care Home 2-6 Simmins Crescent Eyres Monsell Leicester Leicestershire LE2 9AH Lead Inspector Lesley Allison-White Unannounced Inspection 24th July 2006 09:30 Simmins Crescent Care Home DS0000006444.V306290.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 Simmins Crescent Care Home DS0000006444.V306290.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. Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 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) www.vistablind.org.uk 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.V306290.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Persons admitted to the home who fall within category LD must also fall within category SI - i.e. dual disability. Minimum age for admission to the home is 16 years. Date of last inspection 10th November 2005 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. Fees range from £748 to £1640. Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care inspection is on outcomes for individuals and their views of the service provided. The inspection took place on a Monday. It took seven and half-hours to complete. The home provided care for up to fifteen individuals, there were fifteen individuals in the home on the day of inspection, many with sensory disabilities and physical disabilities. The primary method of inspection used was “case tracking”. This involved speaking or observing five individuals who used the service provided, looking at two individuals care plans and observing care practices. Individuals spoken to were often not able to express themselves in easily understood terms however some conversations were achieved by the inspector. Some of the inspection relied on the observations of individuals with other individuals or with their families or with staff. A relative also visited and was happy to express their ideas on life at the home. All the required key standards were inspected during this visit. There were no areas of concern raised by the last inspection report. The assistant manager was on duty during the inspection and helped to facilitate the inspection. Evidence of placing authorities assessments and the bungalows own assessment of needs for each individual was clear ensuring that their needs would be met on a physical and emotional basis. Contacts with family were given priority and the staff at the home through a “key worker” system ensured that this was regularly maintained, at times this meant taking individuals home so that they could be with their families. A key worker is a member of staff who is allocated to ensure that the welfare of the individual who they care for is helped to develop. They try to develop activities which are age appropriate. Staff kept the home clean with the help of the individuals who wanted to help and were capable of doing do safely with staff supervision. Many of the residents were either blind or almost blind. Risk assessments for each individual was thorough to ensure their safety at all times within reason. The activity records for each individual was clear and easy to follow for each day of the week, some people went to colleges to either further their education Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 Page 6 or for vocational development. The individuals seen seemed to live well together. Each of the bungalows has access to the homes transport vehicles. There are currently two vehicles (a car or a larger vehicle suitable for carrying more passengers or a taxi is booked). This gives individuals more choice i.e. when, how and with who they wish to go out with. What the service does well: What has improved since the last inspection? What they could do better: To consider having a medication fridge for occasional medicines such as oral antibiotics. At time of inspection there were no individuals on the above. Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 Page 7 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.V306290.R01.S.doc Version 5.2 Page 8 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.V306290.R01.S.doc Version 5.2 Page 9 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. No individual moves into the home without having their needs assessed and assured that these will be met. EVIDENCE: Two individuals notes were inspected in detail. Evidence of placing authorities assessments and the bungalows own assessment of needs for each individual was clear ensuring that their needs would be on a physical and emotional basis. Contacts with family were given priority and the staff at the home through a “key worker” system ensured that this was regularly maintained, at times this meant taking individuals home so that they could be with their families. A key worker is a member of staff who is allocated to ensure that the welfare of the individual who they care for is helped to develop. They try to develop activities which are age appropriate. For example an individual in their thirties will be go out with staff to buy the latest music discs. On the day of inspection this was seen and a family member were seen visiting whenever they wanted to. Each of the bungalows has access to the homes transport vehicles. There are currently two vehicles (a car or a larger vehicle suitable for carrying more passengers or a taxi is booked. Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 Page 10 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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home succeeds in meeting the identified daily and social needs and the outcome is positive for the individuals living in each bungalow. Individuals make decisions about their lives with assistance as needed. EVIDENCE: In one care plan it clearly demonstrated how the individuals needs had changed. The individual was no longer keen to go out and needed plenty of encouragement and re-assurance from the staff. This individual did not get on well with new staff one of their signs would be to try to lean on them when moving and handling. Another individual had lost a parent recently and needed more reassurance from the staff, this individuals needs were met by going out on a regular basis with the individual and encouraging the individual to want to ask to go out. This individual spoke to the inspector about their key workers (two allocated) and spoke about them in terms of being their “best friends.” Cuddly toys were sometimes used as a comfort to individuals this is documented as being of their choosing. Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 Page 11 Individuals spoken to were often not able to express themselves in easily understood terms however some conversations were achieved by the inspector. Some of the inspection relied on the observations of individuals with other individuals or with their families or with staff. A relative also visited and was happy to express their ideas on life at the home. The relative visited their family member often and their relative told them everything that happened at the home. This was overheard by the inspector on the day of the inspection. Specialised charts were used to record incidents with individuals. The charts were used to record, monitor and encourage small changes in behaviour which would lead to a reward being given to the individual. The reward technique was also used by family members who were a part of the care planning the relative explained. One individual always choose the same type of meals. The individual continued to make their choice and rewards were offered to encourage them to choose more nutritionally balanced meals. The attempts to correct this include offering this individual a variety of rewards such as going out to special places with staff or extra shopping time. Family members were also involved and they will continue the practice of rewards for positive nutritional choices, appropriate or good behaviour. One individual use to go to Horse riding classes but no longer went. (Staff reported that here were problems with facility at horse riding centre). This individual was encouraged to do another activity and now went swimming on a regular basis. This shows that individuals living at the home take part in activities that involve risk. On day of inspection one individual went out shopping with their key worker after showing the inspector their bedroom. Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 Page 12 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): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals are treated with respect and dignity. Their rights are respected and responsibilities recognised in their daily lives. They live in a comfortable environment. EVIDENCE: The minutes of 14/6.06 were read by the inspector. It indicated that a volunteer who does the music group liked taking their dog to the bungalows. The company encourages this and includes the dog as a regular visitor to the premises as part of their generic risk assessments. Individuals were encouraged to take part in activities outside of the home. Culturally appropriate visits to the local temple was encouraged and transport to the temple was provided by the home’s transport. The inspector spoke to staff of both Asian and White backgrounds and they explained that any of them were happy to act as escorts to the temples and were able to describe some of the procedures when they visited the temples with residents requesting to go Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 Page 13 there. The activity records for each individual was clear and easy to follow for each day of the week, some people went to colleges to either further their education or for vocational development. The individuals seen seemed to live well together. At lunch time different meals were prepared (choice) and the individuals seemed to enjoy their choices. Some individuals were assisted with their meals. Lunchtime was observed in one of the bungalows. Individuals are free to form relationships with each other or with friends outside of the home. The inspector was not aware of any sexual or special relationships taking place. Daily routines try not to be restrictive in each bungalow and encourage the participation of the individuals. Some individuals were seen helping in the kitchen in one of the bungalows with staff support. The Assistant manager explained that people living in the bungalows preferred to be called either by their names or referred to as individuals. Key worker meetings and contact family sheets were regularly recorded as they were deemed to be an important part of the individuals’ life style. Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 Page 14 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 and 20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home is successful in delivering appropriate care to individual residents. EVIDENCE: One of the individuals “case tracked” (care notes checked in detail) had no medicines on a regular basis. There was evidence in the notes of either a General Practitioner or Community Nurse visiting the bungalows or of individuals going out with staff to attend medical appointments. Individuals were encouraged to develop or continue with hobbies. Individuals had their own financial accounts with the organisation and were free to take out amounts, as they needed to. Accurate records were kept by each bungalow of each individual’s finances and the staff reported that a week ago as part of the organisations quality auditing, a team of financial staff visited the homes. An impromptu check of individual finances was done and said to be correct. The records seen by the inspector also confirmed this. Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 Page 15 Specialised care plans for individuals with special conditions were well documented. Other individuals’ medicines kardex (a sheet where medicines are recorded) was seen and medications inspected and found to be correct. Medicines are safeguarded in the home and stored so that individuals are not put at risk. Menu sheets for one individual who is diagnosed as being Autistic, keeps to same routine as part of this individuals’ condition so meal choices were regularly recorded as the staff encouraged the individual to increase the choices that they made at meal times. Moving and handling assessments documented with one of the individuals observed by the inspector had a special mention in their records of the importance attached to the individuals care so that for all new staff read the notes first before trying to care for this individual. The consent for treatment protocol was in individuals’ notes for all staff to follow. Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 Page 16 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has robust procedures for dealing with complaints and protection. Residents, relatives and staff spoken to knew who to go to and what to do if they had a complaint giving protection to the residents. EVIDENCE: One member of staff was able to describe a protection situation affecting individuals at the home. Financial receipts etc. shown, money doubly counted by two members of staff then locked in cabinets or safes to safeguard residents money. Other staff in another bungalow were also able to describe vulnerable adult situations showing that they would be able to act appropriately to safeguard the individuals in their care. Company policies were in place. Staff were aware of what to do in a situation where an individual living at the home was missing and who to inform. Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 Page 17 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a safe, hygienic and comfortable environment. EVIDENCE: Staff kept the home clean with the help of the individuals who wanted to help and were capable of doing do safely with staff supervision. Many of the residents were either blind or almost blind. Risk assessments for each individual was thorough to ensure their safety at all times within reason. Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 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 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 and 35 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a robust recruitment procedure. Supervision of staff at regular intervals ensures that the home provides a competent staff team that meets the needs of and protects individuals living in each of the bungalows. EVIDENCE: Rota’s for the bungalows were seen and satisfactory. Staff used the resource centre for training purposes. The staff spoke about the amount of training that they had had from the organisation and that specialist training was also given. A staff member was able to show the inspector the guidelines for supporting people in the community for one of the residents “case tracked” (individual seen on inspection and care notes inspected). It was very clear including how to calm the individual down if and when required to do so. The individual would become very anxious when out shopping or doing other outdoor activities. Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 Page 19 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 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is being run in the best interests of individuals. EVIDENCE: The Registered manager was not available on the day of the inspection. The Assistant managers were able to assist the inspector. The inspection demonstrated that the Registered Manager is fully able to delegate his responsibilities to a competent and well-trained staff team. Systems were in place to safeguard the individuals who live and work at the home. The Management style of the home creates an open positive atmosphere. A regular monthly visit is done on behalf of the company to ensure that the home is being operated in a satisfactory manner. The staff were well informed and had Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 Page 20 evidence of risk assessments being in place to safeguard the individuals who lived or visited the bungalows. Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 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 4 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 X 3 X LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x 3 X 3 X X 4 x Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 Page 22 None 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 Simmins Crescent Care Home DS0000006444.V306290.R01.S.doc Version 5.2 Page 23 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. 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