Inspection on 13/10/05 for Smith Crescent Care Home

This inspection was carried out on 13th October 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 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

Smith Crescent Care Home 17/11/08

Smith Crescent Care Home 28/12/06

Smith Crescent Care Home 23/07/05

Smith Crescent Care Home 08/03/05

Smith Crescent Care Home 10/08/04

Smith Crescent Care Home 04/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

St Marys Nursing Home

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 Smith Crescent Care Home 44 Smith Crescent Greenhill Estate Coalville Leicestershire LE67 4JE Lead Inspector Linda Clarke Unannounced Inspection 13th October 2005 02:00 Smith Crescent Care Home DS0000035402.V254591.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 Smith Crescent Care Home DS0000035402.V254591.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. Smith Crescent Care Home DS0000035402.V254591.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Smith Crescent Care Home Address 44 Smith Crescent Greenhill Estate Coalville Leicestershire LE67 4JE 01530 815887 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) Leicestershire County Council Social Services Mrs Avril Wilson Care Home 6 Category(ies) of Learning disability (6), Physical disability (3), registration, with number Sensory impairment (1) of places Smith Crescent Care Home DS0000035402.V254591.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. No falling within category SI may be admitted to the home unless that person also falls within category LD ie dual disability No one falling within SI may be admitted into the home when there is 1 person of category SI already accommodated within the home No one falling within the category PD may be admitted into the home when there are 3 persons of category PD already accommodated within the home No one falling within category PD may be admitted into the home unless that person also falls within category LD ie dual disability Persons admitted into the home who fall within the category PD may only be accommodated on the ground floor 23rd July 2005 Date of last inspection Brief Description of the Service: 44 Smiths Crescent is a care home which offers respite care and accommodation for six younger adults (under 65 years of qge) who have a Learning Disability. The home is also registered for a limited number of spaces for people who in conjunction with their Learning Disability, have a Physical and/or Sensory Impairment. Smiths Crescent has six single bedrooms without ensuite facilities. The home has a rear garden which is well maintained and which is accessible to all service users residing in the home. The premise is owned by Leicestershire County Council Social Services Department and is situated close to Coaville town centre where residents have access to shops, pubs, and other amenities. The home is accessible by private or public transport. Accommodation is provided over two floors with access between the floors being via stairs or a passenger lift. Communal areas are provided on the ground floor, bedrooms are located on the ground and first floor. Smith Crescent Care Home DS0000035402.V254591.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced Inspection that took place between 2.00pm and 7.30pm. When undertaking Inspections, the Commission for Social Care Inspection focuses on the outcomes of individuals staying in the home. To support this, two service users accessing respite at Smiths Crescent were ‘case tracked’. This means that the care records and care plans of both service users were checked; the service users were spoken with where possible, as were three members of staff supporting their care. The Manager and Deputy Manager also contributed to the Inspection. Opportunity was also taken to look around parts of the home. What the service does well: What has improved since the last inspection? What they could do better: Consultation of relatives and carers could be formalised to provide an opportunity for comment as to care and service offered. A higher proportion of staff with a National Vocational Qualification would support staff in understanding the principles of care, and help in the development of care plans. This if supported by specialist training in epilepsy and a promotion of training in Autism would further increase staff knowledge within a specialist field. Smith Crescent Care Home DS0000035402.V254591.R01.S.doc Version 5.0 Page 6 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. Smith Crescent Care Home DS0000035402.V254591.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 Smith Crescent Care Home DS0000035402.V254591.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): 2 and 4. The assessment process is well managed; ensuring staff have the knowledge to delivery the care needs of individuals. EVIDENCE: The admission process is adequate in that social care professionals carry out assessments of individuals, as part of the referral process. The files of two service users accessing respite care at Smiths Crescent were viewed and found to contain an assessment of need. Service users are offered a flexible approach with regards to accessing respite care; the introductory period is flexible to meet individual needs and circumstances. This was evidenced in one service users records, where following an initial overnight visit was now accessing his first stay in respite care. Smith Crescent Care Home DS0000035402.V254591.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): 6, 7 and 9. Individual plans of care are in place ensuring that individuals receive the care they need. EVIDENCE: The Inspector viewed the records of two individuals accessing respite services. Both of the individuals had a detailed plan outlining their individual care needs, this was supported by a Social Workers initial assessment and risk assessments where appropriate. Guidelines for the management of behaviour were also in place, to ensure consistency of approach. Records recorded the views and wishes of service users and the facilitating of these by care staff. Observations also supported that service users choices were adhered to by staff. Limitations on choice if necessary are recorded within the Social Workers assessment and care plan. Smith Crescent Care Home DS0000035402.V254591.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): 11, 12, 13, 15 and 17. Service users social, leisure and recreational needs are met. EVIDENCE: As Smiths Crescent offers respite care, service users spend in most cases one week at the home, on a regular basis intermittently throughout the year. Personal development of service users is linked to guidance and care programmes as adopted within their usual place of residence and day care services. Service users continue to access day care services whilst staying at Smiths Crescent. Service users returned from various day care resources, and were welcomed upon their return being offered a drink. Service users chose as to what they wished to eat for their evening meal, for one service user this was pizza and for the other lasagne. Service users where necessary were supported to eat, in a manner, which promoted their dignity. Smith Crescent Care Home DS0000035402.V254591.R01.S.doc Version 5.0 Page 11 Service user records evidenced that they had accessed local services, one service user having purchased a colouring book from a local shop and had visited the local public house. On the afternoon and evening of the Inspection, one service user requested that she wished to go out for a walk, which was facilitated, by two members of staff. The Inspector spoke with one service user who said that he had watched the television the previous evening in his bedroom, and spoke of the football match he had watched. When asked if he was enjoying his stay at Smiths Crescent replied “no” however later in the conversation admitted that he often answers questions with “no”. The service user however appeared comfortable within his surroundings, taking a snooze after tea, before requesting to having an early night, at which point he was assisted to bed. Smith Crescent Care Home DS0000035402.V254591.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): 18 and 20. Service Users are looked after well in respect of their health and personal care needs. EVIDENCE: Personal support is provided consistent with individual care plans, which includes guidance on moving and handling and incorporate risk assessments. The medication and medication records of both service users accessing respite at the time of the Inspection were viewed and found to be in good order. Staff responsible for the administration of medication have received training in ‘The Safe Handling of Medicines’, which is a twelve-week ASET course. The Inspectors observations along with discussions with care staff demonstrated that staff have a clear understanding of individual care needs, emotional needs, likes and dislikes and that service users are spoken with appropriately, and are offered choices. The nature of respite means that service users access health care as and when necessary, as appointments usually are facilitated by their parents/carers. No evidence was found at this Inspection that health care professionals had needed to be sought. Smith Crescent Care Home DS0000035402.V254591.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): 22 and 23. Service users welfare is supported through policies and procedures. EVIDENCE: Smiths Crescent as part of the Social Services Department of the Local Authority have a detailed complaints procedure, which details how a complaint can be made and includes timescales for their investigation and response. The complaints procedure also details the contact point of the Commission for Social Care Inspection, should individuals wish to make a direct complaint to the regulatory authority. Neither Smiths Crescent nor the Commission for Social Care Inspection have received any complaints since last Inspected. Smiths Crescent has a copy of the Department of Health’s Guidance on the Protection of Vulnerable Adults – “No Secrets”, in conjunction with this staff as part of their induction and National Vocational Qualification training are provided with information as to their role in the protecting of vulnerable adults, and how they should respond should they suspect abuse. Smith Crescent Care Home DS0000035402.V254591.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, 25, 26, 27, 28 and 29. The décor of the home is of a good standard providing a homely, comfortable and safe environment. EVIDENCE: Communal areas of Smiths Crescent, which includes the lounge, dining room and corridors, have recently been decorated, which includes the provision of soft furnishings including carpets. The two bedrooms of service users accessing respite services were viewed, and were found to be decorated to a good standard, and were warm and inviting. One service user had a portable television in his room, so that he could watch television whilst in bed, which was his preferred choice. The Manager confirmed that a quote had been obtained for the provision of a conservatory, which would provide additional space for service users to access. The decision as to whether the conservatory is to be built will be discussed at senior level meetings, within the Social Services Department. Smiths Crescent provides specialist bathing and showering facilities including a portable hoist and one bedroom fitted with a ceiling track hoist. Smith Crescent Care Home DS0000035402.V254591.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35. Staff at Smiths Crescent are trained and supported, and employed in sufficient numbers to meet the needs of residents. EVIDENCE: Smiths Crescent currently has in its employment three Residential Support Officers and thirteen Care Assistants. On the day of the Inspection there were three members of care staff on duty, supporting two service users. Of the three Residential Support Officers, one has attained a level 3 National Vocational Qualification in Promoting Independence. Of the thirteen Care Assistants two have attained a level 2 National Vocational Qualification in Care. Three members of staff are currently working towards a level 2 National Vocational Qualification. In addition National Vocational Qualifications, staff also have the opportunity to undertake Learning Disability Award Framework (LDAF) training, currently one person has completed the award with one in process, and three having been registered to undertake the training. Smith Crescent Care Home DS0000035402.V254591.R01.S.doc Version 5.0 Page 16 The recruitment records of one member of staff appointed since the last Inspection was viewed, this was found to contain all relevant documentation, including a record of the interview. Staff training, which has recently taken place or is planned to take place in the near future includes fire awareness, a twelve week ASET course in Infection Control, with one care assistant having attained a two day training seminar in Autistic Spectrum Disorder. Smith Crescent Care Home DS0000035402.V254591.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): 37 and 39. The Registered Manager offers a clear sense of leadership. The ability for relatives and carers to comment on the service offered is not formalised. EVIDENCE: Since the last Inspection, the Social Services Department of the Local Authority have appointed a new Manager to work alongside the current Registered Manager, the new Manager advised she will be submitting an application to the Commission for Social Care Inspection for the position of Registered Manager, if her application is successful, Smiths Crescent will have two Registered Managers. In addition a new Deputy Manager has been appointed. The Registered Manager and Manager have attained a level 4 National Vocational Qualification in Care, and have two units to complete to gain the Registered Managers Award. Smith Crescent Care Home DS0000035402.V254591.R01.S.doc Version 5.0 Page 18 Quality Assurance was discussed with the Manager, due to Smiths Crescent being a respite facility the involvement of service users in the development of Smiths Crescent is limited. The views of relatives however need to be sought, through questionnaires and/or meetings. The Manager confirmed that the home in the past had produced a newsletter for the benefit of service users relatives/carers. It is therefore recommended that this practice continues, and along with the newsletter questionnaires be sent to relatives/carers to gain their views, which would provide Smiths Crescent with feedback that would enable them to continually review and improve the service offered. Smith Crescent Care Home DS0000035402.V254591.R01.S.doc Version 5.0 Page 19 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 X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Smith Crescent Care Home Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X X X X DS0000035402.V254591.R01.S.doc Version 5.0 Page 20 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. 1 Refer to Standard YA39 Good Practice Recommendations It is recommended that the process for seeking the views of relatives/carers is formalised, and could include questionnaires/newsletters/meetings. Smith Crescent Care Home DS0000035402.V254591.R01.S.doc Version 5.0 Page 21 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 Smith Crescent Care Home DS0000035402.V254591.R01.S.doc Version 5.0 Page 22 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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