Inspection on 23/07/05 for Smith Crescent Care Home

This inspection was carried out on 23rd July 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 13/10/05

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 23rd July 2005, 10:45pm 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. Smith Crescent Care Home C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Smith Crescent Care Home Address 44 Smith Crescent Greenhill Estate Coalville Leicestershire LE67 4JE 01530 815887 01530 815887 None Leicestershire County Council Social Services 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) 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 C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 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 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 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 Date of last inspection 8th March 2005 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 C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place between 10.45am and 2.30pm. Opportunity was taken to look around parts of the home, talk with service users, view records and policies which included viewing the care plans of three service users accessing respite at the home. Information recorded on the pre-inspection questionnaire has been incorporated into the Inspection Report. The Residential Manager, Residential Support Officer, and Care staff facilitated the Inspection, spending time with the Inspector. What the service does well: What has improved since the last inspection? What they could do better: Service users would benefit from an additional communal area being provided; this would enable service users to relax when the peer group in which they are staying with have differing needs. Smith Crescent Care Home C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 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 C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 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 Smith Crescent Care Home C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 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) 1, 2, 4 and 5. The assessment process is well managed; ensuring staff have the knowledge to delivery the care needs of individuals. EVIDENCE: A Statement of Purpose and Service User Guide is available to prospective and existing service users, the document contains information about the service the home provides, the roles and responsibilities including the training of care staff and the management team. Environmental information is detailed within the document, along with details of record keeping and safety. Information as to the Local Authorities policies and procedures is also highlighted; this includes the Complaints Procedure, which details as to how complaints can be made, and information as to how to contact the Commission for Social Care Inspection The admission process is adequate in that social care professionals carry out assessments of individuals, as part of the referral process. The files of three service users accessing respite care at Smiths Crescent were viewed and found to contain an assessment of need. One service user whose record was viewed contained a copy of the contract between the service user, Smiths Crescent and the Local Authority. Smith Crescent Care Home C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 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 and 9. Individual plans of care are in place ensuring that individuals receive the care they need. EVIDENCE: The Inspector viewed the records of three individuals accessing respite services. Two 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. The records of the third service user contained a Social Workers assessment supported by information from day care services, Outreach, and an Occupational Health assessment. Staff were observed interacting with service users in the lounge and dining room, staff were seen to offer service users choices as to what they wished to eat and drink. One service user had helped a member of staff prepare the main meal of the day. Smith Crescent Care Home C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14, 16 and 17, Standard 15 is not applicable. Service users social, leisure and recreational needs are met, dependent upon the individual needs of service users. EVIDENCE: As Smiths Crescent offers respite, care service users spend in most cases one week at the home, on a regular basis throughout the year. Service users access community resources at a frequency which is dependent upon the group of individuals accessing respite at the time, other factors affecting this includes the dependency levels of service users and their individual needs, and the staffing ratio required. On the morning of the Inspection, a group of service users accompanied by staff had taken a walk to the local shop. Service users on weekdays continue to access day care services. One service user said she had enjoyed her walk to the shop but she hadn’t bought anything. Smith Crescent Care Home C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 Page 11 The Inspector sat with service users and staff in the dining room at lunchtime, four service users sat independently requiring very minimal support, whilst one service user was assisted to eat, consistent with their plan of care. Service users were offered condiments to accompany their meal, a choice of dessert and drinks. Smith Crescent Care Home C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 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 standard(s) 18 and 19. Service Users are looked after well in respect of their health and personal care needs. EVIDENCE: Service users care plans outline their individual needs, which includes information as to how personal support is to be delivered. Information read by the Inspector included the physical and emotional needs of service users, and detailed specific areas to which staff were to be aware of. Risk assessments have been undertaken, ensuring service users safety and welfare with consideration being given to the promotion of independence and individual’s wishes and expectations. Care staff were able to discuss the needs of service users to the Inspector, including their likes and dislikes, the manner in which service users require support, and information as to service users emotional needs. Smith Crescent Care Home C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 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 standard(s) These standards were not inspected on this occasion. EVIDENCE: Smith Crescent Care Home C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 26, 27, 28, 29 and 30. The décor of the home is of a good standard providing a homely, comfortable and safe environment. EVIDENCE: Significant improvements have been made to the décor and furnishing of Smiths Crescent since the last Inspection. The lounge has been re-furbished to include new carpets, curtains, furniture and pictures. In addition to this bedrooms have been decorated including the provision of some new furniture including beds. A passenger lift has also been installed providing access from the ground to the first floor. Smiths Crescent offers one communal lounge; the Registered Manager and staff felt that an additional communal area would benefit service users, in particular when service users of differing needs were residing within the home. It is hoped that a conservatory area will provide this additional communal area. One service user accessing respite stated that she thought the newly decorated lounge was very nice. Smith Crescent Care Home C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 Page 15 Smiths Crescent has a large rear garden with a patio. The patio area has a wooden table and chairs, with hanging baskets and flower tubs, creating a colourful area for service users to sit and relax. The garden can be accessed direct from the lounge. The Registered Manager confirmed that an Occupational Therapist has been contacted to provide advice on the provision of additional specialist bathing/showering equipment. Existing provision includes a bath to the first floor, and a walk-in shower on the ground floor. Specialist equipment for the moving and handling of service users, including hoists, ceiling hoists, moving and handling belts are provided. Smith Crescent Care Home C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35 and 36. Staff at Smiths Crescent are trained and supported, and employed in sufficient numbers to meet the needs of residents. EVIDENCE: On duty on the morning of the Inspection was a Residential Support Officer and three care assistants. The staffing roster recorded that four members of staff were on duty during the day on most occasions, for the week incorporating the Inspection. Staffing on the day of the Inspection exceeded the national minimum standard. Records of two members of staff recently recruited were viewed, and found to contain all the relevant information to promote and safeguard service users. Training is well organised, in the majority of cases internally by the Local Authority, training is specific to the needs of service users. Staff have received training in Moving and Handling, Epilepsy, SKIP (Strategies for Crisis Intervention and Prevention), LDAF (Learning Disability Award Framework) and NVQ (National Vocational Qualification. Staff confirmed that they have regular supervisions, with the management team. Smith Crescent Care Home C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 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 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) 37, 38, 40, 41, 42 and 43. The Registered Manager offers a clear sense of leadership, which reflects on the day-to-day delivery of care practices of residents and running of the home. EVIDENCE: The Registered Manager offers a clear sense of leadership through staff meetings, and day-to-day contact with service users, service user relatives and staff. The pre-inspection questionnaire detailed the schedule for the maintenance of the building, including fire equipment, visits by the Health and Safety Department and electrical appliances. Service users rights and interests are safeguarded through the provision of policies and procedures, and the training of staff, along with the responsibilities of the Management team of the home, and Senior Management of Social Services. Smith Crescent Care Home C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 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 3 3 x 3 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 N/A 3 3 Standard No 31 32 33 34 35 36 Score 3 3 4 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Smith Crescent Care Home Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 3 3 C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 Page 19 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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 28 Good Practice Recommendations It is recommended that an additional communal area be provided for the benefit of service users. Smith Crescent Care Home C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection 5 Smith Way Grove Park Enderby Leicestershire 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 C51 C01 S35402 Smith Crescent V237847 230705 Stage 4.doc Version 1.40 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. 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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