Inspection on 02/06/05 for Snowdon

This inspection was carried out on 2nd June 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

Snowdon 28/03/07

Snowdon 17/01/06

Snowdon 12/10/04

Snowdon 17/06/04

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

CARE HOME ADULTS 18-65 Snowdon 14 Claremont Avenue Woking Surrey GU22 7SG Lead Inspector Mrs V Bulbeck Announced Inspection 02 June 2005 10:00 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. Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Snowdon Address 14 Claremont Avenue Woking Surrey GU22 7SG 01483 751936 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) Mental After Care Association1st Floor, Lincoln House, 296 - 302 High Holborn, London, WC1V 7JH Mr Robert Ross Care home only (PC) 8 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (MD), 8 of places Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 The age/age range of the persons to be accommodated will be: 21 - 65 YEARS Date of last inspection 12 October 2004 Brief Description of the Service: The home is a detached property situated close to Woking town centre and provides accommodation and facilities for up to eight residents with a mental disorder. The accommodation is set out across three floors and there is no mechanical means of access to the upper or lower floors. The facilities in the home comprise of a smokers lounge, a separate dining room, kitchen, office and a small non-smoking sitting room. There is good access to local amenities and public transport is available a short distance from the home. The enclosed garden at the rear of the home is a good size and well maintained. There is adequate parking for several cars at the front of the house. Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first announced inspection to be undertaken by the Commission for Social Care Inspection year April 2005 to March 2006. The inspection was over a five hours and thirty minute period. Mrs Vera Bulbeck Regulation, Inspector, undertook the inspection. Mr Robert Ross the registered manager was the representative for the home. There are currently seven residents living in the home. Residents are encouraged and supported to move into independent living after spending some time living in Snowdon and the success rate of residents moving on has been very good. The inspector was able to talk to a number of residents, who engaged in conversation and some were very complimentary regarding the home and staff members. A full tour of the premises was undertaken. Three care plans and three staff files were inspected. The inspector would like to thank the management, staff and residents for their time, assistance and hospitality during the inspection. What the service does well: What has improved since the last inspection? The management and staff team are committed to providing a safe and homely environment for residents. Residents are afforded every opportunity to participate in the day-to-day running of the home and their views are continually sought to improve the service the home provides. Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.doc Version 1.30 Page 6 Weekly meetings are held and minutes are taken. Management of the home has been up grading a number of areas to a good standard this included redecorating, new furniture, carpets and fittings. 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. Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.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 Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.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) 1, 2,3, 4 and 5. Residents are admitted to the home following a full assessment undertaken by staff trained to do so. The registered manager was able to demonstrate the homes capacity to meet the assessed needs. EVIDENCE: The home had a comprehensive statement of purpose, which accurately reflected the services provided by the home. Residents were very complimentary about the care they received and stated the home meets all their needs. A full assessment is undertaken of all potentially new residents to the home, and risk assessments for individual residents were seen. A written contract and terms and conditions were observed on resident’s files, details of room numbers needs to be included. The manager and staff were able to demonstrate that the home had the capacity to meet the assessed needs of younger adults requiring personal care as stated in the statement of purpose. Prospective resident’s are invited and encouraged to visit the home, stay for the day and talk with existing residents. The home provides trial periods of up to four weeks, and the period of time can be extended if requested. Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.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, and 9 The service users’ individual plans are clear and comprehensive including details of needs and goals. They also incorporate known or indicated preferences with in depth risk assessments. EVIDENCE: The service users’ individual plans are clear and comprehensive including details of needs and goals. individual plans also incorporate known or indicated preferences with in depth risk assessments. Risk assessments had been completed on residents who are able to undertake a number of daily living tasks for example using the laundry, self-medicating and daily visits to Woking town centre. It was noted by the inspector that a number of window restrictors have been disenabled, the home needs to undertake a risk assessment on residents who refuse to use them and information must be clearly documented in the care plan of each individual. A key worker system is in place and staff have the responsibility of helping residents achieve everyday goals. Staff in a Key worker role, help residents to Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.doc Version 1.30 Page 10 arrange social events of their choice as well as supporting residents to make hospital and GP appointments. Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.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) 11, 12, 13 and 17. The residents have opportunities for personal development, to take part in appropriate activities within the home and in the local community. They are supported and enabled to maintain and develop appropriate personal and family relationships. Meals are well balanced and varied. Systems are in place to ensure that service users’ rights are respected. EVIDENCE: All residents have full and varied activity programmes. Examination of the home’s records confirmed a high degree of personal empowerment and choices in resident’s daily lives. They were encouraged and supported in the use of community amenities and in maintaining relationships with friends and families. The majority of residents attend various Adult Education Centres. Residents had access to a range of appropriate leisure opportunities in accordance with individual preferences. They were encouraged to pursue interests and hobbies. Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.doc Version 1.30 Page 12 The home has maintained some good family links. There are no restrictions in terms of visiting times. There was evidence in the care plans that residents are supported to be as independent as possible, and are free to make decisions where possible. On the day of inspection one resident had gone to Florida for a second holiday on her own to visit a parent. Meals are well balanced and varied, residents have a daily rota for cooking meals and three residents cook for themselves and buy their own food. The menu is on a four-week rolling programme and changed to meet the resident’s requirements. Five residents cook as a group with a member of staff and at times the three residents who cook for themselves join the home for Sunday lunch. Mealtimes are a social occasion it was pleasing to note that residents and staff sit down together for all meals. Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.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. Personal care and healthcare support and assistance is planned and was seen to be provided, where needed, in a respectful and sensitive manner. Sound policies and practices are in place for the administration and management of medications. EVIDENCE: Residents are able to undertake visits to the dentist, chiropodist, optician, hospital and any medical procedure they require on their own or with staff support if required. Management and staff are kept informed by health care professionals of any changes to the resident’s health care needs. Residents have a good rapport with staff and are able to discuss any problems or concerns they may have, regarding their health. Medication procedures are followed and all staff has received medication training. Some of the residents self medicate, there are clear records of medication received in the home. Residents make their own appointments to see the G.P any changes to medication staff are informed by the doctor and residents also inform staff. Residents also collect their medication from the pharmacy. Residents are risk assessed and are aware of the regularities regarding medication. Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.doc Version 1.30 Page 14 Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.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. All required policies and procedures are in place to ensure that residents feel their views will be listened to. Policies and procedures are in place to protect residents from abuse and neglect. Staff training and recruitment procedures are in place to ensure residents are protected from possible risk of harm and abuse. EVIDENCE: At the time of the discussion with the residents it was confirmed they would discuss any complaints with a member of staff or the manager. There were no recorded complaints in the home. All residents spoken to confirmed they had received a copy of the complaints procedure. All staff has completed the protection of vulnerable adult training, except a new member of staff, who has been in post for a short period of time had not completed the training. Training has been arranged. However, he had completed the homes induction training which included the basic training. The member of staff confirmed he was aware of the Whistle Blowing policy. Three staff spoken with were aware of the vulnerable adult procedures and of the whistle blowing policy. Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.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, 26 and 30. The location and layout of the home is suitable for it’s stated purpose. It is accessible, safe and well maintained. The home was found to meet service users’ individual and collective needs in a comfortable and homely way. EVIDENCE: Residents bedrooms were comfortable and homely, the majority of residents maintain their own cleaning and generally independent. On the day of inspection all the bedrooms were seen and found to be comfortable and all residents have personalised their bedroom with various items. A number of areas in the home have been up graded; these include redecoration in both lounges and the dining room. A new TV has recently been purchased for the non-smoking lounge; new blinds have been fitted in a number of bedrooms and other areas in the home. The home has a cleaning rota in operation and all residents have an area to clean and maintain. However, staff need to ensure residents clean their bedrooms of cobwebs, and the cooker in the kitchen needs to be checked on a regular basis, on the day of inspection the cooker was found to be in need of a Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.doc Version 1.30 Page 17 general clean. The home was found to be clean, well maintained with new furniture and carpets in some resident’s bedrooms. Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.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) 33, 34 and 36. All interactions observed between staff and residents evidenced a high degree of respect and skill in working with the individual residents at the home. Staffing is kept under review and provided to meet the needs of the residents at all times. EVIDENCE: The staff have clearly defined job descriptions. The key worker system is working well which enables staff to support some residents who require more help in maintaining their independence and ensuring residents are aware of health and safety issues. The management of the home has developed a training manual for all staff. A training programme was advised which would help to identify staff training needs at a glance. Recruitment records were found to be well documented. POVA checks and Criminal Record Bureau (CRB) application was applied for the new member of staff. The registered manager informed the inspector that supervision on staff had commenced; the staff clarified this. Supervision is undertaken on a on a regular basis at least six times a year. The registered manager stated that Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.doc Version 1.30 Page 19 supervision training had been completed for himself and the deputy manager. Appraisals need to be undertaken on a yearly basis. Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.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) 37, 41, 42. Resident’s benefit from the management approach at the home providing an open, positive and inclusive atmosphere. The systems for resident’s consultation are varied and have been devised specifically to enable the residents to make their views known. EVIDENCE: The registered manager is experienced and capable of managing the home, and is in the process of completing the Registered Managers Award. A number of records were observed and found to be well documented these include the accident book, fire records, training, residents and staff meetings; as well as health and safety records. It was noted that cleaning materials were found under the kitchen sink, all hazardous substances must be stored in a lockable facility at all times. On the day of inspection it was also noted that the cooker needed cleaning, it should be kept clean after every time it is used. Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.doc Version 1.30 Page 21 The residents are responsible for their own finances, but with staff support where necessary. Policies and procedures for finances are in place and monitored by senior management on a monthly basis. All relevant safety checks were in place and the home keeps a careful monitoring system to ensure they are kept up to date. Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.doc Version 1.30 Page 22 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 3 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 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x 3 Standard No 11 12 13 14 15 16 17 3 3 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Snowdon Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x 3 2 x H09 H58 S13790 Snowdon V220034 020605 Stage 4.doc Version 1.30 Page 23 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 42 Regulation 13 Requirement All cleaning materials to be stored in a locked facility at all times. Timescale for action 02.06.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. 3. Refer to Standard 5 42 42 Good Practice Recommendations Contracts to be updated to include room numbers. The cooker to be kept clean at all times. A cleaning programme to be implemented to include cob webs to be kept clear in residents bedrooms. Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.doc Version 1.30 Page 24 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 Snowdon H09 H58 S13790 Snowdon V220034 020605 Stage 4.doc Version 1.30 Page 25 - 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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