Inspection on 19/07/05 for Station Road (1)

This inspection was carried out on 19th 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

Station Road (1) 28/08/07

Station Road (1) 25/02/07

Station Road (1) 20/12/05

Station Road (1) 22/12/04

Station Road (1) 12/07/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOMES FOR OLDER PEOPLE Station Road 1 Station Road Wheathampstead Herts AL4 8BU Lead Inspector Jeffrey Orange Unnnounced 19 July 2005 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 Older People. 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. Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Station Road Address 1 Station Road Wheathampstead Herts AL4 8BU 01582 833957 01582 833969 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) Macintyre Care Jeanne Coote Care Home 6 Category(ies) of LD 6 registration, with number LD(E) 6 of places Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: There are none Date of last inspection 22 December 2004 Brief Description of the Service: 1 Station Road is registered to provide accommodation and care for up to six people with learning disabilities, of whom up to six may be over the age of sixty five. The registered provider is Macintyre Care of The Old School House, Bedford Street, Ampthill, Bedfordshire.MK45 2NB 1 Station Road is a two storey, victorian house, standing in large grounds in the village of Wheathampstead, close to local shops and amenities. The accommodation comprises six single bedrooms, one of which is ensuite, dining room, lounge, large kitchen, utility room, two bathrooms plus a shower room. The first floor is served by a passenger lift. The home has a riverside garden with seating area and has car parking to the rear. Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection began as two of the residents were preparing to leave for their day centre and continued through to lunch, which the inspector was invited to share with the residents and staff. The registered manager was away from the home and the acting manager was engaged with NVQ activities, the staff present provided excellent support to the inspection and enabled access to the basic records required. The main focus of this inspection was to talk with and observe the interaction of the residents. It was possible to accompany three residents for a short walk to feed the ducks and the inspector was given a picture painted by one resident to brighten up the office. It was a pleasure to share lunch with the residents and the inspector would like to thank them for again welcoming him to their home. What the service does well: What has improved since the last inspection? The good standard of record keeping has been maintained and there have been some improvements to the premises. There were no requirements made following the previous inspection. Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2,3 & 6 Assessments, Service User’s Guide, care reviews and contracts are provided for all residents in a format that is clear and comprehensible for them and their representatives. EVIDENCE: The documentation seen has been imaginatively produced, including pictures and diagrams, to assist residents understand and access the contents. Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 & 10 There are comprehensive individual records of residents’ health and social care needs and how these are met. Residents are treated respectfully and are appropriately involved in decisions about their care. EVIDENCE: Care plan documentation was seen during this inspection to be very full and detailed and included a good level of resident’s signatures to help demonstrate their involvement in the care planning process. Throughout the inspection the interaction and relationship between staff and residents was seen to be relaxed, respectful and appropriate. Medication records were checked and found to be in order. Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,14 & 15 Residents are encouraged to exercise choice and control over all areas of their lives and Person Centred Planning is in place and embedded within the ethos of the home to ensure this is a reality not just an aspiration. EVIDENCE: Residents’ care plan documentation contains considerable evidence of their involvement in social and community activities. Residents were keen to discuss their forthcoming holidays and trips and arrangements were being made during the inspection to book a holiday for two residents specifically tailored to meet the criteria they had established. A weekly resident’s meeting determines/informs the menu choice for the week. Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Residents are protected by a system of staff training and policies and procedures, which should enable actual or potential abuse to be identified and appropriately dealt with. EVIDENCE: Policies and procedures have been seen dealing with the protection of vulnerable adults. Staff training includes awareness of abuse and what action to take if it is suspected. The residents have access to external agencies and individuals who could assist them to express any concerns they might have independently of the home. Financial records for residents were spot checked and found to be robust and properly supported by receipts and counter signatures. Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,21 & 26 With the exception of current problems being experienced with the home’s water storage, the home provides a safe and suitable environment for its residents and staff. EVIDENCE: The lift was recently out of action as a result of water seepage into its mechanism. During the inspection taps had to be turned on at various points in the home to deal with overflows. The home was clean and tidy and provided a pleasant environment for residents, however not all toilets had soap and towels provided. Liquid soap and paper towels should be available to ensure good hygiene and infection control procedures. An upgraded shower room, which the residents particularly like, has been provided since the previous inspection. Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 30 The numbers and skills of staff are adequate to meet the needs of the home’s residents. EVIDENCE: Staffing was seen to be at the previously agreed levels and appeared to be adequate for the needs of residents during this inspection. Staff confirmed that they feel well supported with training and supervision. Training and supervision records were available to confirm frequency and content. One member of staff present is currently undertaking the Certificate for Working with People with Learning Disabilities, and it was possible to see her workbook. Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33,35,36 & 37 Residents are well supported and protected by the management of the home. EVIDENCE: Records seen and practice observed suggest that resident’s needs and interests are genuinely at the centre of the home’s activity. A spot check of residents’ accounts was satisfactory. Some clarification of the requirement to report certain incidents to the Commission for Social Care Inspection (CSCI) was discussed and is the subject of a requirement as care plan documentation seen contains details of some incidents which, whilst very fully recorded, were not notified to the CSCI under this provision. Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 15 Staff confirmed that supervision takes place and there were records available to support this. Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 3 15 3 COMPLAINTS AND PROTECTION 2 x 2 x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x x 3 x 3 3 2 x Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 17 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 19 Regulation 23(2)(j) Requirement Problems associated with the water supply and storage must be dealt with as a matter of urgency. The manager must report to the CSCI any event in the home which adversely affects the wellbeing or safety of any service user. Timescale for action By 30.8.05 2. 37 37(1)(e) From 19.7.05 and thereafter. 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 21 Good Practice Recommendations All toilets should have liquid soap and paper towels provided. Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 18 Commission for Social Care Inspection Mercury House 1Broadwater Road Welwyn Garden City Herts AL7 3BQ 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 Station Road I52_s19556_Station Road_v229012_190705_Stage4.doc Version 1.30 Page 19 - 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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