Inspection on 15/09/05 for Stoke View

This inspection was carried out on 15th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

Stoke View 02/03/10

Stoke View 05/03/09

Stoke View 01/03/07

Stoke View 28/04/05

Stoke View 30/09/04

Stoke View 22/04/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Stoke View 72 Albert Road Stoke Plymouth PL2 1AF Lead Inspector Kim Fowler Announced 15 September 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 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. Stoke View D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Stoke View Address 72 Albert Road, Stoke, Plymouth, Devon, PL2 1AF 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) 01752 211135 01752 211137 Ratecedar Ltd Mr Simon Jenkins Care Home 9 Category(ies) of Learning Disability (9), Physical Disability (9) registration, with number of places Stoke View D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1) Learning Disabled adults some of whom may have a Physical Disability 2) Age 18-65 years Date of last inspection 28/04/05 Brief Description of the Service: Stoke View is situated in the residential area of Stoke. The home is within walking distance of local shops, facilities and amenities. Stoke View is registered to provide residential care for a maximum of 9 people with learning disabilities. The Registered Manager is Simon Jenkins who has been at the home for two months. The owner is Paul Millard. The home has a rear courtyard garden area and parking is available at the front of the house. The home benefits from having its own vehicle to take people on regular outings and appointment. Stoke View D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection began at 9.30 am and ended at 3pm. This was a planned announced inspection and during this inspection a pre-inspection questionnaire was received. Care records were inspected and a partial tour of the premises took place. Comment cards were received from 5 service users and one relative. 4 of the 9 service users were spoken with as well as 3 staff and the Registered Manager. What the service does well: What has improved since the last inspection? 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. Stoke View D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 Page 6 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 Stoke View D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 Page 7 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) 2/4/5 Prospective service users are able to use the homes Service Users Guide and Statement of Purpose to influence their choice of care home and they can be confident that Stoke View can meet their needs. EVIDENCE: The home has had a new admission since the last inspection and case tracking provided evidence that this service user visited the home before admission. The manager informed the inspector that the service user came with their own list of questions for the staff at the home. The homes manager met with the care manager of the service user to ensure that the home could meet the service users needs. The service users pre-admission assessment was seen completed and had evidence of the service users involvement as well as previous placement and current home. One service user informed the inspector that they had visited the home for tea and stayed overnight before they moved in permanently. A contract for the new admission was not on file and this was due to a computer breakdown. Stoke View D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 Page 8 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) 6/7/8/9 The service users in Stoke View can be assured that the staff will treat them with respect and encourage them to make decisions about their own lives. EVIDENCE: One service user confirmed with the inspector that they were involved in their own care plan meeting and had a meeting with care managers, previous placement staff and staff at the home to help and support him and discuss his needs. One service user informed the inspector that they are able to go out when they want and often go to the local shops. Sometimes arranged with staff support. On the day of the inspector they had chosen to go out for a coffee instead of cooking. This service user was also able to help plan a day care timetable, with care management input, as well as leisure activities, social outings and holidays. They also assist staff with household task when needed. Stoke View D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 Page 9 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) 11/12/13/14/15/16/17 Social activities are encouraged and service users can be confident that leisure activities are varied and well planned. EVIDENCE: The inspector spoke to several service users during this inspection and through these discussions it was evidence that personal development opportunities were actively encouraged. One service user informed the inspector that they have support form the home manager for their own personal development. Evidence gather from discussion with the service users showed a varied list of activities outside of the home including football. The Care Plans for the new service user and discussion with other service users spoken with during the inspection showed evidence of them accessing the local community. The home benefits from having its own transport and the manager is in discussion it have this vehicle updated. The manager and the service users informed the inspector of the holidays and day trips out they had gone on. This included trips to Malta and a caravan in Cornwall. One service user informed the inspector that they had an enjoyable holiday with their family and family visit the home. As well as visits to a local club were they meet their friends. Observation showed that staff respect service users privacy and bedroom Stoke View D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 Page 10 doors have locks but due to the needs of the service users they are only locked when service users go out. Service users are encouraged to assist with household task and one service user informed the inspector that they always put the rubbish bins out weekly. Snacks and drinks are available at all times and the home has a 4 weekly menu and also records were kept in individual diaries of what was eaten on the day. All service users spoken with confirmed that the food was good and they assist with planning the menus and shopping. Stoke View D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 Page 11 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) 18/19/20 Service users can be assured that their personal care needs are respected. EVIDENCE: One service user informed the inspector that they had their personal care needs carried out in private and from observation during the inspection one service user was respected and the staff maintained their dignity and privacy at all times. One service user was able to say that the homes manager assisted them when needed for support particularly when they moved into the home. One service user also informed the inspector that staff administers their medication for them and they had attended a medication review with their GP. One service user was attending an outpatient appointment on the day of the inspection and the inspector was witness to the staff and manager supporting this service user in preparation for this visit. The homes medication system was checked during this inspection. Their were several errors in this system including, gaps in signing for medication, signing medication when the home had run out of medication, as clearly stated in the staffs communication book. Also any changes of medication, discontinued, stopped or changes in dosage recorded onto the medication charts were not signed to say who had made theses changes. One service user was prescribed a 5- day course of anti-biotic but the medication charts had been signed for more days than the 5. The home keeps a record of any medication not used and on checking these records the home Stoke View D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 Page 12 has recorded a large amount of extra medication for one service user with no explanation of the large amount remaining. Also recorded were “missing” and “lost” medication with no explanation on why or how this came to be. The local pharmacist had carried out medication training and the workbooks left by the pharmacist for staff to complete was seen as evidence of the training. No staff had completed the workbooks left by the pharmacist. Stoke View D52-D04 S3509 Stoke View V239091 150905 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) 22/23 Service users can be confident that they concerns will be listened to, taken seriously and acted upon. The homes adult protection procedure is robust which will ensure the protection of the service users. EVIDENCE: The service users spoken with confirm that the staff respects them and any concerns they would be able to approach the staff and manager. One service user confirmed that the home had a complaints procedure in place. The homes manager and one staff have attended the Adult Protection training course run by the Devon Adult Protection team. Other courses are booked for the other staff. The manager confirmed that all staff had completed CRB checks and the new staff members CRB was seen as evidence. The home has its own policy on adult protection as well as the Devon Alerters guide. A recently raised adult protection issue in which the inspector was involved provided further evidence that the home followed the correct process. Stoke View D52-D04 S3509 Stoke View V239091 150905 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) 26 Stoke View is decorated and furnished to a high standard. It is clean, warm and well lit. This creates a comfortable and safe environment. EVIDENCE: The manager confirmed that the new service users bedroom was redecorated with their personal choice before moving in. Other service users stated that their bedrooms were furnished to their own needs and have many personal items. The service users bedrooms are lockable but due to the needs of the service users in the home some are only locked when service users go out. Stoke View D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31/32/33/34/35/36 Care staff numbers are adequate to meet the care needs of the current service users. The home has a good recruitment procedure in place and this offers protection to the service users. The home has a core consistent staff team who are committed, caring and appropriately skilled to provide care to the service users in the home. EVIDENCE: All staff members on duty were spoken with during this inspection. All confirmed regular updated training including Fire Safety training, NVQ Emergency First Aid and some Adult Protection training either booked or already completed. The home manages their own rota without the use of agency staff. From these discussions it was evident that the staff understood their role and responsibilities. 2 of the staff had been at the home for sometime and one new staff member and one exciting staff member were hoping to start their NVQ soon. The one staff member who had been carrying out care and domestic duties was now employed as a care staff only and now carries out regular craft and cookery session for the service users. Staff confirmed that they had attended service users holidays and family members also attended. The new staff member confirmed that they were on a 3- month probation period and evidence was seen of all relevant information held on his personal file. This staff also stated that they had shadowed other staff member Stoke View D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 Page 16 when he first started and all staff confirmed they had received regular supervision. Stoke View D52-D04 S3509 Stoke View V239091 150905 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) 38/39/40/42 The home is managed by a competent manager who has the respect of the staff team and is highly thought of by the service users. There is a management structure operating in the home that is effective. EVIDENCE: All the service users and staff spoken with during this inspection spoke highly of the manager who has been in post for 5 months. All confirmed that he was approachable and committed to staff development and training. The home quality assurance system was seen in place but is in need of updating and evaluating. The home held a recent service users meeting and the meeting of this meeting was seen. A staff member from their other home came to chair this meeting. The outcomes and actions taken from this meeting will need to be recorded into the next planned meeting. Certificates were seen for the regular servicing of the gas and electric system. The manager and staff confirmed that food hygiene, fire safety and first aid had been completed. Some windows require restrictor fitting. Accident forms Stoke View D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 Page 18 were seen completed and policy and procedure seen during this inspection had been reviewed and updated. Stoke View D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 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 2 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x 3 x x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stoke View Score 3 3 1 x Standard No 37 38 39 40 41 42 43 Score x 4 2 3 x 2 x D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 Page 20 n/a 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. 2. 3. Standard 20 20 20 Regulation 13 13 13 Requirement All medication must be signed for. Only medication administered must only be signed. Any medication changes, including discontinued, stopped or change in dose must be signed for by the person changing the medication form. Any large quanities of medication not used must be investigated and explained. Any medication found missing or lost must be investigated and explained. All windows must be fitted with window restrictors. Timescale for action 31st December 05 31st December 05 31st December 05 31st December 05 31st December 05 31st December 05 4. 5. 6. 20 20 42 13 13 13 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 5 Good Practice Recommendations The new service user should have a contract. D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 Page 21 Stoke View 2. 3. 20 39 The workbooks left by the pharmacist should be completed by all staff. The quality assurance system should be updated and evaluated. Stoke View D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton Devon, TQ13 7UP 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 Stoke View D52-D04 S3509 Stoke View V239091 150905 Stage 4.doc Version 1.40 Page 23 - 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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