Inspection on 28/04/05 for Stoke View

This inspection was carried out on 28th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 15/09/05

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 Unannounced 28th April 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 V210482 280405 Stage 4.doc Version 1.20 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 V210482 280405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: 1. Learning disabled adults some of whom may have a physical disability 2. Age 18-65yrs Date of last inspection 30/09/04 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 Ratecedar Ltd. The home has a rear courtyard garden area and parking is available at the front of the house. A vehicle is available to take the service users on regular outings as well as transporting them when there are appointments to be kept. Stoke View D52-D04 S3509 Stoke View V210482 280405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 3 hours and was an Unannounced Inspection. A partial tour of the premises took place and some records were seen. 2 staff members, 5 of the service users and the manager were spoken with. What the service does well: What has improved since the last inspection? What they could do better: The manager and the staff team should undertake Adult Protection training. This would ensure that service users are better protected from abuse. Please contact the provider for advice of actions taken in response to this Stoke View D52-D04 S3509 Stoke View V210482 280405 Stage 4.doc Version 1.20 Page 6 inspection. The full 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 V210482 280405 Stage 4.doc Version 1.20 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 Stoke View D52-D04 S3509 Stoke View V210482 280405 Stage 4.doc Version 1.20 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) none EVIDENCE: None of these standards were assessed during this inspection. Stoke View D52-D04 S3509 Stoke View V210482 280405 Stage 4.doc Version 1.20 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) 6/7/9 Service users can make decisions about their own lives. EVIDENCE: The inspector spoke to 5 service users during this inspection and several confirmed that they had assist with their individual plans. One service user said that their family had attended their meeting. All service users confirmed that they each have a key worker in the home and some stated that they were able to choose their key worker. During the inspection one service user choose to remain in bed and others were planning a trip to the super market with staff and the inspector was able to observe the discussion with the staff and the service users on this trip. One service user said that they keep their own personnel allowance to spend as they wish and other said that their key workers and staff help them with their money. One service user said that the staff encourage’ them to make decisions and discuss the opinions available. It was evident from the planning of the menu and shopping trip that service users are encouraged to participate in the day to day running of the home. Service users are supported to take risks as part of their independents including visiting family in the community and going to local shops and events on their own. The manager confirmed that the home Stoke View D52-D04 S3509 Stoke View V210482 280405 Stage 4.doc Version 1.20 Page 10 has a missing person policy and this document was seen at previous inspections. Stoke View D52-D04 S3509 Stoke View V210482 280405 Stage 4.doc Version 1.20 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) 11/12/13/14/15/16/17 Service users can be confident that the home will provide support for them to access the local community and leisure and holiday activities. EVIDENCE: Several service users informed the inspector that they use life skills within the house including helping with cleaning, shopping and cooking. One service users informed the inspector that they have a job at the local shop and others attend day centres and one service user attend a college course 2 days a week. All service users informed the inspector that they go to local shops, pubs and cinema. The home has the local paper to look at local events. Public transport is assessable from the main road outside of the front of the house and the home also has its own transport. All service users talked about their annual holidays and some weekends away including a trip to Malta and short breaks in Butlins. One service user holidays with her family regularly. Trips are planned with input from service users. Some service users have family who visit the home or they visit their family in the community. The home promotes independence and one service user confirmed that staff always knock on their bedroom door before entering. Service users can access all parts of the home. Stoke View D52-D04 S3509 Stoke View V210482 280405 Stage 4.doc Version 1.20 Page 12 Cooking, cleaning and other household task are all undertaken and encouraged with staff support were needed. One service user said that the home had produced a new menu and the food was good. Several other service users informed the inspector that the food provided was nice. Stoke View D52-D04 S3509 Stoke View V210482 280405 Stage 4.doc Version 1.20 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) 18/19/20 The home’s staff provide excellent personal support for service users, which enables them to enjoy a healthy lifestyle. EVIDENCE: One service user said that all their personal business is carried out in private and that the staff respect their dignity and privacy. One service user chose to remain in bed during the morning of the inspection. Some service users were able to state that they choose their own clothes and staff assisted them with their hair. One service user informed the inspector about the recent cataract operation they had and the support the staff had provided. One service user stated that they see the GP for regular blood pressure checks and medication reviews. One service user said that staff administer their medication and they are happy for staff to do this. Stoke View D52-D04 S3509 Stoke View V210482 280405 Stage 4.doc Version 1.20 Page 14 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 Service users can be confident that their complaints or concerns will be listened to and acted upon. EVIDENCE: Two of the service users spoken with during the inspection stated that they were aware that the home has a complaints procedure and both said they would be able to talk to the staff or the manager if they had any concerns. The complaints procedure is displayed on the homes notice board. Stoke View D52-D04 S3509 Stoke View V210482 280405 Stage 4.doc Version 1.20 Page 15 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) 24/25/27/28/30 The home continues to maintain a suitable environment for its stated purpose. EVIDENCE: The premises are suitable for its stated purpose, safe and well maintained. The parts of the building seen were light, bright and clean. One service user showed the inspector their bedroom and informed the inspector that they were happy to share their double room. A bathroom has recently been re decorated and a new toilet installed. The home has range of shared space that is safe and fully accessible to all service users. The kitchen and laundry room are domestic in scale and the staff have a separate sleep in room in which to leave personal belongings. The premises were clean, hygienic and free from odours. The manager informed the inspector that he meets with the Responsible Individual regularly and has a planned maintenance programme for the coming year. Stoke View D52-D04 S3509 Stoke View V210482 280405 Stage 4.doc Version 1.20 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) 31/32/35/36 Staff training is supported and promoted to enable service users to receive the best service possible. EVIDENCE: The inspector spoke to the 2 staff members on duty and one of these staff had recently been promoted. From discussion with this staff member they understood their role and responsibilities but used the manager for additional support. Both staff spoken with had been at the home for sometime and one was preparing to do their NVQ. One staff member had been working as a domestic in the home and now was under taking some care duties to assist service users with individual tasks. Both staff members confirmed that they had completed training on Fire Safety, First Aid and had participated in staff meetings, regular supervision and yearly appraisals. One staff had also completed a manual handling course, food hygiene and makaton signing course. Stoke View D52-D04 S3509 Stoke View V210482 280405 Stage 4.doc Version 1.20 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 The homes management is good and the staff are well trained and above all the service users are happy and their needs are met. EVIDENCE: The home has a new Registered Manager in post since the last inspection. Staff and service users spoken with stated that the new manager was supportive, open and honest. They went onto say that he communicates a sense of leadership. The manager informed the inspector that he looks at the budget with the owner and plans for the coming year. The manager has plans to review some of the systems within the house. Stoke View D52-D04 S3509 Stoke View V210482 280405 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x x x Standard No 22 23 ENVIRONMENT Score 3 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 x 3 3 x 3 Standard No 11 12 13 14 15 Stoke View 3 4 3 4 3 Standard No 31 32 33 34 35 36 Score 3 3 x x 3 3 Version 1.20 Page 19 D52-D04 S3509 Stoke View V210482 280405 Stage 4.doc 16 17 4 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 x Standard No 37 38 39 40 41 42 43 Score 3 4 x x x x x Stoke View D52-D04 S3509 Stoke View V210482 280405 Stage 4.doc Version 1.20 Page 20 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 35 Good Practice Recommendations The manager and staff team should have the Adult Protoction training with Plymouth City Council. Stoke View D52-D04 S3509 Stoke View V210482 280405 Stage 4.doc Version 1.20 Page 21 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton 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 V210482 280405 Stage 4.doc Version 1.20 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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