Inspection on 14/11/06 for Suez Road (128)

This inspection was carried out on 14th November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

Suez Road (128) 09/02/06

Suez Road (128) 27/09/05

Suez Road (128) 18/02/05

Suez Road (128) 24/08/04

Suez Road (128) 10/02/04

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 HOME ADULTS 18-65 Suez Road (128) Cambridge CB1 3QD Lead Inspector Mrs Jenny Cangy Unannounced Inspection 14th November 2006 3:00 Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 Page 1 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 Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 Page 2 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 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. Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Suez Road (128) Address Cambridge CB1 3QD Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01223 572158 128Suez@grantahousing.org.uk Granta Housing Society Limited Ms Dinah McLeod Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (1) of places Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th February 2006 Brief Description of the Service: 128 Suez Road is a detached house situated in a residential area about a mile from the centre of Cambridge. It is a care home for adults with a learning disability. The current age range is approximately 40-70 plus years. Accommodation is on two floors and consists of eight single bedrooms, a lounge, dining room, kitchen, two bathrooms, 3 WC’s, and a games room. There is also staff accommodation of an office and a staff sleep-in room with en-suite facilities. There are front and rear gardens. The home is within walking distance of all local amenities. Weekly fees are £350 and service users pay for their own clothing and personal items. They pay their own expenses for social outings and holidays. Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection commenced at 3pm and the inspector was admitted to the care home by a member of staff. Several service users were at home and greeted the inspector. The manager was on duty and spent time with the inspector reviewing the National minimum Standards and records. A tour of the premises followed when the inspector spent time talking to service users and staff. The inspection was unannounced What the service does well: What has improved since the last inspection? What they could do better: The service user bedrooms are awaiting redecoration including replacing/repairing old metal window frames. The manager stated this is part of the next phase of the renovation of the house. Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standard 2 Quality in this outcome area good. A policy is in place to ensure new service users would have all the information they needed to help them choose this home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no new service users for over 10 years. However over the past year all the service users needs have been reassessed with the help of the community learning disability team. New care plans have been written and the physical, social and emotional needs of the service users are known and responded to. Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is excellent. The staff have the information to ensure service users are able to make decisions about their own lives as far as their disability will allow. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All care plans have been updated with service users full involvement and they now chair their own review meetings. They have full choice in all aspects of their daily lives and are assisted in demonstrating choice with the use of word and picture charts. Risk assessments are in place in the service user care plans and some risk is seen as acceptable. Service users are involved in interviewing new staff and have attended training to increase their skills. Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16, 17 Quality in this outcome area is excellent. Service users lead full and interesting lives both within the house and out in the community. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One service user attends college one day a week. Another attends a cakedecorating course with people from the local community. Another is a member of St John’s ambulance and attends local events in his capacity as a first aider. Some service users are members of an amateur dramatic group. Some are members of a railway enthusiast club and attend meetings and go on outings with them. Service users are assisted to maintain contact with their friends and family. All have had holidays this year that they helped to plan and select. One service user has household responsibility for recycling rubbish. All are involved in menu planning and the menus are colour coded to show the salt sugar and fat content so the service users learn to select a balanced diet. Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 Quality in this outcome area is excellent. Service users are encouraged to be as independent as their disability will allow. All service users have their health, personal and emotional care needs met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Any assistance is given in the privacy of their bedroom or the bathroom in the manner they prefer. They have regular health care checks from a very supportive GP service and the community learning disability team. Care plans are in place to ensure appropriate check ups occur for eyesight, hearing and teeth. The home has a monitored dose system of medication but no service users currently administer their own medication. This may be developed in the future for those service users with the capability. One service user manages her eye drops. The manager and staff are working toward increasing service users independence in all aspects of their lives and it is evident that the service users confidence and behaviour has improved over the last year. Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. Service users are protected from abuse and have their views and concerns listened to. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There is a vigorous complaint procedure and service users know how to use it. It is available in words and pictures. Complaints are monitored regularly by the manager and in turn her line manager. The complaint record was seen by the inspector and was noted to have appropriate responses within the timescale stated in the procedure. There are very few complaints and they tend to be minor disagreements between the young adults who share the house rather than complaints of a serious nature. All staff have protection of vulnerable adult training and those spoken to during the inspection were able to demonstrate this. Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. Service users live in a homely clean environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is a domestic style household. The lounge and dining room are furnished in a homely way and have recently been redecorated. The kitchen has been refurbished as have the halls and staircase. Bedrooms are personalised to the taste of the individual and are currently awaiting redecoration. All areas of the home were found to be clean and fresh. Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 Page 14 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. Service users are supported by a good staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staff team has been increased since the last inspection and the use of bank and agency staff is now minimal. All staff have a full induction programme and ongoing training including NVQ training for care staff up to NVQ level 3 and for managers up to NVQ level 4. All staff have two written references, proof of identity and a Criminal Records Bureau enhanced police check including a Protection of Vulnerable Adults register check. These were seen by the inspector during the inspection. Staff have clear contracts of employment including appropriate job descriptions. The staff were seen to be interacting well with the service users and each other. Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 Page 15 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is good. The home is well managed and service users views respected and their health and safety maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager is well experience in managing homes for this client group and is known to all her staff and the service users as approachable and supportive. She has yet to attain NVQ level 4 Registered Managers award due to personal circumstances but intends to work towards achieving this in the next year. She is well supported by her line manager and her senior staff team. Service users are included in all decision making about the home including recruiting new staff. They have helped select colour schemes in the areas that have been decorated and planned the layout of the garden. Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 Page 16 The home has a named health and safety representative and all areas of the home have a risk assessment as do all the service users activities. All staff have health and safety training as part of their regularly updated training package. Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 Page 17 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 Standard No Score 1 X 2 3 3 x 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 X 4 X X 3 x Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 Page 18 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. 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. Refer to Standard Good Practice Recommendations Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Suez Road (128) DS0000015168.V320793.R01.S.doc Version 5.2 Page 20 - 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. 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