Inspection on 12/12/05 for The Conifers

This inspection was carried out on 12th December 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

The Conifers 19/09/06

The Conifers 01/06/05

The Conifers 24/02/05

The Conifers 24/09/04

The Conifers 12/03/04

The Conifers 29/01/04

The Conifers 17/09/02

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

CARE HOME ADULTS 18-65 Conifers The 1 Turmer Avenue Bridlington East Riding Of Yorks YO15 2HJ Lead Inspector Ms Wilma Crawford Unannounced Inspection 12th December 2005 09:30 Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 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 Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 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. Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Conifers The Address 1 Turmer Avenue Bridlington East Riding Of Yorks YO15 2HJ 01262 606303 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) The Conifers Residential Home Limited Mrs Anne Sarah Sage Care Home 19 Category(ies) of Learning disability (19) registration, with number of places Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st June 2005 Brief Description of the Service: The Conifers is a family-run home providing care and accommodation for up to 19 adults with a learning disability. Accommodation includes lounge/dining area, smoking lounge, single and double bedrooms and a rear garden with patio area. The home is close to the centre of Bridlington with good access to local transport and amenities. Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 4 hours. A tour of the premises was conducted with a member of staff. The main method of inspection used was called case tracking which involved selecting two residents and tracking the care they receive through the checking of their records, discussion with the residents, the care staff and observation of care practices. The manager assisted the inspector during the inspection. What the service does well: What has improved since the last inspection? What they could do better: No requirements have been made at this time, there were no specific areas that needed improving at this time. Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 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. Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 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 Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 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 the following standard(s): None EVIDENCE: Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 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 the following standard(s): 6,7,8,9,10 Residents are able to exercise choice and risk in their lives through their involvement and participation in the care planning process. EVIDENCE: All care plans were completed in detail with involvement from the resident and/or their families. The home operates a key worker system and residents are aware of who their key worker is. Everybody involved with the residents care are detailed in the care plan and their contact details recorded so the resident is aware how to contact them if they wish. Reviews are carried out six monthly and residents and their representatives are invited to these to ensure their continued participation in the care planning. Two residents confirmed this was the case. Residents’ wishes regarding what activities they want to participate in are documented and appropriate risk assessments are carried out in relation to these if required ensuring individual choice is exercised. All the residents have a timetable of activities and hobbies that they have chosen to take part in. To make sure that health needs are met residents have access to other health professionals when required. Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 Page 10 People who use this service are given the choice of having their own bedroom key if they wish and within a risk assessment framework to ensure their privacy. Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 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 the following standard(s): 12,13,15,16,17 Residents live fulfilling lives both in the home and in the community. EVIDENCE: The care plans showed that the residents are involved in a wide variety of their chosen activities. On the day of inspection many residents had gone to the local college. Another three residents were visiting their family, and Christmas shopping. Residents attend two different local churches. One of the residents said ‘I really enjoy my drama class and I am in a pantomime that we are doing in the New Year’. They also stated that they enjoyed their handwriting class. Another resident said ‘There is plenty to do, I can come and go as I please, I really enjoy going out and joining in with things.’ Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 Page 12 The residents and staff spoken with talked about the Christmas activities that people had attended or were looking forward to: including meals out, parties and shopping trips. One resident plays pool for the England disabled pool team. Residents had enjoyed a holiday to Butlins and day trips during the summer. Photographs from these were displayed on the notice board. Residents meetings are held every two months and minutes are recorded. Residents spoke about being consulted about aspects of the day to day running of the home including menus. Comments made about the food included ‘I like the food it is nice. I don’t like custard or blancmange but I can always have something else, whatever I want.’ ‘We have good meals, we are asked what we want and it is written down. We can have whatever we want’ The home has a comprehensive complaints policy and procedure . Residents were confident that any concerns they had would be dealt with and would have no hesitation in raising anything with staff. ‘If I was worried I could talk to my keyworker or Linda or Anne’ A letter from a Community nurse commented how impressed they were by the homes commitment to ensure that all residents have the opportunity to integrate with the local community. Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 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 the following standard(s): 19,21 There are good links with health care services, ensuring that health needs are met and wishes are respected. EVIDENCE: There was widespread evidence of referrals to health care services to meet residents’ needs. All residents are registered with local GP surgeries, and letters relating to outpatient appointments, and referrals to specialists were on file. There are satisfactory arrangements for optical and dental provision. Comments from health professionals were extremely positive about the staff in their commitment to following clients care plans. Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 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 the following standard(s): None EVIDENCE: Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 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 the following standard(s): 25,27,28,29 The residents live in a comfortable, pleasant and safe environment, with both private and communal space being suitable for their needs. EVIDENCE: Residents’ bedrooms were personalised with photographs, pictures and personal belongings. They also have the opportunity to bring their own furnishings into the home if they wish. The three double bedrooms in the home have privacy screens or a dividing wall to ensure residents privacy. Washbasins are provided in each bedroom. There are three bathrooms and three further toilets in the home. Washbasins are provided in each bedroom. The home is generally well maintained and the décor is satisfactory. The home is currently going through a refurbishment programme to provide an additional four self contained flats for more independent living accommodation and update the existing building. There are currently no residents in need of specialist equipment, however the manager stated that this would be provided if individual needs changed. Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 Page 16 There is a spacious lounge, a separate smoking lounge and dining room available to residents. Office accommodation, a kitchen and utility is also provided. Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,35,36 Staff are well trained and supported. EVIDENCE: All staff are subject to an induction and statutory training, which includes, fire safety, food handling, infection control, manual handling and first aid. Staff meetings are held on a regular basis and records are kept of the outcomes and the actions agreed. All staff are supervised providing them with an opportunity to discuss training needs and any issues of concern. The home currently has 66 of staff with an NVQ qualification. The remaining staff are working towards this qualification. Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 Page 18 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38,39,42 The home is managed in an open and inclusive manner. EVIDENCE: To ensure that the home is run to the best interests of the people who use the service quality assurance systems are in place. The manager seeks the views of all people involved in the home through regular user questionnaires. The manager collates the results from these and people who use the service are informed of the results. The results form the basis of the annual development plan. These procedures ensure that the home continues to meet the needs of the people who use the service and that their opinions matter and are taken into account. Comments seen about the home included. ‘The manager and care team have made me feel most welcome and have shown commitment to following clients care plans’ ‘I find the manager very professional and well organised.’ Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 Page 19 Staff spoken with felt confident to approach the acting manager. They also felt that she was very approachable and listened to them. The previous problem identified with high hot water temperatures was immediately resolved by the home. Water temperatures checked were found to be satisfactory. Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 Page 20 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 X X X X Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 x 3 3 3 x LIFESTYLES Standard No Score 11 x 12 3 13 4 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 4 x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Conifers The Score x 3 x 3 Standard No 37 38 39 40 41 42 43 Score x 3 3 x x 3 x DS0000019738.V269263.R01.S.doc Version 5.0 Page 21 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 Conifers The DS0000019738.V269263.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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. 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