Inspection on 10/01/06 for The Lady Verdin Trust Ltd - Claremont

This inspection was carried out on 10th January 2006.

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 Lady Verdin Trust Ltd -... 08/06/06

The Lady Verdin Trust Ltd -... 21/07/05

The Lady Verdin Trust Ltd -... 09/12/04

The Lady Verdin Trust Ltd -... 09/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 The Lady Verdin Trust Ltd - Claremont Claremount 115 / 117 Valley Road Wistaston Crewe Cheshire CW2 8LL Lead Inspector Mr Val Flannery Unannounced Inspection 10th January 2006 03:00 The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.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 The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.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. The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Lady Verdin Trust Ltd - Claremont Address 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) Claremount 115 / 117 Valley Road Wistaston Crewe Cheshire CW2 8LL 01270 610909 01270 256900 The Lady Verdin Trust Limited Mr Alan Hodge Care Home 4 Category(ies) of Learning disability (4) registration, with number of places The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 4 service users to include:* Up to 4 service users in the category LD (learning disability) The service should, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 21st July 2005 Date of last inspection Brief Description of the Service: Claremont (115/117 Valley) was originally two separate semi detached bungalows. Earlier this year the two bungalows were converted to provide a four-bed home for adults with a learning disability. Located in a residential area of Crewe the home is within easy reach of shops, pub and other local facilities and is on a bus route to the town centre. All the bedrooms are single and contain hand-washing facilities. Two toilets, one bath with a lifting aid and one shower are provided for residents. For residents with mobility problems a walking frame, zimmer frame and wheel chairs are provided. Communal space consists of one large lounge that opens onto the rear garden, one small lounge and a snoozelom room. The dining room is situated in the large kitchen. A secure large garden is located to the rear of the home. Staff are on duty twenty-four hours a day to deliver care to residents. The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over three hours on the 10th January 2006. One hour was spent reading the previous inspection report and reviewing the service history for the home. During the inspection four residents, the manager and two support staff were spoken with. Two residents’ care files and a number of home records were seen during the inspection. A partial tour of the building was carried out. Feedback following the inspection was given to the new manager. What the service does well: The aim of the Lady Verdin Trust is to ensure residents receive a service that meets their assessed needs. Also that staff are ‘equipped’ to deliver that service and that the physical environment is safe, comfortable and welcoming. Although there have been a number of personnel changes within the staff group, including a new manager, this commitment to meeting residents’ needs remains the same. Residents are supported by staff from the home and from the daily options scheme to access community based facilities and amenities, for example, shops, pubs and other leisure resources. During the inspection the manager and staff were seen helping residents with day-to-day living tasks. This included using the bathroom, eating/drinking, dressing and generally socialising with residents. Residents were comfortable approaching staff and staff were, on the whole, able to understand what residents wanted. Residents’ care plans showed that their individual needs have been identified and that, wherever possible, they are encouraged to exercise choice over their daily lives. Clairemount is two bungalows that have been converted into one four bed home. The layout of the home is such that residents have sufficient space to move about. All the bedrooms are single and individually decorated and furnished. There is a commitment from the senior management within the Trust that all staff will receive appropriate training and supervision. Staff said they ‘were impressed’ with the training programme developed by the organisation. The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.R01.S.doc Version 5.0 Page 6 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. The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.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 The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.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): 1/2/3/4/5 Residents and their representatives are given information on the service offered by the home. Residents are able to visit the home to judge if it will meet their needs. EVIDENCE: A copy of the statement of purpose and service user guide to the home was available on the day of the inspection. The manager confirmed that these would be updated to show the changes to the management of the home. The care plans of the two residents most recently admitted to the home showed that their care needs were identified, are monitored and action taken to address any changes. It is the policy of the Trust that prospective residents are able to ‘test drive’ the home before making a decision about moving in. This includes overnight stays and visits to meet the other residents and staff. Residents are funded by social services who have a block contract with the Trust. Copies of contracts are kept at the main office for the Trust. The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.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 enabled to live as independent lives as is possible, given their assessed care needs. EVIDENCE: Two residents’ personal files (including a separate healthcare file) were seen during the inspection. These showed that the level of help required by residents is included in their personal development plans. Included are personal care, mobility and using community facilities. Because of their limited communication capabilities residents require support and guidance from staff on day-to-day living. Because residents have lived in the home for a number of years staff have developed the skills to know the level of assistance they require. Plans of care showed that every effort is made to ensure residents are supported to make everyday choices. Risk assessments are carried out which showed possible dangers to residents have been identified. These include residents leaving the building without staff supervision and residents using the facilities in the home like bathroom/toilet and using the kitchen facilities. Because of their limited capabilities residents require full staff support and supervision to ensure their safety. The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.R01.S.doc Version 5.0 Page 10 A policy on the confidentiality of information has being provided by the Trust and is available to staff. A copy of the Data Protection Act is kept in the head offices of the Trust. The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.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): 11/12/13/14/15/16/17 Residents are encouraged and supported to be as independent as possible. Their families and friends are able to maintain contact and visit the home. EVIDENCE: Residents require full support from staff both inside and outside the home. Plans of care showed that residents may place themselves in danger if left unsupervised. As well as the staff in the home residents are supported by staff from the daily options scheme. The scheme involves staff, who are not part of the home’s staffing compliment, supporting residents on a one-to-one basis. This can be in the home or in the local community. Examples of activities can include using local shops, watching the local football team and visiting local parks/other beauty spots. Staff spoken with and records seen showed that resident’s relatives are able to maintain contact and visit the home. Two residents spent Christmas at home with their families. The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.R01.S.doc Version 5.0 Page 12 During the inspection staff were seen helping two residents with their evening meal whilst another resident was receiving his meal via a Percutaneous Endoscopic Gastrostomy (PEG) tube. The mealtime was relaxed and unrushed. Menus seen showed that residents are offered a choice of meals. The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.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): 18/19/20/21 The health and personal care needs of residents are met. Residents receive help and support with their assessed needs from staff. EVIDENCE: The assessed care needs of residents showed that they require help from staff with day to day living. This includes using the bathroom, dressing and undressing and at meal times. Personal development plans showed that residents’ needs are monitored and action is taken to address any concerns. During the inspection staff were seen helping residents with various personal care tasks including eating and dressing. Residents were seen approaching staff for help with these tasks. A separate healthcare file is kept on each resident. Two of these files were seen during the inspection. They showed that residents receive medical input from their GP practices and the local hospital. Residents require help with the administration of their medication. During the inspection the procedure for staff administering medication to residents was seen and was satisfactory. A copy of the policy and procedure on caring for residents who are ill and on the death of a resident is kept in the home. The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.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): 22/23 There are procedures in place for protecting residents from abuse. There is also a complaints procedure in place that allows residents, relatives and others to raise issues of concern. EVIDENCE: A copy of the complaints procedure is kept on individual resident’s files. Included in the procedure are details on how to contact the Commission for Social Care Inspection. The registered manager said the home has not received any complaints since the last inspection. CSCI has not received any complaints since the last inspection. An Adult Protection procedure has being provided by the organisation. This includes a copy of the government guidelines ‘No Secrets’. Staff were aware of the adult protection and complaints procedures and knew what to do if a problem arose. The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.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): 24/25/26/27/28/30 Residents live in a comfortable, safe and homely environment that is maintained to a high standard. EVIDENCE: The appearance of the home is in keeping with the local community. It is located close to shops and other community facilities. Residents are accommodated in single bedrooms that are individually decorated and furnished. Each bedroom has hand-washing facilities. In addition the home provides one assisted bath, one shower and two toilets. Residents have a choice of communal space that includes one large lounge, one small lounge and one room with sensory equipment. The dining area is located in the large kitchen. The garden to the rear of the home can be accessed via the large lounge. It is secure and provides a safe outdoor area that is accessible to residents. A Zimmer frame, walking aid and wheelchairs are provided for residents with mobility problems. The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.R01.S.doc Version 5.0 Page 16 On the day of the visit the home was clean, tidy and free from unpleasant smells. During the inspection the manager said they are meeting with the architects to discuss installing self-closing devices on the lounges and dining room doors. The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.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): 31/32/33/35/36 Staff receive induction and ongoing training in order to ensure the cared needs of residents are met. EVIDENCE: Two support workers and the home manager were on duty during the inspection. Normally there would be two staff when the residents are in the home. During the day staff from the Trust’s daily options scheme supports residents. Although recently appointed the staff on duty were aware of their roles and responsibilities. They were supporting residents with day-to-day living tasks and were aware of their needs. They will further develop relationships with residents over the coming months. Staff said they received a ‘thorough’ induction programme and continue to receive support and guidance from senior staff in the Trust. They also said they have access to a range of training opportunities provided by the Trust, including NVQ. Staff meetings are held twice monthly at the moment and they receive individual supervision at least six weekly. The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.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): 37/38/39/40/41/43 The Trust has provided policies and procedures to assist staff in the delivery of care to residents. The new manager is working to ensure residents receive a service to meet their care needs. EVIDENCE: The Trust has appointed a new manager for the home. The current registered manager is supporting her. An application to register the new manager is to be sent to CSCI by the Trust. The manager confirmed that she has competed NVQ Level 3 and will be commencing NVQ Level 4. Since been appointed the manager said she has identified a number of areas for improvement including staff meet, supervision and general communication between staff. She has begun to review the daily programme for residents. A copy of the policies and procedures, provided by the Trust, were available on the day of the inspection. Staff were aware of the policies and procedures and where they are located in the home. The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.R01.S.doc Version 5.0 Page 19 Systems are in place whereby the service receives support and guidance from senior management in the Trust, including the chief executive. The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.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 3 3 3 3 3 Standard No 22 23 Score 3 3 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 3 4 3 3 4 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.R01.S.doc Version 5.0 Page 21 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 The Lady Verdin Trust Ltd - Claremont DS0000006556.V269633.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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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