Inspection on 21/07/05 for The Lady Verdin Trust Ltd - Claremont

This inspection was carried out on 21st July 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 Lady Verdin Trust Ltd -... 08/06/06

The Lady Verdin Trust Ltd -... 10/01/06

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 - Claremont 115/117 Valley Road Wistaston Crewe CW2 8LL Lead Inspector Val Flannery Unannounced 21st July 2005 15:00 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. The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service The Lady Verdin Trust Ltd - Claremont Address 115/117 Valley Road Wistaston Crewe CW2 6BP 01270 610909 01270 256900 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) Mr Chris Chennell/The Lady Verdin Trust Ltd. Mr Alan Hodge Care Home only 4 Category(ies) of Learning disability (4) registration, with number of places The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 4 service users to include:- Up to 4 service users in the category LD (Learning Disability) 2. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 9th December 2004 Brief Description of the Service: Claremont (115/117 Valley) was orginally 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 which opens onto the rear garden, one smal 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 - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over four hours and was carried out as part of the yearly inspection process. One hour was spent planning the inspection, this included reading the previous inspection report and reviewing the service history. During the inspection four residents, three relatives and four staff were spoken with. Two of the residents’ care plans were seen as were a number of other records. A tour of the building was carried out. The residents have limited communication capabilities. What the service does well: Residents have a varied and stimulating life, both in the home and in their contact with the local community. Relationships between residents and staff are very good and are based on trust and understanding. Staff are aware of the emotional and personal support required by residents. The care planning, which includes pre-admission assessment of need, showed that residents’ care needs have been identified and are regularly monitored and updated. Residents and/or their relatives are encouraged by the Trust’s procedures to visit the home prior to making a decision about moving in. Senior staff from the home visit the resident as part of the process to make sure they can meet their needs. Residents are actively supported by staff from the organisation’s daily options scheme to take part in appropriate activities. A balanced menu is provided which offers choice and variety. A separate healthcare file is kept on residents which showed what action is taken to ensure their healthcare needs are met. The manager and staff are offered a range of training opportunities that helps develop their caring skills. The philosophy of the organisation is such that residents and meeting their care needs is central to the service they provide. This was reflected in the way staff cared for residents during the inspection. The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 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 - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 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 The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 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) 1/2/4 Information is available about the service offered by the home. This ensures residents, and their relatives, can make an informed choice about the home. EVIDENCE: The three relatives spoken with said they were given information about the service offered by the home. This was made available before the resident moved in. A copy of the statement of purpose and service user guide was available on the day of the inspection. Relatives said the care needs of the resident were discussed with staff from the home during the pre-admission process. 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. For example, the mobility of one of the residents has improved since his admission to the home. This change was reflected in his plans of care. Residents are able to visit the home before making a decision about moving in. This can include an overnight stay and having a meal. The relatives spoken with said they visited the home on behalf of the resident. The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 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) 6/7/8/9 Residents are able to make decisions about their daily lives, within their assessed capabilities. Risk assessments identify possible dangers to residents and safeguards are in place to protect them. EVIDENCE: Residents’ assessed care needs were included in their personal files. These also showed that residents, relatives and other professionals were asked about how these needs could best be met. Residents’ individual care plans showed that their care needs are regularly monitored and any changes are recorded. For example, the plans of care showed that have adapted to their new surroundings and are getting on well as a group. Because the capabilities of residents are limited they require staff support on daily living tasks like dressing, bathing, using the toilet and eating. During the inspection staff were observed talking to residents and asking their opinions on what to have for tea and what activities to organise for the evening. 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 The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 Page 10 and using the kitchen facilities. Because of their limited capabilities residents require full staff support and supervision to ensure their safety. The relatives spoken with said they ‘are happy’ that staff know what the residents are able to manage with and without assistance. They also said staff ask them about the abilities of the resident when they lived at home. The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 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) 11/12/13/14/16/17 Residents are encouraged and supported to be part of the local community. They are enabled to take part in activities that fit within their capabilities. EVIDENCE: During the inspection residents were observed returning from their daily activities including attendance at a day centre. One resident was being supported by a member of staff from the Trust’s daily option scheme in the home. 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. The record of menus showed that residents are offered a variety of food. On the day of the inspection staff were observed helping residents with their evening meal. One resident receives his food via a Percutaneous Endoscopic Gastrostomy (PEG) tube. Staff said they had received training to carry out this procedure. The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 Page 12 During the inspection staff were seen talking to residents about where they would like to spend their leisure time, what they would like for tea and generally chatting to them. Relatives said they have always seen staff treat residents with respect and are always encouraging residents to do as much as their capabilities will allow. The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 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 Residents are well looked after with regard to their health and personal care needs. They receive full support from staff with their personal and emotional needs. EVIDENCE: Residents’ care files showed that information on their background histories, personal details and copies of reviews is maintained. A separate health care file is kept which shows that doctors, nurses and other health professionals are consulted about residents’ needs. The records also contain records of visits and the reason for the visit by the doctor/other health professionals. Residents require full assistance from staff with their medication. Satisfactory arrangements are in place for the administration of medication to residents. The relatives spoken with said they were asked about the support required with personal care tasks. This information was included in the plans of care. Staff were seen supporting residents with moving about the home, using the bathroom and with their evening meal. They also said they are kept informed on any changes that may occur with regard to residents’ health and personal care needs. Relatives commented that they are encouraged by the home to be involved caring for the resident. The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 Page 14 The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 Page 15 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 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 - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 Page 16 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) 24/25/26/27/28/29/30 The home provides a very high standard of accommodation for residents. The single bedrooms are individualised and are suitable for residents’ needs. EVIDENCE: The work carried out to provide one four-bed home from two separate bungalows has greatly improved the interior of the home. Residents live in a comfortable, safe and homely environment which is maintained to a high standard. Residents are accommodated in single bedrooms which 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 which 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 which is accessible to residents. The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 Page 17 A zimmer frame, walking aid and wheelchairs are provided for residents with mobility problems. On the day of the visit the home was clean, tidy and free from unpleasant smells. The relatives spoken with said they very satisfied with the standard of accommodation provided. The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 Page 18 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) 31/32/33/35/36 Staff are employed in sufficient numbers to meet residents needs. Interaction between residents and staff is based on trust and respect. EVIDENCE: The staffing rota showed that there are normally two staff on duty during the morning, afternoon and early evening. One member of staff sleeps in the home during the night. Residents who do not go to a day centre are supported in the home by staff from the organisation’s daily options scheme. Staff spoken with said they are aware of their roles and responsibilities. These are re-enforced through staff meetings and individual supervision with the manager. Details on staff are kept in the home and were accessible during the inspection. The manager and staff said the organisation provide a range of training opportunities which will improve their skills and knowledge and their ability to care for residents. The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 Page 19 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) 37/38/40/41/42 The home is run in the best interest of residents. The manager offers support and supervision to staff to ensure residents care needs are met. EVIDENCE: Relatives and staff said the registered manager is approachable and will take action to address any concerns. They also said their views are sought on the service offered to residents. Staff said they receive support and training which is provided by the Trust. The manager has worked for the Lady Verdin Trust for a number of years in a senior capacity. He confirmed he is in the process of completing NVQ Level 4 and has attended a range of courses on the day-to-day running of a care home. The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 Page 20 A tour of the building showed that maintenance issues are addressed. The fire safety record showed that checks are carried out to ensure the safety and well being of residents. A record was seen of a financial transaction involving a resident’s monies. The practice within the organisation is for an account to be opened in the resident’s name. However, as the resident is unable to sign their name two managers from the trust sign on their behalf. Regular auditing of the residents’ financial records is carried out. The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 Page 21 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 x 3 x 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 4 3 3 3 4 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 x x 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Lady Verdin Trust - Claremont Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 3 x F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 Page 22 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 None 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 None Good Practice Recommendations The Lady Verdin Trust - Claremont F01 F51 S6556 LVT 115-117 Valley Road V232653 150605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 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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