Inspection on 08/06/06 for The Lady Verdin Trust Ltd - Claremont

This inspection was carried out on 8th June 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 -... 10/01/06

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 Key Unannounced Inspection 8th June 2006 03:00 The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 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.V290594.R01.S.doc Version 5.1 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.V290594.R01.S.doc Version 5.1 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.V290594.R01.S.doc Version 5.1 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 10th January 2006 Date of last inspection Brief Description of the Service: Claremont (115/117 Valley) was originally two separate semi detached bungalows. 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 handwashing 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.V290594.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This • • • key inspection report was written using evidence gathered from the Pre-inspection questionnaire Service history for the home Visit to the home on the 8th June 2006 The visit to the home was carried out over three and half hours and involved talking with two residents, the home manager and two staff. A number of resident and home records were seen. A partial tour of the building was carried out. Feedback following the visit to the home was given to the manager on the 8th June 2006. What the service does well: Claremont has pre-admissions assessment procedures in place ensure the care needs of prospective residents are identified before they are offered accommodation. A range of information about the service offered by the home, and the Trust, is available in the home. Care plans are in place that show how the care needs of residents’ are to be met. These are monitored and up dated to show any changes. Residents’ are encouraged and supported by staff from the home, and from the Trusts’ daily options scheme, to be part of the local community. During the visit to the home staff were seen helping residents’ with personal care such as dressing, using the bathroom and ensuring they were safe whilst in the garden to the rear of the home. Records seen showed that residents’ receive visits from doctors, nurses and are supported to attend hospital appointments. Procedures are in place to ensure residents are protected from abuse and that complaints raised by residents, relatives and others are taken seriously and acted upon. Sufficient staff are on duty to care for residents. During the day residents’ attend day care centres and are cared for by staff from the Trusts’ daily option scheme. The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 Page 6 The current manager, recently appointed, has continued to develop the service offered to residents including ensuring they are supported by staff to further access community facilities. 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.V290594.R01.S.doc Version 5.1 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.V290594.R01.S.doc Version 5.1 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 Quality in this outcome area is good. The pre-admission procedure ensures the needs of residents’ are identified prior to admission. Care plans are developed to show how these needs are to be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the visit to the home the manager confirmed that the statement of purpose and service user guide to the home would be updated to show the change in manager. This is dependent on the outcome of the manager’s application and Fit Person Interview, to be held at the Northwich office of CSCI, on the 9th June 2006. As the home have not admitted any new resident since the last visit the records of the resident most recently admitted to the home were seen. These showed that pre-admission assessments are carried out and that care plans are developed to meet residents assessed care needs. Records were also seen to show that the home is developing Person Centred Plans for individual residents. The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 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 Quality in this outcome area is good. Plans are in place for individual residents that show how their changing care needs will be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the visit only one of the three residents was in the home. Staff were seen supporting the resident with personal care tasks such as dressing, eating his evening meal and ensuring his safety whilst in the garden. It was evident that staff were aware of the residents needs and how these were to be met. The resident was seen approaching staff for assistance and, although he has limited verbal skills, was able to communicate his needs. Risk assessments are in place that ensures the safety of the resident. For example, the home has provided a mobile pool in the garden to the rear of the home. The risk assessment has identified that staff must accompany residents’ when they are in the pool. Residents care plans seen showed that their care needs are monitored and any changes are included in their Personal Development Plans. The plans of care are reviewed regularly with the residents, relatives and other professionals including social services. The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 Page 10 The Lady Verdin Trust has provided a policy on the confidentiality of information, a copy of which is kept in the home. The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 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): 12/13/14/15/16/17 Quality in this outcome area is good. The plans of care showed that residents’ have opportunities for personal development and are enabled to take part in appropriate activities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager and two staff were spoken with during the visit. They said residents are enabled to make decisions on daily living, for example, where they spend their leisure time when in the home, what they want at meal times and when they go to bed. Two resident’ records were seen during the visit. These included details on how residents are supported by staff from the home, and the Trust’s daily options scheme, to access community facilities such as football matches, swimming pools and using public transport. The records also contained details on the residents’ next of kin and the contact they have with the home. Since her appointment the manager for the home said she has reviewed plans of care and further developed the range of activities offered to residents. The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 Page 12 The mealtime seen during the visit was relaxed and unrushed; residents’ were being supported by staff as required. A record of menus was seen that showed that residents’ are offered choices at mealtimes. The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 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/ Quality in this outcome area is good. The health and well being of residents’ is monitored and action is taken to ensure they receive the necessary input from healthcare professionals. This judgement has been made using available evidence including a visit to this service. EVIDENCE: During the visit to the home residents’ were seen receiving support with personal care from the staff. For example, one resident, on return from a hospital appointment, indicated that she was tired and wished to have a lie down. She was supported to go to her bedroom and was closely monitored by staff to ensure she did not suffer any ill effects following her treatment. Another resident was seen moving freely about the home but was being monitored by staff to ensure his safety and well being was maintained. A separate healthcare file is kept on individual residents. The file seen during the visit showed that residents’ receive visits from doctors, nurses and other healthcare professionals. During the visit two residents were being supported by staff during their stay in the local hospital. Staff spoken with were aware of the healthcare needs of residents’ and were aware of how issues of concern were to be addressed. A record of the medication administered to residents’ is also kept in the healthcare file. Staff signed the record seen during the visit. The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 Page 14 The Trust has provided procedures on the administration of medication, a copy of which is kept in the home. Medication, which is delivered to the home in the Nomad system, is stored in a locked cupboard The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 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 the following standard(s): 22/23 Quality in this outcome area is good. Procedures are in place to ensure residents are able to raise issues of concern. There are also procedures in place to protect residents from abuse and self-harm. This judgement has been made using available evidence including a visit to this service EVIDENCE: The Trust has provided a copy of the complaints procedure in a format that is easier for the residents’ to understand. Staff spoken with were aware of the complaints procedure, they said they would refer any concerns received to senior staff in the Trust. According to the manager the home have not received any complaints, CSCI have not received any complaints about the home. A copy of the complaints procedure was seen during the visit, details on how to contact the Commission for Social Care Inspection were included. Since the last visit one referral has been made to Social Service under the home’s adult protection procedure. The referral concerned one resident scratching another. Social Services were satisfied with the action take by the home to protect both residents and will not be taken any further action. A copy of the adult protection procedure, that includes ‘No Secrets’, is kept in the home. The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 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 the following standard(s): 24/25/28/30 Quality in this outcome area is good. Residents are accommodated in an environment that suits their assessed needs and abilities. This judgement has been made using available evidence including a visit to this service EVIDENCE: During the visit a tour of the building was carried out. The areas seen included two residents’ bedrooms, large communal lounge, small lounge and kitchen/dining room plus the garden to the rear of the home. These areas were clean, comfortable and provided a safe environment for residents. The resident who was in the home during the visit was seen moving freely between his bedroom, the communal areas and garden. Bedrooms were individually furnished, decorated and contained residents personal possessions. The garden to the rear of the home was well maintained and provided a secure, enclosed area for residents. Specialist equipment is provided for residents with mobility problems, for example, bath and toilet aids and a hoist that was located in a residents bedroom. The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 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): 32/33/35/36 Quality in this outcome area is good. Staff are receiving the level of training, and support, necessary to develop their skills in caring for residents. This judgement has been made using available evidence including a visit to this service EVIDENCE: During the visit to the home the staffing rota seen showed that there are two staff from the home on duty between the hours of 8am and 1.30pm and 4pm and 11pm. At other times there is one normally one member of staff on duty. As well as attending day care services residents’ are supported by staff from the Trusts daily options scheme to access community facilities. One member of staff sleeps in the home overnight. Staff spoken with during the visit said there is an ‘on-call’ system in place where they can get advice and guidance from senior staff within the Trust. Staff said they receive individual supervision from the manager. In discussion with the manager she said she supervises individual staff on a monthly basis and that a record of these sessions are kept in the main office of the Trust. Staff also said the Trust provide a range of training opportunities including induction training and NVQ. The manager confirmed that a record of staff training is kept in the main office of the Trust. The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 Page 18 Staff spoken with said they receive support and guidance from the manager and other senior staff within the Trust on ensuring the needs of residents are met. The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 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 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): 37/39/42/43 Quality in this outcome area is good. Residents are cared for by staff that are well managed and are aware of their roles and responsibilities. This judgement has been made using available evidence including a visit to this service EVIDENCE: The Trust has made an application to CSCI for the current manager to be the registered manager for the home. The manager said she has attended training courses, arranged by the Trust, to improve her skills in caring for vulnerable adults. She is in the process on completing her NVQ Level 4 in health and social care (adults). She has also achieved the following: State Enrolled Nurse and NVQ Level 3. Staff spoken with said the manager offers support and guidance and that she has carried out team building exercises with them. The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 Page 20 The manager said she wants to improve communication between the staff and further improve the skills of the staff group. A number of maintenance/service records were seen during the visit. These were fire safety record, portable appliance tests. The manager said she is in the process of getting a copy of the annual gas safety certificate. The home does not have a quality assurance system in place that shows how the views of residents and relatives are sought about the service offered (See Recommendation Number 1). The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 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 Standard No Score 1 3 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 3 26 X 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No X 19 20 21 Score 3 3 3 X 3 X 3 X X 3 2 The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA39 Good Practice Recommendations The views of residents and relatives should be sought on the service offered by the home. The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 Page 23 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. Extracts may not be used or reproduced without the express permission of CSCI The Lady Verdin Trust Ltd - Claremont DS0000006556.V290594.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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