Inspection on 22/08/05 for The Lady Verdin Trust Ltd - Stewart Street

This inspection was carried out on 22nd August 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 -... 26/07/07

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

The Lady Verdin Trust Ltd -... 08/02/06

The Lady Verdin Trust Ltd -... 31/01/05

The Lady Verdin Trust Ltd -... 03/09/04

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 18-65 136 Stewart Street, The Lady Verdin Trust 136 Stewart Street Crewe Cheshire CW2 8LY Lead Inspector Val Flannery Announced 22 August 2005 14:50 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. 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 0.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 136 Stewart Street, The Lady Verdin Trust Address 136 Stewart Street Crewe Cheshire CW2 8LY 01270 666972 01270 256900 (Main Office) conded@ladyverdintrust.com The Lady Verdin Trust Limited 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) Miss Deborah Conde Care Home 3 Both Category(ies) of Learning disability (3) registration, with number of places 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 0.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31 January 2005 Brief Description of the Service: 136 Stewart Street is a care home for three adults with a learning disability. It is part of the Lady Verdin Trust organisation which operates a number of facilities for adults with a learning disability within Crewe and Nantwich. Located in a residential area of Crewe the semi-detached house is close to shops and other local amenities. The home has a mini bus which is used to transport residents. Access between the ground and first floors is by a stairway. The three bedrooms are single and are situated on the first floor. Each of the bedrooms has handwashing facilities. Sufficient toilet and bathing facilities are provided. A large communal lounge/dining area and a smaller lounge are provided for the residents. There is a large well-maintained secure garden to the rear of the home. A wheelchair is provided for a resident with mobility problems. Staff are on duty twenty four hours a day to deliver care to residents. 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 0.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was carried out over 2.5 hours on the 22nd August 2005 as part of the yearly inspection process. One hour was spent preparing for the inspection which included reading the previous inspection report and reviewing the service history for the home. Three residents and three staff were spoken with during the inspection. A number of the home records were seen during the visit. The residents have limited communication capabilities. What the service does well: A safe, homely and well-maintained environment is provided for the residents. The home is domestic in appearance and has easy access to shops, pubs and other local facilities. Staff are employed by the home who know the residents and are able to understand and communicate with them. Information on the service offered by the home is available as is a service user guide to the home. Pre-admission visits to the home by prospective residents and their representative is encouraged. Care plans are in place which show how residents are to be cared for. These include risk assessments that help keep residents safe and encourage their independence. A separate file is kept in which residents health care needs are set out. This includes the outcome of visits by doctors, nurses and other healthcare professionals. The complaints and adult protection procedure helps ensure residents concerns and worries are listened to and acted upon. The Lady Verdin Trust provide support and guidance to the manager and staff to ensure the home is run in the best interests of residents. 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 0.doc Version 1.40 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. 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 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 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 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) 1/2/3/4/ Admission procedures are in place that ensure prospective residents are fully assessed and have the information they require to make a decision about moving into the home. The home is able to meet residents’ needs. EVIDENCE: The three residents have lived in the home for sometime. During the inspection staff were seen caring for residents and were aware of their assessed needs. A copy of the statement of purpose and service user guide was available in the home. The service user guide has pictures to help residents with communication problems. It the policy of the Lady Verdin Trust that prospective residents are able to visit the home prior to making a decision about moving in. 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 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/ Risk assessments are in place which identify possible dangers to residents and safeguards are in place to protect them. Residents are consulted about the day-to-day running of the home. EVIDENCE: Personal Development Plans are available for each resident. These include background information and how the assessed care needs of residents are to be met. Plans also showed that care needs are monitored and updated. The care needs of residents is such that they need full support with daily living tasks, for example, using local shops and other community facilities. Staff were seen talking to residents about what to have for tea and where they wished to spent their leisure time. Residents were comfortable in the company of staff and were seen approaching them for help. Risk assessments are in place which showed the level of support residents need to ensure their health and safety. 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11/12/13/14/15/17 Residents are enabled to take part in activities that fit within their abilities. Staff support and encourage residents’ to be part of the local community. EVIDENCE: Residents are supported by staff to manage daily living tasks. This can include making drinks, using the bathroom and in-house activities. Residents have a weekly programme of activities which can include attendance at a day centre. Residents are also supported by staff from the daily options scheme with their daily activities. The location and appearance of the home helps ensure it is seen as part of the local community. Staff confirmed that relationships with the neighbours is, on the whole, is satisfactory. Plans of care showed that relatives and other visitors are able to visit the home and be involved in caring for the residents. For example, two of the residents are enabled to spend time with their relatives in the family home. 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 Page 11 Residents personal development plans and records of menus showed that they are offered a choice of menus. Residents can help with food preparation with support from staff. 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 Page 12 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’ healthcare needs are recorded in a separate file. Included in the file is their contact with doctors, nurses and other healthcare professions and the outcome of their visits. A record of residents prescribed medication is also included in the file. During the inspection staff were seen caring for, and supporting, residents in a manner that respected their privacy and dignity. Residents require full assistance with the administration of their medication. The registered manager said that the organisation’s training manager offers staff regular refresher training on the administration of medication. 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 Page 13 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 is a complaints and adult protection procedure in place. This ensures residents concerns are listened to and that they are protected from abuse. EVIDENCE: A copy of the complaints procedure was seen during the inspection. Details on how to contact the Commission for Social Care Inspection are included in the procedure. The registered manager said no complaints have being received about the home. CSCI have not received any complaints about the home. The organisation have provided an adult protection procedure, a copy of which is kept in the home. A copy of the government guidelines ‘ No Secrets’ was also available in the home. Staff spoken with were aware of the complaints and adult protection procedures and what to do if a problem arose. 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 Page 14 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 A safe, homely and comfortable standard of accommodation is provided for residents. Single bedroom are provided that meet the needs of residents. EVIDENCE: A number of improvements have been carried out in the home. These include new windows, new front door, new carpets downstairs and a new television. The staff have redecorated the entrance hall. A raised garden has been created to the rear of the home. A Community Safety Officer has visited the home to advise on safety and security. The improvements to the environment has made the home more homely and comfortable for residents. Residents’ single bedrooms are located on the first floor and contain handwashing facilities. They are also individually decorated and furnished. One toilet and bathroom is provided on the first floor and one toilet on the ground floor. Communal space consists of a large lounge/dining area and a smaller lounge. A wheelchair is provided for one of the residents. 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 Page 15 A secure well-maintained garden is located to the rear of the home and is easily accessible to residents. On the day of the inspection the home was clean and free from unpleasant smells. 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 Page 16 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 aware of their roles and responsibilities with regard to meeting the needs of residents. Staff receive individual supervision from the manager. EVIDENCE: The staffing rota showed that there are normally two staff members on duty when the residents are in the home. Two of the residents attend a community day care centre five days a week whilst the remaining resident is supported by staff from the Trust’s daily option scheme or staff from the day centre during the day. A member of staff sleeps in the home overnight. Staff spoken with confirmed that their roles and responsibilities are re-enforced at staff meetings and one-to-one sessions with the manager. Staff confirmed that they receive training from the organisation. This includes the in-house Supported Assistant General training and NVQ training. They also said the organisation’s training manager arranges courses on first aid, handling/lifting and communicating with residents. Staff were seen caring for residents and meeting their assessed needs. For example, helping in the kitchen with drinks and using the bathroom. Staff details as required by the regulations are maintained in the home. 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 Page 17 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 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 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) 37/38/39/42/43 The arrangements for managing the home are satisfactory. The health, safety and welfare of service users underpins the overall management of the home. EVIDENCE: The registered manager has worked for the Trust in a senior capacity for a number of years. She is also the registered manager for another home that is run by Lady Verdin Trust and is located in Crewe. Training on the day-to-day skills required to manage a care home is provided by the organisation’s training manager. The manager for the home has the experience and knowledge to ensure that is run in the best interest of residents. Staff spoken with said they, and residents and their representatives, are encouraged to comment on the service offered by the home. This included the 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 Page 19 recent changes to the décor in the home. Although the residents have limited communication it was evident during the inspection that staff understand and communicate very well with residents. A partial tour of the building showed that maintenance and health/safety issues are addressed. During the inspection then home received the monthly visit from a member of the management committee. Also seen during the visit was a copy of the internal review of the service. 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 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 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 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 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 21 136 Stewart Street, The Lady Verdin Trust Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 3 F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 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. 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 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 Page 22 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. Extracts may not be used or reproduced without the express permission of CSCI 136 Stewart Street, The Lady Verdin Trust F51 F01 S6557 LVT 136 Stewart Street V236824 220805 Stage 4.doc Version 1.40 Page 23 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!