Inspection on 26/07/07 for The Lady Verdin Trust Ltd - Stewart Street

This inspection was carried out on 26th July 2007.

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 -... 10/10/06

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

The Lady Verdin Trust Ltd -... 22/08/05

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

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

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Park Lodge

Mere Hall View

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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 - Stewart Street 136 Stewart Street Crewe Cheshire CW2 8LY Lead Inspector Julie Porter Unannounced Inspection 26 July 2007 08:30 The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 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 - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 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 - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Lady Verdin Trust Ltd - Stewart Street Address 136 Stewart Street Crewe Cheshire CW2 8LY 01270 666972 01270 256900 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) www.ladyverdintrust.org.uk The Lady Verdin Trust Limited Tracey Skeldon Care Home 3 Category(ies) of Learning disability (3) registration, with number of places The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 3 service users in the category of LD (Learning disability) 10th October 2006 Date of last inspection Brief Description of the Service: 136 Stewart Street is a care home for three adults with a learning disability. It is run by the Lady Verdin Trust that operates a number of homes and other services for adults with a learning disability in Crewe and Nantwich. This home is a semi-detached house in a residential area of Crewe, close to shops and other local services. The house has two floors with access between them via a staircase. All three bedrooms are single rooms and are on the first floor. Each has a hand wash basin. There are sufficient toilet and bathing facilities. There is a large communal lounge/dining area and a smaller lounge for the residents on the ground floor. There is a large well-maintained, secure garden to the rear of the home. A wheelchair is provided for a resident with mobility problems. The home has a mini bus that is used to transport residents. Staff are on duty twenty-four hours a day to provide care for residents. The cost of living in the home depends on individual needs and information provided by the manager on 10 April 2007 states the current charges are between £1226 and £1411 per week. The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit, part of the inspection of this service, took place on 26 July 2007 and lasted three hours. The manager was told about the findings of the inspection by telephone on 03 August 2007. This visit was just one part of the inspection. Other information received by CSCI about the home was also looked at. Before the visit, the manager was asked to complete a questionnaire to provide up to date information about the services provided. CSCI questionnaires were given to residents, their families, health and social care professionals such as district nurses and social workers to find out their views about the home. Comments from forms that were sent back to CSCI have been included in the report. During the visit, various records were looked at as well as the house itself. What the service does well: What has improved since the last inspection? The managers make sure that the people who live at the home are only given as much help as they need so they can be as independent as possible. The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 Page 6 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 summary of this inspection report can be made available in other formats on request. The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 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 - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Processes are in place to ensure that people wishing to move to the home have their needs assessed to ensure that they can be met there. EVIDENCE: Nobody new has moved into the home since the last inspection. As an organisation, The Lady Verdin Trust has established processes which are carried out before a person moves into any of the Trust’s homes. These include obtaining a full needs assessment by the person’s funding authority. Any person wishing to move to the home would also be given the opportunity to visit and have short stays before making a decision to move there. The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 & 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live at the home have opportunities to try new experiences and are given support by staff to make sure that they can live as independently as possible. EVIDENCE: One person’s personal development plan was checked during the visit. It included information on how to meet the person’s needs. The records also showed that the health of all the people who live at the home is monitored and any changes are recorded in their care plan. The care plan also contained information about the person’s likes and dislikes, together with risk assessments for activities the person was involved in such as using buses and trains and horse-riding. The care plan was last reviewed on 29 January 2007 and included the person who lived at the home, key staff and other professionals involved with their care. The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 Page 10 Staff work with individual people in the home to support them in achieving their goals/ and or try new experiences. In addition to the written plans each person who lives at the home has a photo diary of their activities and achievements. During the visit staff interaction with the people who live at the home was observed and was seen as appropriate. Staff were aware of key phrases and jokes to prompt each person effectively. The people who live at the home were encouraged to take part in household tasks such as putting dishes in the sink and putting the bin out; sometimes this was more successful than others. Following the last visit the manager said that she is monitoring the level of support staff give to people who live at the home to make sure this is not so much that people’s independence is reduced. Personal information about the residents was seen recorded on the calendar in the kitchen; for example, blood and urine tests for individuals. The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported in a variety of ways to enable them to become as independent as possible and part of the local community. EVIDENCE: The needs of the people who live in the home are such that they need support with all aspects of daily living. On the day of the visit, two people were ready and waiting patiently for transport to go the day centre. The other person who lives at the home was leaving later for planned activities, which better suited his needs. A four-week plan was seen for one person who lives at the home, which included using public transport, making use of community facilities, shops, library and the local bowling alley. The written diary and photo diary kept by each of the people who live at the home provided evidence of visits to places of interest, activities and meals out. The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 Page 12 Staff at the home support and encourage the people who live in the home to keep in touch with their families. Two parents completed questionnaires sent by the Commission for Social Care Inspection and both were positive regarding the home. One stated, “he is looked after by a capable and caring staff, who take good care of both his physical and social needs”. Meals and mealtimes are flexible and work around the daily activities of each person who lives at the home. A record is maintained in the home of the food served each day. The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The people who live in the home are supported and monitored in managing their health to make sure they receive the care/support they need to keep well. EVIDENCE: Records seen during the visit showed that the personal care needs of the people who live in the home have been assessed and plans are available that show how these needs are to be met. A separate healthcare file is kept on each person who lives at the home; these showed that they receive visits from doctors, nurses and other healthcare professionals. They are registered with the local optician and dentist. Those people who live at the home who cannot manage their own medicines are given full help from staff. One medication chart was inspected and records were satisfactory. Information provided by the manager states that staff in the home have attended medication administration training within the last twelve months. The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Processes are in place to make sure that the people who live at the home are safeguarded from possible harm. Improvements need to be made to the way complaints are recorded to show that people’s concerns are listened to and acted upon. EVIDENCE: A copy of the complaints procedure is available in the home; details on how to contact the Commission for Social Care Inspection are included. A copy of the complaints procedure has been provided in a format that makes it easier for the people who live in the home to understand. CSCI has not received any complaints about the home. The manager was spoken with during the visit and said there have not been any complaints made since the last inspection. Three completed CSCI questionnaires were received from people who live at the home. They had been helped to complete the information by support staff; two stated they did not know who to complain to. This was discussed with the manager who said that staff knew if any of the people who live at the home were unhappy with any aspect of their care by their actions and/or behaviour and what they say. The manager confirmed that these matters were always looked into and resolved by either the staff or her. The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 Page 15 The Lady Verdin Trust has an Adult Protection Procedure, a copy of which is kept in the home. Included in the procedure is a copy of the government guidance ‘No Secrets’. No referrals have been made by or about the home under adult protection. The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The quality of the décor, facilities and furnishings in the house ensures that residents live in safe comfortable surroundings. EVIDENCE: During the visit the communal areas of the home were inspected; bedrooms were not seen during this visit. The home is domestic in style, clean and fresh throughout. The home and the gardens were well-maintained. The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Thorough recruitment processes, together with training and supervision for staff ensures that the people who live at the home are supported by a qualified staff team and are protected from harm and possible poor practice. EVIDENCE: Training and refresher training is available for staff throughout the year. The Lady Verdin Trust provides a full programme of training to ensure that staff have the opportunity to achieve all their mandatory training. Information provided by the manager before the inspection identifies that five staff have achieved a National Vocational Qualification (NVQ) at level 2 or above in care and two staff are working towards obtaining a qualification. The manager confirmed that no new staff have been employed in the home since the last inspection. Thorough recruitment processes are in place at the Trust and include a Criminal Record Bureau checks (CRB) being completed before any new staff start working at the home. The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 Page 18 A supervision structure is in place for staff; staff spoken with confirmed that they have regular supervision and support from both the house manager and the registered manager. The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed to make sure it is run in the best interests of the people who live there. EVIDENCE: The home manager has qualifications in both care and management. Regular staff meetings and house meetings are held so that staff and the people who live there can influence the way the home is run. Information provided by the manager showed that service contracts are up to date in relation to gas supply and electrical installation. The home’s records were inspected and are maintained appropriately in respect of the fire equipment, emergency lighting, alarms and fire extinguishers. The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 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 Standard No Score 1 X 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 2 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 2 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No 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 2 Refer to Standard YA10 YA22 Good Practice Recommendations Personal information regarding residents should not be openly displayed in the home to make sure that their privacy and dignity is respected. A record should be maintained of all complaints made by residents, including the details of the investigation and the outcome. The Lady Verdin Trust Ltd - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 - Stewart Street DS0000006557.V334165.R01.S.doc Version 5.2 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. 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