Inspection on 17/05/05 for The Spinney

This inspection was carried out on 17th May 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Spinney 29/05/07

The Spinney 05/10/05

The Spinney 09/11/04

The Spinney 15/06/04

The Spinney 25/02/04

Similar services:

2 Perhaver Park

The Vicarage

7 Hyde Road

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

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

CARE HOME ADULTS 18-65 The Spinney Tavistock Road Plymouth Devon PL6 7DB Lead Inspector Helen Tworkowski Announced 17 May 2005 9.00 am 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 Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service The Spinney Address Tavistock Road Plymouth Devon PL6 7DB 01752 707190 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) Quality Lifestyle Mr Shaun Drury Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places The Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9/11/04 Brief Description of the Service: The Spinney was registered as a care home in February 2004. The home offers care to three service users who have learning disabilities who may also have physical disabilities, and behaviour that challenges services. The home has one downstairs bedroom that has specific aids and adaptations to meet the needs of a physically disabled service user.The property is a detached modern house that has been refurbished to a very high standard, and is set in a rural situation near the village of Bickleigh that has shops, a post office and a bus route to Plymouth. The home has its own transport, and has a pleasant gardens. There is 24 hour staffing including waking night staff. The Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the third inspection since the home opened in 2004. This announced inspection took place on 17 May 05, between 9am and 4.30pm. The inspection included a tour of the building, though not all bedrooms were seen on this occasion. Time was spent talking with staff and with the manager, Mr Drury. Service Users were at home for part of this inspection, and feedback was received from their relatives on their behalf. A double garage has recently been converted to a fourth bedroom and laundry. This bedroom is awaiting registration. What the service does well: 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 full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 6 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 Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 7 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 Comprehensive assessments were completed before a move to the Spinney so that the Service User can be confident that their needs will be met. EVIDENCE: The assessment of one person who had moved to the home in recent months was looked at. There was information from the previous providers and from family and social services. Mr Drury said that staff spent time with service users before they move to the home. This process of assessment is of great importance where an individual has challenging behaviour, so that the Service Users and staff can be confident that not only their needs will be met but they will be safe. It also gives both the service user and staff a chance to get to know each other. The Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 8 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 There is a very good system for recording and planning how Service Users needs will be met. This provides staff with clear guidance as to how to provide support. Service Users are well supported to make decisions. EVIDENCE: The records relating to one person who lives at the Spinney included comprehensive and detailed information and guidance for staff as to how care will be provided. There was comprehensive information about health care needs and good records of any visits or contact with health services. Where risks were perceived, risk assessments had been completed. Risk assessments help ensure that service user, staff and member of the public are not put at unnecessary risk. Service Users are supported to make decisions about their lives, are encouraged to try new activities and are supported to cope with the anxieties that such activities may provoke. The Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 9 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) 12,13,15,17 All of the Service Users are offered a good range and choice of activities both at home and in the community, that reflect things they enjoy. A health diet is available to all Service Users. EVIDENCE: There is a plan of how each Service User will spend their time, at home and out and about. Activities are found that suit the individual and their interests: for example walking on the Moor or going the cinema. Service Users are helped to make choices about what they want to do, for example by using pictures. They are encouraged and supported to try new activities. Care staff prepare meals, and Service Users may be involved in the shopping and cooking. Different dietary needs are catered for. The dining room is large and meals times are flexible so that Service Users are able to eat in a relaxed way, suiting their preferences. The Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 10 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 and 20 Staff provide Service Users with appropriate levels of care to ensure that their needs are met. EVIDENCE: Discussions with staff indicate that they have a good understanding of how Service Users needs are to be met, based on what has been agreed in the Service User Plans. Where an individual has been unwell and needed to spend time in hospital, care staff accompany them and provide 24-hour support. There is a well-managed system for medication. Mr Drury, the registered manager said they were looking at the option of using a pre-packed “monitored dose” system for medication. It is recommended that where medication is given “as required” in relation to epileptic seizures, that a specific protocol is drawn as to when and how medication should be administered. The Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 11 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) These standards were not inspected; the Commission has received no complaints. EVIDENCE: The Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 12 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 and 30 A very high standard of accommodation is provided. The house is clean, spacious, well maintained and airy. The home is well decorated and care has been given to making the accommodation suited to individual needs, and to be both homely and stylish. EVIDENCE: The Spinney is a large detached house that currently provides accommodation for three people but has applied to be registered to accommodate a further person. All of the bedrooms are of good size, and provide plenty of space for Service Users and staff not to encroach on each other’s personal space in communal areas. The home has been thoughtfully decorated so that the furnishings are suited to the wear and tear of daily life at the Spinney. Consideration has been given to individual bedrooms so that they reflect the occupant’s tastes and preferences. The home is clean and well maintained. The Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 13 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) 34, 35, 35 and 36 There are thorough recruitment procedures, though some improvement is required in this area. There is a good level of staffing suited to the needs of Service Users. Staff are well supported and Service Users can feel confident that they can be provided with the help they need by competent staff. EVIDENCE: There are always at least four staff rostered on duty at the Spinney, allowing one person to go out with two staff and for remaining two service users to have one to one support at home. There are 2 waking night staff on duty each night. This is an appropriate level of staffing that reflects the needs of the Service Users. Staff files show that there is a thorough system for checking staff before they start work in the home. Criminal Records Bureau checks had been made, though for some people these had bee done by the previous employer. Criminal Records Bureau checks ceased to be “portable” in July 04. The current employer must make CRB checks from July 04. All staff are inducted through the home’s own induction procedure and undertake the “Learning Disability Awards Framework” induction and foundation courses. This provides all staff with an understanding of the work they are expected to undertake. Regular supervision is provided and staff The Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 14 meetings are held. Discussions with staff confirmed that they feel well supported in what could potentially be very challenging and stressful work. There is a training record for the home and each member of staff has a training needs assessment. The Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 15 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) 38,39 and 42 The Spinney is well managed and there is a clear leadership in the home from Mr Drury. This is essential in a home where lack of clarity could potentially place people at risk. EVIDENCE: There are comprehensive risk assessments in relation to the building and regular checks are made in relation to fire. There are sufficient staff in the home that staff are able to complete tasks uninterrupted, such as cleaning, and not leave equipments or materials around. A quality assurance system has been introduced; the views of service users, staff and relatives are sought, and taken into account in plans for the home. All evidence in the home, including staff comments, feedback from relatives and well kept records, indicate that the home is well managed and that there is a commitment to running the home in the interests of the Service Users. The Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 16 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. Where there is no score against a standard it has not been looked at during this inspection. 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 x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 3 x x x x Standard No 11 12 13 14 15 The Spinney x 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x 3 2 3 3 Version 1.20 Page 17 D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc 16 17 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 4 3 x x 3 x The Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 18 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 OP34 Regulation 19 Requirement The registered provider must ensure that all staff recruited to work at the Spinney, from 23/7/04, have Criminal Records Bureau checks that have been made on behalf of Qualtiy Lifestyle. Timescale for action 1 July 05 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 OP1 OP 20 Good Practice Recommendations The Service Users Guide should be provided in a format that is appropriate to the individuals who live at the Spinney. A protocol should be drawn up to govern what happens when a service user has an epilepitc seizure, including the administration of any medication. The Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 19 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton Devon TQ13 7UP 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 Spinney D54-D07 S47871 The Spinney V215739 170505 Stage 4.doc Version 1.20 Page 20 - 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!