Inspection on 05/10/05 for The Spinney

This inspection was carried out on 5th October 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 2 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 17/05/05

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 Roborough Plymouth PL6 7BD Lead Inspector Helen Tworkowski Unannounced 5 October 2005 th 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 V244413 051005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service The Spinney Address Tavistock Road Roborough Plymouth PL19 7BD 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 4 Category(ies) of LD - 4 PD - 4 registration, with number of places The Spinney D54 D07 S47871 The Spinney V244413 051005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17/5/05 Brief Description of the Service: The Spinney was registered as a care home in February 2004. The home offers care to four service users who have learning disabilities who may also have physical disabilities, and behaviour that challenges services. The home has two downstairs bedrooms that are adaptated to meet the needs of physically disabled service users, and two upstairs bedrooms.The property is a detached modern house that has been refurbished to a very high standard, and is set in a semi-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 V244413 051005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 9.30 am and 2 pm on Wednesday 5th October. The visit including spending time with service users in the Spinney, discussions with managers and staff on duty, a tour of the majority of the building and reading some of the records. This was an unannounced inspection and not standards were inspected, so this report should be read in conjunction with the previous report of the visit on 17 May 05. What the service does well: What has improved since the last inspection? What they could do better: As has already been noted the Spinney provides an excellent standard of care. Improvements have been required in relation to the management of Service Users monies so that they are not passing through Quality Lifestyle’s own accounts, and in relation to the organisations monitoring of the service through monthly-unannounced visits. The Spinney D54 D07 S47871 The Spinney V244413 051005 Stage 4.doc Version 1.40 Page 6 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 Spinney D54 D07 S47871 The Spinney V244413 051005 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 The Spinney D54 D07 S47871 The Spinney V244413 051005 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 Information about the home is provided to existing and prospective Service Users but this needs to be in a more accessible format. EVIDENCE: The Service User’s Guide is in a written format. Mr Shaun Drury, (Registered Manager) said that this he is in the process of producing the document on a DVD that was more accessible for the people living at the Spinney. This work has not been completed. The Service User’s Guide is a document that that provides prospective and existing Service User’s with information about what they can expect from the home. The Spinney D54 D07 S47871 The Spinney V244413 051005 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 and 7 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 User are well supported to make decisions, however changes are required to the system for the management of Service Users monies. EVIDENCE: One Service User Plan was looked at during this inspection. This document contained detailed information about the individual’s needs and how staff are to meet these needs. Service User Plans help ensure that no needs are missed and that staff work consistently. There were also clear risk assessments that contain information about how risks are to be managed to ensure both service users, members of the public and staff are safe. Service User’s income is managed either by family members or by Quality Lifestyle. For one person this means that there income is paid into a Quality Lifestyle account before being paid over to the individual. Whilst there are no concerns that anything untoward is happening, regulations forbid Service Users money being paid into a Home’s account, unless it is a charge. Alternative arrangements must be made. The Spinney D54 D07 S47871 The Spinney V244413 051005 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) 14, 16 and 17 Service Users are well supported to participate in a range of activities both in the Spinney and in the community, suited to their needs. A healthy diet is available to all Service Users. EVIDENCE: From discussions with staff and from records, Service Users are able to choose when they get up and go to bed. However Service Users are encouraged to go to keep reasonable hours so that they can better lead healthy and active lives during the daytime. Daily routines are provided but recognition is made of individual differences and needs: for example one person does not eat at the table with the other residents. Some individuals in the home have keys to their room and front door keys. One person is involved in cleaning their own bedroom with staff, the other Service Users are not as involved, reflecting their own needs and priorities. On the morning of inspection one Service User was to go horse riding, one was to go swimming and another to spend the morning at home. The plans The Spinney D54 D07 S47871 The Spinney V244413 051005 Stage 4.doc Version 1.40 Page 11 changed depending on individual moods, but each person was offered a range of activities that they would enjoy. There is a menu that refects Service Users preferences and takes into account dietary needs. If Service Users do not like the meal on offer that they are able to choose an alternative. The file looked at showed that where there were concerns regarding an individual’s weight this was monitored and changes made to the diet. Mr Drury explained that as individuals enjoyed their food it was important to deal with weight issues before they became a problem and would require more drastic changes. The Spinney D54 D07 S47871 The Spinney V244413 051005 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) These standards were not inspected at this inspection. EVIDENCE: The Spinney D54 D07 S47871 The Spinney V244413 051005 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 and 23 There are good systems in place to ensure that Service User are protected, and that concerns or complaints will be dealt with. EVIDENCE: The home has a complaints procedure that is available in a symbol format, which is more likely to be of relevance to the people living at the Spinney. The main copy of the complaints procedure is kept in the policies file that is available to all staff. No complaints have been received by the Service or by CSCI since the last inspection. There are a number of systems in place to protect Service Users including: a robust recruitment system that includes checking criminal records, a good level of staffing that will ensure staff can work safely with Service Users who challenge, regular staff meeting and supervision, training and induction (including in relation to dealing with adult protection issues), clear guidance on dealing with challenging behaviour, a clear ethos and culture in the home that respects and values the service users, and systems and policies to deal with issues and concerns. The Spinney D54 D07 S47871 The Spinney V244413 051005 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 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 is registered to provide accommodation for 4 people. All of the bedrooms have their own private bathrooms, and three are en-suite. All of the bedrooms are of a good size and provide plenty of space for Service Users to use their rooms as bed sitting rooms. The communal areas of spacious and provide space for Service Users to move around the home without coming into close contact with each other. The standard of furnishing and décor throughout the home is extremely high. Care and thought has gone into ensuring the furniture is both beautiful and durable without being institutional. Each person’s individual space has been decorated and furnished with their specific tastes and preferences in mind. The house was very clean and well maintained, which given the wear and tear that must be experienced, is a credit all of the staff and service users. The Spinney D54 D07 S47871 The Spinney V244413 051005 Stage 4.doc Version 1.40 Page 15 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 and 35 Staff are well trained and supported to carryout their roles. EVIDENCE: The personnel files of two new members of staff were briefly looked at during this inspection. Both files showed that Criminal Records Bureau checks had been made. The files were in good order and included checks on previous employment, by the use of references. Mr Shaun Drury said that all new staff are now completing the Learning Disability Awards Framework (Induction/ foundation), this process helps ensure that new staff understand their role in meeting the needs of people with a learning disability. Training to care staff over the last 6 months has included: First Aid, Fire Training, Moving and Handling and Food Hygiene. Further training is planned and two further staff are in the process of completing their NVQ2. Staff provided with supervision every 8 weeks and there is a staff meeting every 8 weeks. A member of staff spoken with said that this level of support was appropriate to the needs of staff. The Spinney D54 D07 S47871 The Spinney V244413 051005 Stage 4.doc Version 1.40 Page 16 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 and 39 The Spinney is well managed and at this and previous inspection their was evidence of good leadership, however there are gaps in the formal monitoring by Quality Lifestyle. EVIDENCE: This was an unannounced inspection and it was evident from the observation of staff working with service users that they worked with purpose and certainty, reflecting a well-managed service. All records seen were in good order. Visits to the home by a representative from the organisation should be taking place each month, and a copy of the report of this visit and the conduct of the home forward to CSCI. The Commission has received no reports, for more than 6 months. The Spinney D54 D07 S47871 The Spinney V244413 051005 Stage 4.doc Version 1.40 Page 17 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 2 x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x 3 Standard No 11 12 13 14 15 16 17 x x x 3 x 3 3 Standard No 31 32 33 34 35 36 Score x x x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Spinney Score x x x x Standard No 37 38 39 40 41 42 43 Score x 4 2 x x x x D54 D07 S47871 The Spinney V244413 051005 Stage 4.doc Version 1.40 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 YA7 Regulation 20 Requirement Service Users money must not be paid into an account that is used by the registered person in connection with the carrying on or management of the care home. The registered provider must ensure that monthly unannounced visits are made to the home, and reports produced of the conduct of the home as specified in regulation 26. Copies of these reports must be forwarded to the Commission. Timescale for action 1/1/06 2. YA39 26 1/12/05 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. Refer to Standard YA1 Good Practice Recommendations The Service Users Guide shold be provided in a format that is appropriate to the idividuals who live at the Spinney. The Spinney D54 D07 S47871 The Spinney V244413 051005 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton 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 V244413 051005 Stage 4.doc Version 1.40 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. 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