Inspection on 19/10/05 for Umbrella Homes

This inspection was carried out on 19th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Umbrella Homes 12/12/06

Umbrella Homes 21/02/06

Umbrella Homes 17/01/05

Umbrella Homes 24/03/04

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 Umbrella Homes 5 Everton Road Yeovil Somerset BA20 1UF Lead Inspector Belinda Heginworth Announced Inspection 19th October 2005 9:30 Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 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 Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 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. Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Umbrella Homes Address 5 Everton Road Yeovil Somerset BA20 1UF 01935 425075 NA rjbrooks@dsl.pipex.com 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) Mrs Angela Brooks Mrs Angela Brooks Care Home 13 Category(ies) of Learning disability (0), Physical disability (0) registration, with number of places Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5 Everton Road is registered for 3 persons in category LD and 1 person in category LD and PD. 12A Everton Road is registered for 3 persons in category LD. 25 Everton Road is registered for 3 persons in category LD. 95 West Hendford is registered for 3 persons in category LD. Date of last inspection 23rd March 2005 Brief Description of the Service: 5 Everton Road is part of the Umbrella Homes, with three other similar houses close by. The four homes are situated in a residential area close to Yeovil Town and within walking distance of all amenities. Each house provides single bedrooms, lounge, kitchen and bathrooms. Each home provides residential care and support to adults with a learning disability and three with physical disabilities. Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector would like to thank the residents and staff for the warm welcome and the help throughout the inspection. This announced inspection took place over five and a half hours. The provider and staff were present throughout the day. Three residents, six relatives and four staff were consulted and their views on the home discussed. Feedback cards were completed by all relatives and residents and sent to the CSCI before the inspection. These feedback cards gave some positive information about what people thought of the homes and the services. A number of records were inspected and some parts of one home was shown to the inspector by a resident. The inspector shared lunch with some residents and staff. What the service does well: What has improved since the last inspection? The home had no recommendations or requirements at the last inspection. The provider and staff are constantly looking at ways to improve the services. For example, one of the houses is to have a loft conversation to enable residents to have friends and family to stay. It will also be used for activities such as art. Some staff have completed NVQ qualifications since the last inspection. Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 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. Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 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 Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Residents benefit from good assessment and admission practice that ensures that the home is able to meet residents’ needs. EVIDENCE: The Umbrella Homes have had no new admissions for a number of years. However, there are good arrangements in place that ensure the home can meet residents’ needs. The staff would complete an assessment of needs prior to admission and offer trial visits. Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Residents and staff benefit from safe care planning therefore ensuring residents’ needs are appropriately met. EVIDENCE: Residents said they are consulted about all aspects of their live and supported to make decisions. It was clear throughout the inspection that residents’ ideas and views are listened to and acted upon. Residents said their care plans are discussed and agreed with them. Residents meet with staff regularly to update or change their care plans. Each care plan highlights care and health needs clearly. Any risks associated with residents’ needs or care is assessed and the action necessary to reduce the risks is clearly explained. Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 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 the following standard(s): 16 & 17 Residents’ rights are respected and responsibilities are recognised in their daily lives. Residents benefit from a healthy diet. EVIDENCE: Residents said staff are caring and respectful at all times. The four homes have a family atmosphere where good communication goes on between residents and staff. Regular residents’ meetings are held where they discuss issues of concern or make decisions about how the homes should be run. Residents also attend regular care plan meetings to discuss ideas and changes to their care. Residents talked about how they all take turns in carrying out household chores and cooking. There are rotas set up that name who is responsible for what and when. Residents said it could be flexible. Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 Page 11 The inspector joined three residents for lunch. Residents said that each house takes turns in cooking meals. Residents said they could stay in their own houses to eat if they wish, but most enjoy each other’s company and like sharing meals. Residents plan menus with help and advice from staff. Likes and dislikes are respected and healthy eating is encouraged. Residents said they enjoyed cooking. Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 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 the following standard(s): 19 & 20 Residents’ health needs are well met. EVIDENCE: Residents said that they felt their health needs were well met. Care plans showed that healthcare needs are assessed regularly and the home has good links with local GP practices and community professionals. Medication is supplied in bottles, boxes and liquids. All staff have received training in the safe administration of medicines. Four staff have attended advanced training in the safe administration in medicines. Some residents take care of their own medication and clear assessments have been completed to ensure any risks to residents are reduced. Lockable storage is provided in residents’ bedrooms. The providers said that how the home operates the medication system was discussed with the CSCI Pharmacy Inspector. Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 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 the following standard(s): 22 & 23 Residents benefit from excellent systems that protect them from abuse, neglect and self-harm. EVIDENCE: Residents are provided with a book of relevant policies and procedures, which staff discuss with them to ensure they understand. This helps residents know what to do in certain situations, for example if they had a complaint or if there was a fire. Residents said they felt able to speak out if they were not happy with anything going on in the home. They were confidant their concerns would be dealt with quickly. Relatives said they had a good relationship with the whole team and said any concerns would be dealt with satisfactorily. Feedback cards received by the CSCI from families and residents prior to the inspection gave very positive comments about the care home. Staff spoken with demonstrated a good awareness and understanding of the complaints procedure and whistle blowing policy, and all staff have received training in Adult Protection. The home has abuse awareness policies that are in line with the Department of Health guidance on “No Secrets”. Therefore residents’ welfare and rights are well protected. Each resident has a savings account, some require support to use it but others are more independent. Residents pay their fees in a variety of ways with good financial records kept. Residents were happy to contribute financially towards the home’s transport, which was also agreed within the Terms and Conditions of living at the home. These were discussed and agreed with residents, relatives and social workers. The financial systems in the home fully protect residents from financial abuse. Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 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 the following standard(s): 0 Not inspected on this occasion. EVIDENCE: Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34 & 35 Residents benefit from an experienced, competent and qualified team of staff. EVIDENCE: Some residents live more independently than others with staff around to support them when necessary. The four houses have a minimum of two staff on duty per day and evening. Staff work very flexible shifts to enable residents’ needs to be met at all times. Residents said if they wanted to go out but needed staff to support them in their activities, staff are always happy to oblige at any time of the day or evening. The home has one staff sleeping in at night in one of the four homes. The residents in the other homes know how to contact the staff if necessary. It was clear through talking with staff and residents that the rota system is worked out according to the needs and wishes of residents. The recruitment procedures and practices fully protect residents, with police checks, references and identity checks completed. The majority of staff have completed NVQ qualifications at various levels. Staff attend other training courses that help meet residents’ needs and protect their safety and welfare. For example one staff has recently completed an art course. Residents said they enjoyed having art sessions and much of their work was proudly displayed around the houses. Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Residents benefit from well managed homes with excellent systems in place to monitor the quality of the services offered. A small improvement is needed to assessments of risk relating to fire. EVIDENCE: The registered manager has care and management qualifications and many years of experience working in care homes, particularly with people with a learning disability. A highly qualified, trained and experienced staff team supports the manager. It was clear that residents and relatives feel the home is like “an extended family”. Both residents and relatives said they were very fond of the manager and staff team. The home has excellent systems to monitor the quality of services offered to residents. Relatives have formed a Charity Trust and meet annually with the provider and staff. Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 Page 17 Residents said they enjoy attending their own meetings where they record issues and any actions necessary. For example residents holidays are discussed and agreed. Staff support residents in these meetings. The provider also completes a newsletter for residents and relatives about 5 times a year. Staff training, supervision and residents’ care plan reviews also from part of the home’s quality reviews. The registered provider completes a questionnaire prior to the inspection. The questionnaire provides information about staff and residents. It also describes policies and procedures that the home has and includes dates of when they were reviewed. The fire logbook was found to be up to date and included regular fire training and evacuation drills. Residents are included in the drills and also complete a fire assessment questionnaire. This ensures residents fully understand fire procedures and know what to do in an emergency. The home has a number of assessments of risk against fire. However, the assessments need to be discussed and agreed with the fire authority to ensure they meet with their requirements. Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 Page 18 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 X 3 X X X Standard No 22 23 Score 3 4 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 4 X 4 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 4 17 Standard No 31 32 33 34 35 36 Score X 4 4 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Umbrella Homes Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score 4 X 4 X X 2 X DS0000016195.V256581.R01.S.doc Version 5.0 Page 19 N/A Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA42 Good Practice Recommendations The home should ensure that risk assessments relating to fire meet with the requirements of the fire authority. Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Umbrella Homes DS0000016195.V256581.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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