Care Home: Cavendish House

Similar services:

• Clover House
• Parkside
• Park Lodge
• Mere Hall View
• St Bonaventures
• Hudson Road
• Whitewalls
• Home Farm

What the care home does well Cavendish House is an established and well managed home and people who live there have good relationships with the staff who work with them so they know their carers well. Relatives of a person who lives there say the standard of care at the home is excellent. Managers and support staff at the home know how it important to know about the different needs of the people who live there so they can provide care that is right for the person. The assessment and care planning processes used at the home are centred on the individual person so they receive the right care for them in the way they prefer. Each person and their representatives, including relatives and health and social care professionals, is involved in drawing up their own care plans that are continually reviewed and updated to make sure their care needs are met.The staff are well trained and have developed positive relationships with the people who live at the home. They work well together and receive support from the manager to help them work effectively as a team. Relatives and other people who are involved in the care of the people who live at the home have confidence in the staff`s abilities and commitment to working in partnership so each individual`s health and social care needs are met. There is an effective complaints procedure for the home so people who live there are able to express their views and are listened to. Effective adult safeguarding procedures are in place so the people who live at the home are protected from abuse. What has improved since the last inspection? More redecoration has taken place to improve the environment for people who live at the home. Picture book contracts have been established to enable residents to more fully understand what they are. What the care home could do better: The downstairs bathroom has a low level bath and this is very difficult for staff when assisting residents with bathing. CARE HOME ADULTS 18-65 Cavendish House 10 Eversley Park Chester Cheshire CH2 2AJ Lead Inspector Joan Adam Unannounced Inspection 19 February 2008 10:00 th Cavendish House DS0000006674.V351610.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 Cavendish House DS0000006674.V351610.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. Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cavendish House Address 10 Eversley Park Chester Cheshire CH2 2AJ 01244 381880 01244 669141 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) Fairholme Care Group (Cavendish House) Limited Mrs Clare Elizabeth Owens Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service is registered to accommodate a maximum number of 6 service users in the category LD (Learning Disability) 23rd November 2006 Date of last inspection Brief Description of the Service: Cavendish House is a small care home owned and managed by Fairholme Care Group Limited. The home which is located in a residential area approximately a mile from Chester city Centre has been altered and adapted to provide care to six younger adults with a learning disability. There are a variety of community facilities nearby. Although it is a three-storey building residents are accommodated on the ground and first floors only. The second floor is the office accommodation for the company. Access between floors is via the stairs. On the ground floor are two single bedrooms, a lounge and a dining room. There is also a bathroom with toilet, a kitchen and a laundry. On the first floor are four single bedrooms, a bathroom and a toilet. There are gardens to the front and side of the house and street parking is available. The current charges for the service are £794.53 per week. Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star this means the people who use this service experience good quality outcomes. The inspector visited without an appointment on 19th February 2008. The visit took five hours. The information reviewed included the previous inspection report, service history and other information received about the service. Feedback was given to the manager at the end of the site visit. This visit was just one part of the inspection. Before the visit, the manager was asked to complete an annual quality assurance assessment (AQAA) and provide up to date information about the home. CSCI questionnaires were also made available for people who live at the home, their families; staff, health and social care professionals, such as nurses and social workers, to find out their views. Other information received by CSCI since the last inspection was also reviewed. The inspector spoke with one of the people who live at the home and the manager. Information was received from relatives and their views have been taken into account. The case records of two of the people who lived at the home were looked at as part of the inspection, in respect of the care they receive. Records of medicines, care plans, staffing rotas and staff training were also examined. What the service does well: Cavendish House is an established and well managed home and people who live there have good relationships with the staff who work with them so they know their carers well. Relatives of a person who lives there say the standard of care at the home is excellent. Managers and support staff at the home know how it important to know about the different needs of the people who live there so they can provide care that is right for the person. The assessment and care planning processes used at the home are centred on the individual person so they receive the right care for them in the way they prefer. Each person and their representatives, including relatives and health and social care professionals, is involved in drawing up their own care plans that are continually reviewed and updated to make sure their care needs are met. Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 6 The staff are well trained and have developed positive relationships with the people who live at the home. They work well together and receive support from the manager to help them work effectively as a team. Relatives and other people who are involved in the care of the people who live at the home have confidence in the staff’s abilities and commitment to working in partnership so each individual’s health and social care needs are met. There is an effective complaints procedure for the home so people who live there are able to express their views and are listened to. Effective adult safeguarding procedures are in place so the people who live at the home are protected from abuse. What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Cavendish House DS0000006674.V351610.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 Cavendish House DS0000006674.V351610.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): 1,2,5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Clear information is provided in a format that the people who live there understand so that they can make a decision about moving into the home. EVIDENCE: The home’s statement of purpose and service users guide were looked at. The home has improved this information with the aid of pictures and easy read statements that make it easier for prospective residents to understand and be more involved in the choice of where they wish to live. There have been no new residents admitted to Cavendish House since the last inspection. Within each care file of the people who live at the home a preassessment document was available which detailed their needs. During discussions with the manager she stated that when a new service user was due to be admitted the home would obtain information from social services and others and the client would visit the home and then if they liked it they would have a meal at the home and build up to a weekend visit, day visits and after moving in would have a trial for three months. Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 9 The home has also produced contracts for people who use the service in an easy read format with pictures. Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 10 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. Residents and relatives were very satisfied with the support they received from the manager and staff. EVIDENCE: Two residents’ care records were looked at during this site visit. The records were detailed and gave a good picture of how the residents’ needs were to be met. Communication sheets were in place for those residents who could not communicate well so that staff would know what words and gestures they would use to make their needs known. Each file contained a care plan, risk assessments, health action plans and reviews. These were written with the residents or their relatives and were based on their assessed needs and risks. The care plans were clearly written and gave a very clear picture of the support needed. Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 11 One resident had worked with the staff to produce a care plan and risk assessment for their challenging behaviour and how they felt that staff could help and support them when they felt angry. Risk assessments were in place for all the relevant activities that residents undertook and these were up to date and had been reviewed on a regular basis. These included bathing, showering and going out. Daily record sheets were detailed and covered all areas of daily living and were accurate, clearly written and signed by carers. The bedrooms were well personalised and one resident who was spoken with confirmed that their bedroom had been furnished and decorated as they had requested. One resident was having a new carpet fitted and this was making them unsettled, however staff were seen to support them whilst the work was going on in a positive way. Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 12 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): 12,13,15,16,17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: Each person living at the home has an activities programme covering the seven-day week, which is designed to meet their needs and personal preferences and these were recorded in the care plan. Three residents were attending day care on the day of the visit and three were in the home. Holidays had been arranged by staff and a week was spent on Port Madoc by two residents, a week in Pontins by one resident, a week at centre parks and a week in Talacre. Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 13 The home has a car which they use to transport residents to the local shops, pubs and cafes. One resident attends a local disco once a week with a “ befriender” and another resident goes to stay with their family every two weeks. Questionnaires received from family members stated that they could visit at any time and were always made welcome. Meal times are flexible and the main meal is in the evening. A picture menu is in place to enable the residents to more easily choose what food is on offer. Two residents cook a meal with the support of the staff. A fruit tasting day had been organised to try to encourage a more healthy eating approach . Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 14 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 residents’ health, personal and social care needs are met by the staff team who enable them to maintain their privacy and dignity. EVIDENCE: All areas of health needs were recorded in the care plan and visits to hospital, dentists, GP, opticians and chiropodists were recorded. Medication management at the home is good and training has recently been completed by all staff as the home is to change to the Boots method of dispensing from next week. Medication Administration Record sheets (MAR) were seen and appropriately completed by staff. Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 15 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. Clear policies and procedures were in place to ensure that residents were protected from abuse, neglect and self-harm and staff were trained in the Protection of Vulnerable Adults. EVIDENCE: The home has a complaints procedure in place and this was in an easy read format with pictures so that residents could better understand it. The home had two complaints since the last inspection and these were logged and action taken was fully recorded. CSCI had not received any complaints regarding the service. One survey received from a relative said “the manager was prompt to discuss any concerns” Training logs looked at showed that all the staff had received training regarding adult protection. Policies and procedures were in place regarding this and had been up dated. Cavendish House DS0000006674.V351610.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 home is well maintained so that the people who live there live in comfortable, safe surroundings that suit their needs. EVIDENCE: The home was clean and comfortable and was furnished in a domestic style. There was interaction. a warm and friendly atmosphere with good staff/resident Bedrooms are decorated and furnished to reflect individual needs and personal preferences. New wooden flooring had been delivered for the lounge area and a carpet was being laid in a resident’s bedroom. Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 17 New chairs had been purchased for the dining room and a new table was on order. The ground floor corridors and the stairways had been repainted. New furniture had been purchased for three bedrooms. The ground floor bathroom has a hoist to assist residents that need help to get in and out of the bath. However the bath is low level, and this is very difficult for staff when assisting residents with bathing. A carer described that she has to put a towel on the floor and kneel down in order to assist residents with bathing. Some of the tiles in this bathroom are cracked and this is an infection control issue. Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 18 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. Staff are trained, skilled and provided in sufficient numbers so the people who live at the home receive the care and support they need. EVIDENCE: Staff rotas are thought out to make sure that there are always enough staff on duty to meet the needs of the people who live at the home. People who live at the home are involved in interviews for new staff and are encouraged to ask questions. A training programme is in place and staff have received training on moving and handling, fire awareness, food hygiene, protection of vulnerable adults, report writing, challenging behaviour, medication training and individual management skills. The home employs eleven care staff and six have achieved NVQ level two in care. A further three staff members are at present undertaking the course. Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 19 Staff files were looked at for two new staff members and all necessary checks had taken place before the staff commenced work in the home. An induction programme is in place for all new staff. Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 20 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 health, safety and welfare of the service users are protected. The views of service users are obtained and used to influence the running of the home. Staff are fully supervised. EVIDENCE: The registered manager has been in post for some time and is experienced and competent. She has undertaken the NVQ level 4 registered managers award. The home is generally well managed with positive outcomes for the people who live there. They receive a consistent and reliable service and managers and support staff work in partnership with relatives, health and social care professionals to ensure their needs are met. Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 21 Staff surveys received said they felt well supported by the manager and had no hesitation in discussing anything with her. Staff meetings are held on a regular basis and minutes are available. There are processes in place to ensure the health and safety of all staff and residents. The manager ensures that risk assessments are carried out for all safe working practices and significant findings are recorded and reviewed. Information provided from the manager before the visit indicates that fire safety precautions are in place and routine maintenance checks of gas and electrical systems, electrical appliances, heating system, water temperatures and fire alarms, are undertaken and are up to date. Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 22 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 4 2 4 3 x 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 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 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 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 x Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 23 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 Refer to Standard OP21 Good Practice Recommendations Replace the low level bath with one that is more suitable for staff to assist residents. Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North West Contact Team Unit 1, 3rd Floor Tustin Court Port Way Preston PR2 2YQ 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 Cavendish House DS0000006674.V351610.R01.S.doc Version 5.2 Page 25 - 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!