Care Home: Strawberry Fields (Chadwick)

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What the care home does well The home provides a safe and comfortable environment for the person that lives there. The service is person centred and the individual has an easy to read care plan with pictures and photographs. The individual is supported to maintain their independence and is very much part of the local community. The individual is happy living at the home and enjoys being the only service user who lives there. Both the manager and the individual see themselves as part of a family home and are relaxed with each other. What has improved since the last inspection? The manager has completed a healthy eating course and encouraging the individual to eat healthily. The manager has updated his knowledge about adult protection and the local safeguarding procedures. The manager has now completed risk assessments for the individual`s use of the kettle and for being home on their own in the case of emergency. The manager is now recording the fridge temperatures on a weekly basis. The manager has continued to try to promote good health with the individual. They have had their annual flu vaccination and a basic health check up. What the care home could do better: Any householder who lives in the home needs to understand the remit of the commission and our right to enter and inspect the care home at any time. The local fire safety officer should be consulted for assistance with completing a fire risk assessment and checking the level of fire training needed for the home. CARE HOME ADULTS 18-65 Strawberry Fields (Chadwick) 54 Strawberry Fields Meriden Coventry West Midlands CV7 7SA Lead Inspector Jo Johnson Key Unannounced Inspection 12th March 2008 09:00 Strawberry Fields (Chadwick) DS0000004558.V350581.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 Strawberry Fields (Chadwick) DS0000004558.V350581.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. Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Strawberry Fields (Chadwick) Address 54 Strawberry Fields Meriden Coventry West Midlands CV7 7SA 01676 523 887 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) Mr David Chadwick Mr David Chadwick Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th October 2006 Brief Description of the Service: Strawberry Fields is a small care home registered with the Commission for Social Care Inspection to provide care for up to 3 residents who have learning difficulties. The registered person lives on the premises. The home runs very much as an Adult Placement Home although it cannot be registered as this as there is no Adult Placement scheme in the area. The situation remains the same as the last inspection as the home has two vacancies and there is currently one service user residing in the home. The home has three single bedrooms, one bathroom and two WCs for the use of residents. There is a lounge and a separate dining room. The garage has been converted into a second lounge, which has become the designated smoking room. The current resident has almost exclusive use of this room with equipment to make himself a hot drink. The home is located close to the amenities in the village of Meriden. That includes shops, public house and place of worship. The resident travels independently using the local bus service. Coventry, Birmingham and Solihull can be reached using the bus services. Strawberry Fields (Chadwick) DS0000004558.V350581.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 focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for people who use the service and their views of the service provided. This process considers the agency’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. The manager supplied the commission with an AQAA (Annual Quality Assurance Assessment). Information from this has been used to make judgements about the service, and have been included in this report. This was the home’s first key inspection of 2007/2008. The inspection visit was initially unannounced (we did not let the home know that we were coming) on 28th February 2008. We were not able to gain access to the home on that date and a further inspection was arranged with the manager and took place on 12th March. The inspection involved: • • • Observations of and talking with the person who lives at the home and the manager. Observation of the interaction between the individual and the manager. The person was identified for close examination by reading their, care plan, risk assessments, daily records and other relevant information. This is part of a process known as ‘case tracking’, where evidence is matched to outcomes for people. A tour of the environment was undertaken, and home records were sampled, including the manager’s training and health and safety records. • We, the commission would like to thank the person who lives at the home, and the manager/owner for their hospitality and cooperation during the inspection visit. What the service does well: The home provides a safe and comfortable environment for the person that lives there. The service is person centred and the individual has an easy to read care plan with pictures and photographs. Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 6 The individual is supported to maintain their independence and is very much part of the local community. The individual is happy living at the home and enjoys being the only service user who lives there. Both the manager and the individual see themselves as part of a family home and are relaxed with each other. 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. Strawberry Fields (Chadwick) DS0000004558.V350581.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 Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good The individual’s needs are assessed and they are clear about their rights and entitlements at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The person who lives at the house had a full social work assessment before moving into the home. They have had a recent review with a worker from the learning disability team. The manager/owner told us that there was a full review following the planned closure of the individual’s day service. The person now attends another day service in Solihull. The manager/owner and the other householder know the individual very well and they know the person’s needs. The individual is independent in most aspects of their life and this and any support needed is detailed in their assessment and person centred plan. The individual said “xxx knows what I need help with, I tell him if need anything…I like it here”. Through discussion with the manager/owner he does not intend to admit, any further people into the home, as it his family home. Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good The individual is involved in decisions about their life and play a part in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The person said that he knows that the manager writes things about how he has been and that he has a care plan with pictures. They said they do not want to know what the manager has written. They said, “I keep my book for the money that’s all, xxx does the others”. The manager keeps an events diary where significant information is recorded. The manager showed us the personal care plan for the individual and it included photographs of significant people in their life. The person only needs support and prompting with some elements of their personal grooming. The plan was of a good quality and included the individual’s needs and goals. Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 10 Risk assessment are now in place for the individuals day to day living and being alone in the house. The person is very independent and there is a culture of positive risk taking. This means that the individual can live the life they choose. Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good The person living in this home is supported to make choices about their lifestyle and to develop some life skills. Daily living activities promote independence and opportunity for the individual to live an ordinary and meaningful life in the community where they are living. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The individual attends a local authority day service five days a week. The day service they attended has recently closed. They now attend a day service in Solihull town centre. The person had been going to the new service for about four weeks at the time of inspection. They said, “I like it, I get the bus and walk to Park View…someone came to talk to me about going there”. Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 12 The individual said that they like to meet up with friends in Solihull with Saturday and to watch football on the television at home on a Sunday. They said “I’ve given up playing cricket now but I still go to watch it at the weekends when it’s on”. When asked about holiday the individual said that they did not want to go away for a holiday but would go on some day trips to the seaside with the new day centre. The individual likes to spend time in the village in particular in the local charity shop which is run by their friend and advocate. They said, “xxx hasn’t been in the shop but a new man, I’m worried where xxx is”. The manager agreed to ring the individual’s friend and advocate later that evening to check everything was ok. The individual did used to attend Church on a Sunday with their friend and advocate but told us that they do not want to go any more and prefer to watch the football or sport on the television. The individual has a cooked meal at the day service five days a week and chooses their tea when they get home. The manager or other householder cooks or prepares their tea. The person showed us the kitchen and the stocks of food in the fridge and freezer. They were well stocked and there was plenty of fresh fruit and vegetables. They said they could help themselves whenever they want and that they have snacks and cereals in the cupboard in their lounge. The manager has completed a healthy eating course and encourages the individual to eat healthily. The individual likes to have a fish and chip supper on a Saturday from the village. Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 Quality in this outcome area is good The health and personal care that the person in this home receives is based on their individual choices and needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The individual told us that they do not like going to the doctors or dentist but that they would tell the manager if they felt unwell or in pain. They have had a Flu Jab and said “the doctor looked at me and put the thing on my arm (blood pressure cuff), they said I was all right…I don’t need to have any tablets”. There is written declaration signed by the individual and their advocate stating that he does not wish to attend the ‘well man clinics’ offered by the surgery and understands this. The manager told us that he is aware of age related health issues and will consult with health professionals as needed. Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 14 From information provided in the AQAA (Annual Quality Assurance Assessment) and discussion with the individual and manager the individual has regular eye tests and the manager provides foot care. The individual does not take any medication. Strawberry Fields (Chadwick) DS0000004558.V350581.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 Complaints procedures make sure that the person’s concerns and complaints are listened to and acted upon. A manager who has a good knowledge of how to respond to any suspicion of abuse and to keep the person safe from harm supports them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The individual said that they know what to do if they are unhappy or had any concerns or complaints. They said “ I would talk to XXX (manager) or I could talk to them at Park View (day service)”. The individual also understood the role of the inspector and asked for our contact details. The manager has a copy of the local authorities safeguarding procedures. He has recently completed an Adult Protection training DVD and Test that was marked by another care provider. This included information about the mental capacity act and the POVA (Protection of Vulnerable Adults) register. The individual said that they felt safe at the home and that it was “ much better than the old home”. The individual likes to keep their financial transaction book. The person showed us the book that they and the manager sign when they receive their daily allowance. From discussion with the individual and the manager, this is Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 16 the safest way to manage the individual’s personal allowance. They said, “I’d spend it all at once otherwise, I like to sign each day for it”. The manager keeps a financial record of income, savings and expenditure of the individual’s monies. Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 17 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 The home is maintained and furnished so that the person lives in a clean, comfortable and homely environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The service operates from the family home of the manager and another householder. This is a large detached new build property situated in a quite cul-de-sac. The property is very well decorated, clean, and tidy. The manager and individual said that they are well accepted by the neighbours and the local community. The individual said, “ I know most people in the village”. The individual gave us a tour of the home including their bedroom, bathroom and own smoking lounge with a television, video and a kettle. Their bedroom and lounge were personalised and the individual proudly showed us their cricket trophies and college certificates. They have a key to the door for their Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 18 smoking lounge and the front door. The manager said that the individual is very security conscious. Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 19 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 The person living in this home is protected by the safety checks in place for friends and other householders. A skilled and competent manager supports them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There are no staff employed at the home and the manager provides a majority of the support to the individual. The other householder and another friend provide support to the individual when the manager is absent. Both of these people’ CRB Criminal Records Bureau checks were seen. The individual spoke highly of the manager and the other people who provide him with support. The manager has attended training in the past including First Aid, Fire training and food hygiene. Since the last inspection, he has completed an adult protection and healthy eating course. Due to the difficulties of being a small independent care home that operates from the family home, the manager Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 20 cannot get easy access or funding for training courses. Following discussion with the manager, we agreed that as he only plans to provide support to the one individual that using DVD training or distance learning would be appropriate to update and refresh his knowledge. Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 21 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): 37,38, 39,42 Quality in this outcome area is good The person benefits from living in a well run home. They are able to express their views of the service provision and know that their views will be listened to and acted upon. This judgement has been made using available evidence including a visit to this service. EVIDENCE: We were unable to gain access to the home on the 28th February 2008. This was because the manager was not in and the other householder did not understand or accept the role of the commission. The manager needs to make sure that any other householders understand our role and our ability to enter and inspect the home at any time. This is so we can ensure the safety and well being of any people who live at the care home. Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 22 We rearranged the inspection with the manager and the individual who lives there. Following discussion with the manager, it was agreed to vary the homes registration from three people to one person. This is because the manager does not intend to admit any further people into the home and plans to care and support the individual for as long as he is able to. We have arranged for this variation to take place so that any future inspections remain proportional, reflect, and relate to the outcomes for the individual who lives there. The home is well maintained and regular servicing is in place for the boiler. The manager has been keeping a record of fridge and hot water temperatures. Records kept at the home were suitably maintained. There were some old records in the files that are no longer accurate these should be removed so that it is easier to find relevant information. The home has smoke detectors fitted and the individual knew what to do in event of a fire or the smoke alarms sounding. However, a fire risk assessment has not been completed. The local fire safety officer should be consulted for assistance with completing this and checking the level of fire training needed for the home. Risk assessments have been completed for the individual’s use of the kettle in their lounge and the individual being alone in the home. There is not any need for a formal quality assurance system at the home. The manager gives the individual an easy read pictorial questionnaire once a year. They complete it with the support of their friend and advocate. The individual said, “ If I had any problems I would talk to XXX (the manager) but I’m happy here not like the old place…we have friends over for Christmas and I like the man next door”. Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 3 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 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 N/A 3 3 2 3 x x 3 x Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 24 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. 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 YA38 Good Practice Recommendations The manager needs to make sure that any other householders understand our role and our ability to enter and inspect the home at any time. This is so we can ensure the safety and well being of any people who live at the care home. 2 YA42 The local fire safety officer should be consulted for assistance with completing a fire risk assessment and checking the level of fire training needed for the home. This is so that the home meets fire regulations and the risks of fire are minimised. Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT 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 Strawberry Fields (Chadwick) DS0000004558.V350581.R01.S.doc Version 5.2 Page 26 - 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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