Inspection on 19/11/07 for 151 Ratcliffe Road (Homefield College)

This is the latest available inspection report for this service, carried out on 19th November 2007.

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 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

151 Ratcliffe Road (Homefield... 05/09/05

151 Ratcliffe Road (Homefield... 11/01/05

151 Ratcliffe Road (Homefield... 26/10/04

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Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 151 Ratcliffe Road (Homefield College) 151 Ratcliffe Road Sileby Loughborough Leicestershire LE12 7PX Lead Inspector Bhavna Keane-Rao Unannounced Inspection 19th November 2007 10:00 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.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 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.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. 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 151 Ratcliffe Road (Homefield College) Address 151 Ratcliffe Road Sileby Loughborough Leicestershire LE12 7PX 01509 816794 01509 815696 tania.taylor@homefieldcollege.ac.uk www.homefieldcollege.ac.uk Homefield College Limited 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) *** Vacant *** Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 14th September 2006 Brief Description of the Service: 151 Ratcliffe Road is a detached property with three single bedrooms, situated on a busy road in Sileby. The home is one of seven which are annexed to Homefield College. Students are initially accommodated at the college site, moving to one of the houses when assessment determines the requirement for greater independence in a longer-term placement. Young people in the college are placed by the Learning Skills Council. These placements are generally for term time only and limited to three years. Some young people receive continued funding from Social Services Departments and their placements progress to become long term. The home is clean, comfortable and homely and does not stand out from its neighbours. Shared accommodation consists of a lounge, dining kitchen and enclosed garden. Information is located on site detailing the range of services offered, which includes the Statement of Purpose and Service User Guide. In addition to this 151 Ratcliffe Road provides prospective residents with a summary of the Commission of Social Care Inspections, Inspection Reports, which are available upon request. On 19th November 2007 the registered acting manager confirmed fees for the services provided by the home are between £26261.28 per person per year and £37099.68 per person per year 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of pre-planning the inspection, which included viewing the last inspection report and the service history of significant events since the last inspection. The pre-inspection questionnaire, called Annual Quality Assurance Assessment, was sent out a number of weeks before the site visit, was not returned, even after numerous calls, before or after when completing this report. As part of consultation Comment Cards were sent to residents and their relatives by the Commission for Social Care Inspection. Three residents and three relatives’ Comment Cards were sent. Three residents comment cards were handed to the inspector on the day of the visit. None of the relative’s comment cards were returned at the time of writing this report. This unannounced visit commenced on the 19th November 2007 at 9.30 am. At that time no one was at home. On the same day a later visit was undertaken at 4.30 pm and lasted until 7.45 pm. The focus of the inspection is based upon the outcomes for the residents. The method of inspection was ‘case tracking’. This involved identifying residents with varying levels of care needs and looking at how these are being met by the staff at 151 Ratcliffe Road. Two residents were selected and discussions were held with them. Additionally one person, who was not part of the case tracking process, was also spoken with. The method of case tracking included reviewing of residents’ individual care records, discussions with staff of various delegated responsibilities within the home, reviewing training records, the minutes of residents meeting and reviewing any other relevant records. What the service does well: This is a small home with emphasis on informality and homeliness. Care provided is totally individualised. The three residents comment cards were all positive about the service provided, the staff who supported the residents and the amount of choice available. Residents are totally involved in the running of the home. 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.R01.S.doc Version 5.2 Page 6 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. 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.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 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.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 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to make informed choices through good information and a robust assessment process, which ensures that their needs can be met. EVIDENCE: The residents have access to a Statement of Purpose, which outlines the role of the care home, providing additional information as to the services offered, the accommodation and information on policies and procedures. At the point of admission there is a detailed assessments of care needs. These are carried out both by the home and by the placing authority. Students are initially accommodated at the college site, moving to one of the houses when assessment determines the requirement for greater independence in a longer-term placement. Of the three comment cards returned two people couldn’t remember the admission process. One person stated that they had received “lots of information.” 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.R01.S.doc Version 5.2 Page 9 There have not been any new admissions to the home since the last inspection visit. 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.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, 8 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents independence is promoted, whilst they are supported to make decisions affecting all aspects of their lives and receiving wide range of activities and recreational pursuit that have a direct impact on the quality of care they receive, and their lifestyle. EVIDENCE: The care plans of two residents were viewed. The care plans gave information where appropriate of the support needed to enable the residents to have a fulfilled life. The residents at the home have various levels of care needs and support is provided depending on this. One care plan was viewed, the other one had been sent to company headquarters to be amended. The review officer, who had coordinated the review on behalf the placing authority, was at the home during the visit. He 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.R01.S.doc Version 5.2 Page 11 was able to verify that the care provided for the person was exactly as agreed in the care plans. One resident stated “I do what I want, so long as I can manage it. There are times when I get nervous but I talk about it to the staff and then I feel better.” Care Plans are supported by risk assessments. These enable the residents to take risks as part of their lifestyle choices. Areas, which are risk assessed, include, personal care, accessing transport, attending activities and household tasks. The member of staff spoken with demonstrated, through conversation and interaction with the resident, a clear understanding of their role in offering support and guidance to him as required. There is awareness as to the rights of residents to express opinions and make decisions. This was again verified by the resident who was spoken with in detail. 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.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, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy, experience and participate in different activities of interests and are supported to maintain their preferred individual daily routines and choice of lifestyle with the support of the staff. EVIDENCE: Weekly records, daily summaries and care plans detail the range of activities and recreational pursuit which residents engage in, these included swimming, bike riding, cooking, drawing, eating out, walking to local park and visits to family and relatives. There is a car for residents’ use. This enables staff to respond to any requests from residents for an unplanned day out. 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.R01.S.doc Version 5.2 Page 13 The local transport is also used for visits into Loughborough and Leicester, which the residents seem to enjoy. A list was viewed which detailed important dates and address of people in residents lives. These enable the staff to support residents to maintain positive contact. Risk assessments are carried out to support residents accessing recreational pursuits of interest. These were viewed during the visit. As per their care plans residents are encouraged to undertake household chores such as washing up, vacuuming and bringing down the clothes for washing. On occasions residents will swap these tasks amongst themselves. This list of tasks is displayed in the kitchen. 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.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 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents health care needs and independence is promoted by receiving timely care and support provided in the preferred way. EVIDENCE: Records confirmed that residents benefit from a range of health care services, which include dentists, general practitioners, learning disability nursing services, podiatrist and opticians. One resident spoken with stated “I’m in control of my life, I see the doctor or anyone else when I want to. All I have to do is tell the staff so that they can make a note of it.” The review officer, for one resident was at the home on the afternoon of the visit. He had brought the review notes with him and a discussion was held with the client. He was able to verify that the care provided by the home, for his client, is as commissioned and agreed. 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.R01.S.doc Version 5.2 Page 15 At present only one person is on medication. All staff responsible for the administration of medication have been trained to do so. The medication records were found to be accurate and up to date. 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.R01.S.doc Version 5.2 Page 16 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 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are supported by a complaints procedure and by staff trained in safe guarding adult processes. EVIDENCE: The statement of purpose has a complaints policy and procedure, which is made available to residents and their families. The acting manager stated that there have not been any complaints made to the home. The Commission have not received any concerns or complaints. Residents who were spoken with stated they felt safe and comfortable at the home. They were aware of their rights to complain if they were not happy. One resident was able to talk about the various stages of this procedure and her rights to be heard without being scared. One person stated that this was “a safe and comfortable home” The staff and the acting manager have all had their training on safe guarding adults and the acting manager stated she was very familiar with the protocol to be followed in case of an allegation. 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.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, 25, 27 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a warm, safe, clean, comfortable and wellmaintained environment suitable for their needs. EVIDENCE: 151 Ratcliffe Road has a large lounge for the residents use. This is also used by staff as a sleeping area and work station. There is a bathroom/ toilet on the same floor. The fitted kitchen/dining area, to the end of the property, was seen to be used by the resident. On the first floor are three bedrooms. Access to the first floor is via stairs. One resident was able to show the inspector her bedroom. This was found to be large and spacious and decorated to individual resident’s choices. The other two bedrooms were also viewed and found to be individualised. 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.R01.S.doc Version 5.2 Page 18 One resident stated that she was going to have her bedroom decorated soon as it had not been done for awhile. All the residents are able to wash their own clothes and dry them. However support is provided as and when needed. This is recorded. 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.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 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of trained staff are recruited through a robust recruitment process ensuring that residents care and social needs are individually, collectively and safely met. EVIDENCE: The residents who were spoken with were very positive about the care provided and the staff who supported them. One person stated “When I feel sad the they (staff) talk to me and make me feel better.” Also that “there is always someone here when the others need them too.” The member of staff spoken with confirmed she had received all mandatory training. Records viewed demonstrated that this included health and safety, first aid, food hygiene, report writing, safeguarding from abuse, supporting 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.R01.S.doc Version 5.2 Page 20 behaviour, and medication to name some. The training enables staff to offer the appropriate support and care for residents, ensuring residents lead an active and fulfilling life in line with their wishes and expectations. 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.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, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The acting Manager offers a clear sense of leadership, ensuring resident’s health; safety and welfare are promoted. Residents are provided with opportunities to comment on and affect the service they receive. EVIDENCE: One resident who was spoken with in detail stated that she was asked by the acting manager to be involved in all aspects of this home from shopping to being part of the management committee dealing with Health and Safety issues. She stated that she felt that she was doing something important. 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.R01.S.doc Version 5.2 Page 22 The resident was also able to demonstrate how all the residents are involved in the running of the home and how they are supported to do so. The Annual Quality Assurance Audit, AQAA, was not returned before the site visit or at the time of writing this report. A letter was sent to the registered provider to return the AQAA. Thereafter a telephone call was made to the Responsible Individual, person who is the nominated contact for the company, who was on leave but his deputy stated that she would chase this up. Telephone calls have also been made to the home and a number of massages have been left. During the visit the acting manager was on duty and discussion was held with her about this. She assured the inspector that she had posted the AQAA on 16th November 2007. This was still not received by the Commission on the 26th November 2007. A message was left with the home. The acting manager was able to provide proof of postage and is dealing with this issues with the Post Office now. The records and staff spoken with confirmed that there are regular one to one supervisions. These are at least three per year. There is also an annual appraisal. 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.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 3 2 3 3 X 4 3 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 3 26 X 27 3 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 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 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 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.R01.S.doc Version 5.2 Page 24 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. Refer to Standard Good Practice Recommendations 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection East Midland Regional Office Unit 7 Interchange 25 Business Park Bostocks Lane Nottingham NG10 5QG 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 151 Ratcliffe Road (Homefield College) DS0000001672.V354694.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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