Inspection on 02/07/07 for 1 Ford Road

This inspection was carried out on 2nd July 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

1 Ford Road 06/06/06

1 Ford Road 07/02/06

1 Ford Road 26/07/05

1 Ford Road 07/12/04

1 Ford Road 05/05/04

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

CARE HOME ADULTS 18-65 1 Ford Road Gosport Hampshire PO12 3ET Lead Inspector Nick Morrison Unannounced Inspection 2nd July 2007 2:00 1 Ford Road DS0000011676.V341202.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 1 Ford Road DS0000011676.V341202.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. 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 1 Ford Road Address Gosport Hampshire PO12 3ET 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) 023 9250 1001 nikkiey.quirke@has.org.uk Hampshire Autistic Society Miss Nicola Charlotte Hobbs Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th June 2006 Brief Description of the Service: 1 Ford Road is home for up to 5 younger adults, with autism and associated learning disabilities. It is run by the Hampshire Autistic Society (H.A.S). The home is situated in a quiet residential area of Gosport and is close to local shops and is on a regular bus route to both Gosport and Fareham town centres. Accommodation is over two floors with all service users having their own bedroom on the first floor. There is a large fitted kitchen, dining room and large lounge, which provide communal space in excess of the National Minimum Standards (NMS). There is an enclosed rear garden laid to lawn with a patio area, which has a table and chairs for use in the warmer months. The current range of weekly fees is £1,091.88 - £1,138.84. 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report represents a review of all the evidence and information gathered about the service since the previous inspection. This included a site visit that occurred on17th July 2007 and lasted six hours. During this time the Inspector toured the premises, looked at the files of four service users, spoke with them and observed the service they were receiving. The Inspector also met two members of staff and observed interaction between staff and service users. All records and relevant documentation referred to in the report was seen on the day of the inspection visit. The Inspector also referred to service’s own selfassessment of the home. What the service does well: 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. 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 Page 6 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 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 Page 7 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 This judgement has been made using available evidence including a visit to this service. Service users benefit from having their needs and aspirations assessed prior to moving into the home. EVIDENCE: The home requires a full care management assessment for each person before they move into the home. In addition to this, the home does it’s own comprehensive assessment. Records showed that all assessments were in place prior to the person moving in and that the Manager of the home had met with people at their previous residence to carry out the home’s assessment. 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 Page 8 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 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from having clear care plans and risk assessments in place and from being supported to make their own decisions. EVIDENCE: Individual care plans were in place for each person living in the home and were clearly related to the initial assessment and the ongoing information the home had gathered on each person over time. The plans were well written and explained what staff needed to do in order to support people. Staff spoken with were clear about individual care plans. Each care plan was recorded against through the daily reports that were recorded twice a day after each shift. There was a requirement from the previous inspection that care plans must be regularly reviewed and that these reviews are appropriately recorded. This has now been met. 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 Page 9 Each person had a review once a year and parents, care managers, day service staff and service users were involved in these and were able to contribute to the care planning process. In addition, each care plan was reviewed on a monthly basis in the home and records were kept. There was a recommendation from the previous inspection that accurate records of one to one support session be kept by the home. This has now been met. Session reports were in place for the one-to-one support each service person received at different points during each week. Service users spoken with were clear that they were supported to make their own decisions about their lives. This included day-to-day decisions about what they wanted to eat and what activities they took part in as well as being able to make decisions about future plans. They said that staff were available to help with decision making, but they were clear that their decisions were their own. Staff spoken with demonstrated an understanding of the need to help people make decisions rather than make decisions for them. Risk assessments were clearly written and reviewed on a regular basis. Staff spoken with were clear about risk assessments for each person and the importance of supporting people in line with the risk assessments. Risk assessments were used to promote independence and support people living in the home to be involved safely in the activities they wanted to do. 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 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. Service users benefit from having their rights respected and from balanced and nutritious meals. They also benefit from having the opportunity to engage in a wide range of activities both inside and outside of the home. EVIDENCE: People living in the home attend Hampshire Autistic Society’s day service situated a couple of miles from the home. This service provides a range of activities based on people’s individual needs and interests. Service users spoken with said they valued the day service and felt they were able to choose activities they enjoyed as well as having the opportunity to try new activities. They were also supported by staff in the home to make use of facilities in the local community. During the site visit people living in the home had conversations with staff to tell them activities they wanted to do and places they wanted to go to and were able to make arrangements with those staff by 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 Page 11 identifying when they wanted to go and what support they required. Service users spoken with said they had a lot of activities and busy lives. The home has a Social Activities Fund so that staff were able to support people to use the local community as much as possible. Two people living in the home had bicycles and were supported to use them. There is a cycle track running past the front of the home and this goes down towards the day service. Service users were encouraged and supported to ride their cycles to the day service if they wanted to. The manager and other staff in the home actively liaised with neighbours and local shopkeepers so that they understood the needs of people living in the home and to encourage acceptance in the local community. People living in the home were supported to maintain contact with their friends and families. Records were kept of visits from families and of people going to stay with families. People were also supported to maintain contact with their families over the telephone and staff assisted them to make telephone calls if necessary. Staff also kept dates of family anniversaries so that they support people to remember birthdays and special events. People living in the home were in the process of choosing and planning their summer holidays. They were able to choose where to go and who to go with. Food in the home was of good quality and people observed during the inspection visit appeared to enjoy their meal. The menu’s showed that the diet was varied and nutritious. Individual preferences were recorded so that people did not have food they didn’t like. Service were able to contribute ideas to the menus and were also able to change their minds and have something different from the planned menu if they wanted something different. Service users spoken said the food in the home was of good quality and was served in sufficient portions. Some people living in the home were trying to lose weight and acknowledged that staff supported them in this by helping them to identify healthy food options and by encouraging physical execise. 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 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. 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. Service users benefit from having their healthcare needs met and are protected by the home’s medication policies and practices. EVIDENCE: Care plans contained information on how people preferred to be supported with their personal care. The files of people living in the home demonstrated that healthcare needs were monitored and that people were supported to use healthcare services as necessary. There were comprehensive records relating to each person’s health. Each person’s healthcare needs were monitored and recorded on a regular basis. Where people had used healthcare services there were records detailing the time and date, the reason why they attended and any outcomes as a result of the consultation. Staff in the home liaised closely with healthcare professionals in the interests of people living in the home. There was also close liaison with Adult Services and the Community Learning Disability Team. 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 Page 13 Service users spoken with said staff always supported them to use healthcare services whenever necessary. The system for administering medication in the home was clear and was stated in the home’s policies. Staff spoken with who were involved in administering medication said they had received good training and demonstrated that they had a good understanding of medication issues. Medication records were clear and up-to-date and all medication was stored appropriately and safely. There was a comprehensive system in place for monitoring medication with regular checks and crosschecking to minimise the possibility of any errors occurring. 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 Page 14 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. Service users benefit from having their views listened to and are protected by the home’s policies and practices. EVIDENCE: There are regular house meetings where people in the home can highlight issues and raise ideas and suggestions. Records from these showed that everyone in the home was supported to be as fully involved as possible in the process and were given the time and opportunity to raise anything that was important to them. Service users spoken with said the meetings were useful and that staff listened to and acted upon what they said in the meetings. The home has a complaints policy in place and service users spoken with said they were clear about how to complain if they wanted to, but did not feel the need to make formal complaints, as issues were resolved in house meetings or in conversation with the manager or their keyworker. There was a complaints log in place to track any complaints and the response made to them by the home. There were behavioural supports plans in place for people whose behaviour occasionally caused problems for other people in the home. The way the plans were written demonstrated a positive approach to such behaviour and that individual service users were involved in the plans put in place for them. Any incidents were recorded. The home has good policies and procedures in place for dealing with allegations or suspicions of abuse. Service users spoken with had some 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 Page 15 knowledge of their rights and of abuse issues. The home had demonstrated, in the past, that allegations of abuse would be dealt with in line with the local procedures in order to protect people living in the home. 1 Ford Road DS0000011676.V341202.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, 27 and 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a clean, comfortable and safe environment, but would benefit further from having functional locks on all the bathroom doors. EVIDENCE: The house is kept as domestic and homely as possible. People living in the home are able to choose what their own room looks like and can contribute to ideas about decoration and furniture for the communal areas of the house. There are photographs around the house of the people who live there and the communal areas are relaxed and comfortable. Service users are involved with keeping the home clean and those spoken with said they were happy with the level of cleanliness in the home. From talking to people living in the home it was clear that they had received some instruction in health and safety and cleanliness issues. They were aware of the need to 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 Page 17 keep the home clean and the reasons for this. Infection control procedures were in place and staff were ware of their responsibilities within these. The garden area was not large, but big enough for the amount of people living in the home. Neighbours gardens were close and service users said they sometimes spoke to the neighbour over the garden wall. The kitchen cupboards had locks on them. This was due to the needs of a particular person living in the home. The locks had been put on for safety reasons. However, staff in the home were working with the issues that required the locks so that there would be a time when the locks were no longer necessary. One person living in the home had had to have frosted glass on her bedroom window, which overlooked the street at the front of the house. This was due to the person’s lack of understanding about privacy. Staff had worked successfully with her to improve her understanding and had got to the stage where she is no able to use the curtains appropriately and the frosted glass had now been replaced with ordinary clear glass. There was a bathroom downstairs that had no lock on it and the lock on one of the upstairs bathrooms did not work. People living in the home were unable to maintain their own privacy and dignity when using these bathrooms and it is recommended that suitable locks are put on these rooms. 1 Ford Road DS0000011676.V341202.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 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from being supported by adequate numbers of welltrained staff and are protected by the home’s recruitment policies and practices. EVIDENCE: Service users spoken with spoke highly of the staff and said they respected them. This requirement has been met. Each member of staff had a six-month induction programme that was linked to a National Vocational Qualification (NVQ) level two programme. Of the nine care staff in the home, three already had an NVQ, two were working towards it and another two were about to start the programme. There were clear training records in the home showing that all staff received regular training in issues relevant to their roles. Staff spoken with said the training was very good and that they found it informed their practice. They also said they were able to choose courses from the training calendar that they wanted to find out more about as well as attending courses that were necessary for them. Staff in the home were skilled in communicating with the 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 Page 19 people who lived there and had a good understanding of their needs and issues relating to autism. Throughout the site visit they interacted very well with people living in the home. There had been a requirement from the previous inspection that that formal supervision must take place at least 6 times per year. This has now been met. All staff received regular support and supervision sessions. This was confirmed in conversation with them as well as by the records kept of the meetings. There were two staff on each shift in the home. Staff said this was sufficient to meet the needs of the people living in the home and service users spoken with said they felt there were sufficient staff on duty. At night there was one member of staff, but there was provision to have an additional member of staff sleeping-in if the changing needs of the people in the home suggested this was necessary. Recruitment records demonstrated that staff are not employed in the home without all necessary checks being in place, including references, Criminal Records Bureau check and POVA First check. 1 Ford Road DS0000011676.V341202.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 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well managed home that is safe and responsive to their needs. EVIDENCE: The home was run in the interests of people living there. Service users spoken with said they felt that it was their home and that they were in control of what happened there. They said the Manager and staff listened and responded to them through house meetings, informal discussions and meetings with keyworkers. The organisation also has a service user involvement group that can contribute to the organisation as a whole. 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 Page 21 The quality assurance process in the home is being developed and is focussed on the people living in the home and will use their feedback as the basis for improvements to the service. Examination of the fire logbook demonstrated that it was kept up-to-date. There were effective systems in place for monitoring and managing health and safety issues in the home. Good records were kept of all health and safety issues including fire, appliance servicing, substances hazardous to health, accidents and electrical testing. All staff received initial training in health and safety as part of their induction as well as regular updates. 1 Ford Road DS0000011676.V341202.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 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 2 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 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 Page 23 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 YA27 Good Practice Recommendations Working locks should be fitted to all bathrooms. 1 Ford Road DS0000011676.V341202.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 1 Ford Road DS0000011676.V341202.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. 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