Inspection on 25/11/05 for 1 Michigan Way

This inspection was carried out on 25th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 Michigan Way 25/07/06

1 Michigan Way 11/07/05

1 Michigan Way 09/11/04

1 Michigan Way 14/04/04

1 Michigan Way 25/06/03

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

CARE HOMES FOR OLDER PEOPLE 1 Michigan Way Totton Southampton Hampshire SO40 8XE Lead Inspector Craig Willis Unannounced Inspection 25th November 2005 10:00 X10015.doc Version 1.40 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 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. 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 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 1 Michigan Way Address Totton Southampton Hampshire SO40 8XE 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) 01908 230100 New Support Options Limited Mrs Nicola Stewart Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category LD referred to above must be at least 40 years of age. 11th July 2005 Date of last inspection Brief Description of the Service: 1 Michigan Way is registered to provide care and accommodation for five people with learning disabilities over the age of 40. The home is situated in a residential area of Totton, within a quarter of a mile of a large shopping complex. The home has two lounge areas, one of which can be used by service users who smoke, a communal kitchen and dining area. Each service user has a single bedroom and use of a bathroom and shower room, both of which are accessible for service users with mobility difficulties. The service is provided by New Support Options, which has a number of similar services in the area. 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the year April 2005 to March 2006. When the inspector arrived all of the service users were going out for the day so subsequent visits were made on 29/11/05 and 2/12/05 to enable the inspector to assess the service and meet with the manager. During the visits the inspector spoke with three service users, two members of staff and the manager. The communal areas of the home were viewed. What the service does well: What has improved since the last inspection? Risk assessments are available for all service users and include action that staff should take to minimise the identified risks, although the inspector noted two assessments where greater detail was needed of action staff should take. 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None Outcomes for the key standards were assessed at the inspection of 11th July 2005. EVIDENCE: 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 and 10 Greater detail in risk assessments and regular reviews of care plans would enable the home to demonstrate that the needs of service users are being met. Service users feel staff treat them well, although some staff practice observed compromised the privacy of service users. EVIDENCE: The individual records of all five service users were viewed during the inspection. The requirement made at the last inspection that risk assessments must be in place for all service users had been complied with. These risk assessments were regularly reviewed and included action that staff should take to minimise the identified risks. The manager agreed to amend the assessments regarding support for one service user whilst bathing and the need to keep the front gate closed at some times to make it clearer what action staff should take. Care plans were in place for all of the service users, which set out how their assessed needs should be met. The home has a system for reviewing the plans monthly, although this had not happened, with one plan having no 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 10 review since April 2005. The manager reported that she was going to change the format of the plans into the corporate document used by New Support Options. During the inspection, one member of staff was observed to enter a bathroom without knocking whilst a service user was in there and to use a service user’s glasses. These issues were raised with the manager, who said that she would discuss them with the member of staff concerned. Service users spoken with said that staff treated them well. 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12 and 13 The arrangements for service users to take part in social and cultural activities and to maintain contact with family and friends are good and meet their needs. EVIDENCE: Service users’ social and cultural needs are recorded in their care plans and there is evidence in photos and daily records of service users taking part in activities such as going out to pubs, restaurants, shopping and listening to music. Service users spoken with said they enjoyed the social activities staff supported them with. Service users said they enjoyed spending time with their families, with staff providing support to visit friends and relatives. The home has an open visiting policy, with visitors welcome at any time, so long as they do not disturb other service users. 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home has a suitable complaints procedure and service users know what action to take if they wish to make a complaint. EVIDENCE: The home had a copy of the New Support Options complaints procedure, which had been made available to service users in a pictorial format to aid understanding. Since the last inspection the manager has reiterated the complaints procedure to service users through the house meetings. Service users spoken with said they would speak to the manager or other staff if they had a complaint. 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 The home provides a safe, well-maintained environment for service users. EVIDENCE: The home is safe and there is a regular programme of maintenance by the housing association, which owns the building. The manager reported that the hallways and bathrooms were due to be redecorated next year as part of the cyclical plan of decorations. The fixtures and fittings in the home are of good quality and domestic in appearance. The manager reported that the garden is no longer maintained by the housing association and she has employed a person to cut the grass. 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 28, 29 and 30 The home has good recruitment processes, which protect service users. Staff qualifications and training enable them to meet the needs of service users. EVIDENCE: The manager reported that the home currently has three staff who have completed the NVQ level 2 or above. New Support Options is an assessor body for NVQ, although the manager reported that there were sometimes problems due to lack of assessors. Since the last inspection, one new member of staff has started work at the home. The manager has records of the application form they completed, two written references and an enhanced disclosure from the Criminal Records Bureau. Two managers interview applicants and records of the interview are kept. The new member of staff did not start work until all the recruitment checks had been completed. New staff are supported to follow an induction programme and the Learning Disability Award Framework. Records indicated that staff have received training in first aid, food hygiene, moving and handling, health and safety, dementia and communication. The manager reported that there have been some problems accessing training, with some courses cancelled at late notice and some taking place out of the area. The manager will follow up these problems through the management structures of New Support Options. 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33 and 35 A competent manager who fulfils her responsibilities runs the home. The quality assurance systems ensure the home is run in the best interests of service users and the financial interests of service users are safeguarded. EVIDENCE: The manager reported that she is just completing the NVQ level four in management and has been the manager at Michigan Way for eight years. She has undertaken regular training to update her skills and there are clear lines of accountability within the home. The views of service users are gained through monthly visits by senior managers, regular service users’ meetings and one to one consultation. New Support Options has developed a regional ‘PATH’, which sets out their objectives and was developed as a result of a consultation of service users about how their services could be made more person centred. 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 16 The home holds money for four service users and records are kept of expenditure made on their behalf. The record of one service user was checked and found to match the cash held. Receipts were available for expenditure made on service users’ behalf. One service user manages their own money. 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 2 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X X 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 18 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. 1. Standard OP7 Regulation 15 (2b) Requirement The registered person must ensure that service users’ plans are regularly reviewed and updated where necessary. Timescale for action 31/01/06 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 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 1 Michigan Way DS0000011984.V267080.R01.S.doc Version 5.0 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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