Inspection on 14/12/06 for 102 London Road

This inspection was carried out on 14th December 2006.

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

102 London Road 06/02/06

102 London Road 26/09/05

102 London Road 01/02/05

102 London Road 28/09/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 102 London Road Widley Portsmouth Hampshire PO7 5AB Lead Inspector Mr Roy Bega Unannounced Inspection 14th December 2006 09:30 102 London Road DS0000056837.V320408.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 102 London Road DS0000056837.V320408.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. 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 102 London Road Address Widley Portsmouth Hampshire PO7 5AB 023 9232 7220 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 Rodgers Mrs Anita Denise Rodgers Mrs Julie Denise Champion Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th February 2006 Brief Description of the Service: 102 London Road is a care home providing accommodation for 4 adults with a learning difficulty. It is owned by Mr and Mrs Rodgers, who also own other registered premises, and managed on a daily basis by Mrs Champion. The home is located on the main Portsmouth to Waterlooville road with there being easy access to the local shops and public transport services. There is accommodation on the ground and first floors with bedroom accommodation comprising of four single rooms, one having an en-suite. Day space within the home is provided for by way of a combined lounge/dining room with an adjoining conservatory. It is a detached property with front and rear gardens, the rear garden providing opportunities for service users to pursue light horticultural activities if they wish. There is readily available car parking immediately to the side of the property for two to three vehicles. Current fees range from £826 to £925 per week with additional charges made for holidays, hairdressing, toiletries etc. 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report is an assessment of how the National Minimum Key Standards for Care Homes for Young Adults were being met. Evidence has been collated from the service’s history, file and this site visit. This visit took place on 6 December 2006 between the hours of 9-30 a.m. and 3.30 p.m., a total of six hours. People who live at 102 London Road informed the inspector they prefer to be addressed as housemates rather than service users or residents. Therefore, for the purpose of this report their request has been respected The inspector toured the home, looked at records, spoke with housemates, management, staff and by means of a telephone conversation a relative. There was also the opportunity to observe interaction between housemates and staff. There were not any requirements raised resulting from the previous and this visit. What the service does well: What has improved since the last inspection? What they could do better: Whilst a comprehensive training programme is organised annually, management acknowledged the need to ensure staff are kept up to date with changing practices within learning disabilities. Please contact the provider for advice of actions taken in response to this 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 6 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. 102 London Road DS0000056837.V320408.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 102 London Road DS0000056837.V320408.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): Key Standard 2 was assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective housemates benefit from good pre admissions assessment/ procedure and being fully involved in the process. EVIDENCE: The service opened in February 2003 when the current housemates took up occupancy and there have not been any subsequent admissions. Records seen showed the assessments completed at the time focused on achieving positive outcomes for the house mates including ensuring the facilities, staffing and specialist services provided by the home could meet the diversity needs of individuals. Each housemate was given the opportunity to spend time in the home prior to all those concerned making a final decision. The service provides a Statement of Purpose that is specific to the individual home, and the “housemate” group they care for. It clearly sets out the objectives and philosophy of the service supported by a Service user Guide. The guide details what the prospective individual can expect and gives a clear account of the specialist services provided, quality of the accommodation, 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 9 qualifications and experience of staff, how to make a complaint and recent CSCI inspection findings. Staff spoken with informed the inspector they were involved in the assessment/admission process, where their views, opinions, and comments were listened to and fully debated, before agreement was given for the admission. 102 London Road DS0000056837.V320408.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): Key Standards 6, 7 and 9 were assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans provide staff with good information on the needs of housemates, who are encouraged to make decisions about their lives and who participate fully in all aspects of life in the home. EVIDENCE: The service has a strong belief that it is essential to involve housemates in the planning of care that affects their lifestyle and quality of life. Management and staff understand the importance of housemates being supported to take control of their own lives, and to encourage and enable them to exercise their rights and make their own decisions and choices. Housemates keep their support plans in their bedrooms. When the inspector requested to see them they were readily produced. As the inspector looked through the records, housemates explained what they meant and commented their key worker helped to complete them. Records seen were written in plain 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 11 language, easy to understand and consider all areas of the individual’s life including health; specialist treatments, personal and social care needs. Training records seen and discussions with staff indicated they have skills and ability to support and encourage housemates to be involved in the ongoing development of their plan. A key worker system enables staff to establish special relationships and work on a one to one basis. It was noted plans are reviewed regularly involving housemates and, where agreed, their families. They are updated and action taken to respond to any changes. They focus on how housemates will develop their skills and considers their future aspirations. They also reflect what is possible and not what is available. Up to date risks assessments and reviews have been completed that coincide with housemate’s chosen and agreed activities and lifestyle. Staff spoken with informed the inspector they find this way of planning residents care very positive in that the housemate is put first. They regarded it as a working tool to assist them in supporting housemates to achieve their desired outcomes. 102 London Road DS0000056837.V320408.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): Key Standards 12, 13, 15, 16 and 17 were assessed on this occasion. 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 take part in age, peer group appropriate activities, and the local community. Residents are supported to maintain and make new relationships. Residents’ rights are respected in their daily living. A varied and healthy diet is provided. EVIDENCE: The service has a strong commitment to enabling housemates to develop their skills, including social, emotional, communication, and independent living skills. Individuals are supported to identify their goals, and work to achieve them. Housemates are involved in meaningful daytime activities of their own choice and according to their individual interests and capability; they informed the inspector they have been fully involved in the planning of their lifestyle and 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 13 quality of life. For example attending college, day services. Also they are helped to access and enjoy the opportunities available in their local community, e.g. using public transport, library services, the local pub, local clubs and leisure facilities. Where appropriate housemates are involved in the domestic routines of the home, they take responsibility for their own room. Housemates proudly showed the inspector their rooms commenting how they are helped to keep them clean and tidy. Discussions and observations also showed housemates are involved in menu planning and cooking meals. One housemate told the inspector they cook for their parents when they visit. The menu seen is varied with a number of choices including a healthy option. It includes a variety of dishes that encourage individuals to try new and sometimes unfamiliar food. The meals are balanced and nutritional and cater for the varying dietary needs of the housemates. Comments made to the inspector by housemates included, “Staff help me a lot”, I like going to clubs and discos”, “We do a lot of things that I want”, “I like keeping my room tidy” and “I like cooking” 102 London Road DS0000056837.V320408.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): Key Standards 18, 19 and 20 were assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. This judgement has been made using available evidence including a visit to the service. Housemates receive support to ensure their physical and emotional needs are met and are protected by the home’s good procedures in the management of medicines. EVIDENCE: Observation and discussions indicated staff provide sensitive and flexible personal support to maximise housemates’ privacy, dignity, independence and control over their lives. Staff were observed to manage instances of unacceptable behaviour with sensitivity and in a calm manner therefore, decreasing the level of stress for all those present. Care plans seen and discussions showed housemates’ health care needs have been assessed, and appropriate procedures put in place to ensure they are carried out. Records and discussions indicated housemates visit their doctor and other health related services as required. On the day of this visit a housemate was supported to visit their doctor. 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 15 Discussions and observations showed staff understand the key principles of giving personal support and are responsive to the varied and individual requirements of the housemates. It was seen attention was given to ensure privacy and dignity was maintained when delivering personal care. Records seen and discussions indicated housemates are supported to be independent and responsible for their own personal hygiene and personal care. The home works to an efficient medication policy supported by procedures and practice guidance. Evidence was seen to show all of the housemates have been assessed as not being able to manage their own medication. Evidence was also seen to show staff follow robust systems to make sure medication records are fully completed, contain required entries, and are signed by appropriate staff. Regular management checks are recorded to monitor compliance. Staff who administer medication have received appropriate training. Evidence was seen to show all of the housemates have been assessed as not being able to manage their own medication. Comments received in a telephone discussion with a relative included, “They do a great job”, “They are excellent”, “Our son has progressed since moving in” and “Staff know what they are doing”. 102 London Road DS0000056837.V320408.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): Key Standards 22 and 23 were assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A clear complaints procedure is in place and housemates are safeguarded by the home’s policy, procedures, dissemination of knowledge and training with regards to adult protection. EVIDENCE: The service has a complaints procedure that is up to date, very clearly written, and is easy to understand. It is widely distributed, and has a high profile within the service. The Commission has not received any concerns regarding the service in the preceding year. Housemates and others associated with the home understand how to make a complaint and they are very clear of what can be expected to happen if a complaint is made. The home has an open culture, which enables housemates to express their views, and concerns in a safe and none blame environment. Housemates told the inspector, if they are not happy they tell the manager and they also have a meeting every month to talk about things. Comments received from a relative in a telephone conversation included, “Whenever we have had concerns they have been dealt with promptly and to our satisfaction”. The service has an adult protection policy and procedure in place of which staff spoken with had a good understanding. Confirmation was seen to show staff have received appropriate adult protection training. Management is clear when incidents need external input and who to refer the incident to. 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 17 Two housemates are supported to manage their own bank account and the other two are supported to manage their finances by their parents. Records seen and discussions showed the service has very efficient systems to ensure effective safeguarding and management of housemate’s money. Invoices/receipts were seen where the home had purchased goods on behalf of housemates and requested the money from relatives/representatives. 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 18 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): Key Standards 24 and 30 were assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Housemates benefit from a well-maintained and clean homely environment. EVIDENCE: The home provides a well-maintained physical environment that is appropriate to the specific needs of the housemates who live there. Housemates are encouraged to personalise their bedrooms. All the homes fixtures and fittings meet the needs of the individuals and can be changed if their needs change. The inspector toured the building with the manager and housemates when entering bedrooms. All housemates are accommodated in single rooms that are meeting their needs. Bedrooms seen are bright, cheerful and contain many personal items including posters, photographs, soft toys, collectables and ornaments. Furniture and fittings are of good quality, domestic in design, unobtrusive and compatible with fulfilling their purpose. Housemates readily told the inspector they chose the colour and furniture for their rooms. 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 19 Shared areas provide a choice of communal space with opportunities to meet relatives and friends in privacy or in their own rooms. The home was clean, hygienic and free from offensive odours. Laundry facilities are of a domestic type and meet requirements. Evidence was seen to show staff have received training with regards to infection control. 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 20 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): Key Standards 32, 34 and 35 were assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Housemates are protected by the agency’s recruitment policy and procedures. Housemates benefit from appropriately trained and supervised staff. EVIDENCE: A support worker file was sampled. All information required has been recorded including a completed application form, two written references and a Criminal Records Bureau check. Discussions and records seen showed, after interview and on appointment, all new staff are required to complete a full induction that covers the service’s policies and requirements of the Skills for Care programme. A sample of an induction programme was seen. The service has a positive attitude towards training. One member of support staff has completed the National Vocation Qualification Course level three, another is currently doing so and two have completed level two. Records and discussions indicate majority of staff have a background in learning disability 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 21 and have been employed at the service since it opened in 2003. Whilst a comprehensive training programme is organised annually, management acknowledged the need to ensure staff are kept up to date with changing practices within learning disabilities. A comprehensive training programme is organised annually. For example, courses completed include, health and safety, infection control, challenging behaviour, epilepsy and adult protection. Care staff spoken with stated they feel well supported with regards to training. Housemates spoken with commented, “Staff are good to me”, “They help me do things”, “I get help when I need it”, “I get shown what to do” and “I do more things now”. Comments made in a telephone conversation with a relative included, “They know what they are doing”, “Our daughter can do more for herself now than when she first moved in and “We are always made to feel welcome”. 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 22 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): Key Standards 37, 39 and 42 were assessed on this occasion. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is experience and competent to run the home. Management and administration of the home is based on openness and respect. An effective quality assurance system is in place. Safeguards are in place to protect the interests of the housemates. As is reasonably practicable the health, safety and welfare of staff and housemates is promoted. EVIDENCE: Discussions and records show she works continuously to improve services and provide an increased quality of life for residents. Staff informed the inspector management has a strong ethos of being open in all areas of running the home and is housemate focused. 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 23 Records and observations showed management leads and supports a strong staff team who have been recruited and trained to a good standard. Discussions indicated management is aware of current developments both nationally and by the Commission and plans the service accordingly. A quality assurance and monitoring system based on seeking the views of, relatives, is in the process of being developed. A system for collating information from staff and residents is in place. As well as completing questionnaires, monthly housemate/staff meetings respectively are held and considered as another source in obtaining views in monitoring the service The service works to a clear health and safety policy, all staff are given a copy, and regular random checks take place to ensure they are working to it. Records seen and discussions showed staff are provided with appropriate training in the area of health and safety. The service has a good record of meeting relevant health and safety requirements and legislation. Records are of a good standard and are routinely completed. Service records for systems and equipment were seen and are up to date. 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 24 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 4 4 x 3 x LIFESTYLES Standard No Score 11 x 12 4 13 4 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 x 4 x 3 x x 3 3 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 25 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 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 26 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 102 London Road DS0000056837.V320408.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!