Inspection on 06/02/06 for 102 London Road

This inspection was carried out on 6th February 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 14/12/06

102 London Road 26/09/05

102 London Road 01/02/05

102 London Road 28/09/04

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

CARE HOME ADULTS 18-65 102 London Road Widley Portsmouth Hampshire PO7 5AB Lead Inspector Mrs Pat Hibberd Unannounced Inspection 6th February 2006 09:30 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 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.V281672.R01.S.doc Version 5.1 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.V281672.R01.S.doc Version 5.1 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.V281672.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th September 2005 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 ensuite. 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. 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over two hours and was the second of the 2005/2006-inspection programme. Eight of the forty-three standards relating to younger adults were assessed. There were no areas of improvement identified on this occasion. The inspection included a tour of parts of the home. Discussions were held with two permanent staff members on duty and the manager. All of the core standards for younger adults have now been inspected during the 2005/2006-inspection year. Time was spent with two service users with a view to gaining an understanding of care provided and to observe staff interaction and support as detailed in care plans. What the service does well: What has improved since the last inspection? There were two areas of improvement identified at the last inspection. The first related to the manager ensuring there is documented evidence to confirm 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 Page 6 that staff have undertaken rectal diazepam training by a suitably trained professional who is responsible for the monitoring and reviewing of that training. The second related to the manager being required to ensure staff are fully aware of resident’s needs in the event of a fire evacuation with risk assessments being undertaken for all individuals. This work has been completed. There has been a new carpet fitted in the dining room and a number of rooms have been redecorated of which service users were involved in the choices of colours. 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. 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 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.V281672.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All core standards have been inspected. EVIDENCE: 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All core standards have been inspected. EVIDENCE: 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Service users are supported to maintain friendships and family relationships, be a part of the local community and engage in a range of leisure activities with rights and responsibilities upheld in their daily lives. Menus provide a nutritious and healthy diet for service users. EVIDENCE: Service users partake in a range of activities and are encouraged and supported to be a part of the local community through attending local colleges and day services, leisure centres, shopping, cinema trips and horse riding. Male support workers offer specific support to two male service users accommodated enabling them to attend the local gym and play snooker. One service user was able to explain how they were being supported to go to the local leisure centre for an aqua aerobics swimming session. They clearly were looking forward to the experience. The manager explained that evening and weekend shifts ensure there are sufficient staff on duty to ensure service users have opportunities to pursue and enjoy various leisure pursuits. Service users are supported to vote if they so wish. 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 Page 11 Service users are supported to maintain family links and friendships with all visitors welcome to the Home with the individual’s agreement. Visitors can meet with service users in their bedroom or communal areas of the Home if they so choose. Records completed by key workers indicated that service users are supported to telephone relatives/friends and, that the contact is welcome by service users. The Home has a policy and procedure with regards to sexuality and relationships of which two staff member confirmed they were aware of and discussions were held with regards to its application to service delivery. It was evident that the policy was being implemented in the Home. Daily routines in the Home enable service users to have choices, maintain their independence and individuality of which staff were able to give a number of examples. These included service user’s being addressed by their preferred name, personal care being offered in a respectful and dignified manner and, at a time suited to the individual and service users having unrestricted access to all parts of the Home with the exception of other service users’ bedrooms. Daily record sheets are also completed by the staff team on duty with a view to ensuring all staff have an overview of care provided and continuity of service delivery. Throughout the inspection staff were observed providing the care described, with service users indicating through discussion or gesture that they felt well supported by staff and had positive relationships with staff. Service users are supported to undertake household tasks if they so wish. One service user has a rabbit with risk assessments in place for a feeding schedule to be followed by the individual with staff support. There are no service users who smoke with staff being required to smoke outside if they wish to do so. There was a varied and nutritious menu on the notice board in the kitchen with the staff member on duty indicating that an alternative is always on offer. There are always three meals a day provided of which at least one is a hot cooked meal. Service users can choose where they eat although the manager indicated that service users like to eat together in the dining room for their main evening meal. This was confirmed with one of the four service users accommodated. Service users help with shopping and preparation if they so wish. In discussion with one service user it was evident that they could not remember what was for their evening meal. However, following discreet and sensitive prompts by staff the individual was able to describe what they were having and that it was an option they enjoyed. 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 Page 12 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All core standards have been inspected. EVIDENCE: 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All core standards have been inspected. EVIDENCE: 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All core standards have been inspected. EVIDENCE: 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 Page 16 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): All core standards have been inspected. EVIDENCE: 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 Page 17 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 There is an experienced and effective manager who ensures service users views contribute to all developments of the Home and service provided. The home’s health and safety policy and procedure is being implemented ensuring service users are protected. EVIDENCE: The manager Mrs Champion has a wealth of experience having managed residential care homes for a number of years. Mrs Champion is currently in the process of completing her Registered Managers Award and NVQ Level 4. She has undertaken further training which includes adult protection/fire /epilepsy, person centred planning and rectal diazepam. Mrs Champion has a range of responsibilities and indicated that these are reflected in her job description and include ensuring the written aims and objectives of the Home are met, policies and procedures are implemented, the budget is properly managed and service users are aware of their terms and conditions of residency. From discussions with staff and service users and documentation viewed Mrs Champion is demonstrating her ability to ensure systems are in place to 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 Page 18 achieve and meet her role and responsibilities and, provide effective leadership and management of the Home. One staff member described the support provided by the manager, as “she is always available and supportive to us all”. Service users were seen to respond positively to the manager who was able to demonstrate throughout the inspection her understanding and knowledge of service users’ needs. The Home has an annual development plan with objectives in place to measure outcomes for service users in respect of their care, staff and environment One objective recently met relates to a range of leisure activities taking place for service users throughout 2005 that had been discussed and planned in the latter part of 2004. Service user meetings are also held. Further systems implemented to ensure there is an effective quality assurance and monitoring of service users’ views include care plan and risk assessment evaluations on a monthly basis – or sooner if required. Questionnaires are provided to service users, relatives and staff as part of the home’s service quality assurance programme. Responses received contribute to action planning for the following year. There was evidence from both discussions and relevant records being kept by the home that all staff working in the home had received regular training in health and safety subjects that were relevant to their roles in the home. These included, first aid, fire safety, food hygiene, infection control and control of substances hazardous to health. Comprehensive and clear records being kept indicated that risk assessments for safe working practices had been completed and that all systems and equipment in the home were tested and serviced at intervals and with the frequencies either required according to relevant regulations or good practice. These included: • Fire safety equipment • Electrical wiring • Gas appliances and central heating • Portable electrical appliances • Hot water systems –(tested for temperature and the presence of Legionella). Fire risk assessments had been completed for all service users as required at the last inspection, had been read by staff who were able to describe their role and responsibilities in the event of a fire evacuation in the home. 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 Page 19 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 X 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 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X 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 X X X X 3 X 3 X X 3 X 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 Page 20 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. Refer to Standard Good Practice Recommendations 102 London Road DS0000056837.V281672.R01.S.doc Version 5.1 Page 21 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. 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