Inspection on 13/12/05 for 102A Brockhurst Road

This inspection was carried out on 13th December 2005.

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

102A Brockhurst Road 20/06/06

102A Brockhurst Road 06/07/05

102A Brockhurst Road 26/10/04

102A Brockhurst Road 10/05/04

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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 102A Brockhurst Road Gosport Hampshire PO12 3DG Lead Inspector Michael Gough Unannounced Inspection 13th December 2005 10:30 102A Brockhurst Road DS0000028732.V272961.R01.S.doc Version 5.0 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 102A Brockhurst Road DS0000028732.V272961.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 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. 102A Brockhurst Road DS0000028732.V272961.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 102A Brockhurst Road Address Gosport Hampshire PO12 3DG 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) Hampshire Autistic Society Miss Kerrie Louisa Clark Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 102A Brockhurst Road DS0000028732.V272961.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th July 2005 Brief Description of the Service: 102A Brockhurst Road is a semi-detached property situated up a short drive and is close to local shops and amenities, the home is close to a local bus route, which runs into the town centre of Gosport and also into Fareham town centre. The home is run by the Hampshire Autistic Society (HAS) and is registered with the Commission for Social Care Inspection (CSCI) to provide support and accommodation for four younger adults who have a Learning Disability. The home was purpose built approximately 2 years ago and meets all of the national minimum standards with regard to the physical environment. 102A Brockhurst Road DS0000028732.V272961.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection was carried out on the 13 December 2005; this was the 2nd of the two required annual inspections and the inspector looked at those key standards, which were not inspected last time. The homes manager and her deputy assisted the inspector throughout. The inspection was carried out over 3 hours and during the inspection it was possible to tour the premises and to view records, it was not possible to speak with the service users as they were undertaking their normal activities at the day service. 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. 102A Brockhurst Road DS0000028732.V272961.R01.S.doc Version 5.0 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 102A Brockhurst Road DS0000028732.V272961.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 All residents’ aspirations and needs are assessed before they move into the home EVIDENCE: There have been no new residents since the last inspection. Care files have copies of assessments made prior to them moving into the home. The inspector was informed that any potential new residents are visited and their needs are assessed before they move in. 102A Brockhurst Road DS0000028732.V272961.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Resident’s needs and goals are reflected in their individual plan of care and residents are able to make decisions about their lives. Residents are supported to take informed risks as part of their independent lifestyle. EVIDENCE: Each resident has their own individual plan and plans were inspected for 2 residents, these plans have been developed with the involvement of residents and contained details of the needs of the individual and also included, support required Residents have meetings, which are held fortnightly and these are minuted. Staff support residents to make informed decisions and are fully involved in the day-to-day running of the home. Notices around the home gave details of cleaning duties and residents plan the weekly menu together. Residents are able to make their own choice of activities, both at the day service and in the home. Residents are supported to take responsible risks and individual plans contained risk assessments, these included any identified risks or problems and also detailed action to be taken to minimise risks and hazards. 102A Brockhurst Road DS0000028732.V272961.R01.S.doc Version 5.0 Page 9 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 & 16 Residents are able to take part in appropriate activities and take an active part in the local community. Resident’s rights are respected and recognised in the daily lives. EVIDENCE: Residents at the home go to day service 5 day per week and take part in activities of their choice. Care plans gave details of activities and reviews of day service are also kept on file. Activities include; woodwork, photography, budgeting skills, computer workshops, swimming & bowling. Resident go out to visit the local shops, they also enjoy going out to the pub, they are supported on a one to one basis to do their own shopping for toiletries and are involved in weekly shopping for the house. Daily routines and house rules promote independence and residents receive their mail unopened and request staff support if needed. Resident’s bedrooms are lockable and staff respect residents choice if they wish to be alone. 102A Brockhurst Road DS0000028732.V272961.R01.S.doc Version 5.0 Page 10 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): 20 Residents are protected by the homes policies and procedures for dealing with medicines EVIDENCE: The home has a corporate medication policy and this is backed up by an in house policy, which gives clear information to staff on how medication should be received, administered and disposed. All staff have undertaken training in medication and the home operates the boots monitored dose system. Medication is stored in a locked cabinet in the office and medication records were up to date and correct. There is a clear protocol for administering any when required medication. 102A Brockhurst Road DS0000028732.V272961.R01.S.doc Version 5.0 Page 11 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): EVIDENCE: None of these standards were inspected on this occasion. 102A Brockhurst Road DS0000028732.V272961.R01.S.doc Version 5.0 Page 12 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): 24 & 30 Residents live in a homely and comfortable environment and was clean and hygienic throughout. EVIDENCE: The home has been purpose built and meets all the environmental requirements of the national minimum standards. Residents have decorated the home for Christmas and routine maintenance is carried out by a handy man. The service was clean and tidy throughout and there were no offensive odours, the home has an infection control policy and the utility room has washable floors and walls. Details of washing times for service users are displayed in the utility room and procedures are in place for the washing of soiled laundry items. 102A Brockhurst Road DS0000028732.V272961.R01.S.doc Version 5.0 Page 13 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): 32, 34 & 35 Competent and qualified staff supports residents and appropriately trained staff meets their needs. The homes recruitment policy and practice’s protect residents. EVIDENCE: There is a good staff mix at the home and all staff are encouraged and supported to undertake NVQ training and they undertake induction training which is linked to NVQ in their first 4 weeks. Recruitment records were previously kept at head office but copies have now been produced and these are held at the home, it was noted that no all staff files had photographs and these are being forwarded to the home from head office. Staff at the home were up to date with training with regard to; moving and handling, medication, first aid, fire, health and safety, food hygiene, infection control, autism awareness, person centred planning and skip training. 102A Brockhurst Road DS0000028732.V272961.R01.S.doc Version 5.0 Page 14 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 & 42 Resident’s benefit from a well run home and the home seeks their views on how the home is meeting their needs. The health, safety and welfare of residents and staff are protected. EVIDENCE: The registered manager at the home has completed the registered managers award and has been running the home for the past 4 years. The views of residents are obtained through regular meetings and also surveys and review meetings. The manager carried out a quality audit of resident’s files and residents take part in a self-advocacy group, which is facilitated by the day service manager. The manager is fully aware of her responsibilities with regard to Health Safety and there is a risk assessment for the building and monitoring takes place. The fire logbook was inspected and all appropriate testing and checks have been recorded. 102A Brockhurst Road DS0000028732.V272961.R01.S.doc Version 5.0 Page 15 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 102A Brockhurst Road Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 x DS0000028732.V272961.R01.S.doc Version 5.0 Page 16 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 102A Brockhurst Road DS0000028732.V272961.R01.S.doc Version 5.0 Page 17 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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