Inspection on 31/10/06 for 102B Brockhurst Road

This inspection was carried out on 31st October 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

102B Brockhurst Road 24/10/07

102B Brockhurst Road 13/12/05

102B Brockhurst Road 19/07/05

102B Brockhurst Road 02/02/05

102B Brockhurst Road 03/08/04

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 102B Brockhurst Road Gosport Hampshire PO12 3DG Lead Inspector Mr Ian Craig Unannounced Inspection 31st October 2006 11:30 102B Brockhurst Road DS0000029248.V321859.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 102B Brockhurst Road DS0000029248.V321859.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. 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 102B 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) 023 9258 0607 Hampshire Autistic Society Miss Kerrie Louisa Clark Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2005 Brief Description of the Service: 102B 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. Contractual placement at home includes the provision of 35 hours per week day care at a centre run by Hampshire Autistic Society. The home was purpose built approximately 2 years ago and meets all of the national minimum standards with regard to the physical environment. The home’s fees range from £1280.00 to £1323.00 a week. 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection consisted of a tour of the home, observation of staff and residents, an interview with one staff member and an interview with a resident. Discussions also took place with a representative of the management team who assisted with the inspection. Records and documents were also examined. What the service does well: What has improved since the last inspection? The home continues to review and develop its performance. 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 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. 102B Brockhurst Road DS0000029248.V321859.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 102B Brockhurst Road DS0000029248.V321859.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 4 and 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Procedures and policies are in place so that both service users and the home agree that the placement will meet the person’s needs. EVIDENCE: The home has not recently admitted any new residents, so assessment of the above standards was based on conversations with the senior member of staff on duty, and on information provided by a service user. An initial assessment is carried out by the service of any person referred for possible admission. Information and assessment documents are also obtained from the referring social services department. Prospective residents are able to visit the home and join the other residents for meals before deciding if the placement is suitable for their needs. This can also involve an overnight or weekend stay. Each resident has a contract which specifies the cost and service provided by the home. 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 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): 6, 7, 8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service user’s needs are detailed in care plans and are of a good standard with one exception. There are opportunities for residents to involve themselves in the running of the home, although there is scope for this to be developed further. EVIDENCE: Assessments and care plans were examined for two of the three residents. These are generally comprehensive covering social and leisure needs as well as personal and health care. Plans are recorded outlining how individuals can develop independent living skills. Residents’ sign their care plans and have copies in their rooms. Risk assessments are carried out where there may be an element of risk for specific activities. A resident described how he was able to take part in certain activities as staff provided him with support e.g. a holiday abroad. Assessments and care plans also cover relevant behaviour needs and detail guidance on how staff should deal with these. Monitoring forms are also used 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 10 and the records show that staff use their knowledge and skills to deal effectively with recognised behaviour requiring specific intervention. For one recognised need, the care plan needed to be recorded in greater detail to show how staff should intervene where there was physical contact. Care plans are reviewed on a monthly basis so that changing needs can be reassessed and care plans revised. There are opportunities for residents to contribute to the running of the home. Residents’ meetings take place every 2 weeks and a resident confirmed that relevant matters are discussed, such as future outings and the menu plan. Staff were said to be approachable and receptive to suggestions from the residents regarding any improvements. Residents have individual sessions with their allocated key worker, which is recorded; this allows the service user time to express him/herself. The participation of residents in aspects of running the home should be developed. 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 11 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): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users are supported to develop independent living skills and have access to a range of social, recreational, educational and occupational activities. EVIDENCE: Residents were observed making meals and preparing for a Halloween party. Care plans detail independent living programmes. A resident confirmed that he is supported by staff to attend purposeful activities and college courses, which have allowed him to develop skills in upholstery and furniture restoration. He also referred to his independent living programme. Part of the contractual price includes attendance at a day centre also run by Hampshire Autistic Society. Records show that each person has the opportunity of a holiday each year. Staff support is provided according to the person’s needs. Recent holidays for residents included a trip to Prague for one resident accompanied by two staff, a day trip to France and a week’s holiday in Weymouth. Other leisure activities 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 12 are also pursued and residents have evenings out at the pub and the cinema. At the time of the inspection, two residents returned from the local library. Access to community facilities is promoted, including making use of local shops. Records are maintained to show that residents maintain contact with their families and friends. The residents are able to use a computer provided by the home, which includes the use of the internet. It would be beneficial if residents were able to have an e mail account. The home has a menu plan, which is devised in conjunction with the residents. This showed a varied and nutritious diet. Fresh fruit was available for the residents. 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 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): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents’ personal and health care needs are met. EVIDENCE: Each resident’s personal and health care needs are recorded including guidance for staff in ensuring that these needs are met. These include detailed plans for oral hygiene and personal care. Records also showed that each resident has regular appointments with the dentist, optician and other medical professionals. Health checks are carried out at a local “Well Man Clinic”; the inspector viewed this as an example of good practice. A resident described how he is able to seek support from staff when he needs emotional support. Procedures for safekeeping, recording and administration of medication were found to be satisfactory. Care plans give details of when medication ‘as required’ should be administered. Staff receive ‘in house’ training in medication procedures from a staff member from the Hampshire Autistic Society. The local supplying pharmacist also advises staff in medication procedures. Whilst medication procedures meet the standards, ‘outside’ training input (such as from a college) to the Society’s trainers would enhance the knowledge base 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 14 and understanding of more recent developments in medication procedures for vulnerable adults. 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 15 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): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are supported to express their views including when making complaints. There are procedures to safeguard residents including their finances. EVIDENCE: The complaints procedure is widely available to residents. A logbook is used to record any complaints made, as well as the outcome of any complaint investigation. A service user described how he was supported when making a complaint. Staff receive training in adult protection and copies of the local authority adult protection procedures were available. A staff member interviewed on the day of the inspection demonstrated an approach to adults with a learning disability that reflected the promotion of rights and independence of those with a learning disability. Training is provided for staff in dealing with possible physical intervention, entitled, Strategies for Crisis Intervention Prevention (SCIP), which is accredited by the British Institute of Learning Disability (BILD). Details of resident’s needs in this area are referred to in care plans and is assessed in the Individual Needs and Choices section of this report. There are procedures for safeguarding residents’ finances. The home assists those who need help and this includes maintaining records of any amounts being held by the home, and of any amounts withdrawn for use by the resident or deposited for safekeeping. 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 16 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 17 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, 25, 26, 27, 28 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users benefit from a generally well maintained, clean and homely environment. EVIDENCE: A resident described how much he likes the home’s interior facilities as well as the rear garden. All bedrooms are single and have an en suite bathroom with a shower, wash hand basin and toilet. Residents have personalised their rooms. One resident showed the inspector his room, which had a number of items related to his hobbies. The room was due to have replacement furniture installed. Communal areas consist of the lounge and dining room. These are generally well decorated although a number of areas were beginning to show signs of wear and tear. In addition to the en suite bathroom there is a shared bathroom with a bath on the first floor and a toilet on the ground floor. The ground floor toilet was in 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 18 need of attention as the toilet seat was missing, the floor covering was stained, the walls were marked and there was no towel. 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 19 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, 33, 34, 35 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. Residents benefit from a well trained staff team, although staff have not had opportunities to attain formal qualifications. Staffing levels have been below the level deemed necessary to meet the needs of the residents. Recruitment procedures protect the residents, although this could not be verified for some staff. EVIDENCE: Staff have access to a variety of training courses, including report writing, first aid, Strategies for Crisis Intervention Prevention (SCIP) and food hygiene. A staff member confirmed that he has access to training courses, and records confirmed the provision of 10 days of training this year. It was unclear how the home intends to meet the target that 50 of staff should be trained to NVQ 2 or 3 (or its equivalent) by 2005. At the time of the inspection none of the staff had attained this qualification. The home’s management confirmed that 3 staff “are working towards NVQ 2,” and “1 is working towards NVQ 3.” Two new staff were due to commence work in the home following the return of satisfactory personnel checks. In the meantime the home used staff from its own pool of relief staff to cover these vacancies. There had been one occasion where the staffing numbers had fallen to just one person on duty,when the home’s own assessment is that 2 staff are necessary to meet the needs of the residents. This was an exception, and a risk assessment and plan of support 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 20 had been devised to ensure that residents are adequately supported. A resident also commented that there had been a lack of continuity in the staffing of the home, but did not feel that this had a detrimental effect on the service provided. Whilst this standard has been scored ‘2’ a requirement or recommendation has not been made as the home has taken steps to recruit new staff. Staff reported a good working morale and that the organisation provides a support line for both work related and personal issues. Records of supervision of individual staff are maintained and a staff member confirmed that there is formal supervision each month. Staff meetings are held on a regular basis. A staff member confirmed that when he started work there was a period of induction, which included a 4 week period where he was supernumerary to the staff team numbers whom he shadowed. 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 21 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Service users benefit from a well run home and are able to express their views. The home needs to develop its quality assurance practice in order to benefit service users The health and safety of residents is promoted. EVIDENCE: The manager is qualified at NVQ level 4 in management and has the Registered Manager’s Award. There are a number of methods used to monitor the performance of the home including monthly visits by a representative of the organisation when an audit is carried out and a report produced. An annual development plan was displayed in the office, which included, “to carry out an internal audit.” It was unclear if this had taken place. There was also a lack of clarity regarding whether or not service users’ (and their representatives) views had been sought as part of an evaluation of the home. From the evidence available it 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 22 was clear that the home is still at the implementation stage regarding a quality assurance system. Staff receive training in first aid and food hygiene. Service documents show that the home’s equipment and appliances are regularly serviced by qualified personnel. The fire logbook showed that fire safety precautions are carried out. 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 23 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 3 5 3 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 3 26 3 27 2 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 2 33 2 34 2 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 2 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 24 N/A 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. 1 Standard YA6 Regulation 15 Requirement Care plans must detail how staff deal with specific behaviours of residents, especially where this involves a pattern of physical contact. The following areas of the ground floor toilet must be addressed: • Lack of toilet seat • Lack of towel • Discoloured flooring • Marks on walls A record of the recruitment checks for all staff must be available in the home in accordance with the Commission guidance. Timescale for action 31/12/06 2 YA27 23 31/01/07 3 YA34 19 31/01/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 102B Brockhurst Road Refer to Standard YA8 Good Practice Recommendations The home should develop opportunities for service users to participate in various aspects of the home’s operation. DS0000029248.V321859.R01.S.doc Version 5.2 Page 25 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 102B Brockhurst Road DS0000029248.V321859.R01.S.doc Version 5.2 Page 26 - 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!