Inspection on 17/10/08 for 105 Water Lane

This inspection was carried out on 17th October 2008.

CSCI found this care home to be providing an Good service.

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.

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Extracts from inspection reports are licensed from CQC, this page was updated on 05/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 105 Water Lane 105 Water Lane Totton Southampton Hampshire SO40 3GT     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Craig Willis     Date: 1 7 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 25 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 25 Information about the care home Name of care home: Address: 105 Water Lane 105 Water Lane Totton Southampton Hampshire SO40 3GT 02084296797 02084296794 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Integra Care Homes Ltd care home 12 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability Additional conditions: The maximum number of service users to be accommodated is 12. The registered person may provide the following category/ies of service only: Care home only ? (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) Date of last inspection Brief description of the care home 105 Water Lane is registered to provide care and accommodation for up to twelve people with a learning disability and is operated by Integra Care Homes Limited. The home is divided into two houses, with a connecting office. The home is situated in a residential area approximately half a mile from Totton town centre and has access to local transport, recreational and health care facilities. The current range of fees for a place in the home is 513 to 668 pounds per week. 12 Over 65 0 Care Homes for Adults (18-65 years) Page 4 of 25 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: The evidence used to write this report was gained from a review of the information the provider sent to us since they were registered. This information included incident reports and an annual quality assurance assessment. A site visit was made to the home on 17 October 2008. During the visit we spoke with five people who live in the home, two members of staff and the manager. The communal areas of the building were viewed and documents relating to the running of the home were inspected. We received surveys from eight people who live in the home. Care Homes for Adults (18-65 years) Page 5 of 25 What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 6 of 25 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 7 of 25 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good systems to assess peoples needs before they move into the home. This reassures people that the home will be able to meet their needs. Evidence: The manager reported that no-one has moved into the service since it was taken over by the new provider. The records of three people who live in the home were inspected during the visit, including the person who moved in most recently. Each person had a comprehensive assessment of their needs that was completed before they moved into the home. These assessments are regularly reviewed to ensure that they remain accurate. In addition to these assessments, a copy of the care management assessment was also available. There is a transition programme developed when people move into the home. This is designed to support the move to go smoothly and ensure that the person has the support they need to make the move. Care Homes for Adults (18-65 years) Page 8 of 25 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good care planning and risk assessment systems, which involve people in making descisions about their lives. The plans help staff to provide the support that people need. Evidence: The records of three people who live in the home were inspected during the visit. People had a care and support plan, which set out how their assessed needs should be met. The plans seen contained detailed inforomation about how staff should provide support to meet peoples needs and aspirations. Plans are regularly reviewed and there was evidence that plans have been amended where peoples needs have changed. People who live in the home are involved in the process of developing and reviewing their plans and they are able to invite other people to planning meetings for support. Staff spoken with said they receive up to date and accurate information about peoples needs. Details of how people should be supported to make decisions are set out in the care Care Homes for Adults (18-65 years) Page 9 of 25 Evidence: and support plans. Eight people who live in the home completed a survey for us; all said they were able to make decisions about what they do each day. This was also reported by people spoken with during the visit. Risk assessments have been completed for all people living in the home and include clear information about how to minimise the identified hazards. These assessments are regularly reviewed and have been amended where assessed as necessary. Staff spoken with demonstrated a good understanding on peoples needs and the importance of supporting people to make decisions about their lives. Care Homes for Adults (18-65 years) Page 10 of 25 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides good support for people to take part in a range of activities, to maintain contact with family and friends and to plan a healthy diet. Evidence: People are supported to take part in a variety of activities including voluntary work, attending a training centre, college courses and participating in sports including swimming, sailing, tennis and snooker. People have an individual programme of activities, which is based on their needs and wishes. People are supported to maintain contact with family and friends and some people choose to attend a local church. People are supported to plan a meal each week and prepare it for everyone else living in the home, with support from staff. Support is provided to ensure the menu for the week provides a balanced diet. People spoken with said they liked cooking for each other and confirmed they could have something different if they did not like what had Care Homes for Adults (18-65 years) Page 11 of 25 Evidence: been planned. Care Homes for Adults (18-65 years) Page 12 of 25 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples personal and healthcare is well met by staff who know their needs. There are good systems to safely store and administer peoples medication. Evidence: Care plans contain details of the personal care support people need and how it should be provided. Eight people who live in the home completed a survey for us; all said staff always treat them well and always listen to them and act on what they say. People are supported to attend a range of health services including, GP, dentist, optician, audiologist and community psychiatric nurse. Details of consultations are recorded and include any advice given by the practitioner. People living in the home have been supported to complete a health action plan. This assesses the health services they are receiving and whether any additional health services are needed. Medication is stored in a locked cabinet in the office and most tablets are supplied in blister packs. A record is kept of medication coming into the home and returned to the pharmacist for disposal. The medication adminstration record for the current month was inspected and had been fully completed. This gives a record of all medication administered to people. One person is currently prescribed a controlled drug. This Care Homes for Adults (18-65 years) Page 13 of 25 Evidence: medication had been recorded by two members of staff and the recorded balance matched the tablets held. The regulations regarding storage of controlled drugs in care homes has recently changed and the home was aware of this. A specific controlled drugs cabinet and controlled drugs register had been ordered and the manager expected it to be fitted within the following month. The paperwork relating to this order was seen during the visit. All staff supporting people with their medication have completed training. Care Homes for Adults (18-65 years) Page 14 of 25 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are good systems for dealing with complaints and responding to allegations of abuse. This gives people confidence that any complaints will be taken seriously and responded to. Evidence: The home has a complaints procedure which has been supplied to all people living in the home and their representatives. The provider reported that they planned to produce this procedure in a pictorial format to help people understand it. Eight people who live in the home completed a survey for us; all said they know who to talk to if they are not happy and how to make a complaint. People spoken with during the visit said they were confident any complaints would be taken seriously and investigated. The provider reported that they have not received any complaints since they took over the running of the service. We have not received any complaints about the home since the new provider was registered. Staff have completed training in keeping people safe from abuse. Staff spoken with demonstrated a good understanding of the action they should take if abuse is witnessed, reported or suspected. There is a policy and procedure on keeping people safe and preventing abuse. The money held on behalf of two people who live in the home was inspected during the visit. For both people the cash held matched the balance recorded and there were receipts available of expenditure. One persons bank statements matched withdrawals Care Homes for Adults (18-65 years) Page 15 of 25 Evidence: that were recorded, although they had not received any bank statements for their account for three months. This meant that more recent withdrawals that had been recorded could not be checked with the bank statement. The manager agreed to look at implementing changes to ensure withdrawals could be more closely checked and monitored. Care Homes for Adults (18-65 years) Page 16 of 25 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well maintained and provides a clean, comfortable and safe environment for people. Evidence: All of the homes communal areas were viewed during the visit. The home is divided into two areas, with a connecting office in the middle. Each area has a lounge, kitchen, dining area and a bathroom. One of the bedrooms was originally a shared room, but is currently being used as a single and the manager reported there were no plans to use it as a shared room again. The garage has been converted into a games room, with a pool table and computer games console. There is a conservatory area between the two houses which has been used to display art work people have completed. The home is well maintained, with domestic furniture and fittings. Eight people who live in the home completed a survey for us; all said the home was always clean and fresh. There are two utility rooms off each kitchen which are fitted with domestic laundry machines. There are procedures in place to prevent laundry being taken through the kitchen whilst food is being prepared or eaten. The home is clean throughout and hand washing facilities are suitably situated in the kitchens, utility rooms, toilets and bathrooms. Care Homes for Adults (18-65 years) Page 17 of 25 Care Homes for Adults (18-65 years) Page 18 of 25 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff are thoroughly checked before they work in the home and are well trained. This helps to keep people safe and ensure staff have the skills and knowledge to meet their needs. Evidence: The provider reported that four of the six permanent staff have completed the National Vocational Qualification at level 2 or above. Staff members were observed spending time listening to people and responding to requests for support. Staff spoken with said they felt there were enough staff on each shift to provide the support people need. The provider reported that all staff who work in the home have had satisfactory preemployment checks. The files of two new members of staff were inspected and demonstrated that they had either a full criminal records bureau disclosure or a protection of vulnerable adults list check and were working under supervision. The files also contained two written references, a full work history and identification checks. The home has an on-going training programme and staff spoken with said they received good training which helps them to meet peoples needs. Staff training records indicated people have received an induction and courses including first aid, manual handling, medication, fire safety, infection control, food hygiene, epilepsy, safeguarding people from abuse, autism, communication and person centred planning. Care Homes for Adults (18-65 years) Page 19 of 25 Care Homes for Adults (18-65 years) Page 20 of 25 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed, safe and the views of people who live there are used to plan improvements. Evidence: The manager reported that she is waiting for supporting information to be returned before she submits a registration application to us. This was discussed during the visit and the manager agreed to ensure this application was submitted as soon as possible. Staff spoken with said they thought the manager was very supportive. Staff also reported that they received good support from the provider and the operations manager for the company. The manager has worked at the home for a number of years as the deputy and reported that she is due to start her National Vocational Qualification at level 4 in management in November 2008. The operations manager visits the home each month and completes an assessment of the service being provided. A report of these visits is sent to the manager and provider and includes any actions that are required as well as a follow up on actions required in the previous report. A survey is completed of people who live in the home and their Care Homes for Adults (18-65 years) Page 21 of 25 Evidence: relatives. The results of the surveys and other audits that are completed are used to write an annual development plan. Records of the servicing and testing of fire alarm system and extinguishers, gas system and portable electrical appliances were inspected and were up to date. Care Homes for Adults (18-65 years) Page 22 of 25 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 23 of 25 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 24 of 25 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 25 of 25 - 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!