Inspection on 13/01/06 for 109 Higham Road

This inspection was carried out on 13th January 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

109 Higham Road 21/01/09

109 Higham Road 15/01/08

109 Higham Road 05/03/07

109 Higham Road 26/04/05

109 Higham Road 12/10/04

109 Higham Road 05/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Higham Road, 109 109 Higham Road Rushden Northants NN8 3AA Lead Inspector Patrick Toner Unannounced Inspection 13th January 2006 08:10 Higham Road, 109 DS0000012808.V274425.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 Higham Road, 109 DS0000012808.V274425.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. Higham Road, 109 DS0000012808.V274425.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Higham Road, 109 Address 109 Higham Road Rushden Northants NN8 3AA 01933 358429 01933 358606 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) www.caremanagementgroup.com Care Management Group Limited Mrs Hilary Jennifer Watt Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Higham Road, 109 DS0000012808.V274425.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include 2 service users over the age of 65 years LD(E) Date of last inspection 26th April 2005 Brief Description of the Service: 109 Higham Road is a care home providing accommodation and personal care for six adults with a learning disability, owned by Care Management Group Ltd. It is situated close to Rushden and to Higham Ferrers town centres and is in close proximity to all local amenities, with good transport links by bus to Wellingborough and Northampton.Higham Road is a detached house in a residential street with a pleasant rear garden. All residents are accommodated in single bed rooms. Communal areas consist of a lounge, a pleasent dining room overlooking the garden, and a kitchen.The garden is enclosed and used during the summer for barbecues and other outside activities. Higham Road, 109 DS0000012808.V274425.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection began at approximately 08 10 a.m. and lasted approximately 2 hours; the home is registered for six residents and there are no vacancies at the present time. The registered manager Mrs Hilary Watts was not available during the inspection visit however there were two staff on duty providing appropriate care for the residents. This inspection consisted of individual discussions with some of the residents, discussions with both members of staff a tour of the home, a review of some records including the case file for one resident who had discussions with the inspector. At the time of the visit one resident had already left the home for a day-care placement. What the service does well: Higham House operates as a family home and a number of the residents have been accommodated there for quite some time. In discussions it was confirmed by residents they are able to contribute to the running of the home via directly approaching staff and through structured meetings. The décor of the social spaces is of a reasonable standard and those residents bedrooms which were seen have been personalised to reflect the residents interests. There was little tension in the home prior to residents departing for day-care activities and ample time for residents to watch television and have a leisurely breakfast. Staff on duty had a good rapport with individual residents and were able to speak with authority about their individual care needs and routines. A new member of staff confirmed she has been given access to appropriate training and hopes to develop a career within the company. In discussions one resident confirmed the Christmas and New Year period had gone well and he had enjoyed contact with his family. A review of records showed that this resident in particular has been in the home for a long period of time and although settled will sometimes says he does not wish to be there. A review of the residents filed showed he had expressed a strong view to remain in the home. Higham Road, 109 DS0000012808.V274425.R01.S.doc Version 5.1 Page 6 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. Higham Road, 109 DS0000012808.V274425.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 Higham Road, 109 DS0000012808.V274425.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): These standards were not assessed during this inspection visit. EVIDENCE: Higham Road, 109 DS0000012808.V274425.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): 7 The home responds to individual needs and offers residents choices. EVIDENCE: From discussions with one resident in particular it was clear he has developed a lifestyle and routines to his liking, he confirmed he is offered choice though sometimes needs the assistance of staff to make meaningful decisions. Most residents are able to access community transport independently however the home also supports transport/communication by providing its own minibus. Higham Road, 109 DS0000012808.V274425.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): 12,16 Residents are able to maintain individual lifestyles. EVIDENCE: From discussions with two residents it was clear they have each developed unique lifestyles, which reflects their interests and enables them to engage in community activities. A review of records for one resident in particular including the outcomes of a recent review demonstrated the resident is able to exercise his rights and is able to engage in attendance at advocacy services including people first. Higham Road, 109 DS0000012808.V274425.R01.S.doc Version 5.1 Page 11 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 The home provides individual assistance for residents in relation to health care and personal care support. EVIDENCE: A review of a residents medication profile demonstrated the home has responded to the risk factors identified early in the year and shared with health care professionals, there was appropriate recording, administration and ongoing review of the effects of the changed medication regime. Higham Road, 109 DS0000012808.V274425.R01.S.doc Version 5.1 Page 12 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): These standards were not assessed during this inspection visit. EVIDENCE: Higham Road, 109 DS0000012808.V274425.R01.S.doc Version 5.1 Page 13 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): These standards were not assessed during this inspection visit. EVIDENCE: Higham Road, 109 DS0000012808.V274425.R01.S.doc Version 5.1 Page 14 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): These standards were not assessed during this inspection visit. EVIDENCE: Higham Road, 109 DS0000012808.V274425.R01.S.doc Version 5.1 Page 15 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): 39 the home is properly managed. EVIDENCE: In discussions, residents were keen to stress that this is their home and they are fully able to contribute to the development of their care. Residents clearly had confidence in the staff on duty and were able to approach them for support or general conversation. Staff treated residents with respect and tolerance, allowing time for responses and anticipating possible problems depending on residents changing mood this enabled residents to remain calm and relaxed. Higham Road, 109 DS0000012808.V274425.R01.S.doc Version 5.1 Page 16 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 x 1 x 2 x 3 x 4 x 5 INDIVIDUAL NEEDS AND CHOICES Standard No Score x 6 7 3 x 8 x 9 x 10 LIFESTYLES Standard No Score x 11 12 3 x 13 x 14 x 15 16 3 17 x CONCERNS AND COMPLAINTS Standard No Score x 22 x 23 ENVIRONMENT Standard No Score x 24 x 25 x 26 x 27 x 28 x 29 x 30 STAFFING Standard No Score x 31 x 32 x 33 x 34 x 35 x 36 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x PERSONAL AND HEALTHCARE SUPPORT Standard No Score x 18 x 19 20 3 x 21 3 x x x x Higham Road, 109 DS0000012808.V274425.R01.S.doc Version 5.1 Page 17 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 Higham Road, 109 DS0000012808.V274425.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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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