Inspection on 22/12/05 for 110 Primley Park

This inspection was carried out on 22nd 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

110 Primley Park 25/04/07

110 Primley Park 08/06/05

110 Primley Park 11/03/05

110 Primley Park 04/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 110 Primley Park Paignton Devon TQ3 3JX Lead Inspector Doug Endean Unannounced Inspection 22nd December 2005 12:00 110 Primley Park DS0000018307.V265440.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 110 Primley Park DS0000018307.V265440.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. 110 Primley Park DS0000018307.V265440.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 110 Primley Park Address Paignton Devon TQ3 3JX 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) 01803 556319 Mr William Henderson Mr William Henderson Care Home 1 Category(ies) of Learning disability (1) registration, with number of places 110 Primley Park DS0000018307.V265440.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for maximum 1 LD Date of last inspection 8th June 2005 Brief Description of the Service: The service provides a home for one person with a Learning Disability. It is also the proprietors family home and is shared with his family who include the service user in all aspects of their family life such as entertainment, family holidays, eating out, shopping and how to be an individual in a family situation. This provides stability and values of a caring environment in the warmth of a family home where a consistent skilled approach has improved behaviour and wellbeing. The local community are also supportive to the home making them part of it in many ways. The home is, as one would expect of a family home, consisting of a lounge, kitchen diner and three bedrooms on a reverse level plan design. There is a large outside paved area plus a good-sized lawn. The elevated position offers a stimulating view of some of Paigntons suburbs. 110 Primley Park DS0000018307.V265440.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report should be read along side of the previous report in order to establish the homes performance against the National Minimum Standards during this inspection year. The previous inspection looked at all of the core National Minimum Standards for this age group of clients. This inspection has reviewed some of those standards and also looked at additional standards. This unannounced inspection took place at 12 midday on the 22nd December 2005 and lasted 2 hours. The Manager/owner of the home was there but the client was not as they were attending a day centre as part of a regular program. The inspection included discussion about progress, a tour of the home, and examination of some of the homes records although they were seen at the last inspection. The inspector also spoke with the Manager about the planned changes to the way inspections will be conducted from 2006 onwards. 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. 110 Primley Park DS0000018307.V265440.R01.S.doc Version 5.1 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 110 Primley Park DS0000018307.V265440.R01.S.doc Version 5.1 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): 4&5 There is a clear understanding by the Manager/owner regarding the extent that this registration will go. This is also in line with the contractual arrangements that have been agreed. EVIDENCE: This home has been set up for one resident with the view that it will be for as long as is possible to keep the arrangement going. The Manager/owner has no wish to increase the number of registered beds and it would not be physically possible. He also recognises that any such idea would be detrimental to the wellbeing of the resident living at the home. There is a contract in place that is with the local authority and includes all the term’s and conditions required by Care Homes Regulations and National Minimum Standards. 110 Primley Park DS0000018307.V265440.R01.S.doc Version 5.1 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): 8 & 10 The home includes the resident in all aspects of running gaining her views, permission and trust at each stage. The arrangements for confidentiality, both of written and known information, are understood. EVIDENCE: The resident is included in all aspects of the caring families life, being included in shopping trips, meals out in local restaurants, holidays abroad, and in the daily routine of running the household. The resident has their own private bedroom with their own property such as clothes and a CD player and CD’s, sharing the other areas of the home as a member of the family would. The Manager has taught and developed the resident’s social and practical skills to the point where they are included in most things such as holidays, visits from family to the home, her own and those of the Manager, and also the preparation of snacks and drinks, under supervision. All of the above is only carried out following discussions with the resident so that there is understanding of what is planned and there is opportunity to voice concerns if there are any. The resident is also a regular attendee to a day centre twice a week where there is the company of others outside the control of the home so as to meet the need for some independence, yet still being supervised for safety. 110 Primley Park DS0000018307.V265440.R01.S.doc Version 5.1 Page 9 The Manager and staff have a clear understanding of the Data Protection Act 1998 and its meaning with regard to confidentiality. The records are kept secure and not in a place where they are accessible to anyone visiting the home, remembering that this is a family home. They are added to only by those who may have access to them. The resident may not have a real understanding of the importance of confidentiality but does appear to know that the Manager acts with their best interests in mind. 110 Primley Park DS0000018307.V265440.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): 14 The range of leisure activities that the resident has access to is both appropriate for their entertainment value and are also therapeutic. EVIDENCE: The resident is involved in a range of leisure activities greater than those that would normally be open to a person of similar age due to the good management of the home and the extrovert family life style of those they live with. On a practical basis the resident attends a day centre twice a week mixing with friends who have similar needs. The resident enjoys meals out at lunch time and for the evening meal at local restaurants with the family. The resident has also has experienced a holiday abroad with the family and further holidays are being planned upon the success of the last one. Within the home the resident watches television and DVD’s with the rest of the family members and enjoys their company reporting this to the inspector when they spoke at length with him at the last inspection. 110 Primley Park DS0000018307.V265440.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): EVIDENCE: All these core standards were reported upon following the last inspection and therefore not fully inspected on this occasion. 110 Primley Park DS0000018307.V265440.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): EVIDENCE: All these core standards were reported upon following the last inspection and therefore not fully inspected on this occasion. 110 Primley Park DS0000018307.V265440.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): 24 The home provides an ideal environment for the resident to experience normal family life in an environment that is continually assessed for safety as the boundaries of their abilities are continually expanded. EVIDENCE: The home continues to provide a comfortable, well decorated and furnished environment that is continually risk assessed to also be a safe place for the resident and their carers to live. Copies of the risk assessments for the home and the activities that the resident is involved in were seen in the case records, including those that cover the preparation of a snack in the kitchen and the use of the bathroom. 110 Primley Park DS0000018307.V265440.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): 32 The home is staffed by competent people who are motivated towards providing an environment in which the resident can continually grow emotionally and experience a “normal” life style. EVIDENCE: The Manager and his staff, which includes a nurse registered in the field of Learning Disability, are skilled in the management of problems that do present at unpredictable periods. These skills have been acquired both through training as reported upon following the last inspection (Standard 35) and also through their career experiences working in the field of learning disability. The Manager has several valuable years experience of working with the resident whilst they were hospitalised and also twenty years of senior management experience where getting the best out of a workforce required strategies that are transferable to some degree to the care of this resident. There are procedures for understanding and dealing with aggression that the records show are successful in that situations do not escalate as they once would have. Where new situations have occurred new approaches are devised and the care plan is adjusted to meet the challenge. These changes are clearly recorded and dated and referenced in the daily records; reflective practice notes were also seen in the case records. The program of care includes others who have skills and professional qualifications such as the day care centre staff, the General Practitioner who reviews the resident on a quarterly basis as a requirement to review 110 Primley Park DS0000018307.V265440.R01.S.doc Version 5.1 Page 15 medication, the Consultant Psychiatrist maintains contact as necessary, and the Community Psychiatric Nurse’s who are contacted for advice when it is needed. Not all the staff have an National Vocational Qualification or professional qualification but they do achieve the outcomes required and in particular meet the needs of the resident for whom this service is registered for. 110 Primley Park DS0000018307.V265440.R01.S.doc Version 5.1 Page 16 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 The home is well run with the outcome being that the resident is an accepted as a member of the local community. EVIDENCE: The Manager has in excess of 20 years experience in business management and also several years experience in working in the area of learning disability before establishing this home which he has run for a number of years. The home was established with one objective, to meet the challenging needs of one resident following the closure of the hospital where they had lived for many years. This objective has been met, and continues to be met under the direction of the Registered Manager, who provides many of the one to one hours of care. The resident has clearly benefited from living in this well run home. 110 Primley Park DS0000018307.V265440.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X 4 X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 4 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X X X X X X 110 Primley Park DS0000018307.V265440.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? NO 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 110 Primley Park DS0000018307.V265440.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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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