Inspection on 08/06/05 for 110 Primley Park

This inspection was carried out on 8th June 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 22/12/05

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 110 Primley Park Paignton Devon TQ3 3JX Lead Inspector Douglas Endean Announced 8 June 2005 th 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 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 Stationary 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 D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 110 Primley Park Address 110 Primley Park, Paignton, Devon TQ3 3JX Telephone number Fax number Email 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 registration, with number of places 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. Registered for maximum 1 LD Date of last inspection 28/10/04 Brief Description of the Service: The service provides a home for one young lady with a Learning Disability. It is also the proprietor’s family home and is shared with his family who include the young lady 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 her with the stability and values of a caring environment in the warmth of a family home where a consistent skilled approach has improved her behaviour and wellbeing. The local community are also supportive to her and 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 Paignton’s suburbs. 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over a two-hour period with the one client being present and offering her opinion and comments freely throughout the inspection. Mr Henderson continues to maintain comprehensive care records that are up to date and informative. His administration and maintenance records are of the same standard. This home meets both its aims and objectives fully. What the service does well: What has improved since the last inspection? What they could do better: It would be difficult to think of a different approach that would have any greater benefit to the client involved than the one that has been adopted by this home. No Recommendations or Requirements have been made. 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 6 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 D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 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 standard(s) 1, 2 & 3. Standard 4 is not applicable. This home has competent staff who continuously assess each situation and use appropriate communication methods to record and inform the clients, and others, of the way forward. EVIDENCE: This home only has one client and does not intend to admit any others. The Manager (who is also the registered person) has one set of comprehensive records for the client that includes a multidisciplinary assessment at the time the placement was planned. There are also clear records of ongoing assessments that involve regular General Practitioner assessments, contact with the relevant health care professionals and day care. The rehabilitation needs of the client are assessed and managed by the home using other health care professionals in an appropriate way. There is also a care plan and evidence was seen that showed that it is reviewed on a regular basis. Clear statements regarding any restrictions to the clients movements, and agreements to this by the client and relevant individuals, are also held in the records. The manager has shown that the homes has the capacity to meet their clients assessed needs both in the outcomes that are recorded in the case file and in the way the client takes part in the every day life of the family and the community they have become a part of. This is intended to be a long-term placement. 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 9 The inspector saw that the home has a clear statement of purpose and copies of inspection reports that are available at all times to the client and others who may wish to read them. 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 10 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 standard(s) 6, 7 and 9 The carers have enabled the client to develop personal skills so that she can exercise choice and make decisions. EVIDENCE: The manager provided evidence that care plans are produced and that there are at least monthly reviews that do include the client. The care plans include social care and learning such as how to manage money and tell the time. The client told the inspector that the client does make decisions. The risk assessments in the case file provide evidence that the client’s safety is considered and supervision is always available. Everyday decisions such as what to wear and eat are made freely by the client. Any restrictions to the clients movements are clearly recorded and the client told the inspector that they had agreed to such restrictions. The client has a personal bank account and is helped to manage money. 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 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 standard(s) 11, 12, 13, 15, 16 & 17 The carers have provided the client with skills to facilitiate a reasonably independent life style as a member of the community but within safe parameters. EVIDENCE: The client attends day care twice a week and takes part in all normal family activities such as preparing food, shopping, going to the restaurant and on holiday. The client stated that each of these activities were enjoyable as they enabled her to meet friends and it is clear that this involves learning new skills. All activities are recorded in the case file along with outcomes. The client is integrated into family life at the home and records, as well as an account of events, are evidence that there is a good relationship with the local community. The home has transport that is necessary to take the client to appointments and places that are part of a continuous learning program. Evidence was seen that showed the transport is maintained and appropriately insured. 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 12 The client has a single bedroom within the household and shares other facilities as a member of the home moving freely within it, was noted to interact with members of the household and took an active part in this inspection. Meals are planned as in any normal household and the client takes part in the whole preparation arrangements from shopping to helping prepare meals under supervision. The general practitioner is involved on a regular basis in monitoring general health needs and there is evidence of regular monitoring of blood serum levels for medication that is being used by the client. A regular check is kept on weight gain/loss and records were seen in the case file. 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 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 standard(s) 18, 19 & 20 The health care arrangements are adequate and in proportion to the clients needs. Regular health monitoring is part of the care planning arrangements. EVIDENCE: The manager and other carers have clear guidelines, risk assessments and care plans that are followed, which allow the client to live as a part of the family and exercise personal choice with an acceptable degree of supervision and safety. There is no turnover of staff at this home with the majority of care and supervision being provided by the manager and his family. There is evidence that health care professionals such as the General Practitioner and Consultant are regularly involved in evaluating and advising on care issues on appointed occasions and also when asked to do so. Records of appointments and outcomes were seen in the case file. Medication reviews and blood tests are recorded as occurring at least every three months. The client manages personal care under the guidance and prompting from carers. This is recorded as part of the daily routine in the case file. Medication is stored and managed appropriately by the carers. The administration records were seen by the inspector to be satisfactory. The client is self medicating for which satisfactory arrangements are made. 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 14 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 standard(s) 22 & 23 There are clear arrangements in place for the protection of the client from abuse. EVIDENCE: The complaints procedure is clearly structured for the client to follow and always available. The client was able to tell the inspector who to talk to or raise concerns with if there was cause. The home have their own copy of the “Alerters Guide” and also have evidence of in house training using the POVA DVD supplied by the local authority. The client is given the opportunity to raise complaints also when attending day care and appointments with other health care professionals. The Commission has had no complaints about this service. The manager has robust procedures that have been used when recruiting staff including a Criminal Records Bureau check. The arrangements for safe management of the client’s financial affairs were seen by the inspector and found to be satisfactory. 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 15 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 standard(s) 24, 25, 26, 27, 28 & 30. Standard 29 is not applicable. The environment is suitable in what it provides in terms of facilities, and beneficial in that it provides a home for the client that can be described as such. EVIDENCE: The client lives in a registered care home that is actually a three bed roomed reverse level domestic house in a suburb close to the town of Paignton. The home is clean and well decorated. It has modern furnishing’s in all rooms and is well maintained. The manager produced records of maintenance of such items as electrical equipment during the inspection. The client has a single bedroom that looks out onto a large garden to the rear of the property. The client stated that they are happy with her choice of room and it is comfortable. The room is adequately furnished and contains personal items such as a CD player for entertainment. The client has full access to all parts of the home and there are risk assessments or care plans that cover such things as preparing snacks in the kitchen to managing personal care in the bathroom. 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 16 There is no lock to the bedroom door for good medical reasons and were seen to be recorded in the case file. The client also stated that there was not a lock on the bedroom door. The outside area provides a sitting area at the front of the house and a barbeque area and garden to the rear all of which are used by the client. The client requires no specialist equipment. The laundry facilities are as with any other domestic dwelling, an automatic washing machine plumbed in and found in the kitchen. This is adequate for the needs of the client and the household. 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 & 35 The carers support each other in an effective way that enables issues to be considered and dealt with effectively. EVIDENCE: There are clear recruitment procedures to follow should it be necessary to employ new staff. The procedure includes the taking of references and a Criminal Records Bureau check. There has been no turnover of staff for several years. The manager and his family are the main carers. Two other staff members provide occasionally cover should it be needed and they are suitably qualified and experienced to be able to follow the care plans, and they are well known to the client. There is a ratio of at least one to one at all times. The manager can show that he has maintained life long learning in areas that are directly in line with the roles he plays in the home. More recent training has included First Aid, Total Communication, Challenging Behaviour and Essential Food hygiene. He has also provided evidence that the other carers have been involved in training such as the protection of vulnerable adults provided in house. The care is provided in an environment that allows for support and supervision to take place at all times as the carers meet together as a family each day. 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 18 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39, 40, 41, 42 &43 The experienced manager and carers conduct the activities of the home in a homely manner that benefits the client and a business manner that meets with legislator requirements. EVIDENCE: The manager lead’s his small team in an effective and informed way through the use of good verbal communication and good records including the care plans and daily records that were seen by the inspector during this inspection. Given the size of the home the records and policies & procedures are of a very high standard and focused on the job in hand. The quality assurance is provided on a daily basis by the client who will make views and wishes known, this was the case with the inspector during the inspection - of which they played an important part in. Further monitoring is carried out by the manager who produces a quarterly report for the health care professional involved with the client. The inspector read the last quarterly report and found it to be informative. 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 20 There were records shown to the inspector that provided evidence that the home is run efficiently, care records and maintenance records, and that risks to the client have been assessed and minimised as far as possible both inside the home and when she is out in the community. 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 N/A x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 x 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 N/A 3 Standard No 11 12 13 14 15 16 17 4 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 110 Primley Park Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 3 3 3 x D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 22 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. 1. 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. 1. Refer to Standard Good Practice Recommendations 110 Primley Park D54-D07 S18307 110 Primley Park V222068 080605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 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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