Inspection on 24/06/05 for 110a-c West Street

This inspection was carried out on 24th 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

110a-c West Street 19/10/07

110a-c West Street 17/10/05

110a-c West Street 07/10/05

110a-c West Street 01/11/04

110a-c West Street 11/05/04

110a-c West Street 12/06/03

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

CARE HOME ADULTS 18-65 1110a-c West Street Havant Hampshire PO9 1LN Lead Inspector Nick Morrison Unannounced 24 June 2005, 10:00 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. 1110a-c West Street H54 S40862 110a-c West Street V234769 240605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 110a-c West Street Address Havant Hampshire PO9 1LN 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) 023 9249 8333 Hampshire County Council Sarah Elizabeth Cruickshank Care Home 17 Category(ies) of Learning Disability - LD - 17 registration, with number of places 1110a-c West Street H54 S40862 110a-c West Street V234769 240605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Up to 17 male and female service users in the LD category may be accommodated at any one time. Date of last inspection 1.11.04 Brief Description of the Service: 110 (a-c) West Street is a purpose built group of three housing units located in a residential area close to the centre of Havant. The premises are owned by Hampshire County Council; and the range of services, long-stay residential care and short-term respite and emergency, are managed by one manager. There is a central administration unit.110 (a-b) are both long-stay residential units for up to five service users with learning disabilities. 110c provides a respite and emergency service for up to seven service users. This includes a bed-sit that is used for accommodating and supporting individual service users who are preparing to move on to more independent living arrangements. The aim of the service is to support service users in working towards a more independent lifestyle. 1110a-c West Street H54 S40862 110a-c West Street V234769 240605 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 at 9.30am and lasted for five hours. During this time the inspector toured the premises, spoke with the Manager, staff and service users and looked at relevant records. What the service does well: What has improved since the last inspection? What they could do better: The Manager is planning to consolidate the Person Centred Planning system and to develop the service in response to individual plans and needs of service users. 1110a-c West Street H54 S40862 110a-c West Street V234769 240605 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. 1110a-c West Street H54 S40862 110a-c West Street V234769 240605 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 1110a-c West Street H54 S40862 110a-c West Street V234769 240605 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 and 2 Service users have the information they need about the service and benefit from detailed assessments of need. EVIDENCE: The home has a Statement of Purpose, Service User guide, Terms & Conditions of residence and a Charter of Rights in place, all of which are being redeveloped so that they will appear in formats more easily understood by people who use the service and prospective service users. All service users had a Care Management Assessment in place and these were supplemented by the home’s own assessment and planning system. 1110a-c West Street H54 S40862 110a-c West Street V234769 240605 Stage 4.doc Version 1.30 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 standard(s) 6, 7 and 9 Service users benefit from being fully involved in devising their own plans and were supported to make decisions about their lives. EVIDENCE: Service users spoken with were aware of the Care Plans in place for them and had been involved in devising them. Staff in the home had had training in Person Centred Planning and service users had been involved in the training too. Plans seen reflected the aspirations of service users and were written clearly and could be followed easily. Service users spoken with were confident that they were able to make their own decisions about their own lives. They were also aware of the limits of the options available to them and confident that staff would support them with the decisions they made. Risk assessments relevant to the aspirations of service users were in place and were clearly written. Service users spoken with were clear that they had been involved in devising the risk assessments and were involved in reviewing them regularly. Records were kept to demonstrate that the assessments were kept under regular review. 1110a-c West Street H54 S40862 110a-c West Street V234769 240605 Stage 4.doc Version 1.30 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 standard(s) 12, 13 and 16 Service users are supported to be part of the community and to be involved in appropriate activities. EVIDENCE: Service users used a variety of different day service opportunities and were also supported to make use of local facilities. Activities were planned in response to the needs and wishes of service users, including regular local activities and occasional days out to places of interest. The home kept good records of the activities service users were involved with. Staff supported service users to be part of the local community and to be aware of what events were happening locally. At the time of inspection plans were being made to involve service users in the local Trafalgar Day celebrations. 1110a-c West Street H54 S40862 110a-c West Street V234769 240605 Stage 4.doc Version 1.30 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 standard(s) 19 and 20 Service users had their needs met and benefited from good medication policies and practices within the home. EVIDENCE: Records on service users’ files demonstrated that all healthcare appointments were arranged and that staff supported service users to attend them. Records were kept of what action was necessary as a result of appointments and staff in the home followed these up. The home has a good medication policy in place. All medication in the home was stored appropriately and good records were kept of all medication administered. Where service users administered their own medication there were risk assessments in place to ensure that this was done as safely as possible. 1110a-c West Street H54 S40862 110a-c West Street V234769 240605 Stage 4.doc Version 1.30 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 standard(s) 22 and 23 Service users were confident their views would be listened to and felt safe in the home. EVIDENCE: The home kept good, comprehensive records of any complaints made and responded to them appropriately in a timely manner. Service users spoken with were clear about how to make a complaint and appeared confident that staff would respond to them appropriately. The home tracked concerns in the same way it tracked complaints and was responsive to all issues raised by service users. Staff had received training in the protection of vulnerable adults and the manager was clear about how to respond to issues of suspected abuse. Staff demonstrated a very positive attitude towards people who used the service. Service users were confident in the staff and felt safe in the home. 1110a-c West Street H54 S40862 110a-c West Street V234769 240605 Stage 4.doc Version 1.30 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 standard(s) 24 and 30 Service users benefit from a homely, safe and comfortable home. EVIDENCE: Each service user has their own room. The houses were spacious and comfortable throughout and were kept safe and secure. The buildings are close to local facilities and accessible to all service users. All furniture and fittings were of good quality. The home has cleaning policies and schedules in place, which ensure the building is clean and hygienic whilst remaining comfortable and homely. 1110a-c West Street H54 S40862 110a-c West Street V234769 240605 Stage 4.doc Version 1.30 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 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 and 35 Service users are supported by an effective and well-trained staff team. EVIDENCE: There are thirteen staff across the three houses and they are supported by the Manager, Deputy Manager and Administrative Assistant. Each member of staff works predominantly in one house to ensure continuity of care, but occasionally cover one of the other houses during staff absences. The staff files seen demonstrated that appropriate recruitment procedures were followed and that all necessary checks, such as Criminal Records Bureau and references, were made on new members of staff prior to them beginning work in the home. Each member of staff had a Personal Development Plan, which included an identification of their training needs. The organisation provides a wide range of staff training opportunities and staff in the home were able to take advantage of this. Training records in the home showed that staff had received regular training relevant to their work. 1110a-c West Street H54 S40862 110a-c West Street V234769 240605 Stage 4.doc Version 1.30 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 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) 37 and 42 Service users benefit from living in a well managed and safe environment. EVIDENCE: The manger of the home has considerable skills and experience and has received training appropriate to her role. In addition, she is focused on the needs and aspirations of service users, which leads to the home being managed for the benefit of service users. During the inspection the Inspector observed service users interacting with the manager in a comfortable way demonstrating that they found her approachable and responsive. Health and safety issue were dealt with promptly and staff understood the importance of highlighting issues to the management. Staff had received training in health and safety issues and policies were in place to support good practice. All incidents and accidents were recorded and followed up as necessary. Service users spoken with felt safe within the home and did not identify any outstanding health and safety issues. 1110a-c West Street H54 S40862 110a-c West Street V234769 240605 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x 3 x 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 1110a-c West Street Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x H54 S40862 110a-c West Street V234769 240605 Stage 4.doc Version 1.30 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. 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 1110a-c West Street H54 S40862 110a-c West Street V234769 240605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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