Inspection on 07/10/05 for 110a-c West Street

This inspection was carried out on 7th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 24/06/05

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 110a-c West Street Havant Hampshire PO9 1LN Lead Inspector Nick Morrison Unannounced Inspection 7th October 2005 11:00 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 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 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 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. 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 110a-c West Street Address Havant Hampshire PO9 1LN 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) 023 9249 8333 Hampshire County Council Sarah Elizabeth Cruickshank Care Home 17 Category(ies) of Learning disability (17) registration, with number of places 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 17 male and female service users in the LD category may be accommodated at any one time. 24th June 2005 Date of last inspection 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. 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the year and concentrated on those core standards not assessed at the previous inspection. Consequently, not many standards were assessed on this occasion. This report should be read in conjunction with the report from the inspection of 24th June 2005. The Inspector toured the premises; spoke with staff, service users and the Manager and looked at relevant records. 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. 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 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 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 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): None of these standards were assessed on this occasion EVIDENCE: 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 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): None of these standards were assessed on this occasion EVIDENCE: 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 Page 9 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): 15 and 17 Service users benefit from a healthy diet and from support to maintain social contacts. EVIDENCE: Service users are supported to maintain and expand their social networks. Where service users have little or no contact with their families, staff ensure that additional effort is put into helping them expand their networks. Service users are encouraged to invite their friends to their house for visits and for meals and staff support them in hosting these occasions. Some people who used to live in the home often return on a social basis. Staff provide support in managing risks associated with personal relationships. Service users met on Sundays each week to decide what meals they were going to eat for the coming week. The menu can then change depending on how service users feel on any particular day. Sometimes they decide to get a takeaway instead. Service users’ Care Plans identify individual dietary needs and staff at the home provide guidance on planning balanced meals and work through Healthy Eating booklets with service users ensuring that their 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 Page 10 nutritional needs are met. Service users’ health needs are monitored and they are referred to a dietician if necessary. 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 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): 18 Service users benefit from being supported in the way they prefer. EVIDENCE: Service users are supported with personal care by staff of the same gender wherever possible and are included in decisions about this. Staff absences sometimes result in some male service users receiving personal support from female staff. People using the respite service have information packs sent to their home prior to their stay in order to ensure they and their carers have the opportunity to describe exactly how they prefer support to be given. These are added to as the service develops its own knowledge of each person. The staff team are as flexible as possible around the times when service users want their personal support and set routines are kept to a minimum. Service users are offered support with choosing their own appearance and issues of how they are perceived by others are an important part of this. Service users have input into the recruitment process and are able to exercise some choice about who will be their keyworker. In order to maintain the continuity of the support for service users, agency staff are rarely used and cover is provided as far as possible by existing staff. 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 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): None of these standards were assessed on this occasion EVIDENCE: 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 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): None of these standards were assessed on this occasion EVIDENCE: 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 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): None of these standards were assessed on this occasion EVIDENCE: 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 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 Service users would benefit from a more coordinated Quality Assurance programme. EVIDENCE: There were a range of quality assurance measures in place but the Manager recognised that these were not coordinated. The measures in place proved useful in understanding service users’ views on some aspects of the service, but these need to be comprehensive, include the views of other stakeholders and result in an annual plan of action based on those views which can be shared with stakeholders. A recommendation has been made in respect of this. 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 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 X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 110a-c West Street Score 3 X X X Standard No 37 38 39 40 41 42 43 Score X X 2 X X X X DS0000040862.V256183.R01.S.doc Version 5.0 Page 17 NA 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. 1 Refer to Standard 39 Good Practice Recommendations The service should develop a coordinated quality assurance process. 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Hampshire Office 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. Extracts may not be used or reproduced without the express permission of CSCI 110a-c West Street DS0000040862.V256183.R01.S.doc Version 5.0 Page 19 - 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. 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