Inspection on 10/01/06 for 123 Calmore Road

This inspection was carried out on 10th January 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

123 Calmore Road 03/07/08

123 Calmore Road 03/07/06

123 Calmore Road 16/05/05

123 Calmore Road 08/12/04

123 Calmore Road 13/07/04

123 Calmore Road 09/03/04

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

CARE HOME ADULTS 18-65 123 Calmore Road Totton Southampton Hampshire SO40 2RA Lead Inspector Craig Willis Unannounced Inspection 10th January 2006 09:30 123 Calmore Road DS0000012374.V276093.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 123 Calmore Road DS0000012374.V276093.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. 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 123 Calmore Road Address Totton Southampton Hampshire SO40 2RA 023 8066 8139 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) New Support Options Limited Joyce Mary Hopgood Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th May 2005 Brief Description of the Service: 123 Calmore Road is registered to provide care and accommodation for six adults with learning disabilities. The home is arranged in two bungalows, with access between them via an office. Staff work in both bungalows, but service users are encouraged to live separately. The service is provided by New Support Options and the building is owned and maintained by Swaythling Housing Association. The home has two cars and there is a local bus stop directly outside the home. 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the year April 2005 to March 2006. Key standards not covered in this report were assessed at the inspection of 16th May 2005. During the visit the inspector spoken with one service user and met two others, who were not spoken with due to their communication needs. The inspector also spoke with two members of staff, the deputy manager and the manager. The communal areas of the home and four service users’ records were viewed during the visit. What the service does well: What has improved since the last inspection? The home’s menus now include alternative meals, which meets the dietary needs of service users. Staff have received physical intervention training on how to provide support for service users. Details of how this support should be provided have been included in updated care plans. 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 6 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. 123 Calmore Road DS0000012374.V276093.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 123 Calmore Road DS0000012374.V276093.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): None The key standard was assessed at the inspection of 16th May 2005. EVIDENCE: 123 Calmore Road DS0000012374.V276093.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): 6, 7 and 9 There are clear care planning and risk assessment systems in place, which provide staff with the information required to meet the needs of service users and enable service users to make decisions about their lives. EVIDENCE: The records of four service users were viewed during the inspection, including a service user who has been subject to adult protection procedures. All service users had individual plans, which had been reviewed within the last six months and set out how their assessed needs should be met. The care plans of the service user who was subject to the adult protection procedures had been amended in places. The manager reported that a community support worker from the specialist health care team had been involved in the review of this service user’s plans. The manager said that the changes in the way of working with this service user appeared to be successful, although the plans were still under review and further input was being received from the specialist health care team. All of the plans contained goals for personal development, for example, developing cooking skills and involvement in household jobs. New Support Options has been gaining the views of service users through asking them “10 big questions” about the quality of the service they receive. 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 10 Evidence was seen that staff had supported service users to complete these through observation of responses to situations, reports of activities that had taken place and reviews of the service users’ plans. The manager reported that service users who were more able to understand the questions had completed them verbally with staff recording their answers. Risk assessments were in place for all of the service users whose files were seen. These documents highlighted the risks faced by service users and included action that staff should take to minimise the identified risks. The assessments also directed staff to the relevant care plan for the area of support that was being described. A risk assessment was in place for the service user who was subject to the adult protection procedures setting out how staff should intervene in aggressive actions between them and another service user. 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 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 the following standard(s): 14 and 17 The home supports service users to take part in a good range of leisure activities and provides good meals to meet the dietary needs of service users. EVIDENCE: Service users took part in individually organised day activities such as music and movement, swimming, baking, horse riding and trampolining. Two of the service users attended local college classes in arts, crafts and cooking. Photos were seen of the home’s Christmas celebrations and holidays that service users had been supported to go on. Details of the support service users require to take part in these activities are included in their care and support plans. The home had a planned menu, which provided a balanced and nutritious diet. Alternatives to meet the specific dietary needs of service users were recorded and service users were able to have meals and snacks at times to suit them. One service user spoken with said that the food was good. 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 12 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 The home provides good support to meet the personal care needs of service users. EVIDENCE: Staff reported that they had received physical intervention training on how to provide support to one service user, which had been some help. Details of how this support should be provided were contained in the care plans for this service user, based on the training and input from the specialist health care team. The likes and dislikes of service users were recorded in their personal plans. Staff were observed interacting with service users in a friendly and respectful manner, providing support for one service user to get ready to go and see their family and supporting one service user to have a late breakfast after a “lie in”. 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 13 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): 22 The contents of the home’s complaints procedure are suitable, although the development of a more accessible version will help service users to understand it. EVIDENCE: The home had a copy of the New Support Options complaints procedure in place and displayed in the home. The manager reported that work was currently underway to make this document available in an accessible format, to make it easier for service users to understand. It was agreed that this work would be completed by the end of February 2006. This will be followed up at the next inspection. A complaints book was available and showed that there had been three complaints since the last inspection. Although the book contained details of the action that had been taken as a result of the complaints, this section was not dated, so it was not possible to see whether they had been responded to within the time scale set out in the complaints procedure. The manager reported that all three responses had been made immediately after the complaint was received and that the date would be added for future entries. This will be followed up at the next inspection. 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 14 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 fixtures and fittings in the home’s kitchen are poor, resulting in areas of the home that pose a risk to service users. The rest of the home was generally well maintained, although work to decorate bungalow B would make it more homely. EVIDENCE: The requirement made at the last two inspections to replace the work surfaces, cupboards and drawers of the kitchen in bungalow A had not been complied with. Since the last inspection the state of the kitchen has deteriorated, with the front of some drawers having fallen off completely. The state of the kitchen meant that it was not possible for staff to hygienically clean it. The manager reported that she and New Support Options’ regional director had been in discussion with the housing association about this work, but had been informed there was no funding for a replacement. During the inspection, an environmental health officer visited the home to follow up of their requirements about the kitchen. The manager was informed that they must inform the environmental health department what action was being taken to resolve the problem within a month. The rest of the home was generally well maintained, although there was a door in bungalow B that had been replaced and not painted and some areas of the 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 15 walls in bungalow B that required re-painting. Staff spoken with said they wanted to support the service users in bungalow B make the rooms more homely, although they were aware that the needs of the service users meant they would need to consider this carefully. Both of the bungalows smelt clean and fresh. One of the toilets in bungalow B was also being used to store activity items, that were being used as part of intensive interaction work with one service user in conjunction with the specialist health team. As staff need to control the service user’s access to these items, the toilet door was being kept locked. The manager agreed to look at alternative storage for these items, so that the toilet door could remain unlocked. This will be followed up at the next inspection. 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 16 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, 33 and 35 The home is supporting staff to achieve suitable qualifications and provides sufficient staff to meet the needs of service users. Training is provided to enable staff to meet service users’ needs. EVIDENCE: The manager reported that of the thirteen staff members, five had completed the NVQ level 2 or above and five were in the process of completing the award. The home’s rota showed that there are four staff working in the morning, four in the afternoon / evening and two staff overnight. In addition to these staff the home is funded to provide seventy hours per week of additional day activities to work one-to-one with service users. The additional hours include four hours per day to work with the service user who has been subject to the adult protection procedures. The hours were agreed as a temporary measure following concerns that previous staffing levels did not keep the service user safe. Staff reported that they felt the staffing levels were sufficient to meet the needs of service users, although only with the additional four hours per day. The general training for staff was assessed at the last inspection and found to be satisfactory. Following the recent adult protection procedures for one service user, the inspector looked at specific training in relation to their needs. Staff spoken with said they had received specific training in physical interventions, including a follow up half day session, which they found to be useful in meeting the service user’s needs. In addition to this, the staff said 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 17 they had attended a team training day, during which they discussed changes to way this service user was to be supported. The area manager and senior practitioner for New Support Options had been present at this session and staff reported that it had helped to raise morale. The manager reported that a follow-up session to this training was planned for the week following the inspection. 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 18 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 and 39 The manager is working towards resolving problems in the service and there are good systems to ensure the views of service users underpin the review and development of the home. EVIDENCE: The manager reported that she had completed the Registered Manager’s Award and had been working at the home for approximately seven years. The manager said her job description included a responsibility to comply with legal obligations. The manager is supported in the management of the home by a deputy manager and four senior support workers. The manager said she was aware that the needs of some service users had resulted in low morale of the staff team and was planning to continue work that had started to resolve this. The senior managers of New Support Options visit the home every month, and reported to the manager and the Commission for Social Care Inspection on their findings. These reports include actions that are required and who is responsible for carrying out this work. Staff have supported service users to complete a survey, called the “10 big questions”, which New Support Options 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 19 has introduced. The results of this survey will be used to feed in to the service users’ person centred plans and the development plan for the home. New Support Options has developed a regional ‘PATH’, which sets out their objectives and was developed as a result of a consultation of service users about how their services could be made more person centred. 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 20 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 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 X ENVIRONMENT Standard No Score 24 1 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X X 3 X 3 X X X X 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 21 Yes 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 YA24 Regulation 16(2)(g) Requirement The registered person must ensure that the cupboards, drawers and work surface of the kitchen in bungalow A are replaced. This requirement is repeated as the previous time-scales of 28/2/05 and 31/8/05 were not met. Timescale for action 10/02/06 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 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 22 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 123 Calmore Road DS0000012374.V276093.R01.S.doc Version 5.1 Page 23 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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