Inspection on 09/01/07 for 123 Segensworth Road

This inspection was carried out on 9th January 2007.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

123 Segensworth Road 16/07/08

123 Segensworth Road 04/01/06

123 Segensworth Road 08/06/05

123 Segensworth Road 03/11/04

123 Segensworth Road 04/05/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 123 Segensworth Road Titchfield Fareham Hampshire PO15 5EL Lead Inspector Mr Ian Craig Unannounced Inspection 9th January 2007 11:30 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 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 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 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 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 123 Segensworth Road Address Titchfield Fareham Hampshire PO15 5EL 01329 843934 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) www.c-i-c.co.uk. Community Integrated Care Miss Julia Rogerson Care Home 3 Category(ies) of Learning disability (3), Physical disability (3) registration, with number of places 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users may be admitted between the ages of 20 and 55 years. Service users who have physical disabilities must also have learning disabilities. 4th January 2006 Date of last inspection Brief Description of the Service: 123 Segensworth Road is a detached property located in a residential area between Fareham and Titchfield. The home is registered to provide care and accommodation for up to three adults with a learning disability and physical disabilities. Community Integrated Care is the registered provider. Knightstone Housing Association manages the property. All three bedrooms are on the ground floor and all are single. Service users share the use of bathroom, kitchen, dining room and lounge. There is a small enclosed rear garden. The weekly fee for the home is £436.45. 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection consisted of a tour of the building, discussions with 2 of the care staff team and observation of the staff interacting with one of the residents. Documents and records were also examined. The manager was not present for the inspection, but was able to provide information via telephone following the inspection. It was not possible to interview residents due to their communication needs. The inspection was also limited due to staff not being able to locate certain records. What the service does well: What has improved since the last inspection? There have been improvements to the home’s environment. A new kitchen has been installed and the front drive has been resurfaced. Requirements made in 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 6 the previous report have been addressed, including taking adequate precautions against the risk of fire. 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. The summary of this inspection report can be made available in other formats on request. 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 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 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is provided to residents about the service. Each person’s needs and wishes are reviewed on a regular basis. Records for this are comprehensive and recorded to a good standard. EVIDENCE: A copy of the home’s Service Users’ Guide is held with each resident’s records. The home has not admitted any new residents since the last inspection. Because of this, it was not possible to assess the procedure for admitting new residents to the home. Records show that for each person accommodated at the home, that needs are reviewed on a regular basis. Assessments of need are comprehensive and involve monthly and three monthly reviews. Copies of these reviews are held with each resident’s records. The home also liaises with the residents’ care managers who also review each person’s needs. Records showed that service 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 9 users, their relatives and advocates, are involved in reviewing needs and wishes. 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are recorded and care plans are of a good standard. As far as is feasible, residents are able to contribute to decision making in the home as well as participating in the running of the home. Each resident is supported to take risks in a safe and assessed way. EVIDENCE: Each resident has a folder, which includes comprehensive details of personal, health, and social care needs. Individual wishes and needs are recorded using a Person Centred Planning approach, which involves the residents and their representatives. It was noted that the care plans paid particular attention to detail regarding personal care routines. The care plans give clear guidance for 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 11 staff to follow in providing specific care, such as lifting and dealing with medical needs. Pictorial diagrams are used in the care records to aid communication with residents. The involvement of residents in the decision making and running of the home is limited due to communication needs, but the inspector concluded that staff have a good knowledge of each person’s needs and preferences due to the presence of a regular staff team. For instance, staff described how they have become aware of each resident’s food and activity preferences, which are reflected in the menu planning and arrangements for activities. Records show that for each resident, assessments are carried out where there is a risk to a resident. This may be because of the person’s needs where an activity takes place, or because of the person’s behaviour or medical needs. 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from being able to take part in various social and leisure activities in the community. A varied and nutritious diet is provided which takes account of the wishes of the residents. EVIDENCE: Observation, records and discussion with staff confirmed that each resident has a varied programme of activities based on their needs and wishes. These range from attendance at a local day centre, leisure pursuits such a bowling and swimming, walks, and making use of local community facilities. Individual daily routines are recorded in the care plan files showing that each person has a full programme of leisure and day care. 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 13 The home has its own mini bus to transport residents. At the time of the inspection the bus was not working, but a staff member stated that it is hoped that the vehicle will be replaced. One resident has his/her own car which staff are able to drive to escort the resident. Each resident has the opportunity of an annual holiday, either accompanied by staff or at a specialist holiday facility. Records show that each person’s family and personal relationship needs have been fully assessed. A weekly menu plan is devised taking account of the wishes of each resident. The menu plan was displayed on the wall in the kitchen and showed a varied, nutritious and varied diet. A staff member was observed preparing a meal for one resident. 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Each resident’s personal and healthcare needs are met. EVIDENCE: Records showed that there is attention to detail in meeting personal care needs, such as nail care, weight and nutrition. This is also the case for health needs with records showing that there is ‘follow up’ with general practitioners and community nurses for specific problems. Care plans clearly set out when and under what circumstances staff should intervene in meeting personal and health care needs, and when district nursing and other medically trained staff should be contacted. As recommended by the previous report, staff have received training in the management of epilepsy. Procedures for the handling and administration of medication were found to be of a good standard. Each staff member has training in medication and this includes a reassessment every 6 months. There are clear guidelines for the use 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 15 of medication ‘as required’ and instructions for situations when the emergency services should be called. Staff are aware of these procedures. Stocks of medication are checked each week and a record made. Records of medication administered to residents are satisfactory. 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home takes account of the views of the residents and has procedures for promoting the security of residents from possible abuse. EVIDENCE: A copy of the homes complaints procedure is held with each resident’s records. As previously stated, residents’ needs are such that they would not be able to comprehend the procedure and would not be able to complain. This is addressed by the frequent liaison with relatives and representatives from social services, and the fact that the procedure is also in pictorial format to aid communication with the residents. The home has policies and procedures regarding the protection of vulnerable adults. Staff confirmed that they receive training in adult protection. Staff training, entitled Crisis Intervention and Prevention, is also provided for circumstances when there may be interaction with residents that may involve bodily contact. It wasn’t possible to clarify if this training is accredited by the British Institute for Learning Disability (BILD). The home keeps records of any resident’s money it holds for safekeeping. These are maintained to a good standard. Where the organisation acts as appointee for one person a record was not available to show the amounts being held and any transactions made on behalf of the person. 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 17 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A homely and clean environment is provided for the residents with facilities for those who have physical disabilities. EVIDENCE: Since the last inspection the kitchen has been refurbished. Unfortunately, several of the kitchen units have already broken and these are due to be replaced under the warrantee. The home has a front and rear garden and is located in a suburban area. There is off road parking at the front of the house. Adaptations have been made for those with physical disabilities, including ramped access, specialist bathing facilities and a fixed track hoist. 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 19 Bedrooms have been personalised by the residents and contain numerous personal possessions. Communal areas consist of a lounge and dining room, which are comfortable and homely. The home has a separate laundry area. There is a contractual agreement for the collection of clinical waste. 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. It was not possible to check the procedures for recruiting staff due to the lack of available records. Staff are provided in sufficient numbers to meet the needs of residents. Staff are supported in their work by the provision of training and supervision. EVIDENCE: The staff rota showed that there is always 2 staff on duty, apart from nighttime when one staff member ‘sleeps in.’ This was also confirmed by observation at the time of the visit and from discussions with the staff on duty. Staff confirmed that have a period of induction when they commence work at the home, and that monthly supervision takes place. A staff member confirmed that there is mandatory training for each member of staff in the following: first aid, moving and handling, medication, fire safety and food hygiene. A member of staff employed in the home on an occasional basis described how he/she 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 21 had an induction shortly after commencing work in the home, and that regular supervision is provided as well as having access to training courses. Details of training attended by each staff member were sent to the Commission prior to the inspection confirming that staff have attended a variety of relevant training courses, such as the following: • First aid • Moving and handling • Person centred planning • Crisis prevention intervention • Fire safety • Managing stress • Team building • Appraisal skills for managers • Health and safety management • Epilepsy • Autism • Protection of vulnerable adults • Risk assessment • Food hygiene Staff described the home’s management as supportive and that supervision allows for discussion about future training needs. Recruitment procedures could not be checked due to records not being available. This was discussed with the manager following the inspection. The organisation needs to ensure that staff details are available for inspection. The organisation should refer to the current CSCI guidance on the website. This allows the service to have available in the home a record pro forma confirming that certain checks have been carried out rather than holding confidential information. This needs to be agreed with the Commission. The previous inspection report also raised the lack of availability of relief/bank staff recruitment records. 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. The health and safety of staff and service users is promoted in the home. EVIDENCE: The registered manager is completing the Registered Manager’s Award and has attended a variety of other training courses in management. The manager was not present during the inspection and the staff on duty were not able to locate any documentation relating to the home’s quality assurance system, such as surveys of residents’ or their representatives’ views 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 23 about the home, audits or annual development plans. This was discussed with the manager after the inspection and it was agreed that documentation relating to this standard would be forwarded to the Commission. A representative of the organisation completes a monthly report on the home based on the findings of a visit and audit The home regularly reviews and updates the health and safety measures. These include checking that hot water is within safe temperature levels to prevent possible scalding. Electrical wiring and appliances are also checked by qualified persons. Staff are trained in the following health and safety areas: first aid, food hygiene, moving and handling and fire safety. The home checks the fire safety appliances and at the time of the visit the home planned to install a hard wired fire alarm system following the advice of the fire service. Fire drills also take place at regular intervals. 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 24 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 3 2 3 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 3 23 2 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 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 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 123 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 25 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 YA23 Regulation 17 Schedule 4,9 Requirement Records of any resident’s monies or valuables being held for safekeeping must be available. This relates to monies handled on behalf of a resident for whom Community Integrated Care are the appointee. Records for staff recruitment for both permanent and relief staff must be available at inspections. Alternatively, the organisation should seek agreement from the Commission that a pro forma is held in the home for each staff member detailing that checks have been carried out as set out in the CSCI website. Timescale for action 09/02/07 2 YA34 19 Schedule 2 and 4 09/04/07 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 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Segensworth Road DS0000012329.V323131.R01.S.doc Version 5.2 Page 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!