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Inspection on 17/01/06 for 139 Homefield Road (Homefield College)

Also see our care home review for 139 Homefield Road (Homefield College) for more information

This inspection was carried out on 17th January 2006.

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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The following are areas identified as good working practices; 1) 2) 3) 4) Good procedures for administering medication safely. Good procedures for giving residents choice over their daily lives Good day care provisions Clean and hygienic home

What has improved since the last inspection?

The following areas were identified as an improvement since the last inspection; 1) Care plans are now routinely being reviewed 2) Evidence of medication training being given to staff

What the care home could do better:

The following are identified as areas where they could do better; 1) Review the operational status of the home (including staff risk assessments) to ensure that robust procedures are put in place to support staff members who work alone at night. 2) Carrying out unannounced visits to the home as part of the home`s quality control procedure. 3) Make staff members` employment and training documents available for the purpose of inspection.

CARE HOME ADULTS 18-65 139 Homefield Road (Homefield College) 139 Homefield Road Sileby Loughborough LE12 7TG Lead Inspector Mr Everton Osbourne Unannounced Inspection Tuesday, 17 January 2006 17:00 th 139 Homefield Road (Homefield College) DS0000001645.V275637.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 139 Homefield Road (Homefield College) DS0000001645.V275637.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. 139 Homefield Road (Homefield College) DS0000001645.V275637.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 139 Homefield Road (Homefield College) Address 139 Homefield Road Sileby Loughborough LE12 7TG 01509 814827 01509 815696 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.homefieldcollege.ac.uk Homefield College Limited Ms Mandy Potts Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 139 Homefield Road (Homefield College) DS0000001645.V275637.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 3rd August 2005 Brief Description of the Service: 139 Homefield Road is a four bedroom, semi-detached bungalow situated on a pleasant residential road in Sileby. The home is one of seven, which are annexed to Homefield College. The college is a specialist provision whose underlying philosophy is that of Inclusive learning. The college and the houses provide programmes of care aimed at personal, social and educational development, which are focussed on the acquisition of independent living skills as well as educational and vocational skills. Students are initially accommodated at the college site, moving to one of the houses when assessment determines the requirement for greater independence. Students at the college are placed and funded by the Learning Skills Council. These placements are generally term time only and limited to 3 years. However, some students continue to be funded by Social Services Departments and their placements become long term. Each of the seven houses is populated either by long-term (Social Services funded) students or by students on fixed term placement (funded by the Learning Skills Council). 139 Homefield Road falls into the former category. All four of the students currently placed at Homefield Road are long term residents, having been accommodated at the college between ten and sixteen years and all are female. The home is clean, comfortable and well furnished and all four students are accommodated in single rooms. Shared accommodation consists of a large lounge (with office accommodation at one end), dining kitchen, and an enclosed garden. 139 Homefield Road (Homefield College) DS0000001645.V275637.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took Two hours and thirty minutes to complete. The outcome of this inspection was positive based on observations made, document reading and conversation held with three residents. Observations made indicated that the premises are maintained to good standards creating a homely environment. One of the two staff members’ on duty was also spoken with as part of the inspection process. One requirement was made regarding the registered person’s inconsistent selfassessment visits to the home. One recommendation was made regarding the home having no completed risk assessment for staff members who work alone throughout the night. The details can be found in the main body of this report in Standards 33 and 39 respectively. What the service does well: What has improved since the last inspection? What they could do better: The following are identified as areas where they could do better; 1) Review the operational status of the home (including staff risk assessments) to ensure that robust procedures are put in place to support staff members who work alone at night. 2) Carrying out unannounced visits to the home as part of the home’s quality control procedure. 3) Make staff members’ employment and training documents available for the purpose of inspection. 139 Homefield Road (Homefield College) DS0000001645.V275637.R01.S.doc Version 5.1 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. 139 Homefield Road (Homefield College) DS0000001645.V275637.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 139 Homefield Road (Homefield College) DS0000001645.V275637.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): 1, 3, 4 and 5 Robust admission processes are in place to ensure that residents receive the right care in the right environment. EVIDENCE: The Statement of Purpose was inspected. Adequate information is provided about the home. Discussion held with one staff member indicated that a copy of this document is given to prospective residents or their relatives. One resident’s admission record seen indicated that a contract of residence including the Terms and Condition was given to this resident. Evidence of the resident’s signature was seen on the contract. Three residents spoken with indicated that they are satisfied that staff members provide adequate support to meet their daily care needs and expectations. Conversation held with two residents indicated that they had a trial visit to the home before moving in. Written evidence of this was seen in one resident’s care records. 139 Homefield Road (Homefield College) DS0000001645.V275637.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 and 10 Residents’ care plans are good in ensuring that residents receive the care they need. EVIDENCE: Detailed examination of one resident’s care plan indicated that all aspects of her care needs are incorporated into the document. Adequate information is recorded in the document giving staff members’ instructions on how to meet this resident’s care needs. Three residents spoken with indicated that they are very satisfied with the care provisions in the home. Observations made and conversation held with one staff member indicated that residents’ care records are kept locked and secured in the home. 139 Homefield Road (Homefield College) DS0000001645.V275637.R01.S.doc Version 5.1 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 the following standard(s): 11 Processes are in place so that residents can receive personal development regarding educational and recreational activities. EVIDENCE: One resident’s care record seen and conversation held with three residents indicated that they attend college every day to meet their educational and occupational care needs. One resident spoken with indicated that residents go swimming once per week and are involved in other activities as part of meeting their recreational care needs. 139 Homefield Road (Homefield College) DS0000001645.V275637.R01.S.doc Version 5.1 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): 20 and 21 The medication process is effective in ensuring that residents receive their medication at the times prescribed by their doctors. EVIDENCE: The medication process was inspected. Two Medication Administration Records seen indicated that staff members appear to be giving residents their medication at times prescribed by residents’ doctors. One staff member’s National Vocational Qualification (NVQ 3) training schedule seen indicated that this staff member is receiving medication training as part of the course objectives. Written documentation seen indicated that suitable processes are in place in the event of the death of a resident. 139 Homefield Road (Homefield College) DS0000001645.V275637.R01.S.doc Version 5.1 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): Not applicable EVIDENCE: Not applicable 0 139 Homefield Road (Homefield College) DS0000001645.V275637.R01.S.doc Version 5.1 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): 29 Equipment situated throughout the home is suitable for residents and staff members’ use. EVIDENCE: Observations made indicated that there is sufficient equipment in the home for residents’ daily use for example kitchen equipment. This include equipment for staff members’ use such as fire safety equipment. 139 Homefield Road (Homefield College) DS0000001645.V275637.R01.S.doc Version 5.1 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): 31 and 33 Suitable numbers of staff members are provided during the day for residents’ safety and care. No evidence of safety procedures seen for night duty staff have the potential of placing lone-working staff members at risk. EVIDENCE: Conversation held with one staff member and observations made of another staff member’s practice indicated that staff members appear to be proficient with their daily routines regarding residents’ care. The staffing rota seen and conversation held with one staff member indicated the following; 1) Sufficient numbers of care staff are on duty throughout the day. 2) Only one staff member is on duty throughout the night. 3) No evidence of a risk assessment was seen pertaining to care staff members who work alone during the night. It is recommended that the registered person carry out a risk assessment pertaining to staff members who work alone during the night and have written evidence of this risk assessment available for the purposes of inspection. 139 Homefield Road (Homefield College) DS0000001645.V275637.R01.S.doc Version 5.1 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, 40, 41 and 43 Policies are written in detail to give staff members’ good guidance concerning residents’ safety and care. Inconsistent unannounced visits are made to the home by the registered person for self monitoring purposes. EVIDENCE: Written evidence seen indicated that the registered person made inconsistent unannounced visits to the home as part of their quality control procedure during the year 2005. For example one visit was recorded as being made in August and the next visit made in October. The registered person is required to make unannounced visits to the home at least once per month and submit to the Commission for Social Care Inspections (CSCI) a copy of the written report. An inspection of the home’s written policies indicated that adequate information is provided for staff members’ guidance on safe working practices to be carried out in the home. 139 Homefield Road (Homefield College) DS0000001645.V275637.R01.S.doc Version 5.1 Page 16 Staff members’ records were not available for the purpose of inspection. It is recommended that the registered person make staff records available for the purpose of inspection. 139 Homefield Road (Homefield College) DS0000001645.V275637.R01.S.doc Version 5.1 Page 17 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 139 Homefield Road (Homefield College) DS0000001645.V275637.R01.S.doc Version 5.1 Page 18 CHOICE OF HOME Standard No Score 1 3 2 x 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 3 30 x STAFFING Standard No Score 31 3 32 x 33 3 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x x x 3 LIFESTYLES Standard No Score 11 3 12 x 13 x 14 x 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 3 x x 2 3 x x 3 139 Homefield Road (Homefield College) DS0000001645.V275637.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO 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 YA39 Regulation 26 Requirement Timescale for action The registered person shall visit 14/02/06 the care home at least once per month in accordance with this regulation and prepare a written report and submit it to the CSCI on each occasion. 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 YA33 Good Practice Recommendations The registered person should complete a written risk assessment in relation to lone-working, which should be shared with all staff members. This risk assessment should be made available for the purposes of inspection. The registered person should provide suitable access of staffing records to the staff team and have these records available for future inspections. 2 YA41 139 Homefield Road (Homefield College) DS0000001645.V275637.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 139 Homefield Road (Homefield College) DS0000001645.V275637.R01.S.doc Version 5.1 Page 21 - 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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