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Inspection on 26/09/06 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 26th September 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

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

Student`s needs are assessed prior to admission. A care plan is based on information obtained in the assessment. Students are enabled to make choices and decisions that affect their lives; they plan their own menus and shop for the ingredients, which they cook. A full and varied individual programme of activities is offered to students. The house is pleasantly decorated and in good repair, students` rooms are personalised. The home is well managed and an experienced, well-trained staff team supports students.

What has improved since the last inspection?

A representative of the college visits the home regularly for monitoring as required at the last inspection. A set of risk assessments is available for lone working.

What the care home could do better:

The safeguarding adults and children policies to indicate that social services are the lead investigating agency and that the police are to be informed if an offence is suspected.

CARE HOME ADULTS 18-65 139 Homefield Road (Homefield College) 139 Homefield Road Sileby Loughborough LE12 7TG Lead Inspector Mr Steve Hunnybun Unannounced Inspection 26th September 2006 09:00 139 Homefield Road (Homefield College) DS0000001645.V311782.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 139 Homefield Road (Homefield College) DS0000001645.V311782.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. 139 Homefield Road (Homefield College) DS0000001645.V311782.R01.S.doc Version 5.2 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.V311782.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 17th January 2006 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, 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. Students are aware of the home through the college network. The range of fees charged is £470-£800. Charges for extras range from £5 for books and magazines to £300 for a holiday. 139 Homefield Road (Homefield College) DS0000001645.V311782.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The primary method of inspection used was ‘case tracking’ which involved the inspector selecting three residents and tracking the care they receive through review of their records, discussions with them and with the care staff and observations of care practices. Residents made the following comments: • • • • • • ‘It’s a nice atmosphere’. ‘I like the food’. ‘We go to a local shop for menu ingredients’ ‘I don’t like the sanctions’. ‘I go swimming on a Friday and church on Sunday’. ‘I got in touch with my mum again’ The inspector made a plan prior to the visit summarising available information from the previous inspection report and service history. The inspection was positive indicating good outcomes for residents. No requirements were made. One recommendation was made. What the service does well: What has improved since the last inspection? What they could do better: The safeguarding adults and children policies to indicate that social services are the lead investigating agency and that the police are to be informed if an offence is suspected. 139 Homefield Road (Homefield College) DS0000001645.V311782.R01.S.doc Version 5.2 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.V311782.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 139 Homefield Road (Homefield College) DS0000001645.V311782.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Personalised assessments ensure that prospective students’ diverse needs are identified and planned for before they move into the home. EVIDENCE: Care staff have carried out assessments that record students’ needs in a format that is accessible and clear. Students who spoke with the inspector were aware of their assessments and stated that they were part of the assessment process 139 Homefield Road (Homefield College) DS0000001645.V311782.R01.S.doc Version 5.2 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): 6,7,9 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Students have care plans and risk assessments that cover all of their individual needs. These enable them to make choices, take risks and for their needs to be met. EVIDENCE: Using information in the assessments staff have completed care plans for all students. These record areas of need, objectives and who is responsible for any support needed. Health needs and risk assessments form an integral part of the plan. Risk assessments identify areas of risk in a clear, understandable format. Strategies to reduce risk are identified. Students who spoke with the inspector stated that they are able to make choices and decisions about their lives. All students have an individual support tutor who is responsible for ensuring their needs are met. Regular house meetings enable students to make decisions about everyday life within the house. 139 Homefield Road (Homefield College) DS0000001645.V311782.R01.S.doc Version 5.2 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): 12,13,15,16,17 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. The promotion of students’ rights, provision of activities within the local community, contact with families and the quality of the food all contribute to a positive lifestyle. EVIDENCE: Students who spoke with the inspector described a range of activities they are involved in. They attend local colleges go swimming and go to church on a Sunday. Students and staff are setting up a programme of activities within the home. These will include art and craft, health and safety group, drop in sessions run by students for other students within the college network and working at Liquorice; the college’s sweet shop. Students’ files contained contact information for significant friends and family. Students stated that they are enabled to keep in touch with their loved ones. Students stated that they are treated with respect. Staff use their preferred name, which is recorded in their files and they are able to open their own mail. A rota exists for household chores such as washing and cleaning. All students stated that 139 Homefield Road (Homefield College) DS0000001645.V311782.R01.S.doc Version 5.2 Page 11 they enjoy the responsibility and independence that this gives them. One student currently has the responsibility for planning the menu. Meals are selected that are healthy, varied and suitable for students’ individual likes and needs. Students shop for food on a Saturday and prepare their own meals with support. On the day of the inspection students made chocolate crispy cakes and decorated some sponge cakes. 139 Homefield Road (Homefield College) DS0000001645.V311782.R01.S.doc Version 5.2 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): 18,19,20 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Students’ personal and healthcare needs are met and they are protected by medication policies. EVIDENCE: All care plans contained information regarding students’ personal and healthcare needs. Staff record appointments attended on a form along with any outcomes or specific advice. Students stated that staff support them to meet their needs. Medication sheets were up to date and accurate and medicines were stored appropriately. One student administered her own medication and she described how this works to the inspector. 139 Homefield Road (Homefield College) DS0000001645.V311782.R01.S.doc Version 5.2 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): 22,23 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Students are protected from abuse and their concerns and complaints are listened to and acted upon. EVIDENCE: Students who spoke with the inspector stated that they know who to speak to if they wish to complain. They appear to be confident that staff will listen to their concerns and act upon them. The home has a robust protection procedure that covers types of abuse and how to recognise them. It does state that the inspector is the investigating officer and must be amended to indicate that social services and the police are to be notified in the first instance if abuse is suspected. One student stated that she doesn’t like the ‘orange forms’. These are issued when a sanction has been applied for an incident of unacceptable behaviour. The inspector, the student and the member of staff on duty discussed this and any sanctions are carefully explained to students, recorded and the whole process is discussed at the weekly house meetings. The student stated that while she is not keen she recognises that sanctions are a fair way of supporting students to behave appropriately. 139 Homefield Road (Homefield College) DS0000001645.V311782.R01.S.doc Version 5.2 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): 24,30 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Students benefit from living in a house that is homely, comfortable clean and safe. EVIDENCE: Students showed the inspector round the house including their bedrooms. They are clearly proud of their home. All bedrooms are personalised with belongings, pictures and the décor. There is a communal lounge, dining kitchen and enclosed garden that looks out over fields. Students enjoy sitting in the garden and watching animals in the field. The property is well maintained, pleasantly decorated and safe. 139 Homefield Road (Homefield College) DS0000001645.V311782.R01.S.doc Version 5.2 Page 15 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): 32,34,35 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Students’ needs are met and they are protected by the recruitment and retention of a well-trained, experienced staff team. EVIDENCE: It was not possible to examine staff records as the manager was not on duty and they are kept in a locked cabinet. Staff on duty on the day of the inspection were clearly competent and interacted positively with students. Students who spoke with the inspector described staff as one of the things they like about the home; ‘there’s a nice atmosphere’. Recruitment is handled centrally at the college and all relevant checks and references are obtained before employment commences. 139 Homefield Road (Homefield College) DS0000001645.V311782.R01.S.doc Version 5.2 Page 16 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): 37,39,42 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. The home is well managed, students’ views are sought regarding the running of the home and their health and safety are protected. EVIDENCE: The manager has demonstrated her fitness to run the home through the registration process. A representative or the provider carries out regular monitoring visits as required at the last inspection. Residents’ views are sought through the college’s quality monitoring process. All records regarding health and safety are up to date and accurate. 139 Homefield Road (Homefield College) DS0000001645.V311782.R01.S.doc Version 5.2 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 CHOICE OF HOME Standard No Score 1 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 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 X 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 139 Homefield Road (Homefield College) DS0000001645.V311782.R01.S.doc Version 5.2 Page 18 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. 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 YA23 Good Practice Recommendations The safeguarding adults and policies to be amended to indicate that social services are the lead investigating authority and that the police need to be notified if an offence is suspected. 139 Homefield Road (Homefield College) DS0000001645.V311782.R01.S.doc Version 5.2 Page 19 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.V311782.R01.S.doc Version 5.2 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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