Inspection on 10/01/06 for 14 Bruce 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 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.

Other inspections for this house

14 Bruce Road 19/11/08

14 Bruce Road 14/03/07

14 Bruce Road 20/01/05

14 Bruce Road 21/12/04

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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 14 Bruce Road Southsea Hampshire PO4 9RL Lead Inspector Neil Kingman Unannounced Inspection 10th January 2006 12:15 14 Bruce Road DS0000011827.V275854.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 14 Bruce Road DS0000011827.V275854.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. 14 Bruce Road DS0000011827.V275854.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 14 Bruce Road Address Southsea Hampshire PO4 9RL Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 023 9273 8698 Copsewood Associates Mrs Paula Jackson Care Home 15 Category(ies) of Learning disability (15) registration, with number of places 14 Bruce Road DS0000011827.V275854.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users are to be admitted only between 18 and 55 years of age. Date of last inspection 18 August 2005 Brief Description of the Service: 14 Bruce Road is a home that provides care/support and accommodation for 15 younger adults with a learning disability. Mrs Paula Jackson manages the home on behalf of the proprietors Copeswood Associates. The home is a detached 3 storey Edwardian property situated in a relatively quiet residential area of Southsea approximately ¾ mile from the centre with its shops and amenities. Smaller shops and public houses are within a short walk from the home. There is a courtyard garden to the rear, which is available for residents’ use. Parking is limited to spaces available in either Bruce Road or the adjacent roads. There is no lift to any of the floor levels. However, all residents are fully mobile. 14 Bruce Road DS0000011827.V275854.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 of two inspections for the year at 14 Bruce Road and took place unannounced over 4 hrs. The registered manager was not available on the day but the deputy was most helpful in assisting with the inspection. Core standards not assessed on this occasion had been assessed at the last inspection. During the late afternoon residents returned from work and day services. There was an opportunity to speak with them and staff while the evening meal was being prepared. Additionally, during the day the inspector viewed a selection of records and toured the building with the deputy manager. The inspector found residents keen to talk about the service. Several invited inspection of their rooms and one in particular was enthusiastic about the planned refurbishment of her room. It was clear from observations that residents enjoyed a good deal of independence and choice in their daily lives. All views were positive and no concerns were raised. What the service does well: What has improved since the last inspection? What they could do better: There were no requirements or recommendations identified at this inspection. 14 Bruce Road DS0000011827.V275854.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. 14 Bruce Road DS0000011827.V275854.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 14 Bruce Road DS0000011827.V275854.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): The key standard and others in this section had been assessed at the last inspection. EVIDENCE: 14 Bruce Road DS0000011827.V275854.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): 9 Staff enable residents to take responsible risks, details of which are included in their individual plans. Risk assessments contain information for staff on the degree of risks and how they are to be managed. EVIDENCE: While all key standards in this section had been assessed at the last inspection a requirement had been made for the home to include more detail in its risk assessment process. The deputy manager confirmed that a review of all residents’ risk assessments had been undertaken and more detail included. The inspector looked at a selection of individual risk assessments, which were seen to be comprehensive. Many of the residents in the home go out alone to work, day services, shops and pubs so it is appropriate for the assessments to focus on the degree of risk involved with each resident for each activity. Where a risk is identified as either medium or high there is now good information about the level of support required to minimise the risk. 14 Bruce Road DS0000011827.V275854.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): All standards in this section had been assessed at the last inspection. EVIDENCE: 14 Bruce Road DS0000011827.V275854.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 Medication for residents is administered by trained staff. It is held under secure conditions and appropriate records maintained. EVIDENCE: While all key standards in this section had been assessed at the last inspection the inspector looked at the medication administration sheets in respect of one resident where previous advice had been given. At the time of this inspection records were found to be in good order. The deputy manager confirmed that 90 of staff had now received accredited training in medicines management. 14 Bruce Road DS0000011827.V275854.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): 22 and 23 The home treats residents’ complaints seriously and responds appropriately. The home’s policies, procedures and practices ensure that residents are safeguarded from abuse. Procedures for responding to suspicion or evidence of abuse are robust. EVIDENCE: The deputy manager confirmed there had been no complaints from residents or representatives in the last year. He said that in the event of a complaint being made staff would make a record of the issue together with details of the action taken and outcome. It was noted the home has a complaints register in which the last recorded complaint was October 2003. The inspector spoke with one resident who confirmed she was the residents’ representative at their regular meetings. She was very clear that the management addresses issues raised at meetings. The standard relating to adult protection was assessed at the last inspection and found generally to be meeting the standard. However, it was considered at the time that procedures for handling residents’ finances were not safe, due to the home’s response to a change in the payment of their benefits. Since that time the home has reviewed the arrangements in place and changed the procedure to ensure there is adequate protection for residents. The inspector looked at the system and found it to be appropriate. The change in these arrangements was discussed with one of the residents who confirmed her understanding of, and satisfaction with them. 14 Bruce Road DS0000011827.V275854.R01.S.doc Version 5.1 Page 13 14 Bruce Road DS0000011827.V275854.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): The key standards and others in this section had been assessed at the last inspection. EVIDENCE: 14 Bruce Road DS0000011827.V275854.R01.S.doc Version 5.1 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 and 35 Staff at 14 Bruce Road generally have appropriate skills and experience to meet the needs of the people who live there. However, the achievement of the Learning Disabilities Award Framework (LDAF) qualification would be beneficial. Staff turnover is low and a robust recruitment procedure ensures residents are protected. EVIDENCE: All staff are scheduled to receive training and refreshers in first aid, food hygiene, health and safety and medicines management. 57 of staff have achieved the NVQ at level 2 or above. The deputy manager said, and correspondence confirmed that staff were due to undertake additional training in working with aggression and challenging behaviour. The inspector looked at a sample of training profiles and saw evidence of accredited induction training. It is recommended that the home works towards staff achieving the (LDAF) accredited qualification in line with the Government White Paper Valuing People. Two new staff had been recruited in the last year. Their recruitment records were checked and found to be in good order. 14 Bruce Road DS0000011827.V275854.R01.S.doc Version 5.1 Page 16 14 Bruce Road DS0000011827.V275854.R01.S.doc Version 5.1 Page 17 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 and 42 The registered manager has the experience and qualifications to run the home and meet its stated purpose, aims and objectives. The home has effective quality assurance systems for measuring its performance based on seeking the views of residents. Policies, procedures and staff training are in place to ensure so far as is reasonably practicable the health, safety and welfare of residents and staff. EVIDENCE: The manager Mrs Jackson has worked in the home for about six years and has been the registered manager for the last three. She has achieved the Certificate of Unit Credits Towards NVQ Level 4 and the Registered Managers Award (RMA) and keeps up to date with service related awareness training, which is accessed as and when it is available. . 14 Bruce Road DS0000011827.V275854.R01.S.doc Version 5.1 Page 18 The deputy manager confirmed that Copsewood Associates has an annual development plan for the home but the inspector did not see this. The home measures the quality of service provided in several ways; through annual reviews in which residents, key workers, care managers and relatives or representatives take part; regular residents’ meetings, and one to one sessions that residents have with their key workers. The home undertakes a check on residents’ life experiences, which help to inform the facilities and activities offered. Residents have a positive input in the choice of support workers recruited to the home and have a representative at the selection interview. The inspector spoke with several residents who expressed satisfaction with the service provided. There are policies and procedures in place to ensure safe working practices in the home and all support staff undertake statutory training, which includes health and safety, food hygiene, fire and first aid. While the assessed needs of residents show no requirement for manual handling there is a policy in place to cover this issue. A sample of records was viewed including fire evacuation and alarm tests, accident records, public liability insurance, gas and electrical certificates all of which were in good order. 14 Bruce Road DS0000011827.V275854.R01.S.doc Version 5.1 Page 19 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 3 23 3 ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 2 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x 3 x LIFESTYLES Standard No Score 11 x 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 x 3 x 3 x x 3 x 14 Bruce Road DS0000011827.V275854.R01.S.doc Version 5.1 Page 20 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. 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 YA35 Good Practice Recommendations To work towards staff achieving the Learning Disabilities Award Framework (LDAF) accredited qualification 14 Bruce Road DS0000011827.V275854.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 14 Bruce Road DS0000011827.V275854.R01.S.doc Version 5.1 Page 22 - 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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