Inspection on 14/03/07 for 14 Bruce Road

This inspection was carried out on 14th March 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 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 10/01/06

14 Bruce Road 20/01/05

14 Bruce Road 21/12/04

Similar services:

Pinta

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

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 Christine Walsh Unannounced Inspection 14th March 2007 10:00 14 Bruce Road DS0000011827.V329082.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 14 Bruce Road DS0000011827.V329082.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. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 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.V329082.R01.S.doc Version 5.2 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 10th January 2006 Brief Description of the Service: 14 Bruce Road provides care and support to up to 15 service users with learning disabilities. The home is a detached Edwardian house within close proximity to Southsea and Eastney promenade. Bruce Road is in a relatively quiet residential street, but is close to shops, pubs, restaurants, etc. The homes physical environment was found to be well maintained and clean. There are 7 single bedrooms and 4 double bedrooms. There are facilities for residents to have exclusive use of a kitchen area, bathroom, and separate toilet. This allows these service users to exercise a degree of independence and to develop daily living skills. The residents attend a variety of daytime activities including paid employment, college courses and day services. The homes staff and management also promote independence in the residents’ leisure time, with individuals accessing local facilities according to assessed need. The home is staffed 24 hours per day, and has a registered manager. Weekly fees range from £322 - £425. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection of 14 Bruce Road was undertaken over one day by one inspector. The registered manager, residents and a member of staff assisted throughout the visit. Evidence to establish the outcomes for the residents was obtained from various sources, visiting the home, speaking with residents, a newly appointed member of staff, the registered manager and registered owner and viewing documents, taking a tour of the building and collating evidence from comment cards received from residents, families and health care professionals. What the service does well: The home does very well in all areas of its care and support, providing this using a person centred approach, recognising the residents as individuals with individual needs and rights and encouraging them to take control as far as feasibly possible over their lives. This was demonstrated through the quality of the assessment and transition process, resident’s personal plans, risk assessments, resident’s involvement in developing their plans and their reviews and the positive interactions between residents and staff. The manager and staff spoke of the importance of empowering residents to take control over their lives, make decisions about their daily and future needs and by offering choices to develop everyday life skills, experiences and new challenges. Examples of these are provided within the body of the report. One resident said: “I like living at Bruce Road because I have freedom”. A relative said: “My son is blissfully happy at Bruce Road, he is well occupied and is given all the support he needs”. A care manager said: “The home has supported my client greatly to develop her confidence and independence”. The manager and her staff do very well to ensure the residents are supported in all areas of the physical and mental health care needs. The home has good links with a number of health care professionals including primary and specialist health care professionals. The manager spoke of the home’s role in seeking support to assess specific needs of a couple of residents and how the home has gone on to research specific conditions and equip staff with the right skills and tools to appropriately support the residents. This is good practice and demonstrates 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 6 that the home is proactive in wanting to meet residents’ specific health care needs and assist them to make changes to their lives. The home provides and open and inclusive environment where the residents are encouraged through monthly review and residents meetings to express how they are feeling, share their views or if relay any concerns. The manager has an open door policy and is in regular contact with residents, staff and visitors. The home as far as feasibly possible provides a safe environment for the residents, where risk assessments are undertaken, residents are reminded of potential risks when undertaking daily activities and where staff undertake abuse awareness training and have checks undertaken on them before commencing employment in the home. A resident said: “Paula is very nice she always listens to me” A relative said: “I have never had any cause for concern or needed to make a complaint” Bruce Road is a beautiful Edwardian house, which has retained many of its period features; it has been tastefully decorated and furnished throughout. The home has a mixture of single and double rooms, which are personalised and reflect the personality of the individual residents. The manager does well to appoint staff with good skills and values to undertake their roles and responsibilities. The staff undergo a robust recruitment procedure including two interviews and providing all necessary checks before commencing work in the home. The staff receive a comprehensive induction and training package and are encouraged to further their skills and knowledge by undertaking a national vocational award (NVQ). As far as feasibly possible the homeprotects the residents form environmental hazards by ensuring all staff receive up to date training in health and safety procedures including fire safety and that all serviceable utilities are regularly serviced and fire fighting equipment and appliances meet the Fire safety regulations and standards. What has improved since the last inspection? Bruce Road was not issued with any requirements following the last visit to the home, however it was issued with a recommendation to work towards staff undertaking the Learning Disability Award Framework (LDAF). The manager confirmed that she had researched the learning pack and felt that the contents 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 7 did not provide the training literature the staff require to support the specific group of residents that live in the home. However the manager demonstrated that she had taken the advice of the previous inspector seriously and is looking at accessing alternative training resources to facilitate her staff to confidently work with and support the residents. This demonstrates the manager is forward thinking and pro active in reviewing the training needs of her staff. 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. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 8 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.V329082.R01.S.doc Version 5.2 Page 9 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. The registered manager does well to ensure prospective residents are provided with information about the home. Prospective residents are only admitted following a thorough assessment and transition process. EVIDENCE: For the purpose of obtaining evidence for the above standards the inspector met with the registered manager, viewed documents and residents comment cards and the assessment documents for one resident. The registered manager informed the inspector that she is currently reviewing the Statement of Purpose and Service User Guide to reflect changes to the home and how they can best develop it to meet the needs of the residents. The manager felt she would need at least a further two months to complete them, at which point they will be used to support any prospective residents visiting the home and help them to understand the ethos and the facilities it provides. A copy of the revised Statement of Purpose and Service User Guide will be forward to the Commission for Social Care Inspection on completion. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 10 The manager informed the inspector of the homes assessment process from referral to admittance, this process is robust and involves a holistic approach including the support of health care professionals if required and seeking the views of the residents already living in the home. The manager is also fully aware of the need to reassess the needs and provide appropriate support if the home no longer meets the needs of the residents. This has happened in recently where the home unfortunately felt they could no longer support a resident because the ethos of the home, it facilities and the needs of other residents were being compromised. The manager also spoke of how they had supported another resident to move on to supported living. Neither decisions were made in isolation but with the support of social services and health care professionals working closely with the residents concerned and the manager and staff. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 11 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. The home has a very good philosophy of care and is using a person centred approach to meeting the assessed and changing needs of the residents. The home fully supports residents to make choice and decisions about their daily lives and future dreams and aspirations. The residents are supported to maintain an independent lifestyle within the risk management framework, which as far as feasibly protects the residents from potential risk of harm. EVIDENCE: For the purpose of obtaining information for the above standards the inspector viewed a resident’s personal plan and other relevant documents, met with the manager, two residents and a relatively new member if staff. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 12 The inspector spent considerable time with the manager discussing the homes philosophy regarding the residents’ individual rights, the importance of empowerment, how the home identifies and supports each resident’s individual strengths and needs and how this is clearly fed back to staff through the use of descriptive and specific care plans, daily records, daily handovers and meetings. The home is using a person centred approach, which was observed by the inspector through interactions between residents and staff, and residents’ personal plans. Personal plans are reviewed monthly with the resident and their keyworker and overseen by the manager; changes to their strengths and needs are clearly recorded and agreed with the resident where possible. A resident told the inspector that she was aware of her personal plan and where it was kept. The manager said the residents can have access to their plans when they wish. The manager wishes to improve the system currently used to record the resident’s personal plans to a more accessible and person centred system. An example was shown to the inspector. This demonstrates that the home is forward thinking, regular reviews its practices and is concerned with improving the quality of care and support to the residents. The two residents with whom the inspector met appeared aware of their rights and gave examples of how they are supported to make decisions about their daily lives, such as spending their free days how they wish, getting up and going to bed when they wish, making decisions about what to eat and if they wish to go out. Personal plans identified resident’s wishes and desires, which are regularly reviewed. The manager gave an example of how the home supported a resident to move on into independent living, a decision made by the residents, but one that was encouraged by the home and supported with other agencies involved. A member of staff with whom the inspector met was fully aware of the importance of supporting the residents to make choices and decisions about their lives. A resident informed the inspector: “I like living at Bruce Road because I have the freedom to do what I want”. The manager and her staff take seriously the need to as far as feasibly possible protect the residents from the potential risk of harm through a risk management process. The resident’s individual plans clearly identify the 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 13 potential risks and how these can be minimised. The risk management plans seen by the inspector are clear and easily to follow. The inspector observed an interaction between a resident and member of staff, whereby the resident who was going out to collect their benefits was advised to be careful of the roads and use the crossings and put their money away safely. The inspector was made aware of the significant changing needs of a resident and how risks to their personal safety and increasing vulnerability have prompted the home into seeking the support of health care professionals and others. The manager verbally informed the inspector how the home has gone about risk assessing their needs and how they are aware that they will need to frequently review these, however the risk assessments in the residents personal plans did not reflect the changes and the manager was advised to review these as soon as possible. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 14 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): 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Bruce Road is an active and lively home where the manager and staff are aware of the rights of the residents and encourage them to take an active role in their local community, take part in appropriate age and peer social and leisure activities, maintain and develop relationships with others and eat healthily. EVIDENCE: For the purpose of gaining evidence for the above five standards the inspector viewed comment cards received from residents, viewed relatives comments received through a survey the home carried, met with three residents and the manager and one member of staff. On the day of the visit there were only four residents present within the home during the day whilst other residents were attending day services, work and other activites outside of the home. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 15 The residents who had the day at home were actively involved in the upkeep and cleaning of the home followed by leisure activities of their choice. One resident informed the inspector that she enjoyed helping around the home to make it look nice. Household chores such as cleaning the house, cleaning their own rooms and undertaking their own laundry are planned around the residents weekly activities and in agreement with the resident. The home has a separate kitchen area where residents who have are competent and risked assessed are encouraged to make themselves snacks and light meals and take responsibility for keeping the area clean. Further drink making facilities are accessible in a small quiet area just off the dining room for residents to make themselves drinks as they wish. Both residents with whom the inspector met with said they felt they have an active lifestyle with plenty of things to do and to occupy them, one informed the inspector that she especially likes shopping for clothes and enjoys attending a local club with her peers where they frequently have discos. Some of the Have Your Say surveys received from the residents indicated that they were not involved in assisting with the food shopping. It was explained by the manager that the weekly shopping is undertaken in bulk once a week and involves a large amount of groceries and time, however residents are asked to attend the local shops if the home runs out of something. A member of staff with whom the inspector met said she really enjoyed working in the home because there was always something enjoyable going on and she especially liked the video, karaoke evenings where nearly all the residents join in. One resident spoke of his enjoyment of football and his favoured team, cheerful banter was observed between the residents and the manager, a supporter of an opposing team. The residents are supported to maintain relationships with family and friends. The manager spoke of the sensitivity around one couples relationship, demonstrating the homes respectful approach to their needs, including their privacy but at the same time balancing this with the homes duty of care. A survey undertaken by the home that included relatives confirmed that the home always makes visitors to the home welcome and provide them with information when applicable. The manager demonstrated through discussion that the ethos of the home is led by the rights of the residents using a person centred approach, their rights 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 16 are promoted through consultation, advice and informed choices. This was observed at the time of the visit. All residents are encouraged to eat healthily, through residents meetings and general discussions the residents are encouraged to plan the menu, however if they wish an alternative this can be provided. The residents with whom the inspector met with said the meals were very good and they could choose what they wanted to eat. The home will support residents who require special diets, however the home will seek the support of health care professionals where required and will ensure staff are appropriately trained. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 17 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 excellent. This judgement has been made using available evidence including a visit to this service. The home uses a person centred approach when providing the personal support the residents require. The manager has developed very good relationships with health care providers and advocates clearly on behalf of the residents when their physical and emotional health is compromised. The home promotes independence in the administration of medication of their medication, at the same time ensuring they have the ability and are safe to do so. EVIDENCE: For the purpose of obtaining evidence for the above standards the inspector spent time with the manager, residents and a member of staff, viewed the personal plans of one resident and viewed the homes procedures for the safekeeping of medications. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 18 As mentioned through the report the manager and her staff are applying a person centred approach to the needs of the residents including meeting their personal, health and welfare and psychological needs in this way. Personal plans clearly identify the way in which the residents wish to be supported with their personal, health care and psychological needs. The plans are written clearly and precisely allowing staff at a quick glance know how to address the residents and support them with their daily needs. A resident informed the inspector that the staff are very kind and helpful. One resident said: “They help me do things I wouldn’t do if I was on my own”. Comments received in a relatives survey undertaken by the home said: “The residents are well cared for and supported to achieve as many skills as possible” “My son is blissfully happy, well occupied and given all the support he needs. The manager and the inspector spoke at length regarding the changing physical and cognitive needs of a resident and how the home was adapting to meet these changes. This is not being done in isolation and the manager is working closely with health care professionals, researching the condition the residents has and providing training for her staff. This demonstrates that the service is very keen to continue to support the resident in the way in which she is used to and to continue to support her to remain in her home. The manager is aware that as the needs of the resident change the care plans may require further detail to provide a consistency of care and avoid anxiety to the resident. Through discussion with the manager and speaking with a resident the inspector established that the home does very well to support the residents with their physical and emotional health care needs. Each resident has a separate file, which is part of the personal plan that is used to record in specific detail appointments attended with various health care professionals and the outcomes. These include appointments with the GP, dentist, psychologist, specialist community nurse and occupational therapist. The manager gave a number of examples of how she has worked closely with specialist health care professionals to obtain a clinical diagnosis for at least two residents and how once the diagnosis has been made it has allowed her and 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 19 her staff to specific tailor the care the residents receives. This is seen as very good practice and demonstrates that the home strives to provide the best possible care the residents can receive. A resident informed the inspector that she attends appointments with the GP and dentist when required, and said: “If I am unwell the staff will look after me, my keyworker is very kind”. The home has safe systems in place for the administration of medication. The home uses a nomad system that is prepared by a local chemist. Residents who have been risked assessed and deemed competent to administer their own medication can do so if they wish. Lockable storage is provided for them in their own room and both the residents and staff member sign the medication administration-recording sheet when the medication has been taken. The manager has a very good audit trail for receiving, administering and returning medications, these were seen to be in good order and there was no over stocking of medications. Staff are trained to administer medications but do not support residents with their medication until the manager deems them competent and they feel comfortable doing so. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 20 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): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home does well to listen to the views of the residents and as far as feasibly possible protect them from potential risk of harm. EVIDENCE: For the purpose of obtaining evidence for the above standards the inspector met with two residents, a member of staff and the manager and viewed the homes complaints procedure and staff training records and comment cards received from residents. The manager provides an open, inclusive and relaxed environment where residents feel comfortable to approach the manager and staff to air any concerns they may have. On resident told the inspector that she had spoken with the manager about a concern she had and that the manager was going to try and resolve the problem for her. The manager confirmed that she was fully aware of the residents specific concerns and was in the process of trying to sort the problem out. The residents said: “I like Paula she is very nice and she listens to me”. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 21 The home has a clear and specific complaints procedure that has been developed with the residents in mind; this details what and whom they can speak to if they are unhappy including the Commission for Social Care Inspection. The manager is aware that the home will need to consider the changing needs of the residents and their abilities and adapt the complaints procedure as required. The home holds regular residents meetings where residents have an opportunity to express their views, ideas and concerns. Copies of relative surveys undertaken by the home allowed the inspector to establish that relatives are very happy with the service provided and do not have any complaints. “I have never had to complain”. “I have no complaints to make, they always listen to my comments”. The manager keeps a complaints log and clearly records any serious concerns a resident or relative may have. The manager confirmed that the home had not received any complaints since the last recorded incident, which involved the police and social services. The incidents described in the complaints log was efficiently dealt with and appropriate action taken. The home has access to all appropriate policies and procedures on protection of vulnerable adults and provides training for staff. Training in abuse commences at the time of induction and includes the principles and core values of care. A member of staff with whom the inspector met was very clear on what constitutes abuse and what she would do if she were to witness inappropriate behaviours. The manager spoke of the action taken by the home when they considered some residents were at risk from another residents who was displaying challenging behaviour. There is evidence that a protection of vulnerable adults meeting was undertaken with social services, the police and specialist health care professionals and appropriate action taken. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 22 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 and 30: Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The provider, manager and staff do well to provide a homely, comfortable and welcoming environment for the residents to live and entertain their guest. The residents are bedrooms are clean and personalised to reflect their personalities, lifestyles and needs. The home is well maintained and clean throughout. EVIDENCE: For the purpose of obtaining evidence for the above standards the inspector took a tour of the building, obtained access to residents bedrooms with their permission, met with residents and staff. 14 Bruce Road is large Edwardian house, which has retained many of its unique features, large open and ornate fireplaces and ceiling roses. The home is split over four levels, which adds to its unique features. The lower ground 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 23 level providing accommodation to residents who are more independent and requiring less support, a separate kitchen, communal bathroom and separate toilet is situated on this level. The home has a large homely lounge with comfortable furniture, a separate dining room and a smaller quiet room where residents have access to drink making facilities; alternatively the residents can use the large communal kitchen. All areas of the home have been tastefully decorated to a high standard and furnished with good quality furniture and furnishings throughout. The home is in the process of making changes to some of the large bedrooms to make them into singles, the inspector viewed one that has recently been completed and noted this to have been done to a high standard. A resident accompanied the inspector to see her room, she said that she was very pleased with the amount of room she had and the furniture to house her belongings. The room although a shared room reflected the individuality of the two residents and had been personalised by the residents as were all the other rooms seen. Some residents said in the comment cards received prior to the inspection: “I like my bedroom”, “I have my own room”, and “The décor is very nice”. The home was noted to be cleaned to a high standard with the involvement of the residents who appeared to take pride in their home and informed the inspector they like to help with the cleaning of their house and keeping it tidy. “I enjoy cleaning and keeping the house looking nice”. Residents take turn in laundering their clothes, each being given a specific day to do their laundry with the assistance of staff if required. Notices discreetly displayed in certain areas of the home reminded staff and residents of the correct cleaning materials to use and how to store them and the importance of washing hands. A member of staff confirmed that as part of her induction she had received guidance on infection control and will be attending training in the very near future. An outside facilitator provides infection control. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 24 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 good. This judgement has been made using available evidence including a visit to this service. The residents are supported by competent and qualified staff, who receive regular, updated and specific training to meet the individual needs of the residents. The home does well to protect the residents by using robust recruitment procedures EVIDENCE: For the purpose of obtaining evidence for the above standards the inspector met with a newly appointed staff member, met residents and the manager, and viewed training and recruitment records. The manager demonstrated that she is very good at sourcing information and appropriate training for her staff. This has enabled the staff to be equipped with the right skills and understanding to carry out their roles and responsibilities. Over 60 of the staff have a national vocational qualification (NVQ) and other staff are being encouraged to undertake the qualification. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 25 A member of staff with whom the inspector met said: “The level of training I have received is very good and I am getting support with my Skills for Care induction workbook”. The same member of staff informed the inspector that when she applied for the job was asked to attend two interviews, complete an application form and did not commence work until all checks had been undertaken. The second interview was to visit the home to meet and chat with residents and staff and familiarise herself with the home. This is seen as good practice. The manager said that following the second interview residents and staff are given an opportunity to feed back their views on the candidate. Recruitment records viewed by the inspector demonstrate that the home takes seriously the need to appoint the right person with the right views and philosophy of care. Records also demonstrated that the manager takes up all appropriate checks including obtaining two references, identification, criminal record bureau (CRB) and protection of vulnerable adult (POVA) checks. The level of training received in the home is of a good standard, staff receive regular mandatory training such as fire safety, food hygiene, health and safety and infection control, and training specific to the needs of the residents such as medication awareness, person centred planning, challenging behaviour and diabetes. Staff undertake a comprehensive induction package, which includes an in house induction alongside the Skills for Care induction followed by staff undertaking an NVQ. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 26 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 service has done well to appoint an experienced and qualified manager to run the home. The home has an open and inclusive environment where residents, relatives and others are encouraged to express their views. The manager and staff do well to as far as feasibly possible to protect the health, safety and welfare of the residents. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 27 EVIDENCE: For the purpose of obtaining evidence for the above standards the inspector met with the manager, residents, a staff member, viewed comment cards and the results of a survey undertaken by the home and fire safety records. The inspector spent a significant amount of time with the registered manager who demonstrated through discussion and the systems that she has in place to be a competent and appropriately qualified manager to manage the home. The manager demonstrated a very good value base and discussed how the philosophy of care in the home is promoted, encouraging both residents and staff to develop their skills and life experiences. The manager is forward thinking and demonstrated that she is keen to continue to evaluate and quality audit the service. The inspector viewed a Sample of questionnaires given to and completed by resident’s family and friends and other stakeholders last year. The responses were very positive. However the manager is in the process of completing a comprehensive quality audit and has identified areas of where the service can improve. This is seen as good practice and will equip the manager with the new quality self audit soon to be sent to all providers from the Commission for Social Care Inspection, (AQAA). A comment noted on one of the surveys said: “The management and staff keep up to date with new ideas and regulations”. The home takes seriously the need to ensure that it provides as far as feasibly possible a safe environment for the residents to live. Staff undergo health and safety training including fire safety, food hygiene, infection control, moving and handling and first aid. The managers provided evidence that all serviceable utilities are regularly checked and serviced and fire fighting equipment and drills are undertaken as required by the fire safety regulations. The manager is aware of the new fire safety legislation and produced evidence that a recent risk assessment had been undertaken and recommendations made by the company undertaking the checks are in the process of being completed. 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 28 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 3 ENVIRONMENT Standard No Score 24 3 25 3 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 4 3 X 3 X 3 X X 3 X 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 29 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. Refer to Standard Good Practice Recommendations 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 30 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 14 Bruce Road DS0000011827.V329082.R01.S.doc Version 5.2 Page 31 - 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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