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Inspection on 29/11/05 for 145 Kingsley Road

Also see our care home review for 145 Kingsley Road for more information

This inspection was carried out on 29th November 2005.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

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

Residents continue to benefit from a stable placement. The home has a very low turnover of staff and this has enabled residents and staff to become familiar with each other, to the extent that there is a family type environment. Residents were observed to feel at ease in approaching staff. Each of the residents attends a variety of activities, including paid employment, voluntary work, day services, outings, holidays and social events. There is management support from the Mencap regional management team, which includes audits, provision of policies and procedures etc. Staff also have access to the Mencap training programme. There are a number of quality assurance tools used by the home all aimed at improving the service provided.

What has improved since the last inspection?

The home`s management have addressed the security of residents` belongings, which was a requirement in the previous inspection report.

What the care home could do better:

There is an outstanding requirement for staffing levels to be increased, especially at the weekends when there is normally only one staff member onduty at any given time, which has implications for residents who need assistance when accessing the community.

CARE HOME ADULTS 18-65 145 Kingsley Road Milton Portsmouth Hampshire PO4 8HN Lead Inspector Ian Craig Unannounced Inspection 29th November 2005 14:40 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 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 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 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. 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 145 Kingsley Road Address Milton Portsmouth Hampshire PO4 8HN 023 9229 4649 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) Royal Mencap (Housing & Support Services) Ms Janet Ann Herwig Care Home 8 Category(ies) of Learning disability (8), Learning disability over registration, with number 65 years of age (8) of places 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users are not to be admitted under 18 years of age Date of last inspection 7th June 2005 Brief Description of the Service: 145 Kingsley Road is a residential home providing care and accommodation for up to eight adults and older persons who have a learning disability. The registered provider is the Royal Society of Mentally Handicapped Children and Adults (Mencap). The property is owned by Portsmouth City Council who lease it to New Era Housing Association, who have financial responsibility for the maintenance of the majority of the physical environment. The home is located in the Milton area of Portsmouth and is close to shops, a post office and other community facilities such as a public house. The sea front, including a promenade and beach, is within walking distance of the home. All bedrooms are single. The home has one lounge and a dining room. In the view of the inspector, the home is well laid out offering service users and staff space to undertake activities. 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Assistance was given by the manager, Mrs.Janet Herwig and a member of the care staff team. Several residents were spoken to during the visit. This report should be read in conjunction with the previous inspection report. What the service does well: What has improved since the last inspection? What they could do better: There is an outstanding requirement for staffing levels to be increased, especially at the weekends when there is normally only one staff member on 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 Page 6 duty at any given time, which has implications for residents who need assistance when accessing the community. 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. 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 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 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 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): None of the standards in this section were assessed at this inspection. EVIDENCE: 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 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): 7 and 8 The home promotes residents having a choice in how they lead their lives, as well as involving them in the daily running of the home. EVIDENCE: Residents described how they spend their time. This varies from enjoying paid employment to how leisure time is spent. Each of the resident’s has an individual programme of leisure, holidays, educational classes and day activities of work or attendance at day centres. One resident stated that he did not like a new job and it was clear that staff supported him in making his own decision about future options. There is a clear choice of food with residents devising the menu plan. The inspector witnessed residents choosing different meals for the early evening time. There are residents meetings held approximately every 2 months. A resident chairs these meetings and staff take minutes of the meeting. Residents’ are consulted about redecoration of their respective bedrooms and communal areas. 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 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): None of the standards in this section were assessed at this inspection. EVIDENCE: 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 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): None of the standards in this section were assessed at this inspection. EVIDENCE: 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 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 Residents have access to a complaints procedure. The manager expressed openness to acting on residents’ complaints and preferences. EVIDENCE: The home has a complaints procedure that is available in various formats for the purposes of informing the residents of the process. There is a written procedure, which is held with the home’s policies and procedures, and with the resident’s case records. The complaints procedure is also available in a tape format, which is played to residents on a regular basis. Each resident, and the resident’s keyworker, sign an acknowledgement form that the complaints procedure has been read and understood. A Mencap complaints procedure was displayed in the dining area and this contained details of how a complaint can be made and included a prepaid postcard to send to the Mencap head office indicating that the resident wishes to make a complaint. The home has its own format for recording a complaint that a resident may wish to make, with reference to how the complaint is dealt with, and the resolution of the situation. 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 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): 27 The home has sufficient toilets and bathrooms, which are maintained to a good standard. EVIDENCE: Bathrooms and toilets consist of the following: • Ground floor ~ bathroom with walk in shower and toilet • First floor ~ bathroom with bath and grab rails and a toilet ~ bathroom with bath ~ toilet Each of the toilets and bathrooms were clean and maintained to a good standard. 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 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): 33, 35 and 36 The home does not deploy sufficient staff to meet the needs of the residents, especially at weekends. Staff have access to a training programme and receive regular supervision from their line manager. EVIDENCE: There is an outstanding requirement for the home to increase the staffing levels particularly at weekends. Lack of progress on the completion of this was said by the manager to be due to funding by the purchasing local authority. Staffing levels were found to be basically the same as found at the previous inspection. The rota showed 152.5 care hours for the week commencing 21/11/05. The Department of Health Residential Forum Guidance indicates that staffing hours should be 201.19 for 4 residents with ‘low’ needs and 4 with medium needs, with a total of 250 hours spent by the residents at activities outside the home. At weekends there is generally only one staff member on duty, which has implications for those residents who require support when going out. This one person also undertakes the catering and cleaning duties at weekends. The provision of training and supervision was examined for two staff. Both these staff have started NVQ training in health and social care: one at level 3 and the other at level 4. In addition to this, each of these staff members has attended one day training courses in Person Centred Planning, dementia and learning difficulties, adult protection and supporting people. Training 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 Page 15 certificates, training plans and records were available. The manager has also made use of a local authority training programme for care providers. Staff receive supervision once every 2 months and a record of this is maintained. Records of yearly appraisals were held with staff records. 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 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 and 42 The home’s is managed in the best interests of the residents. Various quality assurance systems are used to monitor the home’s performance. Health and safety measures are taken to protect the residents and staff. EVIDENCE: The home’s manager has completed the NVQ level 4 and the Registered Manager’s Award. In the view of the inspector, the manager is effective in ensuring that the home is well run, and that the residents are the focus of the home’s operation. There are various formats for checking the home’s performance, including consultation with the residents and their relatives as well as involved professionals by the use of questionnaires. Responses from these questionnaires are collated and passed to the Mencap management team who oversee the home. The Mencap management team visit the home each month and prepare a report on the home and there is an annual service review report. The home has a business plan and the manager has devised her own ‘continual development plan.’ 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 Page 17 Staff have received training in the following health and safety subjects: first aid, moving and handling, food hygiene and infection control. Service certificates showed that the home’s appliances such as the fire alarms, gas heating, and electrical appliances are all tested. The fire log book showed that the alarms and fire safety equipment is tested at the required intervals. 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 Page 18 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X 2 X 3 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 145 Kingsley Road Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000012048.V254109.R01.S.doc Version 5.0 Page 19 Yes Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard 33 Regulation 18(1)(a) Requirement Sufficient staff must be deployed at weekends, and any other times, so that residents can access community and leisure facilities. This is outstanding from the previous report. Timescale for action 27/01/06 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 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 145 Kingsley Road DS0000012048.V254109.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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