Inspection on 05/09/07 for 145 Kingsley Road

This inspection was carried out on 5th September 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

145 Kingsley Road 21/02/07

145 Kingsley Road 29/11/05

145 Kingsley Road 07/06/05

145 Kingsley Road 08/09/04

145 Kingsley Road 20/04/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 145 Kingsley Road Milton Portsmouth Hampshire PO4 8HN Lead Inspector Beverley Rand Key Unannounced Inspection 5th September 2007 10:10 145 Kingsley Road DS0000012048.V344994.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 145 Kingsley Road DS0000012048.V344994.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. 145 Kingsley Road DS0000012048.V344994.R01.S.doc Version 5.2 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) www.mencap.org.uk Royal Mencap Society 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.V344994.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users are not to be admitted under 18 years of age Date of last inspection 21st February 2007 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. The manager said the weekly fees are approximately £560, however, residents are financially assessed and make a contribution as necessary. 145 Kingsley Road DS0000012048.V344994.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced key inspection. Before the inspection, the inspector looked at the last inspection report and the Annual Quality Assurance Assessment which was written by the manager. During the inspection the inspector looked around the home, sat and spoke with residents, spoke with three staff and the manager. What the service does well: What has improved since the last inspection? The home now has more staff on duty during the day and evening, which means residents can be supported to go out if they wish. One staff member will always stay in the kitchen if dinner is being cooked to reduce the risk of scalds to residents. Records and staff files are kept locked away to keep information confidential. The manager told the inspector that staff who work at the home but are not employed by them, do have training and induction provided through Mencap. The home has received updated policies and procedures from Mencap and staff have been made aware. Cleaning fluids are stored safely so that residents are not at risk. 145 Kingsley Road DS0000012048.V344994.R01.S.doc Version 5.2 Page 6 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. 145 Kingsley Road DS0000012048.V344994.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 145 Kingsley Road DS0000012048.V344994.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home would ensure that new residents’ needs were assessed before they moved into the home. EVIDENCE: There have not been any new residents for some years so the inspector did not look at any pre-admission assessments. However, the manager explained that if a new referral were made to the home, she would ensure she had a care management assessment as well as completing one of her own, following Mencap’s guidelines. Prospective residents would be invited to visit the home, gradually increasing the time to overnight stays. If they moved in, there would be a trial period to ensure everyone was happy with the arrangement. 145 Kingsley Road DS0000012048.V344994.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. 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. Residents make decisions and take responsible risks which are reflected in detailed support plans. EVIDENCE: Residents all have support plans in place which are regularly reviewed. The support plans are created and reviewed with full participation of the residents. Leading up to the annual review, the key worker will discuss the detail of the support plan to ensure residents are fully involved and the review includes people the resident may like to invite. The manager said support plans were reviewed every three months, or as necessary and that residents were always asked if they would like their reviews more frequently than this. The home has developed the concept of Person Centred Planning and examples of this working well were seen during the inspection. Support plans were detailed and included thorough risk assessments. Residents told the inspector about the activities they currently enjoy, thereby demonstrating that they make decisions about their lives. 145 Kingsley Road DS0000012048.V344994.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents lead their lives as they wish and are supported by enthusiastic and committed staff. EVIDENCE: The residents enjoy many varied activities of their choice, including paid employment. Most residents attend a day service and leisure time is spent going to the pub, bowling, walks, visiting museums, shopping, going to the pictures and so on. Some residents access the community alone whilst others need staff support. Residents have an annual holiday and staff have a high commitment to supporting them in making their choices, preparations and going with them. The inspector spent time sitting with residents and observing positive interactions with staff. One resident spoke to the inspector, saying how much they liked living at the home, as they liked, ‘the company and staff.’ The staff are also supportive of residents’ relationships and friendships, offering practical support where needed. Visitors are welcome and encouraged 145 Kingsley Road DS0000012048.V344994.R01.S.doc Version 5.2 Page 11 at the home. The manager explained how one resident has had increased family contact as a result of working with Person Centred Planning. During the inspection it was evident that residents were doing as they pleased throughout the day. They have keys to their bedrooms and these were locked. Staff do not go into rooms without knocking and were seen to be respectful towards residents. The home has a resident cat and a dog which visits – residents enjoy this contact with animals. Residents have chosen the colour schemes of their bedrooms and plans are in progress to paint two bedrooms which have recently been swapped by residents. Residents are involved with the food shopping as well as the menu planning and meal preparation. Monthly meetings are held where residents put forward their ideas for meals, perhaps suggesting a recipe they have seen on the television, heard about through friends or food they have eaten on holiday. A staff member enjoys cookery as a hobby and so is responsible for coordinating these meetings. The home is currently working on producing its own cookery book to ensure all staff cook the same meal in the same way. Also, they are in the process of creating a pictorial menu, by individually photographing each meal as it is prepared. Both of these are seen as good practice. Two full fruit bowls were in the dining room for residents to help themselves to fruit and the menus were varied. 145 Kingsley Road DS0000012048.V344994.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and social care needs are met. EVIDENCE: Residents generally need little personal care support, but support plans detailed routines where necessary. Needs have been reviewed and more support given where necessary, for example, when a resident became unwell. The AQAA states that, ‘staff respect people’s privacy and dignity. We encourage people to be as independent as possible. Support is given in the privacy of their bedrooms or bathrooms.’ The inspector was told how a resident had become unwell and how their changing needs were met with regard to healthcare. The home made appropriate referrals to healthcare professionals who had not been previously involved and two residents agreed to a room change so that the resident who was unwell could have a bedroom downstairs. Residents access general healthcare professionals such as doctors, dentists, opticians and so on, in the community. 145 Kingsley Road DS0000012048.V344994.R01.S.doc Version 5.2 Page 13 The home supports residents with medication and some manage their own medication, with risk assessments in place. Medication was stored appropriately, records showed no gaps and there were photographs of residents with the medication to ensure correct identification when giving medication. There were special instructions regarding how to administer medication for each individual resident. This is seen as good practice. Staff have completed training in medication which includes internal assessment and moderation as well as external moderation. 145 Kingsley Road DS0000012048.V344994.R01.S.doc Version 5.2 Page 14 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. Residents know how to complain and are protected by written procedures. EVIDENCE: Residents are aware how to complain and the procedure is discussed as part of the support planning process and at review meetings. The home keeps a complaints log book and addresses complaints promptly. Some staff have received training in protecting adults and the remainder are booked to undertake the training. The topic is also covered during induction. The home plans to have refresher courses every two years. Staff and the manager were clear with regard to the correct procedure to follow should there be an allegation or suspicion of abuse. The home looks after money for some residents who need this level of support. The inspector saw that individual money tins were checked on a daily basis during the handover. Staff felt this was a good way to work in case there was a discrepancy. The inspector observed two tins being checked and all tins were seen as correct by the staff. 145 Kingsley Road DS0000012048.V344994.R01.S.doc Version 5.2 Page 15 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean and safe environment. EVIDENCE: The inspector looked around the communal areas of the home and was invited to see one of the bedrooms by a resident. The room was clearly personalised with pictures, a television and other possessions. The resident had only recently moved into the room from another room and so the colour scheme was not yet decided, but being talked about. The home was clean. Residents enjoy the front garden of the home, where there is a barbecue. The downstairs shower room is in need of some minor re-decoration and the manager is continuing discussion with the landlord about this. The home has a maintenance agreement with the landlord and if an urgent repair is needed, it is attended to within 24 hours. Less urgent work is generally completed between 3 and 21 days. There is an ongoing five year programme for decorating. 145 Kingsley Road DS0000012048.V344994.R01.S.doc Version 5.2 Page 16 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, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported by staff who are well trained and supervised. Residents are protected by robust recruitment procedures. EVIDENCE: The home has not employed any new staff since the last inspection, when the recruitment standard was met. The manager explained the recruitment procedure, including how recruitment checks are completed before the new staff member starts work. One of the residents is involved in the recruitment process and had training for this role, provided by Mencap. They discuss with other residents what questions they would like to ask the prospective staff member and then sit on the interview panel. New staff undergo a formal induction process which covers the organisation and the home, as well as the Learning Disability Award Framework induction and foundation. The induction includes mandatory training such as Moving and Handling. The manager said new staff would not work alone until they had completed the induction. The inspector spoke with three staff who said, ‘Mencap do provide us with very good training’ and, ‘the manager always knows what training is needed’. Staff 145 Kingsley Road DS0000012048.V344994.R01.S.doc Version 5.2 Page 17 files showed evidence of training such as Moving and Handling, Person Centred Planning, Diabetes and Autism. The manager said external service specific training was accessible as needed. One of the three permanent staff has achieved the National Vocational Qualification, (NVQ) at level 3. This is less than the standard expects at 50 : however, a fourth staff member who had an NVQ has recently left. The home remains committed to staff achieving qualifications and prefers to support NVQ to level 3, which is above the minimum expected. The inspector looked at rotas and discussed staffing levels further to a statutory notice being served after the last inspection. Staffing has been increased during the days and evenings to enable residents to access the community and so on. Staff confirmed that they follow procedures to ensure safety in the kitchen when the main meal is being cooked. They also confirmed they attended supervision sessions every two months. The manager thought that staff who are supplied through Mencap’s received supervision by a different manager, but did feel that for the more regular staff supplied, it may be appropriate for her to undertake their supervision. 145 Kingsley Road DS0000012048.V344994.R01.S.doc Version 5.2 Page 18 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 home is well run in the interests of residents. EVIDENCE: The manager has managed the home for approximately seventeen years. She has achieved the Registered Manager’s Award as well as NVQ level 4. The manager continues to update her training, undertaking the following courses: training and development; recruitment and selection; loss and bereavement; positive enabling; bi-polar disorder and autism; and moving and handling. staff told the inspector that the manager was, ‘good’ and that the manager and deputy worked well together. Throughout the inspection it was clear that the manager is committed to working in a person centred way and promoting residents’ rights and supports the staff team to work in the same way. 145 Kingsley Road DS0000012048.V344994.R01.S.doc Version 5.2 Page 19 The manager and staff are also committed to running the home in the best interests of the residents. Residents, family and friends, (as appropriate), day services and named care managers are invited to complete questionnaires. The residents’ surveys use pictures to ensure all residents have access to them. The inspector looked at the collated results for the recent survey and saw that all questions were scored as good or very good. Residents have their own meeting, which they take turns to chair, on a monthly basis. Residents also provide staff with feedback on a daily basis. The area manager undertakes a monthly check and there are also spot checks taking place. There is a continual improvement plan and the home welcomes complaints. Staff also have regular meetings where they can put forward any suggestions to improve the home. The home maintains equipment such as thermostatically controlled valves on the baths. The inspector looked at a sample of maintenance certificates. Fire equipment and training records were kept. Hazardous chemicals were stored appropriately. 145 Kingsley Road DS0000012048.V344994.R01.S.doc Version 5.2 Page 20 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 3 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 3 34 3 35 3 36 3 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 4 13 3 14 X 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 145 Kingsley Road DS0000012048.V344994.R01.S.doc Version 5.2 Page 21 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. Refer to Standard Good Practice Recommendations 145 Kingsley Road DS0000012048.V344994.R01.S.doc Version 5.2 Page 22 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 145 Kingsley Road DS0000012048.V344994.R01.S.doc Version 5.2 Page 23 - 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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