Inspection on 14/09/06 for 151 Ratcliffe Road (Homefield College)

This inspection was carried out on 14th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

151 Ratcliffe Road (Homefield... 05/09/05

151 Ratcliffe Road (Homefield... 11/01/05

151 Ratcliffe Road (Homefield... 26/10/04

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Applegarth

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Thornham Grove

Beech Lodge

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Hunter`s Lodge

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

CARE HOME ADULTS 18-65 151 Ratcliffe Road (Homefield College) 151 Ratcliffe Road Sileby Loughborough Leicestershire LE12 7PX Lead Inspector Mr Steve Hunnybun Unannounced Inspection 14th September 2006 09:00 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.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 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.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. 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 151 Ratcliffe Road (Homefield College) Address 151 Ratcliffe Road Sileby Loughborough Leicestershire LE12 7PX 01509 816794 01509 815696 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.homefieldcollege.ac.uk Homefield College Limited Vacant Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 1st February 2006 Brief Description of the Service: 151 Ratcliffe Road is a detached property with three single bedrooms, situated on a busy road in Sileby. The home is clean, comfortable and homely and does not stand out from its neighbours. Shared accommodation consists of a lounge, dining kitchen and enclosed garden. The home is part of Homefield College. Students are initially accommodated at the college site, moving to one of the houses when assessment determines the requirement for greater independence in a longer-term placement. The three young people accommodated at this home are all full time students funded by Social Services and all have now been accommodated at this home long term. Residents are given information about the home when they arrive and inspection reports are made available. It was not possible to determine the scale of charges as the manager was not present on the day of the inspection. 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The primary method of inspection used was ‘case tracking’ which involved the inspector selecting two residents and tracking the care they receive through review of their records, discussions with them and with the care staff and observations of care practices. Residents made the following comments: • • • • ‘We go to church and sing’ ‘I like the Tuesday Club’ ‘I like my bedroom’ ‘I find staff easy to talk to’ The inspector made a plan prior to the visit summarising available information from the previous inspection report and service history. The inspection was positive indicating good outcomes for residents. No requirements were made. Two good practice recommendations were made. What the service does well: What has improved since the last inspection? What they could do better: Care plans need to be reviewed and the reviews dated and signed. The home needs an up to date copy of the Multi-Agency Vulnerable Adult Protection document No Secrets. 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.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 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Personalised assessments ensure that prospective residents’ diverse needs are identified and planned for before they move into the home. EVIDENCE: Two residents have been at the home for some years and one has recently moved there from another within the Homefield College group. All had useful assessment documents in their files generated within the home and in one case by social services. The resident who has recently moved to the home stated that she was able to choose to move there. She made the move to enable her to develop the skills necessary for independent living in the future. 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Residents have care plans and risk assessments that cover all of their individual needs. These enable them to make choices, take risks and for their needs to be met. EVIDENCE: All residents have care plans. Those that spoke with the inspector stated that they contributed to the development of the plans. Care staff have recorded information about all residents’ needs and strategies to support them to meet their needs. There was some evidence that the content of plans had been reviewed although this was inconsistent and had not been dated. The format of plans is currently being upgraded. Staff have also produced risk assessments for residents that help to maximise their independence. One resident spoke with the inspector and was clearly aware of her risk assessments, particularly with regard to going out on her own. Residents stated that they are able to make decisions about their lives. The one who has recently moved to the home recounted the support she had to choose the 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.R01.S.doc Version 5.2 Page 10 home. A residents’ meeting is held weekly at which decisions are made regarding activities, meals and responsibilities within the home. 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. The promotion of residents’ rights, provision of activities within the local community, contact with families and the quality of the food all contribute to a positive lifestyle. EVIDENCE: Residents spoke enthusiastically about activities that they are offered and all have a programme of day care activities within local colleges. A recent holiday was described and one resident stated that ‘we go to church and sing’. A resident is clearly looking forward to a planned trip to see a Beatles tribute band. Residents are supported to access the local community according to their risk assessments. One goes out alone to local shops and to visit friends. Residents are able to maintain contact with their families who are closely involved in their care. Residents stated that they are treated with respect. There are addressed by their preferred name and are able to open their own mail. Residents carry out domestic tasks on a rota basis. A member of staff supported one resident to clean the bathroom. Residents choose the menu 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.R01.S.doc Version 5.2 Page 12 during their weekly meeting, which they chair. They shop for the ingredients and prepare the meals with support. All residents stated that they like the food. 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Residents’ personal and healthcare needs are met and they are protected by medication policies. EVIDENCE: Residents are registered with a local GP and all stated that they are satisfied with this. They said that staff support them if they are unwell. Staff use an excellent form to record appointments along with any advice or outcomes. Medication records were up to date and accurate and medicines were stored appropriately. 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Residents are protected from abuse and their concerns and complaints are listened to and acted upon. EVIDENCE: The member of staff who was present during the inspection has attended training regarding adult protection and demonstrated a sound knowledge of the home’s procedures. The home has a copy of the Multi-Agency Vulnerable Adult Protection document No Secrets, which is out of date. The home is recommended to contact the local adult protection team to order a new copy. Residents appeared to be aware of the complaints procedure, which is robust and comprehensive. Complaints are recorded; no examples were available for the inspector to see. 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Residents benefit from living in a house that is homely, comfortable clean and safe. EVIDENCE: A resident showed the inspector round the home. All areas of the house were homely, clean, and in good repair. Residents’ rooms are personalised with pictures and ornaments and they can choose the colour of the décor. 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. Residents’ needs are met and are protected by the recruitment and retention of a well-trained, experienced staff team. EVIDENCE: It was not possible to inspect staff records, as the manager was not present. The member of staff present stated that staff are not appointed until they have all necessary references and criminal records checks. The home has a training programme for staff that reflects the needs of residents. One resident stated that staff are ‘very good, you can talk to them about anything’. The member of staff stated that she receives regular supervision and an annual appraisal. 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.R01.S.doc Version 5.2 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. The inspector made this judgement using available evidence including a visit to this service. The home is well managed, residents’ views are sought regarding the running of the home and their health and safety are protected. EVIDENCE: The residents and staff who spoke with the inspector stated that the home is well managed and the manager is approachable and supportive. One resident said ‘I find her very easy to talk to’. Residents are given questionnaires to record their views of the home. The responsible individual for the home monitors it with regular visits. All records regarding health and safety are kept in a folder. Records regarding fire, electrical testing and the control of substances hazardous to health were up to date and accurate. 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.R01.S.doc Version 5.2 Page 19 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA6 YA23 Good Practice Recommendations That care plans are regularly reviewed and that the records of reviews are signed and dated. That an up to date copy of the Multi-Agency Vulnerable Adult Protection document No Secrets is ordered. 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 151 Ratcliffe Road (Homefield College) DS0000001672.V311102.R01.S.doc Version 5.2 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. 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