Inspection on 21/03/06 for 16 Hill Park Road

This inspection was carried out on 21st March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

16 Hill Park Road 31/05/07

16 Hill Park Road 31/05/05

16 Hill Park Road 01/02/05

16 Hill Park Road 04/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 16 Hill Park Road Highweek Newton Abbot Devon TQ12 1NU Lead Inspector Rachel Proctor Unannounced Inspection 9:45 21st March 2006 16 Hill Park Road DS0000003625.V253156.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 16 Hill Park Road DS0000003625.V253156.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. 16 Hill Park Road DS0000003625.V253156.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 16 Hill Park Road Address Highweek Newton Abbot Devon TQ12 1NU 01626 337710 01626 337710 saraton5@hotmail.com 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) Mrs Sarah Louise Vooght Mrs Sarah Louise Vooght Care Home 1 Category(ies) of Learning disability (1), Sensory impairment (1) registration, with number of places 16 Hill Park Road DS0000003625.V253156.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31/05/05 Brief Description of the Service: 16, Hill Park is a care home for younger adults and provides personal care for a maximum of one client of either gender who has learning disabilities and/or sensory impairments. The home is owned and run by Sarah Vooght, a registered nurse who has completed the registered managers award and NVQ level 4 in care. T he provider offers 1:1 care. Dedicated time is spent with the client between 10:00 a.m. and 18:00 pm five days a week. The provider is on call at all other times. Clients are encouraged to perform their own house keeping duties and choose weekly menus, the manager assists with shopping and food preparation. Clients are encouraged to go on outings with the manager, sometimes with her family. For long-term stays a weekly plan is devised, which could include a work placement. Routines and plans are flexible and designed to meet individual needs. The home is situated in a quiet residential area of Highweek, a short car distance from Newton Abbot. There are bus routes into the town centre. The accommodation is provided as a self-contained one-bedroom flat, which adjoins the providers private dwelling. The flat has a kitchen, lounge/dining room and a bedroom with en suite toilet and shower. The flat is accessed by steep driveway, which means that the clients have to be independently mobile. 16 Hill Park Road DS0000003625.V253156.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The commission for social care inspection has introduced key standards to be inspected over each inspection year. Therefore, unless it is felt necessary by the inspector, some standards will not be inspected. To obtain a full picture of the home it is recommended that previous reports also be taken into consideration. The inspection took place over one hour and was unannounced. All the key standards were assessed at the last inspection as met or exceeded. A full tour of the clients accommodation took place and personal records of the client were viewed. The inspector spoke to the client as well as the registered owner/manager. What the service does well: What has improved since the last inspection? 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. 16 Hill Park Road DS0000003625.V253156.R01.S.doc Version 5.0 Page 6 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 16 Hill Park Road DS0000003625.V253156.R01.S.doc Version 5.0 Page 7 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): These standards were not inspected on this occasion. All the standards assessed at the last inspection were met. EVIDENCE: 16 Hill Park Road DS0000003625.V253156.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 9, The client’s are supported to make decisions about their lives. Their independence is maximised by being kept informed and consulted about aspects of life within the home. EVIDENCE: A comprehensive risk assessment process remains in place for the activities the client undertakes. Discussion with the client confirmed that they are encouraged to take responsibility for those things they are able to do. These are identified in the individual plan and agreed strategies are in place to minimise any identified risks. The client’s individual plan documents the goals the client wishes to achieve. They were able to explain and discuss how the goals recorded in their individual plan had been agreed. The client reported that they were able to make decisions about their life and were consulted about aspects of life within the home. The manager confirmed that clients are encouraged to maximise their independence. This was supported by the practices in place and discussion with the client. 16 Hill Park Road DS0000003625.V253156.R01.S.doc Version 5.0 Page 9 An annual review had been completed and was documented in the individual plan. The client, the family representative and the person contracting the care had agreed and signed the Review. 16 Hill Park Road DS0000003625.V253156.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): 12,16,17 The client’s individual preferences are valued and encouraged, enabling them to participate in activities of their choice. EVIDENCE: The client advised that they regularly visited family who lived in a different area of the country. They also said that they enjoyed being able to walk into town to go shopping and visit the local library to use the Internet. The client told the inspector they were looking forward to visit the local cinema to see a new film. The client advised that they had completed a computer course and had started another course. The client showed the inspector the computer games they like to play. The client also said that the manager encouraged them to choose the activities they enjoyed doing. The inspector was shown the kitchen in the clients flat. They told the inspector that they get their own breakfast and some of the meals. The client said the manager asked them what they would like to eat and as well as helping them to shop for the food they prepared themselves, she prepared a cooked meal 16 Hill Park Road DS0000003625.V253156.R01.S.doc Version 5.0 Page 11 once a day five days a week. The manager stated that she encourages the client to take responsibility for their meals and activities choice, which will enable them to develop the personal life skills. The daily routines and systems allow the client individual choice and freedom of movement. The client told the inspector they chose what time they got up and went to bed and how they filled that day. The manager advised that she regularly discusses with the client the activities they want to take part in and the choice of meals. The client is enabled and encouraged to meet people who do not have their disability. On the day of this inspection the client was preparing to go into town to visit the local library. The client’s flat has it’s own entrance to the accommodation which is lockable. The client is also able to contact the manager using an adjoining door, which accesses the manager’s private accommodation if required. 16 Hill Park Road DS0000003625.V253156.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, The way the clients’ care is managed and recorded ensures their care needs are identified and met in a way that they would do themselves if they were able. EVIDENCE: The clients personal plan of care had been reviewed. A record of the formal review of care and services had taken place in October 2005. The views and aspirations of the clients were clearly recorded. Comments from the clients representative and the care purchasers were also recorded as part of the review. The manager advised that the client is independent with personal care, although sometimes they need reminding. The client commented that they were able to manage independently although sometimes they did need reminding which tasks they should be completing. The manager advised that the client continues to self medicate. The client had chosen not to lock the medicines away, as they live independently in their own accommodation this does not pose a risk to others and is clearly documented in their individual plan. 16 Hill Park Road DS0000003625.V253156.R01.S.doc Version 5.0 Page 13 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): The standards in this section were not inspected on this occasion. both these key standards were met at the last inspection. EVIDENCE: 16 Hill Park Road DS0000003625.V253156.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 The client has a safe comfortable environment to live in, which meets their needs. EVIDENCE: The accommodation is provided as a self-contained one-bedroom flat, which is adjoined to the providers private dwelling. The client has chosen the decorations in the flat, which has been personalised with items of their choice. The client told the inspector that they could easily get a bus into town from their flat but that they often enjoyed the walk. The flat has the kitchen, lounge/dining room, bedroom with en suite toilet and shower. The flat is accessed by a steep driveway, which the current client is able to use independently. The client was pleased to show the inspector their redecorated bedroom. They told the inspector that they have chosen the Manchester football teams colours. Several posters of the football club and other club items were contained in the client’s room. The client told the inspector that they enjoyed watching the Manchester football club play. 16 Hill Park Road DS0000003625.V253156.R01.S.doc Version 5.0 Page 15 The manager advised that the client is encouraged to be independent with household tasks. She commented that the client sometimes needs encouragement and prompting to clean their own accommodation. The accommodation was clean and tidy at the time of the inspection. The client confirmed that they do their own housework and that sometimes they need encouragement and reminding to do things. The client’s individual plan includes how independence with domestic tasks is encouraged and promoted. 16 Hill Park Road DS0000003625.V253156.R01.S.doc Version 5.0 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): The standards in this section were not inspected on this occasion. The three standards assessed at the last inspection were met. EVIDENCE: 16 Hill Park Road DS0000003625.V253156.R01.S.doc Version 5.0 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): 39 The client can have confidence that their views will be taken into account and their best interests promoted. EVIDENCE: The manager provided the feedback questionnaires received from the client social worker, their family and the client regarding the services provided at the home. These all indicated they were more than satisfied with the services provided. A request for redecoration of the clients room at the last inspection had been completed. This had been done in a way that the client was able to influence and choose the new décor for their room. The client told the inspector they enjoyed living at home and being able to choose how they filled their day. 16 Hill Park Road DS0000003625.V253156.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 X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 4 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 16 Hill Park Road Score 3 X X X Standard No 37 38 39 40 41 42 43 Score X X 4 X X X X DS0000003625.V253156.R01.S.doc Version 5.0 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. Refer to Standard Good Practice Recommendations 16 Hill Park Road DS0000003625.V253156.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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. 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