Inspection on 31/05/05 for 16 Hill Park Road

This inspection was carried out on 31st May 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 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 21/03/06

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 Fiona Cartlidge Announced 31 May 2005 st 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 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 Stationary 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 D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service 16 Hill Park Road Address Highweek, Newton Abbot, Devon, TQ12 1NU Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01626 337710 01626 337710 saraton5@hotmail.com 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 D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 01/02/2005 Brief Description of the Service: 16 Hill Park is a Care Home for younger adults and provides personal care to a maximum of one client User of either gender who has Learning Disabilities and or sensory impairments. The home is owned and run by Sarah Vooght who is a registered nurse and has the Registered Managers Award and NVQ 4 in care. The Provider offers 1:1 care. Dedicated time is spent with the clients between 10.00 am and 18.00pm, five days a week. The Provider is on call at all other times. Clients are encouraged to perform their own house keeping duties and chose 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 the quiet residential area of Highweek, a short car distance from Newton Abbott. There are bus routes into the town centre. The accommodation is provided as a self contained one bedroom flat which is adjoined to the Providers private dwelling. The flat has a kitchen, lounge/dining room, bedroom with ensuite WC and shower. The flat is accessed by a steep driveway which means that Service Users have to be independently mobile. 16 Hill Park Road D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 2 and half hours and was announced. Information was received from the registered provider before the inspection as was written feedback from 1 visiting professional and the client living at the home. A full tour of the client’s accommodation took place and personal records of the client and staff were inspected. The inspector spoke to the client as well the registered owner/manager. What the service does well: What has improved since the last inspection? New railings have been fitted to the front steps leading to a new porch. All members of the managers family have had enhanced checks made through the Criminal Records Bureaux. The Provider and another family member have attended training on the protection of vulnerable adults. 16 Hill Park Road D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 16 Hill Park Road D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 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 Standards Statutory Requirements Identified During the Inspection 16 Hill Park Road D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 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 standard(s) 2,3,4, The level of information received about clients before their admission is good this allows the registered owner/manager to make informed decisions about if/how the persons needs will be met. EVIDENCE: The Provider confirmed that all service users admitted to the home have their placement arranged under care management processes. The Present Service User has been living at the home for over two years therefore there have been no other admissions since. Despite this the Manager provided evidence that detailed information about the clients previous history had been obtained from the clients care manager. The existing client confirmed that they visited 16 Hill Park before making a decision to stay. The Provider stated that prospective clients are invited to visit the home and spend time with the management team and are encouraged to stay for a meal and spend time within the environment. 16 Hill Park Road D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 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 standard(s) 6,7,8,9, Clients living in the home are able to make decisions about their life and are consulted about all aspects of life within the home and maximise their independence. EVIDENCE: The client was aware and is constantly involved in planning their goals, which are documented in their individual plan. The client is able to make decisions about their life and is consulted about all aspects of life within the home, clients are encouraged to maximise their independence. An annual review is undertaken this is documented, agreed and signed by the client, the provider and the person contracting the care. Care plans set out the goals clearly with plans on how to meet them and these are reviewed and agreed on a monthly basis. Risks are identified in the care plans and agreed strategies are in place to minimise identified risks. 16 Hill Park Road D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 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 standard(s) 11,12,13,14,15,,16,17 The home offers a broad range of activities to meet the client’s needs. Clients can make choices about all aspects of their lives and are supported to do so. The food in the home is of good quality and suits the needs of the client. EVIDENCE: The client told the inspector that they attend college on a weekly basis, and is working towards an advanced IT certificate. The client showed the inspector certificates of qualifications already gained and of the work that they are currently undertaking. The client told the inspector about what they like to do in their leisure time this included trips to town to do their own shopping and visit the library to use the internet, going to the cinema and just ‘chilling out’ at home watching TV (especially Manchester United football matches) and playing computer games. The client told the inspector that they enjoy regular trips home to their family and was looking forward to a 6-day break with them to celebrate their birthday. As well as frequent trips home the client is in almost daily contact with their family by phone. 16 Hill Park Road D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 Page 11 The client’s accommodation has its own front door and the client is able to choose who is able to visit. The client told the inspector that the food available in the home suits their preference, the client is encouraged to make their own breakfast, at least 1 cooked meal is provided and a choice of snacks were available in the clients kitchen. The client’s dietary intake has much improved since their admission to the home. 16 Hill Park Road D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 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 standard(s) 18,19,20 and 21 The home has robust arrangements to ensure the health care needs of the client are identified and met. EVIDENCE: The client is independent with personal care however they did tell the inspector that sometimes they needed reminding about certain aspects of their self- care and indicated that this was done in an appropriate manner. The client told the inspector that they had recently attended an out patients appointment with a hospital specialist and is able to get an appointment with their GP when needed. Records confirmed that an optician and a dentist have recently seen the client. The client self administers medication and chooses not to lock it in a medicines box, but as they live independently in their own accommodation this does not pose a risk to others and is clearly documented in the care plan. The registered provider and client have discussed the issue of dying and the outcome of that has been recorded. 16 Hill Park Road D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 Page 13 16 Hill Park Road D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 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 standard(s) 22 and 23 Clients are cared for in a safe manner within a risk-assessed framework. EVIDENCE: The client told the inspector that they feel comfortable to discuss any concerns or issues with the registered provider and that things get sorted as long as they are known about. The registered provider and another family member have recently attended training on the protection of vulnerable adults. Policies and procedures are in place for handling complaints and allegations of abuse or neglect. 16 Hill Park Road D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 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 standard(s) 24,25,26,27,29,30 The environment meets the needs of the client. EVIDENCE: The accommodation is provided as a self contained one bedroom flat which is adjoined to the Providers private dwelling and contains a lot of the clients own belongings. The flat has a kitchen, lounge/dining room, bedroom with ensuite WC and shower. The flat is accessed by a steep driveway which means that Service Users have to be independently mobile. The client told the inspector that they would like their bedroom to be decorated in a different colour and the provider agreed this at the time of the inspection. Part of the clients care plan includes encouraging domestic independence and to that end a cleaning schedule is available for them, with encouragement and prompting the client cleans their own accommodation which was clean and tidy at the time of this inspection. 16 Hill Park Road D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,35 Clients living in this home are well supported by competent and qualified staff. EVIDENCE: The home is staffed entirely by the registered provider, records and certificates provided evidence that she undertakes regular training to ensure she has the knowledge and skills to care for those who this home is registered to provide care to. 16 Hill Park Road D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,39 and 42 The management of this home is effective, clear and transparent. EVIDENCE: The client told the manager that they like the registered provider and want to continue living at the home because they feel safe and comfortable. Completed Service satisfaction questionnaires where inspected dated January 2005 – feedback from a visiting care manager included the following comments – the provider ‘acts on suggestions and reports back’, ‘communicates effectively with the family and maintains positive relationships’, ‘more service users could benefit from this type of support and assessment’. The clients next of kin commented ‘ that their relative ‘is happy with all that is provided for him’ and the provider ‘is easy to approach’. All records were found to be well maintained and up to date. 16 Hill Park Road D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 4 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 2 3 3 x 3 3 Standard No 11 12 13 14 15 16 Hill Park Road 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score x x x x x x Version 1.20 Page 19 D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc 16 17 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x x x x x x 16 Hill Park Road D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 Page 20 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. 1. 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. Refer to Standard 26 Good Practice Recommendations The residents bedroom should be decorated as they chose. 16 Hill Park Road D54-D07 S3625 16 Hill Park Road V214538 310505 Stage 4.doc Version 1.20 Page 21 Commission for Social Care Inspection 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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