Inspection on 10/05/05 for 18 Kings Park Road

This inspection was carried out on 10th 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

18 Kings Park Road 05/12/06

18 Kings Park Road 30/11/05

18 Kings Park Road 15/03/05

18 Kings Park Road 15/09/04

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 (18) Kings Park Road Boscombe Bournemouth Dorset BH7 7AE Lead Inspector Veronica Crowley Unannounced 10th May 2005 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. (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service (18) Kings Park Road Address 18 Kings Park Road Boscombe Bournemouth Dorset BH7 7AE 01202 397384 01202 397384 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) Hesley Asperger Syndrome Services Ltd Miss Ayshea Louise Mussell CRH 9 Category(ies) of PC, 9 registration, with number of places (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th March 2005 Brief Description of the Service: 18, Kings Park Road is a large detached house situated in a residential area of Boscombe. It provides term-time education and care for nine young men aged between 16 and 19 years with a primary diagnosis of Asperger Syndrome. There are nine single bedrooms, one being en-suite and suitable for someone with a physical disability, the other bedrooms share bathrooms and showers. There is a lounge, dining room, kitchen, living skills area, laundry and garden. The library, shops and recreational facilities are within fifteen minutes walking distance and bus and train routes are similarly close. The students all attend The Wing Centre, a residential and educational resource specialising in meeting the needs of young men diagnosed with Asperger Syndrome. Educational programmes include a curriculum co-ordinated at The Wing Centre, work expereince and college courses organsied by the Educational Vocational Manager who links with all local colleges assessing special educational needs on an individual basis. Some of the curriculum is delivered at 18, Kings Park Road where there is scope for the young men to practice independent daily living skills. Kings Park and The Wing Centre are part of the Hesley Group, an independent provider that nationally provides a range of services to people with autism and related needs. All staff who work at 18 Kings Park Road also work with the young men at the Wing Centre. Waking staff are on duty at all times. (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted as part of the normal inspection process legally required and to acquaint a new inspector to the service. The previous two inspections had established that the service the home was providing was operating well and that outcomes for the students living at Kings Park were good. A tour of the premises took place, guided by a student. The Manager, Service Manager and two students were spoken to and various records were examined before and at this visit. The time taken on this inspection was 3 hours on the premises and 1 hour prior with 6 key standards were considered. Service users at Kings Park are called students. What the service does well: What has improved since the last inspection? The Service Manager is in the process of devising a creative questionnaire for students to gain their views about the service provided. It is hoped this will have been used by the next inspection. (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 Page 6 The staff are gradually reducing their presence in the students house meetings in order for students to take more responsibility in how things are run and how conflicts can be resolved between them. Further opportunities are constantly being sought for student work placements and college courses. Students are currently improving the front garden with the hope of winning a trophy in the Hesley Groups’ Best kept Garden competition. 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. (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 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 (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 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) These standards were not assessed at this inspection. EVIDENCE: (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 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) 7 and 9 The opportunities and systems for students to make decisions about their lives and to contribute to the running of Kings Park are good with students’ views being sought and acted upon. Students are well supported by a number of staff within a solid risk assessment framework enabling them to learn independent living skills in readiness for transition into adulthood. EVIDENCE: On the afternoon of this inspection students were being supported to go cycling and swimming having carried out their daily living skills curriculum based at Kings Park. The students and Manager confirmed that weekly student meetings take place with reducing staff presence. Less mediation from staff has enabled the students to accept ownership, chair, minute and resolve issues that may arise in their daily living experiences at Kings Park. The students spoken with said these meetings were useful and that their views and rights were listened to and action taken where necessary. (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 Page 10 Discussions with the Service Manager, the Registered Manager and two students confirmed staff clearly value and respect individuality and the contribution each student makes to life at Kings Park. The staff team have a strong commitment to facilitating and empowering all the students in supporting their independence within a framework of risk assessment to promote safe and personal choices. Examples were discussed and seen where individuals were evaluated in order for them to exercise both choice and rights in their lives. One such example provided was where a student had been working with their personal tutor, practising skills required to safely access the local shop. The task had been broken down into sequential steps and the student had to achieve all elements before progressing to the next. Once successful he will be able to undertake the task independently, underpinned by a risk assessment, completed consent forms and the added safety of a signing in and out of the house procedure. All risks were well documented and focus on the student learning to take responsibility for the identified activity in addition to learning about the consequences. (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 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 standard(s) 12, The programme available to students for further education, work placements, appropriate jobs and fulfilling activities are excellent giving them a huge range of diverse opportunities to fulfil their potential. EVIDENCE: All students living at Kings Park attend the Wing Centre two days per week. This offers them further educational and learning experiences within a safe and educational environment. The recruitment of an Educational Vocational Manager has resulted in students having an even greater range of options both within the local community for work placements and at local colleges. The Manager reported that one ex-student was now at University and current students were all in meaningful educational or work related placements. (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 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) These standards were not assessed at this inspection. EVIDENCE: (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 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 standard(s) 22 Kings Park exercises a clear and effective complaints procedure which ensures students views, grumbles and complaints are listened to and resolved satisfactorily. EVIDENCE: The home had received two complaints since the last inspection, one external and one from a student. The records clearly demonstrated that a plan of action had been carried through and a satisfactory outcome achieved in both cases. Both grumbles and complaints are taken seriously and documented accordingly. These records had been audited regularly and seen by the Independent Person when carrying out the monitoring visit on behalf of the Hesley Group. Kings Park, within the Hesley Group jurisdiction, sometimes use a forum for determining consequences of actions that have caused problems. The forum is made up of three students, the alleged victim, the alleged perpetrator, a member of the Leadership Team and a member of the Management Team. Once an outcome has been decided minutes of the forum meeting are displayed on the wall in order for students to understand how the conclusion was arrived at. (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 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 standard(s) 24,25,26,27,28,29,30 The standard of the home’s environment is good providing students with an attractive and homely place to live. EVIDENCE: Kings Park is close to all local amenities, including main line trains and buses. The home is clean and bright, in good decorative order and well maintained. The communal areas offer comfortable, homely space which the students reported were good areas to share. Furnishings and fittings are of a good quality throughout the home and maintained well. Of the bedrooms inspected each student had furniture and fittings sufficient and suitable to meet their individual needs and lifestyles. Students confirmed they had been able to personalise their own bedrooms and liked the privacy afforded them. No environmental adaptations or disability equipment are currently being used at the home, although a bedroom and en-suite bathroom suitable for a wheel chair user is available on the ground floor. There are sufficient showers, baths and toilets for the needs of the students. There is a small domestic style kitchen with a separate storage and food preparation area which the students say is the main hub of the house. The domestic style laundry is situated in a purpose built room at the back of the garage. The garden consists of a (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 Page 15 secluded patio area at the rear with a lawn surrounded by flower borders at the front. Students reported that they were currently working hard on the front garden in order to enter an in-house competition for best kept garden. The exterior of the house is attractive and consistent with similar residences in the street. (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 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) These standards were not assessed at this inspection. EVIDENCE: (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 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) These standards were not assessed at this inspection. EVIDENCE: (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 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 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x x x x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 (18) Kings Park Road Score x x x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 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. 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 Good Practice Recommendations (18) Kings Park Road D55 S4027 (18) KINGS PARK ROAD V226475 100505 Stage 4.doc Version 1.30 Page 20 Commission for Social Care Inspection Unit 4, New Fields Business Park Stinsford Road Poole, Dorset BH17 0NF 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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