Inspection on 07/03/07 for 2 Ling Crescent

This inspection was carried out on 7th March 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

2 Ling Crescent 13/02/09

2 Ling Crescent 16/12/05

2 Ling Crescent 05/07/05

2 Ling Crescent 18/10/04

2 Ling Crescent 10/05/04

2 Ling Crescent 06/01/04

2 Ling Crescent 08/09/03

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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 2 Ling Crescent Headley Down Bordon Hampshire GU35 8AY Lead Inspector Graham Cummings Key Unannounced Inspection 7th March 2007 09:30 2 Ling Crescent DS0000012096.V331585.R02.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 2 Ling Crescent DS0000012096.V331585.R02.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. 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 2 Ling Crescent Address Headley Down Bordon Hampshire GU35 8AY 01428 713014 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) ling@robinia.co.uk Robinia Care Limited *** Post Vacant *** Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th December 2005 Brief Description of the Service: 2-4 Ling Crescent is a care home for 6 younger adults with learning disabilities. The home is similar in appearance to neighbouring properties and is situated on a small housing estate in Headley Down, Hampshire. All residents are accommodated in single rooms and have the use of two communal lounges and a separate dining room. The home has a large enclosed rear garden that is accessible to the residents. The home is owned and operated by Robinia Care Limited, an organisation that has been a care provider since 1995. The fees range from £1,625 to £2,025 per week. The overall quality of the service provided is good. 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first key inspection of the home and was carried out on 7th March 2007. The inspection was carried out by looking at past reports, documentation at the home, touring the property, speaking to the acting manager, staff and Service users. The Pre Inspection Questionnaire and comment cards had been returned to the CSCI earlier in the week and would be looked at and comments included in the report. The Acting Manager has submitted an application for registration The documentation seen in the home was clearly written using plain English, documents for Service users were written using Widget symbols to help with communication. The last admission of a service user took place on 24th July 2006, the Inspector saw documentation of a Pre Placement Assessment, visits and overnight stays at the home. The Inspector looked at two care plans and found them to be informative and containing Behaviour Management Guidelines, Risk Assessments and Service User history. The Inspector saw evidence that individuals had an appropriate and varied lifestyle within the home and community. Service users with support attend a local day centre and visit an activity centre in Southampton where they can use a zip wire, canoeing, orienteering and motor boating. All activities are risk assessed and carried out by fully qualified instructors. There has been one complaint since the last inspection and this has been dealt with in an appropriate manner. Records were seen that were signed and dated and showed how the complaint was dealt with. The home had four staff on duty from 7am to 7pm with a fifth between 10am and 4pm so that some 1-1 work could be carried out. The Acting Manager is supernumerary on the rota. Supervision documents were seen and confirmed staff were receiving a minimum of six formal supervisions per year. What the service does well: The home is run in the best interests of the Service users, whose individual health and care needs are met. A Service User comment card received after the inspection confirmed the inspector’s findings that they ‘always make decisions about what we want to do every day’ and ‘we can do what we want during the day, evening and weekend’ and ‘I love Ling Crescent’. 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. 2 Ling Crescent DS0000012096.V331585.R02.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 2 Ling Crescent DS0000012096.V331585.R02.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): 1, 2, 4, 5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have the information required to make an informed decision about living in the home. Service sers have their needs assessed and visit the home prior to making a decision to live there. Service users have an individual Statement of Terms and Conditions with the home. EVIDENCE: The Inspector looked at two care plans and found pre placement Assessments on both. One service user had planned their own transition that included trips out with the home, speaking with service users and staff and having an overnight stay. The service user was also given a Service User Guide to help him make a decision. 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 9 The Inspector saw individual Statement of Terms and Conditions on the two files seen, these were in symbol format to assist with communication. 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 10 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, 8, 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users assessed needs are reflected in their care plan. Service users are consulted on and take decision and are supported to take risks in their daily life. EVIDENCE: Two service users were asked if the Inspector could look at their care plans, they both agreed. The care plans were comprehensive, detailed and written in plain English. Staff are required to sign each individual care plan to say that they have read and understood them. The care plans seen contained good background knowledge and history of the individual. 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 11 Assessments detailing risks to staff, community and other Service users was also included. The Inspector noted that there was a procedure and protocol on one of the care plans for a service user who experienced epilepsy. The risk assessments seen were all evaluated, signed and dated and included an individual fire risk assessment. Individual records were kept on food intake, weight, activities, family contact and finances. The home has a bi monthly service user meeting where discussions on outings, activities and menus are discussed, the minutes are recorded in writing and Widget symbols to aid in communication. 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 12 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, 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users take part in peer and leisure appropriate activities. Service users are part of the community and have their rights respected in their daily life. Service users have good family contact and are offered a healthy and nutritious diet. EVIDENCE: All service users have the option to be involved in daily activities including cooking, rambling, swimming, bowling, art, drama, drumming and horse riding. The home also take trips out to an activity centre in Southampton 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 13 where service users can go down a zip wire, canoeing, archery orienteering and motor boating. The home has two vehicles but wherever possible they use buses and trains to support and encourage independent living skills. The inspector observed throughout the site visit that staff interaction with service users was encouraging and positive. Staff knocked on doors before entering and treated service users with dignity and respect. Service users were supported to help in the preparation of the meals and keeping the home clean and tidy as part of their independent living skills. Menus showed to food provided is nutritious and varied. Family members are able to visit at any reasonable time but most ring before doing so as service users lead a busy life outside of the home. 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 14 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, 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive support in the way they prefer and their health needs are met. No service user currently at the home self medicates. EVIDENCE: All service users are registered with a local GP, optician and dentist, a chiropodist visits at regular intervals. No service user currently living at the home self medicates, there is a policy in place should this be required in the future. Medication is dispensed by two staff who double-check each other’s actions. The acting manager has recently attended and successfully completed a Medication Assessors training course and they are planning to hold training courses with staff and then six monthly refresher courses. 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 15 A new Health and Safety Policy was introduced in January 2007 and the company officer is attending the next Managers meeting to go through it. 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 16 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): 22,23 Service users are listened to and protected from abuse. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has one complaint since the last inspection. This was from a neighbour about some noise one night. The home resolved the issue quickly and they have monitored the situation and kept in contact with the neighbour. The incident was fully recorded and resolved within the 28 days stated in the homes policies and procedures. The paperwork was signed and dated. Staff have attended training in the Protection of Vulnerable Adults and Behaviour Management. The inspector was informed that service users have individual finance books and wallets and all transactions were signed by two staff and wherever possible the service user. The acting manager does spot checks to ensure that the cash and book balances are the same. 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 17 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, 26, 28, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a clean, homely, comfortable and safe environment. Service users bedrooms promote independence and communal spaces complement individuals rooms. EVIDENCE: The home was clean, bright and had a welcoming and relaxed atmosphere. The home has purchased two dining tables, dining chairs, refitted the kitchen, laid new flooring in the conservatory and several bedrooms. Some bedrooms have been decorated and new curtains hung. Service users were involved in the choosing of colours and equipment wherever possible. 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 18 A service user agreed to show the inspector their bedroom, this was well furnished and decorated, the room had en-suite facilities and pictures and personal belongings were displayed 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 19 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, 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. Service users benefit from staff being competent and having clarity of their roles. The homes recruitment process protects Service users and they have their needs met by an appropriately trained and supported staff team. EVIDENCE: The inspector looked at two staff files and found they both complied with Schedule 2 of the Care Home Regulations 2001 with two references, CRB chek, application form, photo and written identity, job description and contract. The acting manager and wherever possible service users are fully involved in the recruitment process. Staff have access to good training and have completed a Language and Communication course as required by the last inspection report, other training 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 20 has included Autism Awareness, Makaton 1 and 2, SCIP 1 and 2 and Medication. Staff receive regular supervision and a yearly appraisal. The home carried out a quality assurance exercise in December 2006 and positive feedback was received from relatives, care mangers and service users. In informal conversations with staff they indicated that the home was well run and that they received good training and regular supervision. There are three staff on duty from 7am to 7pm with a fourth staff member working a 10am to 4pm so that individual Service users can receive 1-1 activities. The home has one staff member awake at night plus a sleep in. The home has a key-worker system in place. They meet on a regular basis with the service user, these meetings are not currently recorded but the home will now start to do this. 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 21 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, 41, 42, 43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home and their views are listened to in the development of the home. The home’s record keeping and management safeguard service users. The health, safety and welfare of service users are promoted and protected. EVIDENCE: The acting manager has been in this role for over a year and has submitted an application to register with CSCI. 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 22 The acting manager was knowledgeable about the new inspection process and the standards and regulations that underpin the process. Throughout the inspection site visit, it was clear that the home is run in the best interests of service users and that their views were listened to through regular group meetings and 1-1 key-worker sessions. The home was able to evidence good practice in the recording of information and this was all signed and dated and wherever possible the service users signature was also included. The only area where this was not taking place related to the 1-1 key-worker meetings and the acting manager is going to implement this immediately. Service users’ health, safety and welfare were being promoted and protected through the homes policies, procedures, daily practice and by a well-trained staff team. 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 23 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 3 2 3 3 X 4 3 5 3 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 3 27 X 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 4 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 3 3 3 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? NO 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. Refer to Standard YA41 Good Practice Recommendations That the home record, sign and date individual key-worker and service user meetings. 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 2 Ling Crescent DS0000012096.V331585.R02.S.doc Version 5.2 Page 26 - 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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