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Inspection on 09/11/05 for 2 West Road

Also see our care home review for 2 West Road for more information

This inspection was carried out on 9th November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Service users said they are able to make decisions about their lives and that staff treat them well. Service users are supported to be active members of their community and staff provide help to keep in touch with family and friends. Staff have a good understanding of adult protection issues and action they need to take to keep service users safe. Service users reported in their house meeting that they felt safe at 2 West Road. 2 West Road is clean, bright, homely and well maintained. Staff are experienced and well supported by the manager.

What has improved since the last inspection?

The manager has reviewed all of the care plans and risk assessments with service users and changes have been made to ensure they are accurate. The home`s complaints procedure has been made available in a more accessible format, with symbols to aid understanding. Service users said they know what to do if they have a complaint. Radiators have been covered where they are assessed as a risk to service users and the communal areas of 2 West Road have been decorated. The manager has obtained confirmation from agencies supplying temporary staff that they have had suitable checks completed and have been trained.

What the care home could do better:

The introduction of a new satisfaction survey of service users will improve the home`s ability to develop their service in line with service users` expectations.

CARE HOME ADULTS 18-65 2 West Road 2 West Road Hedge End Southampton Hampshire SO30 4BD Lead Inspector Craig Willis Unannounced Inspection 9th November 2005 10:00 2 West Road DS0000061632.V264284.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 2 West Road DS0000061632.V264284.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. 2 West Road DS0000061632.V264284.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 2 West Road Address 2 West Road Hedge End Southampton Hampshire SO30 4BD 01420 544118 01420 544140 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) ILIACE Limited Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 2 West Road DS0000061632.V264284.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th June 2005 Brief Description of the Service: 2 West Road is registered to provide care and accommodation for four adults with learning disabilities between the ages of 18 and 65. The service is provided by Iliace Limited, which also provides a number of similar services in the area. The home is situated in a cul-de-sac in Hedge End and has a large enclosed rear garden that is accessible for service users. Each service user has a single bedroom and there is a large communal lounge, dining / activity area and kitchen / diner. A car is provided at the home, which service users can access when there is a registered driver working. 2 West Road DS0000061632.V264284.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the year April 2005 to March 2006. Key standards not covered in this report were assessed in the inspection of 14th June 2005. A second visit was made to the home on 11th November 2005 to meet with the manager. During the visits the inspector spoke with all four service users and two members of staff. What the service does well: What has improved since the last inspection? The manager has reviewed all of the care plans and risk assessments with service users and changes have been made to ensure they are accurate. The home’s complaints procedure has been made available in a more accessible format, with symbols to aid understanding. Service users said they know what to do if they have a complaint. Radiators have been covered where they are assessed as a risk to service users and the communal areas of 2 West Road have been decorated. The manager has obtained confirmation from agencies supplying temporary staff that they have had suitable checks completed and have been trained. 2 West Road DS0000061632.V264284.R01.S.doc Version 5.0 Page 6 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. 2 West Road DS0000061632.V264284.R01.S.doc Version 5.0 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 West Road DS0000061632.V264284.R01.S.doc Version 5.0 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): None The key standards were assessed in the inspection of 14th June 2005. EVIDENCE: 2 West Road DS0000061632.V264284.R01.S.doc Version 5.0 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 and 9 The home has good care planning and risk assessment systems in place and supports service users to make decisions about their lives. EVIDENCE: Since the last inspection the new manager has reviewed the care plans for all four service users. The plans set out how the assessed needs of service users should be met and include specific goals for the development of skills. Examples of goals that have been set include developing cooking skills, interacting with other service users, developing numeracy skills and washing clothes. Service users spoken with said that they were able to make decisions about activities they took part in. Care plans contained details of how service users communicated decisions and how they should be supported. Staff were observed supporting service users to make decisions about what to have for lunch and what activities to take part in. Since the last inspection the manager has reviewed the risk assessments for all service users. These documents contain details of action that should be taken to minimise the identified risks. The assessments of one service user have been revised to include details of how staff should respond to challenges 2 West Road DS0000061632.V264284.R01.S.doc Version 5.0 Page 10 following consultation with the specialist health team. The risk assessments are regularly reviewed, and changes have been made where necessary. 2 West Road DS0000061632.V264284.R01.S.doc Version 5.0 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): 13 and 15 Service users are supported to be active member of their community and to maintain links with their family and friends. EVIDENCE: Service users are supported to be active members of their local community, including undertaking the grocery shopping locally, using the local library and pubs. The manager reported that all service users are registered on the electoral roll, with one service user using their vote at the last election. Service users are supported to maintain contact with family and friends, with records of telephone calls and cards and letters that staff have supported service users to send. Service users said they had recently held a Hallowe’en party, which was attended by friends from other Iliace homes and family members. 2 West Road DS0000061632.V264284.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 personal care needs of service users are met in the way they prefer. EVIDENCE: Service users said that staff treated them well and provided the support they need. Care plans detailed the support service users needed with their personal care and how it should be provided. Daily records contained details of the personal care support that was provided. 2 West Road DS0000061632.V264284.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): 22 and 23 Service users know what action to take if they have a complaint. The home has suitable procedures in place to protect service users from abuse and staff have a good understanding of adult protection issues. EVIDENCE: The home has a complaints procedure, which sets out how a complaint should be made, who will investigate it and the time it will take to get a response. Since the last inspection this procedure has been made available in a more accessible version, with pictures and symbols to aid understanding. This version has been supplied to all service users. One service user spoken with said they would talk to staff or their parents if they were not happy about something in the home. Records were kept of complaints, with one complaint having been made since the last inspection. The records kept include details of action taken as a result of the complaint. The home has adult protection and whistle blowing procedures in place and staff have received adult protection training. Two members of staff spoken with demonstrated a good understanding of adult protection issues and what action to take if abuse was observed or suspected. Service users reported in their house meetings that they felt safe in the home. 2 West Road DS0000061632.V264284.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 The home provides a homely, comfortable and safe environment for service users. EVIDENCE: Since the last inspection, radiators in communal areas identified as being a hazard to one service user due to their epilepsy have been covered. The home has recently been redecorated and service users expressed their satisfaction with the results in a recent meeting. The home has good quality, domestic furniture and fittings throughout and has been well maintained. The home is clean and bright, with suitable heating and ventilation. 2 West Road DS0000061632.V264284.R01.S.doc Version 5.0 Page 15 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 and 36 Service users are supported by a competent staff team, who are well supported and supervised. The home’s systems to check on the suitability of agency staff protects service users. EVIDENCE: The manager reported that Iliace has recently been accredited as an NVQ assessor body. Currently, two of the staff have achieved the NVQ level 3 and the manager said the other staff will now start the award. Since the last inspection the manager has gained written confirmation from the agency supplying temporary staff to the home that they have obtained an enhanced disclosure from the Criminal Records Bureau. Details have also been obtained of the training that temporary staff have undertaken and confirmation that written references have been obtained for them. The rest of standard 34 was not assessed as it was completed in the inspection of 14th June 2005. Staff spoken with said they received excellent support from the manager, and met with her every month for a formal one-to-one supervision session. Staff said the manager was approachable and that they were confident in the support they receive from Iliace’s on-call manager when it has been necessary to use them. The manager reported that she met with the Responsible Individual of Iliace every two months for formal supervision and felt that she was well supported by the organisation. 2 West Road DS0000061632.V264284.R01.S.doc Version 5.0 Page 16 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 and 39 The home has an experienced and competent manager, who runs it in the best interests of service users. The views of service users are used to develop the service, although the introduction of a new satisfaction survey will improve this. EVIDENCE: The manager is currently completing the Registered Manager’s Award and has previous experience of managing a residential service for people with learning disabilities. Service users’ meeting are held weekly to gain their views and feedback on the satisfaction of the service they receive. Minutes of these meetings are made, with items discussed including décor, staffing, activities, food, complaints and service user safety. Service users are consulted individually as part of the review of their service and care plans. Details of these meetings are available in service users’ files. Senior managers in the organisation make monthly visits to the home. The manager reported that these visits include an assessment of progress on any requirements made by the Commission for Social Care Inspection. The manager reported that Iliace are currently piloting 2 West Road DS0000061632.V264284.R01.S.doc Version 5.0 Page 17 a service users’ satisfaction survey in one of their homes. It is anticipated that this survey will be ready to implement in West Road by January 2006. 2 West Road DS0000061632.V264284.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 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 2 West Road Score 3 X X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X X DS0000061632.V264284.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 2 West Road DS0000061632.V264284.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 2 West Road DS0000061632.V264284.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!