Inspection on 18/04/07 for 21 High Street

This inspection was carried out on 18th April 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

21 High Street 04/01/06

21 High Street 11/07/05

21 High Street 15/02/05

21 High Street 26/08/04

21 High Street 04/03/04

21 High Street 26/02/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 21 High Street Fareham Hampshire PO16 7AE Lead Inspector Unannounced Inspection 18th April 2007 15:18p 21 High Street DS0000011627.V332721.R01.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 21 High Street DS0000011627.V332721.R01.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. 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 21 High Street Address Fareham Hampshire PO16 7AE 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) 01329 232641 Mrs Sara Fullick Mr John Fullick Mrs Sara Fullick Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 4th January 2006 Brief Description of the Service: The home is a listed building in the High Street, Fareham. The providers accommodation is in the front of the home, with the service users having their accommodation in the extension at the back. Service users have two bedrooms and a bathroom on the first floor. The bathroom contains a shower, two washbasins and a toilet. On the ground floor there is a further bedroom together with a lounge and a kitchen containing the washing machine. The service users share a second large lounge with the providers and eat their meals in the communal kitchen/diner. There is a second toilet with hand basin by the front door. At the rear there is a courtyard that accesses onto the High Street and provides some parking space. There is also a large garden. Service users have their own entrance to the home that exits into the courtyard. The home’s fees range from £322.00 to £381.57 per week. 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection consisted of a tour of the premises, examination of records, documents and policies and procedures. Discussions took place with the manager, Mrs. Fullick. No staff were available to speak to. Each of the three residents was interviewed and each person completed a survey form. What the service does well: The home provides good quality accommodation in a listed building near Fareham town centre. The manager is motivated to improving the service and the lives of the residents. She is open to suggestions on how the home can be improved. Information is provided to the people living at the home such as the complaints procedure and other relevant information. Assessments of need and care plans are completed to a good standard with the resident’s needs and wishes at the centre of the process. A resident stressed how the home is particularly good at promoting a homely and non institutional environment, saying, It is a care home, but it is just like your own home where you can come and go. The size of the home and its domestic setting fosters a family type environment, which the residents benefit from. The manager showed a genuine warmth and commitment to improving the lives of each person at the home. Residents have weekly meetings to discuss relevant matters about the home and the views of the service users are actively sought by the use of surveys. Residents lead full and active lives both within and outside the home. The independence and skills of each resident are developed with residents attending work and education courses. Staff have opportunities for training in a variety of subjects such as adult protection, working with diversity, user involvement, dealing with complaints, support planning and keyworking skills. Individual supervision is also provided for each staff member. The manager also regularly updates her training. 21 High Street DS0000011627.V332721.R01.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. 21 High Street DS0000011627.V332721.R01.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 21 High Street DS0000011627.V332721.R01.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, 3 and 5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Information of a good standard is provided to each resident detailing the services provided and how individual rights are promoted by the home. Residents are central to the assessment of their needs and the home provides a service that meets the needs and wishes of the people who live there. EVIDENCE: Each resident’s file contains a copy of a Service Users’ Guide, which has details of the services and facilities provided by the home. In addition to this, documents are provided to the residents and held on their file showing how the home promotes their individual rights, and include the following: terms and conditions, charter of rights, equal opportunities, care planning principles, health and safety policy and complaints procedure with a complaint form. These documents are also held by each resident in his or her bedroom. Documentation shows that each resident’s needs are reviewed and that the resident takes part in the process. These assessments are typed and easy to 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 9 understand. Copies of assessments and reviews by social services are available showing that each person’s needs are assessed by a care professional from outside the home who has responsibility for the resident. As well as the tome’s own terms and conditions, each resident has a social services contract for the placement at the home. 21 High Street DS0000011627.V332721.R01.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 and 9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents lead lives that reflect their own decisions and they are able to participate in the decision making in the home. Resident’s views, wishes and needs are central to the care planning and how each person spends his time, as well as the daily running of the home. EVIDENCE: Each resident has a care plan, which he or she has been consulted about. The care plans and reviews are typed and include details of the resident’s involvement. Care plans are structured so that the resident is the focus of the 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 11 document with an emphasis on developing known skills. For instance, details are recorded under the following headings: • Things I Have Achieved • Things I Enjoy • Things I Find Difficult • Things I would Like To Do Development and maintenance of independence is recorded as well as details of specific support that each resident requires for personal and healthcare. Other details recorded include personal details such as names of general practitioner, social worker, and, next of kin. Activities, such as college courses and employment are recorded in records. Discussions with the manager and residents show that residents are encouraged to develop independence and are helped by structured programmes within a risk assessment framework, such as using public transport. These are recorded. A resident described how he/she was supported to use public transport. From discussions, it was clear that the manager takes a positive view of involving residents in the home’s decision making. Residents’ meetings are held each week and are recorded, demonstrating that they have opportunities to discuss matters about the home. Other communication tools are used so that residents can choose the food they would like to eat. Residents are also involved in domestic routines such as cleaning and cooking. Residents described how they are able to organise their own time as they wish. Daily activities for residents are tailored to the individual with each person having their own schedule according to their preferences and needs. 21 High Street DS0000011627.V332721.R01.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): 11, 12, 13, 14, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home emphasises each person’s strengths by giving opportunities for personal growth and for pursuing a variety of activities that reflect individual preferences and needs. EVIDENCE: The home liaises with social services and a variety of other agencies so that each resident has an individualised programme of day time and evening activities. These are recorded and are reviewed with the resident. Residents described daytime activities, which vary from paid work, college courses and craft skills, including woodwork, employment courses in citizenship and social skills. Evening and weekend activities are also pursued. Residents confirmed 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 13 that they like to socialise with friends, take part in sports activities and make use of nearby facilities such a public house. Two residents showed the inspector their medals from competitive sports events. One resident said that impromptu activities are often organised by the home’s owners, such as trips to the coast with a picnic. The provision of holidays was discussed with both the manager and the residents. One resident stated that he has been on holiday to France and Spain with the home’s owners. The manager explained that this has not taken place recently and the inspector identified that this is an area of the home’s service, which could be developed for the benefit of the people who live at the home. Residents are able maintain contact with family, friends, boyfriends and girlfriends. This was confirmed from records, discussions with the manager and with the residents. The manager is aware of the interpersonal relationship needs of the residents. Residents described the food as very good and that they take turns to cook occasional meals. The remaining meals are prepared by the staff. There is a kitchen, which is for the sole use of the residents where they can help themselves to snacks and drinks. Fresh fruit was available in a bowl. A record of the meals provided to residents is maintained. 21 High Street DS0000011627.V332721.R01.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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ health and personal care needs are met in a manner that reflects individual preferences. EVIDENCE: Generally, residents are relatively independent and this is reflected in individual care plans, which detail the support that each person requires. Records are maintained to show that each person’s health needs are addressed by the home arranging appointments with the following: general practitioner, dentist, practice nurse, optician, podiatrist, reflexologist and hospital specialists. 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 15 The home has a medication policy, which is appropriate for the size of the home and the fact that residents only have medication on an occasional basis. Records are maintained of any medicines administered to residents. 21 High Street DS0000011627.V332721.R01.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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Steps are taken to ensure that residents are protected from harm and that their views are listened to. EVIDENCE: As previously stated, each resident is provided with a copy of the complaints procedure. This includes details of how a resident can complain to the home but also outside organisations that can be contacted. The manger explained that she strives to ensure that each person has details of how social services and CSCI can be contacted by providing this on a card. Residents stated that they would know what to do if they ever had a complaint. The manager has a procedure for recording any complaints and what the outcome of a complaint investigation is. The home has not received any complaints. There are a number of other mechanisms whereby residents are able to voice their opinion, and residents described the manager and staff as patient and understanding. Staff receive training in the protection of vulnerable adults. The home has its own adult protection policy as well as a copy of the local authority procedure. A form is available should the home need to record any details regarding adult protection matters. 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 17 Procedures for the safekeeping of resident’s valuables and monies were examined. These are kept secure, but the home does not maintain a record of the amounts deposited, withdrawn or a corresponding balance, including valuables such a passports. This was brought to the attention of the manager who stated her commitment to implementing this. Arrangements are made for each resident according to the level of support required with managing their finances. 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 18 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, 27, 28 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The homely and well-maintained environment promotes the dignity of the residents. EVIDENCE: 21 High Street is a listed building. The owner’s accommodation is to the front of the home and the residents’ to the rear. Residents described how they have a key to the entrance to the home and to their bedroom door. The residents’ communal accommodation consists of a comfortable lounge with a television, 3-piece suite and a dining table. A kitchen is used by the residents to prepare hot and cold drinks as well as snacks. 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 19 There is one bedroom on the ground floor and the first floor contains two bedrooms and a bathroom. Each resident has his or her own bedroom. One resident showed the inspector his bedroom, which contained various personal possessions, including a television, compact disc player, pictures and other mementos. It was noted that the room is relatively small but the resident stated how much he liked his room and the rest of the building. The bathroom has a shower and two wash hand basins but no bath. There is a separate toilet on the ground floor. The home was found to be clean and well maintained. 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 20 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, 33, 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. Residents’ benefit from a well-trained staff team supplied in sufficient numbers to meet their needs. EVIDENCE: As the owners’ accommodation is sited within the same building as the residents’ assistance can be flexibly and promptly provided. Additional staff hours are provided by 2 staff who work part time. A record of the hours worked by staff is not maintained. This was discussed with the manager. The inspector stated that it was not necessary to have a rota but that a record of the actual hours worked by staff should be made. The manager had attended a recruitment and selection course. Staff recruit checks are carried out, such as a criminal record bureau (CRB) and protection of vulnerable adult (POVA). 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 21 The home liaises with a local training provider and a training calendar is available for staff to choose courses suitable to their training needs. Records showed the provision of the following training for staff: risk assessment, support planning and keyworking skills, working with diversity, dealing with complaints, lone working, managing stress, user involvement and assertiveness. One staff member has NVQ 2 in care. Each staff member has a file containing copies of training certificates and supervision sessions, which have been signed by the manager and staff member. Regular staff meetings are held and these are recorded. 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 22 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 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the residents and the manager is committed to reviewing the service to make improvements for the benefit of the people who live there. EVIDENCE: The manager attends a variety of training courses including staff recruitment, staff induction and in care practices. It was clear from discussion that she is motivated to improving the service for the benefit of the residents. This includes weekly meetings with residents, which are recorded. Residents are 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 23 also asked to comment on the service when care reviews take place and 2 residents stated that they feel able to raise any issues with the manager. Health and safety measures are taken such as checks and servicing of the gas heating system, maintenance of fire safety, testing of smoke detectors, fire drills and fire instruction. Each staff member has completed a basic first aid course and 2 staff have completed a basic food hygiene course. There are no checks made on the portable electrical appliances and the manager agreed to address this. The following health and safety measures need to be assessed any corrective action taken: protecting residents from possible scalds from hot showers, protecting residents from possible burns from hot radiators and protecting residents from possible falls from first floor windows. The manager agreed to address these issues. 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 24 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 4 2 3 3 4 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 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 X 2 X 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 25 N/a 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 YA33 Regulation 19 Schedule 4 Requirement A record of the hours worked by staff must be maintained. Timescale for action 18/05/07 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 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 21 High Street DS0000011627.V332721.R01.S.doc Version 5.2 Page 27 - 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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