Inspection on 15/06/07 for 22 Argyll Street

This inspection was carried out on 15th June 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

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 22 Argyll Street 22 Argyll Street Ryde Isle Of Wight PO33 3BZ Lead Inspector Mark Sims Unannounced Inspection 15th June 2007 14:00 22 Argyll Street DS0000066058.V338746.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 22 Argyll Street DS0000066058.V338746.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. 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 22 Argyll Street Address 22 Argyll Street Ryde Isle Of Wight PO33 3BZ 01983 539000 01983 539040 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) South Wight Housing Association Limited Ms Amanda Victoria Smith and Mr Dennis O`Hearn Care Home 8 Category(ies) of Learning disability (8) registration, with number of places 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection N/A Brief Description of the Service: Argyll Street is situated within an urbanised area of Ryde and is close to the facilities and amenities of the main town centre and local transport links. The property provides single occupancy accommodation across two floors and is able to cater for up to eight people. Communal areas are spacious and generous and the grounds whilst small well maintained, neat and tidy, with access for people in wheelchairs. 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the First ‘Key Inspection’ of Argyll Street, a ‘Key Inspection’ being part of the inspection programme, which measures the service against core National Minimum Standards. The fieldwork visit, the actual visit to the site of the home, was conducted over four and half hours, where in addition to any paperwork that required reviewing the inspector met with service users and staff and undertook a tour of the premises to gauge its fitness for purpose. The inspection process now involves more pre fieldwork visit activity, with the inspectors gathering information from a variety of professional sources, the Commission’s database, pre-inspection information provided by the service and linking with previous inspectors who have visited the home. What the service does well: Choice of Home: The managers’ ensure the admission process, provides sufficient time for the person to familiarise themselves with the home and their potential housemates, before making a decision about moving into the home. Individual Needs and Choices: The lifestyle of the people residing at the home is one based on their individual wishes and self-determination being respected and promoted. Lifestyle: The service users enjoy a lifestyle that is based upon the promotion of independence and self-determination. Personal and Healthcare Support: The records indicate that service users are being well supported when accessing appropriate health and social care services. Personal care/support is provided in accordance with the needs and wishes of the service user and their agreed service user plans. Concerns and Complaints: The service users were found to be well informed and/or aware of their rights, indicating via comment cards and surveys that they are happy to bring issues of concern to the attention of the staff and management. Environment: The home, during a tour of the premise, was found to be well equipped, well maintained and nicely decorated, with the individual service users rooms all individually set out and furnished, as determined by the occupant. 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 6 Staffing: The staff were found to be friendly and co-operative during the fieldwork visit. They have a clear understanding of the needs and wishes of the client group and were noted to have developed good relationships and a rapport with both the residents and visitors. Management: All indications are that the home is well run and that the management have the support of the service users and staff when ensuring the efficient and effective day-to-day operation of the home. 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. 22 Argyll Street DS0000066058.V338746.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 22 Argyll Street DS0000066058.V338746.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standard 2: Prospective residents and their representatives have the information needed when choosing the home and have their needs assessed. EVIDENCE: Assessments: The evidence indicates that people’s needs are assessed prior to admission and their offer of accommodation managed centrally. The evidence used to make this judgement includes: o During the fieldwork visit the inspector met with a resident who showed him pictures taken during one of his pre-admission visits, when he was taking tea and/or lunch with other people at home during the visit. Feedback from six of the eight service users, which indicates that they all received sufficient information about the home, before making a decision on whether or not to move in. Two professional comment cards, both of which indicate that assessments carried out by the staff/management are thoughtful and thorough. o o 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 9 o Feedback from eight relatives, which support the view that sufficient information is made available prior to the decision on accepting the offer of accommodation being made. 22 Argyll Street DS0000066058.V338746.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 6, 7 and 9: Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: Service User Plans: The evidence indicates that the service users are fully involved in planning and reviewing the care and support they receive. The evidence used to make this judgement includes: o The views of the care managers to respond via the comment card system, on adding ‘service users wishes and views are always considered when care plans are reviewed and needs assessed’. The extensive work completed by the service users, management and staff on the development of the clients ‘life plans’, which take on many genre, video presentation, pictorial presentation, etc, etc. DS0000066058.V338746.R02.S.doc Version 5.2 Page 11 o 22 Argyll Street o The clients also have service user plans, which are maintained by the keyworkers, in collaboration with the service user, three of these files were reviewed during the fieldwork visit and found to be informative documents, which would support the views expressed by the care managers. Some of the service users also maintain ‘living histories’, photographic records of their lives, which contain images of people, place and events significant and important to them, as discussed above, when referring to the pictures of the persons’ experiences of his admission to the home. o Decision Making: The evidence indicates that the people are respected and treated as individuals and their rights to self-determination and independent decision-making upheld/promoted. The evidence used to make this judgement includes: o Observations: two service users decided during the fieldwork visit that they would dine together, within the separate lounge, giving them some space to enjoy and indulge their relationship. In discussion with management, it transpires that this is not unusual and that this couple often ask if they can dine separately from their fellow housemates, as part of their relationship. o The views of eight relatives, seven of whom ticked ‘always’ and one ‘usually’ in response to the question: ‘does the care service support people to live the life they choose’. Discussions with the service users, during which they spoke about their weekend activities, outings, family visits, relationships, day centres, etc, also demonstrated that people were heavily involved in all aspects of the decision-making about their own lives. House meetings, which provide people with the opportunity to resolve concerns, explore changes to the service and discuss day-to-day issues. o o Risk Taking: The evidence indicates that service users are appropriately supported when taking risks within their own lives. The evidence used to make this judgement includes: o The service users plans reviewed as part of the case tracking process indicates that risks to the service users are assessed and reasonable and DS0000066058.V338746.R02.S.doc Version 5.2 Page 12 22 Argyll Street responsible plans drafted to manage those risks, these are agreed with the service user. o The feedback from the two professional sources, both parties ticking ‘yes’ in response to the question: ‘does the care service provided support individuals to live the life they choose wherever possible’, a sentiment shared by the service users relatives, seven people ticking ‘yes’ when asked ‘does the care service support people to live the life they choose’, the remaining two people indicating ‘usually’. An additional remark stated: ‘even when a resident has a goal that is perhaps unrealistic, they go to immense trouble either to enable the resident to achieve it, or reach an acceptable compromise’. o During the tour of the premise, it was noted how the home had been designed and built to maximise the potential of the service users and to minimise barriers to their participating in activities, such as cooking or general kitchen duties/jobs. Sinks and cookers, which could be lowered and raised, cupboards at accessible heights, etc, during discussion with the staff and management it was ascertained that service users on their home days often get involved in preparing the evening meals or baking cakes, etc. o It was observed during the inspection, that several service users make drinks for themselves, the home recently replacing its old kettle with a more manageable model, one service user making a coffee for the inspector, which was greatly appreciated. 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 13 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 12, 13, 15, 16 and 17: People who use services are able to make choices about their life style, and supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. EVIDENCE: Entertainment: The evidence indicates that people are participating in activities, which they are enjoying and embracing. The evidence used to make this judgement includes: o The six completed comment cards of the service users, which were all ticked ‘yes’ in response to the question ‘can you do what you want to do at the weekends’. 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 14 One person adding ‘I have reviews regularly and am asked if I am happy with my daytime activities i.e. the centre in Newport, Meadowbrook in Ryde and what I do or would like to do’. o Conversations and photographic evidence, highlighted the fun people had at a local pub, where often a room is hired and a disco or party arranged as a social event; and/or the participation within the local carnival the theme this year being poppies and the residents of the home involved in preparing costumes. People also spoke of how they are generally assisted by the staff to go out at weekends and evenings, the local amenities of Ryde providing access to a variety of leisure and recreational facilities. o A list of activities and venue’s were included within the dataset information provided to the Commission in advance of the inspection visit: 1. 2. 3. 4. 5. 6. 7. 8. 9. Cinema Pub’s Sports Centre’s Theatre/music venues Carnival Workshop Clubs Swimming Bowling Social Nights. Community Contacts: The evidence indicates that the people residing at the home enjoy/maintain good community contacts. The evidence used to make this judgement includes: o The information gathered and presented above in relation to use of the local facilities and amenities: 1. 2. 3. 4. 5. 6. 7. 8. 9. Cinema Pub’s Sports Centre’s Theatre/music venues Carnival Workshop Clubs Swimming Bowling Social Nights. 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 15 o The photographic evidence of the service users involvement in local activities/events, such as the Ryde Carnival and attendance of social evenings/events within local public houses. Relationships: The evidence indicates that people are maintaining contact with families and friends as they wish and that relationships are allowed to flourish within the setting of the home. The evidence used to make this judgement includes: o The eight comment cards returned by the relatives of the service users, which indicate that they are heavily involved with the home and their next of kin. Photographic evidence and information provided by the management, who discussed the events arranged at the home for relatives of service users, which are well attended and the support provided by relatives to their next of kin generally. Photo’s shown to the inspector, in the form of the life diaries maintained by the service users, which provide accounts of their family contacts and social contacts both historically and as a current running log. The service user plans and life plans, which again provide information relating to people’s social networks and family connections/relationships. Observations and conversations regarding the relationships, which exist between three groups within the home, these groups/couples having established longstanding relationships, one couple sharing a meal together away from their housemates, as discussed earlier. A comment made by a relative: ‘it is good at giving my son all the help and support he needs to keep in touch not only with family but also with his friends and the activities he is involved in’. o o o o o Rights and Responsibilities: The service users are encouraged to exercise their rights and be aware of their responsibilities. The evidence used to make this judgement includes: o The feedback from the care managers, which clearly indicates how in their opinions people are provided with the right to participate in all decisions made about their lives, one care manager stating: ‘annual 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 16 reviews are a pleasure service users and staff prepare for them and everyone’s views are valued’. o The dataset, which indicates that the service provides people with access to policies and procedures on the ‘values of privacy, dignity, choice, fulfilment, rights and independence’. The comments of the six service users all of home indicated that they were aware of their right to make complaints and how to raise these within the home. Feedback from the service users relatives, six people ticking ‘yes’ when asked ‘does the care service support people to live the life they choose’, the remaining two people indicating ‘usually’. As mentioned earlier the service users have the right to undertake independent activities, such as outings and/or going out, although risk assessments are completed to ensure any potential harm, etc is kept to a minimum. o o o Meal and Menus: The evidence indicates that the meals provided meet the service users needs and are based on their preference and wishes. The evidence used to make this judgement includes: o Copies of a seven week rotational menu programme were sent to the Commission as part of the dataset bundle, these records indicating that a varied and modern diet is provided to the service users. Observations of the evening mealtime, revealed a situation, which was both social and enjoyable, with the staff and service users eating together and chatting about the days events and plans for the weekend. The mealtime was also unhurried or rushed with people making their way to the dining room, as and when they were ready, their meal saved for them or an alternative prepared as and when they were ready. o The weekly shopping was delivered during the fieldwork visit, which provided the inspector with the opportunity to observe the variety and range of food products purchased, which included snack items, which people can access when they wish. People’s general comments that the food is good. o o 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 18, 19 and 20: The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Personal Care: The service users are receiving the personal care they require. The evidence used to make this judgement includes: o The service users plans, which are both created in association with the service users as well as reviewed and updated with their agreement, as reported above. The service users spoken with during the visit were happy with the care provided and felt the staff were caring, kind and considerate; and provided the support they required on a day-to-day basis. o 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 18 o These remarks were supported by the views expressed via the service user comment cards, both comment cards ticked ‘yes’ in response to the question: ‘do staff treat you well’. Observations of staff supporting/encouraging the service users with their personal care needs, which was clearly undertaken in a sensitive and private manner but also built in elements of humour and fun. The feedback from the two professional sources, both parties ticking ‘yes’ in response to the question: ‘does the care service provided support individuals to live the life they choose wherever possible’, a sentiment shared by the service users relatives, six people ticking ‘yes’ when asked ‘does the care service support people to live the life they choose’, the remaining two people indicating ‘usually’. o o Health Care Needs: The evidence indicates that people’s health care needs are appropriately managed. The evidence used to make this judgement includes: o The evidence contained within the service users plans, which contained completed ‘health assessment plans’, records of visits by health and social care professionals, details of appointments and correspondence with health care providers. The views of both care managers, who ticked ‘always’ in response to the question’ are individuals health care needs properly monitored and attended to by the care service’. Information taken from the dataset, where the management have stated that the service users have access to: 1. General Practitioner (GP): ‘All service users have access to a GP and are taken by staff when required’. 2. District Nurse: ‘referral made as and when required’. 3. Pharmacy: ‘Lloyds home delivery and Nomad System’. 4. Community Psychiatric Nurse: ‘referral made as and when required’. 5. Occupational Therapy: ‘referral made as and when required’. 6. Dietician: ‘referral made as and when required’. 7. Speech Therapy: ‘referral made as and when required’. 8. Dentist: ‘all residents have a dentist’. 9. Audiology: ‘referral made via a GP as and when required’. 10. Optician: ‘all residents have regular eye tests’. 11. Physiotherapy: ‘referral made as and when required’. o o 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 19 12. Chiropody: ‘chiropody services have ceased for residents, with the exception of two people. Staff awaiting training from Health Authority, private chiropodist accessed if required’. Medication: The evidence indicates that the service users are being appropriately supported with their medications. The evidence used to make this judgement includes: o The dataset provided evidence of the existence of medication guidance, policies and procedures, although there was not indication given of when this was last reviewed or updated. The home operates a Nomad system, provided by Lloyds Pharmacy, a Nomad system being a dispensing system established by the pharmacist, which is intended to limit or reduce the potential for errors. Medication Administration Records (MAR) sheets seen during the fieldwork visit were accurately maintained and the home’s storage facilities satisfactory. Both care manager’s indicated via the professional comment cards that service users are being appropriately assisted / supported with their medication needs. o o o 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 22 and 23: People who use the service are able to express their concerns and have access to a robust, effective complaints procedure and are protected from abuse. EVIDENCE: Complaints and Concerns: The evidence indicates that service users are both able and happy to raise issues with the home and/or the staff if they need. The evidence used to make this judgement includes: o The service user comment cards indicate that they are aware of how to make complaints, all six people ticking ‘yes’ in response to the question: ‘do you know how to make a complaint’ and ‘do you know who to speak to if you are unhappy’. A similar response was returned by the service users relatives, all eight people ticking ‘yes’ in response to the question ‘do you know how to make a complaint about the care provided by the home if you need to’. The dataset also establishes the existence of the home’s complaints and concerns procedure, although again this provides no indication of when the document was last reviewed or updated. o o 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 21 o The dataset also contains details of the home’s complaints activity over the last twelve months: 1. 2. 3. 4. 5. No of complaints: 0. No of complaints substantiated: 0. No of complaints partially substantiated: 0. Percentage of complaints responded to within 28 days: N/A. No of complaints pending an outcome: 0. Safeguarding Adults: The evidence indicates that the service users’ welfare is promoted and that the management and/or staff seek to protect people from abuse and harm by their practices. The evidence used to make this judgement includes: o The service user comment cards indicate that they are both willing and able to speak to people if they have any concerns regarding any aspect of their care. All six people ticking ‘yes’ in response to the question: ‘do you know who to speak to if you are unhappy’. o The service users also raised no concerns during their conversations or time with the inspector, who found the general atmosphere of the home to be relaxed and open. The dataset establishes that staff have received, within the last twelve months, updated adult protection training and that access to policies and procedures on the safeguarding of vulnerable adults are made available, although yet again no date of review or update is provided. It was also clear given comments such as: ‘thoughtful approach, will call me into staff team meetings to discuss specific issues and how to address them via care planning’, that the care managers find the home open and transparent in its dealings with the service users. o o 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 22 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 24 and 30: The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: Environment and cleanliness: The evidence indicates that all service users live within a well-maintained, clean and tidy environment that meets their immediate and long-term needs. The evidence used to make this judgement includes: o o The tour of the premise highlighted no concerns with all areas of the home being well maintained, decorated and furnished. Many of the bedrooms visited during the tour of the premise and later in the company of the service users, had been furnished by the occupant, DS0000066058.V338746.R02.S.doc Version 5.2 Page 23 22 Argyll Street creating a sense of ownership and individuality, some rooms had been specifically adapted to ensure the environment was suited to the persons needs. o The dataset establishes that South Wight Housing owns the property; and therefore, as part of a large company the service has access to an estates team, who oversee minor repairs and refurbishment. The dataset also indicates that South Wight Housing maintain/arrange for servicing of all, fire systems, electrical and gas installations, etc. In discussions with the service users, no issues were raised with regards to the premise, people genuinely happy living at the home and the garden / grounds were discussed, as members of the household are involved in creating a new pond area and help generally maintain the gardens as part of a wider social activities group. o o Cleanliness: The evidence indicates that the home is generally clean, tidy and free from odours. The evidence used to make this judgement includes: o Again the tour of the premise raised no concerns with regards to the cleanliness of the home, the staff undertaking the majority of the cleaning, although were possible the service users are encouraged to assisted/participate in keeping the home tidy. All six comment cards ticked ‘always’, in response to the question ‘is the home fresh and clean’. The dataset establishes that the staff have access to infection control guidelines, if required although as with other documents there is no indication as to when these were last reviewed. o o 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 24 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards 32, 34 and 35: Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. EVIDENCE: Training & Responsibility: The evidence indicates that the training opportunities for the staff are good. The evidence used to make this judgement includes: o The dataset establishes that in the last twelve months the staff team have been provided with access to the following educational and skills development opportunities: 1. 2. 3. 4. 22 Argyll Street Makaton Levels 1 & 2. Person Centred Planning/Facilitating Assertiveness Staff Management DS0000066058.V338746.R02.S.doc Version 5.2 Page 25 5. NVQ’s 6. Boundaries training 7. Diversity Training 8. Manual Handling 9. Adult protection 10.Health and safety. o The dataset information also indicates that within the next twelve months it is planned that the staff should have access to the following training courses: 1. 2. 3. 4. 5. 6. o Mental Capacity Act Autistic Spectrum Disorders NVQ’s Learning Disabilities Framework Award Registered Managers Award First Aid. Additional information taken from the dataset and confirmed during the visit, indicates that currently the home employs 10 carers. 7 of the 10 carers have completed a National Vocational Qualification (NVQ) at level 2 or equivalent, which gives the home a percentage of 70 of its care staff possessing an NVQ at level 2 or above. o In conversation the staff confirmed that training opportunities were good and that they felt supported by the management at all times. Recruitment and Selection: The evidence indicates that the recruitment and selection process is now being appropriately operated. The evidence used to make this judgement includes: o The home does not hold copies of the checks taken out on staff, as part of their recruitment process, this information being maintained centrally by ‘South Wight Housing’. The ‘Link Inspector’, has confirmed, that all required checks and supporting documentation is being appropriately obtained and stored by the ‘Association’ at its central office. o During the fieldwork visit the inspector scrutinised two staffing files and found a checklist, provided by the ‘Association’, which confirms the dates the references, protection of vulnerable adults, criminal records bureau and standard employment/recruitment documentation was completed/obtained. 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 26 o In discussion with the staff it became clear that they had undergone a reasonably robust recruitment and selection process and that induction training had been provided. It was also apparent that people were disappointed with the results of the ‘Associations’ recent merge and the standardisation of their contracts, which has seen the ‘Association’ award the staff a reduced hourly pay rate, in comparison with colleagues work within the supported person scheme’s / sheltered scheme’s, as their roles are considered to be care and not support. 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 27 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Standards: 37, 39 and 42: The management and administration of the home is based on openness and respect, and has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: Management: The evidence indicates that the home is currently being managed to a good standard. The evidence used to make this judgement includes: o All of the information contained within this report supports the fact that this service is being well run and operates in the best interest of the service users. 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 28 o Comments made via the professional comment cards, such as ‘I view this service very positively and feel it is one other providers should aspire to’, indicate how well the home operates. The views of the staff who find the managers’ supportive, provide direction for the home and work in the best interest of the service users. The dataset, which establishes the qualifications the manager’s have obtained and those they plan to work towards over the next twelve months. o o Quality Audit: The evidence indicates that service users are afforded the opportunity to comment on the service provided at the home. The evidence used to make this judgement includes: o The service users meetings, which are chaired by the senior staff member on duty but whose agenda’s are set by the service users, one service user in particular responsible for overseeing the preparation of the agenda items. The service users involvement in the creation and review of their plans, as witnessed during the fieldwork visit and commented upon by the professional sources. The updating and management of records/documents undertaken by the staff team and managers. Staff meetings, which are used to discuss and explore issues, which effect the home and the service users, again the care managers commenting ‘I have good communication with the home and have been to staff meetings if a particular issue has required discussion and resolution’. o o o Health and Safety: The evidence indicates that the health and safety of the service users and staff is being reasonably well managed. The evidence used to make this judgement includes: o The dataset information establishes that full health and safety policies/guidance documents are made available to the staff and that equipment is regularly maintained and serviced, gas, electrical installations, portable electrical appliances, hoists, baths, etc. Health and safety training is clearly made available to staff, with the staffing records/dataset evidencing that staff have completed moving and handling, health and safety and first aid training. DS0000066058.V338746.R02.S.doc Version 5.2 Page 29 o 22 Argyll Street o o Maintenance issues, which would appear to be appropriately identified and responded to by the maintenance personnel / estates team. The tour of the premise, when no immediate health and safety issues were identified. 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 30 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 X 2 3 3 X 4 X 5 X 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 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 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 X 3 x 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 31 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 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 32 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 22 Argyll Street DS0000066058.V338746.R02.S.doc Version 5.2 Page 33 - 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!