Inspection on 03/06/08 for 23 Valley Road

This inspection was carried out on 3rd June 2008.

CSCI found this care home to be providing an Good service.

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

23 Valley Road 05/06/07

Similar services:

Kestrel House, St Anne`s Opportunity Centre,

Pinta

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 23 Valley Road Totton Hampshire SO40 9FP Lead Inspector Craig Willis Unannounced Inspection 3rd June 2008 9:30 23 Valley Road DS0000068949.V366048.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 23 Valley Road DS0000068949.V366048.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. 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 23 Valley Road Address Totton Hampshire SO40 9FP 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) 023 8066 8166 023 8066 8166 valley@people-potential.org People Potential (UK) Ltd Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th June 2007 Brief Description of the Service: 23 Valley Road is detached family house located in an estate with mixed properties on the edge of the town of Totton. The home is registered to accommodate and provide personal care and support for up to 4 people between the ages of 18 and 65 with learning disabilities. There are three bedrooms on the first floor and one on the ground. Three of the bedrooms have an en-suite bath or a shower and the fourth has a bathroom situated immediately across a small landing. There is a large communal lounge and separate dining room on the ground floor as well as a communal WC, utility room and large kitchen. To the rear of a building is a secluded garden and at the front there is space for two cars outside the integral garage and a small area of garden. Weekly fees at the home range from £1300 to £1800 a week depending on the level of support that the individual concerned requires. This does not include toiletries, newspapers and magazines; confectionary; hairdressing; podiatry; and the entrance fee to places of interest/entertainment 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The evidence used to write this report was gained from a review of the information the provider sent to us since the home was registered. This information included an annual quality assurance assessment completed by the manager. A site visit to the home was made on 3 June 2008, with a follow up visit on 10 June 2008 to meet with the head of care as both he and the manager were not available during the first visit. During the visit we met two people who live in the home and observed their interactions with staff. We received comments from three people who live in the home and spoke with staff on duty during the visits. The communal areas of the building were viewed and documents relating to the running of the home were inspected during the visit. What the service does well: There are good systems to assess people’s needs before they move into the home. This reassures people that the home will be able to meet their needs. There are good care planning and risk assessment systems, which involve people in making decisions about their lives where possible and helps staff to provide the support that people need. The home provides good support for people to take part in a range of activities, to maintain contact with family and friends and to maintain a healthy diet. People’s personal and health care is well met by staff who know their needs. There are good systems for dealing with complaints and responding to allegations of abuse. This gives people confidence that any complaints will be taken seriously and responded to The home is well maintained and provides a clean, comfortable and safe environment for people. Staff are well trained and there are good systems to check staff before they work in the home. This helps to keep people safe and ensure staff can meet their needs. 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 6 There are good systems to make improvements to the service based on the views of people who live there. 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. 23 Valley Road DS0000068949.V366048.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 23 Valley Road DS0000068949.V366048.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): Standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems to assess people’s needs before they move into the home. This reassures people that the home will be able to meet their needs. EVIDENCE: One person has moved into the home since the last inspection, four days before we visited the service. Prior to the move a senior member of People Potential staff and the home manager carried out a full assessment of his needs. The assessment covered the person’s personal care, communication, daily living skills, health needs, social skills, personal relationships and environmental needs. As a result of the person’s assessed needs, some changes were made to the en-suite shower to make it more accessible before they moved in. The assessment was used to develop initial care plans, which will be expanded following reviews of how the placement is going. A transition plan was developed with the person’s previous placement to ensure a consistent service is received. 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good care planning and risk assessment systems, which involve people in making decisions about their lives where possible and helps staff to provide the support that people need. EVIDENCE: The records of three people who live in the home were inspected during the visit. People had a care and support plan, which set out how their assessed needs should be met. The plans for two people contained detailed information about how staff should provide support to meet people’s needs and aspirations. The plans for the person who had just moved into the home were still being developed, although there was a lot of information available from his previous placement. Where it was felt plans from the person’s previous placement were no longer relevant they have been amended. Plans are reviewed every six months and there was clear evidence that plans had been amended where people’s needs have changed. Plans include support that is needed to develop skills, for example household jobs and independent living 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 10 skills. People who live in the home are encouraged to participate in reviewing their plans and are able to invite representatives to help them, for example family members. People have been supported to develop their own person centred plan, setting out their dreams and aspirations. These have been presented in a format that the person can understand. Details of how people should be supported to make decisions are set out in the care plans. One person was observed being supported to complete a communication exercise, which has been designed to develop their understanding of symbols to aid communication. Three people who live in the home completed a survey for us and all said they were always able to make their own decisions. Risk assessments have been completed for people living in the home and those inspected included clear information about how to minimise the identified hazards. These assessments are reviewed regularly and had been amended where assessed as necessary. Staff spoken with demonstrated a good understanding of people’s needs and the importance of supporting people to make decisions about their lives. 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 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 provides good support for people to take part in a range of activities, to maintain contact with family and friends and to maintain a healthy diet. EVIDENCE: People are supported to take part in a range of activities, including college courses, use of an outdoor activity centre, swimming, visits to the local pub and shops, cinema trips and trampolining. People spoken with said they enjoyed the activities they took part in and one person was looking forward to taking a more active part in activities. People are supported to maintain contact with their friends and family, with staff providing support for people to visit family where necessary. On the day of the visit, one person was stopping with relatives at their house. Details of the support that people need to maintain contact with friends were included in the plans seen. 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 12 During the visit, staff were seen to be respecting people’s right to privacy by asking permission before entering someone’s bedroom and by allowing people to spend time alone. Staff were observed interacting with people who live in the home in a relaxed, friendly and respectful manner. The home has a planned menu, which people who live in the home write with support from staff to maintain a balanced diet. The menu is displayed in a pictorial format to help people understand it and alternatives are available from a well-stocked kitchen. People are encouraged to take part in meal preparation. Mealtimes are flexible to fit round activities and snacks are available at any time. People spoken with reported that the food was good. 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 13 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): Standards 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. People’s personal and health care is well met by staff who know their needs. There is a good system to safely store and administer people’s medication, although records of when people do not take the medication they have been prescribed need to be improved. EVIDENCE: Care plans contain details of the personal care support people need and how it should be provided, including details of gender specific care. Staff spoken with demonstrated a good understanding of people’s personal care needs and how they should be met. People are supported to attend a range of health services, including GP, nurse, dentist and specialist hospital appointments. Details of consultations are recorded, including any advice given by the practitioner. Each person has a health action plan, which is regularly reviewed. This identifies whether people are receiving the health services they need. 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 14 Medication is securely stored in a locked cupboard in the office and tablets are supplied in a monitored dosage system. A record is kept of medication coming into the home and returned to the pharmacist for disposal. The medication administration record for the current month was inspected and had been fully completed where staff had supported people to take their medication, however, where medication was refused or the person was out of the home some gaps had been left in the record. The head of care reported on the second day of the visit that he has taken steps to ensure staff do not leave any gaps in the administration record. All staff administering medication have received assessed training. Staff reported that none of the people who live in the home are currently able to take their own tablets, although systems are in place to support people to do this if necessary. 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 15 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): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems for dealing with complaints and responding to allegations of abuse. This gives people confidence that any complaints will be taken seriously and responded to. EVIDENCE: The home has a complaints procedure, which is provided to all people living at the home in a symbol format to make it more accessible. The manager reported in the annual quality assurance assessment that the home has received six complaints in the last year. These concerned conduct of staff, noise levels from the home and verbal and racial abuse from someone who lives in the home. Where a complaint has included an allegation of abuse, reports have been made to adult services under the safeguarding adults procedures. Details of the responses to the complaints and allegations were available for inspection and demonstrated the home was working with other agencies, such as adult services. As a result of the investigations a former member of staff has been referred to the protection of vulnerable adults list. Staff have completed training in safeguarding adults. Staff spoken with demonstrated a good understanding of different types of abuse and the action they should take if abuse is witnessed, reported or suspected. There is a policy and procedure on safeguarding adults and the prevention of abuse, which staff demonstrated a good understanding of. 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 16 The finance records of two people were inspected during the visit. Records matched the cash held for both. Cash was held separately in a safe. Receipts were obtained where staff had spent money on people’s behalf. The home no longer keeps bank cards with personal identification numbers for people following an incident where money was withdrawn from someone’s account without authorisation. 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained and provides a clean, comfortable and safe environment for people. EVIDENCE: All of the home’s communal areas were viewed during the visit. The home was refurbished throughout before opening and is maintained to a high standard, with good quality, domestic furniture and fittings. People living in the home have their own bedroom and access to a shared lounge, kitchen and dining room. At the time of the visit the garage was being converted to provide additional office space and the current office was being converted into a staff sleeping room. There is a garden to the rear of the home, which people are able to use. The home has a separate utility room that is fitted with washing machines capable of hygienically washing soiled clothing. The home is clean throughout. Hand washing facilities are suitably situated in the kitchen, laundry, toilets and bathrooms. 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 18 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): Standards 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are well trained and there are good systems to check staff before they work in the home. This helps to keep people safe and ensure staff can meet their needs. EVIDENCE: The manager reported in the annual quality assurance assessment that two of the seven staff have achieved the National Vocational Qualification (NVQ) at level 2 or above and three are currently completing the award. Staff members were observed spending time listening to and interacting with people who live in the home. Two of the three people who live in the home that completed a survey for us said staff always treated them well and listened to them. One person said staff sometimes do this. Staff spoken with said they felt there were sufficient staff on each shift to provide the support that people need. People who live in the home also reported there were enough staff to provide the support they needed. The manager reported in the annual quality assurance assessment that all staff who have worked in the home over the last twelve months have had 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 19 satisfactory pre-employment checks. The files of three members of staff were inspected. All had confirmation that a Criminal Records Bureau (CRB) disclosure had been obtained, but not all had copies of references that had been received before they started working in the home. Following the visit, the company’s personnel manager confirmed that copies of the references were held at their head office and there were at least two for each member of staff. Staff spoken with confirmed they were not able to start work until a CRB disclosure and two references had been received by People Potential. The manager needs to make sure details of all the checks that have been completed on staff are kept in the home. The home has an on-going training programme, with staff having planned training every three weeks. This is used to either participate in specific courses or complete work on larger pieces of work, for example the induction or NVQ. Staff reported that they receive good training, which is relevant to their role and helps them meet people’s needs. Staff training records indicated people had completed an induction and courses including medication administration, first aid, safeguarding adults, strategies for crisis intervention and prevention, moving and handling, positive approaches to challenging behaviour, person centred planning and fire safety. The company has a training manager who co-ordinates the assessment of training needs and plans courses throughout the year. 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 20 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): Standards 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 generally well managed and there are good systems to make improvements to the service based on the views of people who live there. EVIDENCE: The company’s head of care reported that the manager is waiting for one more piece of supporting documentation before submitting an application for registration to us. Once received, we will make an assessment of his suitability to be registered as the manager of the home. Staff spoke highly of the manager, saying they receive good support from him. A senior manager from the company visits the home every month and assesses the quality of the service that is being provided. Reports of these visits are made and sent to the manager and contain a list of any actions that 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 21 are needed and an update of actions that were required in the previous report. A full audit of the home is currently being completed, which will assess the quality of the service provided. People who live in the home are regularly consulted about the quality of the service provided, for example through group and individual meetings and reviews of their support plans. The information from the quality assurance systems is used to produce a development plan and specific objectives for the home. The home is currently working towards the Investors in People award. The manager reported in the annual quality assurance assessment that the electrical system, fire detection and fighting equipment and gas system are regularly serviced and maintained. These records were sampled during the visit and generally confirmed the manager’s report, although it was noted that the fire alarm had not been tested weekly between November 2007 and May 2008. The head of care reported on the second day of the visit that there had been a mix up over who was responsible for completing these tests and action had been taken to resolve this problem and ensure tests are carried out every week. 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 22 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 2 X 3 X 3 X X 2 X 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 23 Valley Road DS0000068949.V366048.R01.S.doc Version 5.2 Page 25 - 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!