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Inspection on 07/10/08 for 26 Penkridge Road

Also see our care home review for 26 Penkridge Road for more information

This inspection was carried out on 7th October 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.

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

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 26 Penkridge Road 26 Penkridge Road Bedhampton Hampshire PO9 3LU The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Craig Willis Date: 0 7 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 26 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: 26 Penkridge Road 26 Penkridge Road Bedhampton Hampshire PO9 3LU 02392475911 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Community Integrated Care Name of registered manager (if applicable) Shirley Baker Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 2 0 care home 2 learning disability Additional conditions: The registered person may provide the following category/ies of service only: Care home only (PC) to service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning disability (LD) The maximum number of service users to be accommodated is 2 Date of last inspection Care Homes for Adults (18-65 years) Page 4 of 26 A bit about the care home 26 Penkridge Road is a detached house with four bedrooms. It is registered to accommodate two adults with a learning disability. The registered providers are Community Integrated Care (CIC). Knightstone Housing Association manages the property. One person currently lives at 26 Penkridge Road. The house is on a hill overlooking Portsmouth and the sea. It is in a residential area. The service has a car to access local shops and other amenities. The current weekly fee for the service is 2600 pounds. Care Homes for Adults (18-65 years) Page 5 of 26 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 26 How we did our inspection: This is what the inspector did when they were at the care home We visited the home on 7 October 2008. During the visit we spoke with the person who lives in the home, the manager and staff on duty. We received surveys from two members of staff. The communal areas of the building were viewed and documents relating to the running of the home were inspected during the visit. What the care home does well Peoples needs are set out in clear care plans. This helps staff provide the support people need in the way they want it. Care Homes for Adults (18-65 years) Page 7 of 26 The home provides good support for people to take part in a range of activities they enjoy. People are informed how to make a complaint. Staff treat complaints seriously and investigate them. The home is well maintained and provides a clean, comfortable and safe environment for people. Staff are well trained, which helps them to meet peoples needs. Care Homes for Adults (18-65 years) Page 8 of 26 What has got better from the last inspection People are supported to store and take their medication safely. Personal records are now stored in a locked office. This helps to keep private information confidential. Fire safety equipment is now regularly checked to make sure it is working. Care Homes for Adults (18-65 years) Page 9 of 26 What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Craig Willis The Oast Hermitage Court Hermitage Lane Maidstone Care Homes for Adults (18-65 years) Page 10 of 26 Kent ME16 9NT 01622 724 950 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 11 of 26 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 12 of 26 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . There are good systems to assess peoples needs before they move into the home. This reassures people that the home will be able to meet their needs. Evidence: The manager reported in the annual quality assurance assessment for us that one person has moved into the home since the last inspection. The records for this person were inspected and demonstrated that there was a comprehensive assessment of their needs completed before they moved into the home. This assessment was completed with input from the person and their representative. The home also had a copy of the care management assessment for this person. Care Homes for Adults (18-65 years) Page 13 of 26 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of 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 and helps staff to provide the support that people need. Evidence: The records of the one person who lives in the home were inspected during the visit. The person had a care plan, which set out how their assessed needs should be met. In addition staff have worked with the person to create a PATH, which looks at the persons dreams and aspirations and how they can be supported to achieve them. The plan is regularly reviewed and amended where the persons needs have changed. The plans have been made available on DVD format, to support the person to understand it. Staff spoken with said they always have up-to-date information about the persons needs. Risk assessments have been completed for the person and include clear information about how to minimise the identified hazards. Staff spoken with demonstrated a good understanding of peoples needs and the importance of supporting the person to make decisions. Care Homes for Adults (18-65 years) Page 14 of 26 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of 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: The person currently living in the home is supported to take part in a range of activities including attending a local college to do a promoting independence course, socialising with friends, shopping and visits to places of interest. The person is supported to visit her family each week. The person living in the home is supported to plan her menu and prepare some of the food. Staff have put together pictures of meals to help with the choice. The kitchen was well stocked and mealtimes are flexible to fit round activities. Care Homes for Adults (18-65 years) Page 15 of 26 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Peoples personal and health care is well met by staff who know their needs and there are good systems to safely store and administer peoples medication. Evidence: The persons care plan contains details of the personal care they need and how it should be provided. The person told us that staff were good and treated her well. The person is supported to attend a range of health services, including GP, nurse, optician and dentist. Details of the consultations are recorded, including any advice from the practitioner. The person has been supported to complete a health action plan, which assesses whether they are receiving the health services they need. A requirement was made following the last inspection that medication must be kept in a locked cabinet, medication must only be administered from the packaging it was dispensed in and unused medication must be returned to the pharmacist for disposal. This requirement has been met. Medication is stored in a locked cupboard in the office and all was in the packaging it was dispensed in. A record is kept of medication received 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. The person living in the home is prescribed some medication to be taken as required. There are clear guidelines in place setting out when this medication Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: should be taken. Care Homes for Adults (18-65 years) Page 17 of 26 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of 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 given to people in a pictorial and audio format to make it more accessible. The manager reported that the home has received one complaint in the last year, concerning an overgrown hedge. Details of the complaint were recorded and action was taken to cut the hedge back to the satisfaction of the complainant. We have not received any complaints about the home since the last inspection. Staff have completed training in keeping people safe from abuse. Staff spoken with demonstrated a good understanding of 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. Staff look after some money for the person living in the home. Records are kept of expenditure and withdrawls and the money held in the tin matched the records and bank statements. The money is securely stored in a locked cupboard. Care Homes for Adults (18-65 years) Page 18 of 26 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of 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 homes communal areas were viewed during the visit. The home is well maintained, with good quality domestic furniture and fittings. People living in the home have their own room and share the use of the bathroom, lounge, dining room, kitchen and garden. There is a planned maintenance and renewal programme and staff reported that maintenance issues are resolved quickly. Following an assessment of peoples needs, additional grab rails have been fitted throughout the home. The home has a separate laundry and is clean throughout. Hand washing facilities are suitably situated in the kitchen, laundry, toilets and bathroom. The home has infection control procedures and staff have received infection control training. Care Homes for Adults (18-65 years) Page 19 of 26 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of 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 that two of the three staff have achieved the national vocational qualification at level 2 or above and one person is currently completing the award. Staff members were observed spending time listening to the person who lives in the home and responding to requests for support. Staff spoken with said they felt there were enough staff to provide the support the person needs. The manager reported that all staff who have worked in the home in the last year have had satisfactory pre-employment checks. Staff members who completed a survey for us confirmed that they had completed a criminal records bureau disclosure and had supplied references before they started work. Staff records were not inspected as no new staff have started since the last inspection, when they were found to be satisfactory. The home has an on-going training programme and staff reported they receive good training, which helps them meet peoples needs. Staff training records indicated people had completed an induction and courses including medication administration, moving and handling, autism, food hygiene, safeguarding people from abuse, first aid, epilepsy, fire safety and crisis prevention and intervention. Both staff who completed a survey for us said they received training which is relevant to their role, helps them Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: meet peoples individual needs and keeps them up to date with new ways of working. Care Homes for Adults (18-65 years) Page 21 of 26 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home is well managed and there are good systems to ensure the quality of the service provided is assessed and improvements made. Evidence: The manager has been in post for approximately a year and since the last inspection has been successful in her application for registration with us. The manager has the national vocational qualification at level 4 in social care and is completing the registered managers award. Staff spoken with said they thought the manager was very supportive. A service manager from Community Integrated Care visits the home every month and assesses the quality of the service that is being provided. Reports of these visits are sent to the manager and contain a list of any actions that are needed. The home send surveys to relatives as part of their quality assurance systems and the manager completes a monthly assessment of the service. The home has a business plan for the year. Following the last inspection a requirement was made that confidential records must be securely stored in the home. This requirement has been met. All confidential records were stored in the locked office in filing cabinets. Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: A requirement was made following the last inspection that fire safety equipment must be regularly checked. This requirement has been met. The manager reported that equipment in the home is regularly serviced and tested to ensure it is safe. The smoke detectors have been tested weekly and have been connected so they all sound if one is activated. The gas boiler has been checked to ensure it is safe. Care Homes for Adults (18-65 years) Page 23 of 26 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 24 of 26 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 25 of 26 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 26 of 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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!