Inspection on 23/09/05 for 3 Prince of Wales Road

This inspection was carried out on 23rd September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

3 Prince of Wales Road 01/12/08

3 Prince of Wales Road 02/10/06

3 Prince of Wales Road 14/02/06

3 Prince of Wales Road 18/03/05

3 Prince of Wales Road 16/02/05

3 Prince of Wales Road 19/02/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Prince Of Wales Road (3) Dorchester Dorset DT1 1PW Lead Inspector Marion Hurley Unannounced Inspection 23rd September 2005 10:30 Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Prince Of Wales Road (3) Address Dorchester Dorset DT1 1PW 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) 01305 269208 01305 269208 Dorset Residential Homes Mrs Anna-Marie Gill Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th March 2005 Brief Description of the Service: 3 Prince of Wales Road is a care home registered to provide nursing care and accommodation for 8 learning disabled people who may also have physical disabilities and emotional and behavioural needs. The home is operated by Dorset Residential Homes, a registered charitable trust that operates a number of care homes in Dorset. The home is located in Dorchester within easy reach of the town centre. It is a large detached property that has been carefully extended and adapted to meet the needs of service users; the home does not stand out from neighbouring properties. There are 4 single bedrooms and 2 shared bedrooms for service users; on the ground floor there is a lounge, kitchen and dining room. The home has level access throughout the ground and 1st floor and there is also a passenger lift. There are bathrooms and toilets on both floors; the home also provides a range of equipment to meet the needs of people with disabilities. The home is staffed by a team of registered learning disability nurses and care staff who provide 24-hour care and support. Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. 3 Prince of Wales Road was assessed according to the Care Home for Adults (18-65) National Minimum Standards. The overall time spent to complete the inspection process was a total of six hours, two of which were spent at the Home. The Registered Manager, one qualified nurse and one support worker were available throughout the inspection. One resident was at home but did not join in the inspection process. A tour of the premises and grounds took place and records/documentation were all readily available for inspection. This was a positive inspection of a service that continues to develop and where staff work enthusiastically side by side with residents with varying abilities and needs. The inspection process was assisted by the openness of the staff and the inspector was grateful for their time and commitment to the inspection. What the service does well: All the residents have varying abilities, needs, likes and dislikes and all these details are extremely were recorded in each resident’s Life & Support Plans. Good use of photographs, graphics and some text make the Plans accessible to the residents. All the staff met on the day of the inspection had a very clear understanding of the care provided to the residents. The staff /service have a very positive attitude in promoting active and meaningful lifestyles for all the residents and independence is encouraged at all levels. 3 Prince of Wales Road provides a comfortable and homely environment with a staff team who know and understand each person living there. Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Since the last inspection there have been no admissions. None of the above standards were assessed at this inspection visit however the key standard will be assessed at the next visit. EVIDENCE: Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 8, & 9 • Each resident has an Individual Life & Support Plan, which identifies how his or her needs are to be met whilst living at the home. • Residents are encouraged to make decisions about their lives in the context of a risk assessment framework, which encourages and promotes independence and the active involvement in the day-to-day running of the home both formally and informally. EVIDENCE: A sample of three resident’s files were read and each contained very comprehensive information which provided a real picture of the resident including both specific needs and their hopes for the future. Each file was well presented and made up of a mixture of graphics, photographs and some text. The files all contained a pen profile and picture of the resident and this described their likes and dislikes. A section on Lifestyle Planning was very detailed and included assessments /plans based on the Five Accomplishments (Community Presence, Choice & Control, Rights, Security and Status, Individuality & Dignity, and Relationships). A further section written with the resident in the first person described “My Hopes and How I will achieve this and who will help me”. Details of the specific activities were then detailed and broken down into realistic and practical steps. Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 10 My Preferred Lifestyle section was very positive with dates of regular reviews being conducted with the resident’s involvement being recorded. A final section was headed “ My Health & Safety and Well Being” this included risk assessments on safety within the home, personal hygiene, bathing, dressing, eating & drinking and diet. Information from this section cross-referenced with other details in the records i.e. reference to diet/eating and monitoring of weight. Please note it was not possible to discuss any of the Life Style Plans with the individual residents during this inspection but it is hoped this will be possible at the next visit and the views of the residents can then be included. Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed, as it was not possible to obtain the views of any of the residents living at the home due to the time of this inspection. The next inspection will be arranged to ensure residents are offered an opportunity to give their personal views on their life styles whilst living at the home and to discuss the relevant records reflecting their various activities and attendance at College and day services. EVIDENCE: The Registered Manager and staff advised that residents attend Day Services at Bridport and Sherborne and also access Weymouth College for Adult Education courses. Each resident has “ one day off a week” to firstly take their turn in household chores and then time “just to enjoy themselves”. Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 19 • Staff provide personal care in a sensitive and flexible way to all residents and the resident’s specific preferences were recorded clearly for all staff to read in their individual Life & Support Plans. • The healthcare needs of all the residents are met and residents access local NHS resources and services in addition to any specialist services identified and required. EVIDENCE: Discussions with staff confirmed that personal care is provided according to the wishes of each resident and according to their identified personal and healthcare needs. The plans were specific in the way personal care was to be provided and the information formed part of the resident’s Life and Support Plans. Each resident has a separate file containing medical information, a list of clinics they attend, outpatient appointments and outcomes of any consultations. These files make an easy reference point for any staff to check the medical details of each person as and when required. Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed at this inspection. EVIDENCE: Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 ,27, & 30 • • • Residents live in a comfortable home. There are sufficient bathrooms and toilets for all the residents use and the communal areas provide all the residents sufficient space to enjoy the shared facilities or find a quiet spot if they choose. On the day of this inspection the home was found to be clean and hygienic with no unpleasant odours. EVIDENCE: 3 Prince of Wales Road is a domestic style family home and a tour of the premises showed that the house was well maintained and in good repair. The communal rooms, which comprise a lounge, dining room, and quiet room are comfortably furnished and attractively decorated. In the shared bathrooms each resident has their own bathroom cabinet, which is an excellent idea. The ground floor bathroom is fully adapted. Some bedrooms are shared however the staff have been very careful to establish this is the choice of the residents many of whom have known each other for several years. Screens are available for use in each shared room when required. Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, & 35 • Residents benefit from the continuity and stability of the staff team who work at 3 Prince of Wales Road. • The staff team comprises both qualified and experienced people who seem competent and knowledgeable in providing appropriate support to the residents. • Dorset Residential Homes / 3 Prince of Wales Road has a commitment to staff training ensuring all staff are kept up to date in both mandatory and professional training which contribute to their expertise and experience when supporting residents. EVIDENCE: At the time of this inspection the Registered Manager, one registered nurse and one support worker were all available and confirmed the evidence read from their staff training records re: the on going training available and achieved by them all. The Registered Manager said the staff team was “ well established and work very well both as a team and individually”. Each member of staff has their training log, which provided the evidence to demonstrate that regular mandatory was completed i.e. manual handling, food hygiene and fire training. In addition specialist training is available and a variety of staff have attended the following: stress management, specialist feeding techniques, and record keeping. Two support workers have just completed the LDAF foundation training and are now registering to complete the NVQ level 2. Four support workers are already studying for this qualification and a further two Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 16 have progressed to level NVQ level 3. Two staff are completing the assessor’s award and two have already achieved this. Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 • The Registered Manager and staff team ensure safe working practises to safeguard and protect the residents as far as practical in all aspects of daily living. EVIDENCE: Reports from other agencies, regular servicing and maintenance of equipment demonstrated the home’s commitment to ensure the health and safety and welfare of everyone living and working at 3 Prince of Wales Road. Fire Prevention and training is the responsibility of a qualified member of staff who involves all staff and residents in regular drills and refresher training. These records are kept separately from the staff training records and for the purposes of auditing the fire prevention training it might be easier if all the records were kept in one file as the individual training records showed staff to be out of date however when these details were checked in the fire training records all staff were within the required timescales. All other aspects of health & safety record keeping was well organised. Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x 3 x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Prince Of Wales Road (3) Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x DS0000020421.V249648.R01.S.doc Version 5.0 Page 19 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA42 Good Practice Recommendations It is recommended the Fire Prevention Training Records are collated into one main file to ensure thorough auditing of the training events can be regular undertaken. Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Prince Of Wales Road (3) DS0000020421.V249648.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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