Inspection on 15/01/07 for 32 Mays Lane

This inspection was carried out on 15th January 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

32 Mays Lane 28/10/08

32 Mays Lane 31/10/07

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 32 Mays Lane Stubbington Fareham Hampshire PO14 2EW Lead Inspector Liz Palmer Unannounced Inspection 15th January 2007 10:30 32 Mays Lane DS0000067610.V318183.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 32 Mays Lane DS0000067610.V318183.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. 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 32 Mays Lane Address Stubbington Fareham Hampshire PO14 2EW 020 8544 8900 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) www.caremanagementgroup.com Care Management Group Limited Sandra Mullins Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: 32 Mays Lane is registered to provide care and accommodation for five adults with a learning disability. The service is provided in a bungalow within a residential area of Stubbington. The home is a short car ride away from the local shops and transport links. The home has a car for service users with designated staff drivers. All service users have their own room. The home has a hydro pool and a sensory room within the building. It is owned and run by Care Management Group. Fees range from £1819.32 to £2478.97 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection since Care Management Group (CMG) took over the ownership of the home in May 2006. The registered manager remains the same as under the previous owners as do the service users. A pre inspection questionnaire was received from the registered manager prior to the inspection taking place. This was used, along with evidence from a four hour visit to the home, to make the judgements in the report. During the visit to the home two staff were interviewed and one service user was spoken to and observed. Other staff and service users were briefly met on their return from a trip out. The registered manager assisted with the inspection. What the service does well: What has improved since the last inspection? A quality audit has been undertaken and an action plan for improvements drawn up. A new washing machine with a sluice facility has been installed. The transition to CMG has been smooth. 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 6 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. 32 Mays Lane DS0000067610.V318183.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 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Changes to the statement of purpose ensure service users have the information they need about the home. The home’s approach to assessing prospective service users ensures their individual needs and aspirations can be met in the home. EVIDENCE: The statement of purpose has been updated to reflect the new ownership. No new service users have moved into the home since CMG took over therefore it was not possible to assess. However the manager stated that no changes have been made to the procedure for admitting new service users. 32 Mays Lane DS0000067610.V318183.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): 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. Care plans and risk assessments are detailed and clear, service users are consulted and plans are kept under regular review. Service users are supported to take risks which are assessed and kept under review. EVIDENCE: The two service users that were at home during the inspection were case tracked. Their care plans were very detailed and included personal care needs, daily routines and likes and dislikes. Care plans were clear and easy to follow. Details of individual preferences were noted. The home approaches care planning in a person centred way and evidence of service users being central to the process was seen. However service users would benefit from having care plans which were produced in a format accessible to them. Care plans were reviewed monthly by key workers and an annual review is held involving other interested parties. 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 10 Service users are involved in the decision-making in the home and are supported and encouraged to have control over their lives. They are consulted daily and descriptions of how some service users express their preferences are recorded in care plans. Risk assessments are in place and drawn up on an individual needs basis, for example, using the hydro pool and travelling in the car. Risk assessments clearly detail the risks and the action to be taken to safeguard service users from the risk. For example, staffing levels for needed for specific activities. These are reviewed on a six monthly basis or sooner if need arises. 32 Mays Lane DS0000067610.V318183.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): 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. Service users benefit from the arrangements for educational, social and community activities. Healthy and varied meals are provided with the involvement of service users. EVIDENCE: Service users are supported to access a range of leisure and educational activities. For example, swimming, bowling, walking, cooking, painting and using the home’s sensory room. Service users have a two weekly timetable of activities. These are arranged on an individual needs basis and with reference to personal preferences. Service users are supported to use local shops, library, pubs and public transport. On the day of the inspection two service users had taken the ferry to Portsmouth and had lunch out. One service user was feeling unwell and another was engaged in activities of his choice on a one 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 12 to one basis with a staff member. Important relationships are recorded and there was written evidence of service users being supported to maintain links with relatives and friends. Arrangements for visiting them are in place and for informing relatives of events affecting their son/daughter. Service users are encouraged to eat a healthy and balanced diet. Meal times are flexible and service users can choose where to eat their meals. 32 Mays Lane DS0000067610.V318183.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): 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. Service users are supported to maintain their health and receive personal care in a way that meets their individual needs and preferences. Service users are protected by the home’s policies and procedures for storing, recording and administering medication. EVIDENCE: Service users’ individual needs and preferences regarding their personal care are recorded in their care plans. Service users were observed having their needs met on an individual basis. Each service user is supported to maintain their health and well being by having their own General Practitioner (GP). Support is given to keep GP’s appointments as well as dental and podiatry appointments. Specialist healthcare professionals are involved when necessary, for example, a neurologist is involved in the care of one service user. A care plan for the 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 14 management of one service users epilepsy was seen. This was drawn up with the involvement of a doctor. Procedures for storing and administering medication were sampled and found to be secure and suitable. All staff had received training from a Pharmacy in administering medication. They were also assessed by the manager and only those deemed competent can administer medication. Records were sampled and no errors or omissions were found. An audit trail for refused medication was seen, however staff did not always record the reason for medication not taken. The manager agreed to address this with staff. GPs regularly review medication. 32 Mays Lane DS0000067610.V318183.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): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported to make their views known. Procedures are in place to protect service users from abuse, neglect and self-harm. EVIDENCE: Service users are provided with a pictorial complaints procedure. This is also displayed in the home, informing them of who they can complain to and how. No formal complaints have been made since the last inspection. When asked about how service users with non-verbal communication make their views known, the manager stated they each have ways and staff would know. Service users are supported to ‘vote with their feet’. Ways in which they show their feelings are described in individual care plans. Staff are trained in adult protection as part of their induction and National Vocational Qualification (NVQ) training. All but the most recent staff member had received the training. She is due to start her NVQ2. Service users are all supported with their finances. Monies held on behalf of service users were sampled. Cash balances matched the recorded amounts and were stored securely and individually. There is a clear audit trail and receipts are kept. 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a clean, homely and safe environment. EVIDENCE: A tour of the home was undertaken. There was adequate communal space and these areas were clean and comfortable. Photographs and personal items around the home made it homely and service users clearly felt relaxed. The service users bedrooms seen were decorated and furnished to reflect individuals’ needs and preferences. Notices in home promoted health and safety and staff receive suitable training, for example, Health and Safety, Food Hygiene and Fire Safety. A washing machine with a sluice programme has been bought for the home to improve the hygiene facilities. 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the recruitment procedures; however, all paperwork should be available for inspection. Service users benefit from having well trained and supervised staff. EVIDENCE: The two staff spoken to during the inspection were confident and competent. They said they enjoyed their work and a natural and relaxed rapport was noticed between staff and service users. There is a corporate training programme in place, which ensures staff have the mandatory training as well as the opportunity to do National Vocational Qualifications (NVQs). All but the newest member of staff have completed NVQ level 2. The two staff spoken to said the training was good, one had achieved NVQ level 3 and undertaken other courses, such as, Challenging Behaviour, Epilepsy and Autism. Staff spoken to said they felt well supported to do their jobs. They said they could talk to the manager about anything and felt she would resolve issues. Staff 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 18 spoken to said they attended formal supervision on a regular basis and team meetings. Recruitment procedures in the home are robust to ensure that only suitable staff work in the home. Of the three staff files sampled two were found to contain an application form, two references, criminal record checks and protection of vulnerable adult checks. One file contained only one reference, however, the manager stated a second reference had been taken up and was unsure why it was not on the file. The manager is aware this paperwork must be available for inspection. 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a safe and well run home where their views are part of the overall and day-to-day development. EVIDENCE: The registered manager has many years experience running this home under the previous ownership. She states the transition to CMG policies and procedures has been smooth and has had little impact on the service users. Staff say the home is well run and they have confidence in the manager. They say they feel well supported and can talk to the manager. They benefit from structured and regular supervision as well as team meetings. 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 20 The manager undertook a quality audit in December 2006. Service users are consulted via a survey as are relatives. CMG collate and analyse the surveys and inform service users of the results. An action plan is drawn up where deficits in service occur. Key workers write ‘A day in the life of’ for their key service users. This outlines a typical day in their life and includes their hopes, dreams and aspirations. Their social and educational activities are also included and this is reviewed after six months so that goals can be followed through. CMG also hold a 3 monthly service user forum which people from Mays Lane have attended. The health and safety of service users is promoted through the ongoing training and procedures in the home. Regular maintenance checks are carried out. 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 21 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 3 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 2 35 3 36 3 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 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 22 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 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 23 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 32 Mays Lane DS0000067610.V318183.R01.S.doc Version 5.2 Page 24 - 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!