Inspection on 26/09/07 for 36 Hurstville Drive

This inspection was carried out on 26th September 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

36 Hurstville Drive 09/05/06

Similar services:

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Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 36 Hurstville Drive Waterlooville Hampshire PO7 7ND Lead Inspector Beverley Rand Unannounced Inspection 26 September 2007 10:30 th 36 Hurstville Drive DS0000065748.V343216.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 36 Hurstville Drive DS0000065748.V343216.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. 36 Hurstville Drive DS0000065748.V343216.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 36 Hurstville Drive Address Waterlooville Hampshire PO7 7ND 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) 01225 44596 The Robinia Care Group Ltd Mrs Sonya Michelle Rimmer Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 36 Hurstville Drive DS0000065748.V343216.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th May 2006 Brief Description of the Service: 36 Hurstville Road is a service that has been operational since January 2006 and is registered for four people. The home is in a small close in a residential area of Waterlooville and is close to local amenities. There is a communal lounge and kitchen/dining room. All service users have their own bath or shower and there is a communal bathroom for service users who have en-suite showers. There is a garden which has been thoughtfully laid out. The current fees are between £1500 and £2,200 a week. 36 Hurstville Drive DS0000065748.V343216.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was an unannounced key inspection. Before the inspection the inspector looked at the last inspection report and the Annual Quality Assurance Assessment, (AQAA) which was written and sent by the manager within the timescale. On the day of the inspection three of the four service users were out for part of the day. The inspector was able to watch the way staff and the service users communicated with each other as well as how service users’ needs were met through choice. The inspector spoke with two staff, the deputy manager and the manager, and looked at records such as support plans. What the service does well: What has improved since the last inspection? The home continues to re-decorate communal areas to suit the tastes of the service users. 36 Hurstville Drive DS0000065748.V343216.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. 36 Hurstville Drive DS0000065748.V343216.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 36 Hurstville Drive DS0000065748.V343216.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): 2. 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 having their needs assessed prior to moving into the home. EVIDENCE: All the service users had comprehensive assessments on file that had been completed prior to admission to the home. There were care management assessments that had been completed by the Care Managers and these were supplemented by the home’s own assessments. The assessments were structured and covered the full range of need areas. The families of service users had been involved in the assessment process and in the whole process of moving into the home. This included planned visits prior to admission. 36 Hurstville Drive DS0000065748.V343216.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. Service users benefit from having clear individual plans in place and from support to take decisions and risks appropriate to their development. EVIDENCE: All service users had individual support plans on file that had been developed in response to the needs identified through the assessment process. Support plans were very comprehensive and detailed and there was a separate plan for each need area. Staff recorded against each individual support plan for each individual service user after every shift. It was clear from this and from observation of staff interaction with service users that the support plans were working documents used as the focus for the way staff supported service users. Staff spoken with were clear about the plans and how to support individual service users. Support plans described how each service user made and communicated decisions about their lives and the inspector observed staff supporting service 36 Hurstville Drive DS0000065748.V343216.R01.S.doc Version 5.2 Page 10 users to make decisions as it was described on the plan, for example, giving a service user a choice of snack and drink. One service user was listening to music which was their particular choice. Each service user has been working on their own person centred plan which identifies individual preferences and goals for the future. Some goals, such as driving a steam train, have already been actioned. The home has a process in place for identifying whether or not there are any risks for the service user or others when undertaking activities. Where a risk had been identified it was recorded along with identified measures to be put in place to reduce the risk. Staff regularly reviewed these in light of new and ongoing information about the identified risk. 36 Hurstville Drive DS0000065748.V343216.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 excellent. This judgement has been made using available evidence including a visit to this service. Service users benefit from being part of the community and involved in various activities. They also benefit from regular contact with their families and a healthy diet. EVIDENCE: Each service user had a timetable of activities for the week which was documented in their support plan. The activities related to the identified needs of each service user. One service user has been supported to access college and others attend day services or undertake activities at home or in the community. Service users like to do art and craft, cooking or use the sensory room. As a result of discussions with service users a trampoline was bought and staff support service users to use this in the garden. Recently service users decided they would like a hot tub in the garden and fundraising is currently being arranged for this to happen. Service users access the community to go bowling, visit the cinema and theatre, go to see live music or what ever else they are interested in. One service user has expressed a wish 36 Hurstville Drive DS0000065748.V343216.R01.S.doc Version 5.2 Page 12 through person centred planning to live in a more independent setting and staff are working with them using a programme of planned support. This includes household tasks. The AQAA says that the home has an open door policy for visitors but that visitors are told that service users must agree to them coming in before they can enter the home. There was evidence that the home supports and encourages relationships with family and partners. The inspector saw that service users made choices about how they spent their time during the day. Staff were seen talking with service users and giving them choices. Music was playing in one of the service user’s bedroom which was clearly their own choice of music. On Mondays staff discuss menu ideas with service users for the next week. Service users are shown pictures of meals and agree between them what meals they would like. However, individual needs and preferences are met, for example, one service user is a vegetarian. The inspector looked at menus which were varied. Service users go shopping for food if they wish to. Staff support service users to make drinks and snacks, according to their abilities and needs/wishes. 36 Hurstville Drive DS0000065748.V343216.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 protected by the home’s medication policy and practices and benefit from having their health and support needs met appropriately. EVIDENCE: Support plans showed how service users liked to be supported with their personal care. Staff gave examples as to how they respected service users’ dignity when supporting personal care and staff were observed being respectful. Staff told the inspector that service users had been given the choice about which staff (in terms of gender) would support them with personal care. Staff also confirmed that service users’ preferences were always adhered to and were clear with regard to who they could support and who they could not. The home now has a ‘keyworker’ system in place and felt this was working well as relatives knew who to speak to about any issues. There was evidence through discussion with the manager and staff, as well as records, that showed service users access healthcare professionals as needed. 36 Hurstville Drive DS0000065748.V343216.R01.S.doc Version 5.2 Page 14 The home ensures that referrals are made to specific medical services where it is felt the service user could benefit from more support. The medication was appropriately stored and records were complete. There was a slight administration error which appeared to indicate a controlled drug tablet was missing but the tablets were all accounted for. Only staff who have completed training in medication administer drugs. The manager said the course includes information about the medication, side effects and so on. Staff undertake the foundation course and some complete the advanced course. Staff also complete an in-house questionnaire. The manager plans to do the course as a refresher and to ensure that the course meets the needs of the home. Staff said two of them gave medication and signed the records after the service user had taken the medication. The home has been administering medication to service users who have needed this level of support. Recently, however, one service user has been working with staff support to administer their own medication on a phased programme. 36 Hurstville Drive DS0000065748.V343216.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 benefit from a clear complaints policy and are protected by the home’s abuse policies and practices. EVIDENCE: The Service User Guide contained clear information about how to complain and a full Complaints Policy supported this. There had been no complaints from service users or their families. There had been some complaints from neighbours and these had been dealt with in a timely manner by the home and clear records kept. The home has introduced a, ‘voice book’ which service users had written in with staff support about particular things they would like to do. The inspector noted that some of the information was personal and therefore confidentiality might be compromised. The manager agreed to consider this further. There were policies and procedures in place aimed at safeguarding service users from any kind of abuse. All staff had received training in responding to instances of suspected abuse and the manager was clear about local reporting procedures. The behaviour of service users was understood as communication of unmet needs and was responded to sympathetically. Records demonstrated that behaviour was used to understand service users more and to change their support plans as necessary. 36 Hurstville Drive DS0000065748.V343216.R01.S.doc Version 5.2 Page 16 Service users’ finances were managed by the home and policies and procedures were in place to support this happening safely. Records were kept of all transactions and these were detailed and transparent. The inspector looked at one service user’s financial record and found it to be correct. 36 Hurstville Drive DS0000065748.V343216.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): 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 benefit from living in a comfortable, safe and clean home. EVIDENCE: The home has been adapted to meet the individual physical needs of the people living there. The communal areas consisted of a large kitchen/dining room and a lounge. There was a sensory room upstairs but this was not accessible to all service users so this has been moved downstairs. The rear garden was fully accessible to three service users and the manager is planning to create a path and raised beds to ensure the garden can be fully accessed by all service users. The garden houses a trampoline and has a covered seating area for service users to enjoy sitting outside. Inside the home was spacious, airy, well decorated and comfortable. The home was painted one colour throughout when it was opened and staff have worked with service users to repaint to the service users’ tastes. Service users have chosen paint colours 36 Hurstville Drive DS0000065748.V343216.R01.S.doc Version 5.2 Page 18 using paint charts and sample paint pots. Furnishings were all new when the home opened and of good quality. Service users have chosen the colour of their bedroom and have filled their rooms with personal possessions and collections. All service users have their own adapted shower/toilet or bath/toilet room which is either en-suite or nearby. There is also a communal bathroom for service users who have en-suite showers but may prefer or need a bath. Staff and service users ensure that the home is kept clean and hygienic throughout. Procedures were in place to prevent the spread of infections and staff were aware of these. The laundry area was situated away from food storage and preparation areas and was clean and well managed. 36 Hurstville Drive DS0000065748.V343216.R01.S.doc Version 5.2 Page 19 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 and 35. 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 and involved with the recruitment processes. The home has a good training programme but more attention should be paid to ensuring staff have recorded training in moving and handling which ensures their competence. EVIDENCE: The inspector looked at recruitment files for two new staff and found that they contained the necessary checks and references. However, potential new staff are asked to attend a trial day at the home before being offered a post. The manager said such staff are not left alone and do not undertake any personal care. Protection of Vulnerable Adults, (POVA) checks are in place before the trial day. Two service users are involved in the interview process and the other two have decided not to be involved. All new staff undergo an induction process which includes core training such as health and safety, abuse and infection control. New staff also complete the Certificate of Working with People with Learning Disabilities. Out of nine support staff, four have achieved the National Vocational Qualification, (NVQ) in care, Level 2. 36 Hurstville Drive DS0000065748.V343216.R01.S.doc Version 5.2 Page 20 The company has a training department and a variety of training is offered to staff. A new staff member said they had received a lot of training in the short time they had worked at the home. Records showed a comprehensive training programme which included Fire Safety, First Aid, Challenging Behaviour, Personal Care, Communication and Infection Control. However, training regarding the safe handling of service users has not been regular. The manager said moving and handling is covered on induction and that some staff had attended training sessions from a physiotherapist, pertinent to equipment used at the home. The manager said these sessions were not considered as training by the company and were not recorded or certificated. Staff have not had certificated moving and handling training for between sixteen months and three years. The home should be clearer about what training has been provided to staff, by way of recording, to ensure staff are deemed competent to move service users safely. 36 Hurstville Drive DS0000065748.V343216.R01.S.doc Version 5.2 Page 21 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 living in a home which is managed well and with regard to their views. The home maintains equipment to ensure service users’ safety is upheld. EVIDENCE: The manager has managed the home since it opened and prior to this managed another home for five years. She has achieved the Registered Manager’s Award and nearly completed the NVQ level 4 in care. The manager has also gained the Assessors award for NVQs and has recently undertaken a Train the Trainer course to support staff in accessing training. The organisation started the Service User Inclusion Project in July. Service users from the home have attended training provided by a specialist agency which enable them to contribute to service users meetings. The meetings were 36 Hurstville Drive DS0000065748.V343216.R01.S.doc Version 5.2 Page 22 monthly but the manager said service users asked if they could be every two months. Service users will also be forming a committee of elected members which will meet quarterly. Service users also sit in during team meetings but leave whilst confidential information is discussed. The organisation has recently undertaken an audit of the home, which was conducted by a regional manager from another area. The audit included looking at Regulation 26 quality reports, supervision, recruitment procedures and training. The manager said a survey had been sent to relatives but only one was returned. Annual service user reviews are held whereby satisfaction with the home is discussed. The manager ensures that equipment is maintained and certificates were available to show this. Fire records were also seen to be kept appropriately. 36 Hurstville Drive DS0000065748.V343216.R01.S.doc Version 5.2 Page 23 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 2 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 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 36 Hurstville Drive DS0000065748.V343216.R01.S.doc Version 5.2 Page 24 N/A 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 36 Hurstville Drive DS0000065748.V343216.R01.S.doc Version 5.2 Page 25 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 36 Hurstville Drive DS0000065748.V343216.R01.S.doc Version 5.2 Page 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. 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