Inspection on 11/07/05 for 36 Martin Close

This inspection was carried out on 11th July 2005.

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 Martin Close 16/08/07

36 Martin Close 06/06/06

36 Martin Close 12/12/05

Similar services:

Hillview Farm

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 Martin Close Oakridge Basingstoke Hampshire RG21 5JZ Lead Inspector Debbie Hawkins Unannounced 11th July 2005 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 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 Stationary 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 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 36 Martin Close Address Oakridge Basingstoke Hampshire RG21 5JZ 01256 327 894 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Community Integrated Care (CIC) Mrs Tracey Caulkett-Shelley CRH 5 Category(ies) of LD Learning disability - 5 registration, with number of places 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 1st November 2004 Brief Description of the Service: 36, Martin Close is a semi-detached house set in a housing estate within Basingstoke. It is in easy reach of the local shops and a bus ride away from the local college and main town centre. Community Integrated Care (CIC) is the registered provider and Mrs Tracey Caulkett-Shelley is the registered manager. The home is registered to provide care and accommodation to five service users who have a learning disability. The home comprises of five single rooms, a sitting room, dining room, kitchen and laundry facilities. The garden is well maintained, providing additional recreational space. Staff at 36, Martin Close encourage service users to retain their own privacy and endeavour to support them in reaching their own personal goals. 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four and a half hours and during the visit the manager, the staff on duty and the service users assisted the inspector. An opportunity was taken to look around parts of the home, view some records and talk to two staff members and all the services users living in the home. One service user was very shy but did smile at the inspector. There were no other visitors in the home on the day of the inspection. What the service does well: What has improved since the last inspection? What they could do better: More information in the plans detailing when and how service users require specific support so staff can assist them appropriately. 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 Page 6 All staff must receive training in abuse to enable them to further protect service users. More documentation to show exactly what training staff are undertaking in relation to fire safety. A positive recruitment drive to enable permanent staff to be in the home to support the service users. 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. 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 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 standard(s) 1 and 2 The home has a system of assessment, which identifies prospective service users needs and how they will be met, with the relevant information available so they can make an informed decision about where they live. EVIDENCE: Since the last inspection the home now has a new registered provider and this is Community Integrated Care and the statement of purpose and service user’s guide have been updated to reflect this. All other information is available in these documents so service users can make an informed decision about where they live. The inspector sampled three service user’s files and each contained a detailed assessment. It showed that individual aspirations and needs are assessed and this information is used for goal and care planning to ensure staff give each individual the right support. 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 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 standard(s) 6 and 9 There is generally a clear and consistent care planning system in place to adequately provide staff with the information they need to satisfactorily meet service user’s needs but some of the information needs to be more specific so staff are always clear on what to do. Risk assessments are in place and ensure service users are able to take risks as part of an independent lifestyle. EVIDENCE: Individual plans of care are available and three were sampled. They give information on assessed and changing needs and personal goals. It was discussed with the manager more information may be needed when service users require specific areas of support such as when a service user becomes tearful. The plans are reviewed regularly. Staff spoken to said they assist service users to update their plans and are well aware of individual’s goals. 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 Page 10 Risk assessments are in place and show that service users are supported to take risks. Again it was discussed with the manager some risk assessments need clearer instructions for staff such as areas relating to health and safety. Service users spoken to said they are always involved in their plans. 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 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 standard(s) 12, 13 and 15 Service users experience a stimulating and varied life both at the home and in the community with informal and formal activities being made available. Service users have good relations and support from families and friends. EVIDENCE: Service users spoken to said they have plenty of activities in their lives including part time work, going to college and evening classes. Staff spoken to said service users have an active life and many have become more independent since living at Martin Close. This was confirmed by one service user who said they now go to the town on their own and access local transport and the local library and don’t require staff support. On the day of the inspection one service user went off on holiday for the week with their partner. 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 Page 12 The inspector was also able to see service users accessing the communal lounge with positive interaction and talking with each other about music and going on holiday. Service users spoken to said they have regular contact with family members with one service user recently seeing their niece in a play. The service users have also devised a newsletter detailing the trips they have all been on, this was seen by the inspector. 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 Service user’s health and personal needs are being met to ensure they are supported in the way they prefer. EVIDENCE: Three service user’s plans were sampled and they contained clear information on each service user’s specific needs. As service users living in the home are fairly independent the plans details how they are prompted rather than being assisted. Service users spoken to said they felt staff are meeting their needs and one service user said they need staff to help them eat healthy and they want to lose some weight. Service user’s physical well being is documented in the plans including visits to the dentist, doctor and chiropodist. One service user said with staff support they are managing their diabetes very well. 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 Page 14 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 standard(s) 22 and 23 Arrangements for protecting service users and responding to concerns are satisfactory. EVIDENCE: The complaints procedure was seen and this covered all the relevant information and is accessible to service users. Service users said they would tell staff about any concerns and know it would be dealt with. Staff spoken to were also confident in how to deal with a concern or complaint. The complaints book was also seen and this is kept downstairs so service users can access as they wish. It was discussed with the manager that there should be more specific information relating to the detail of the complaint and the outcome. If it was of a more personal nature then references should be made in the book where information could be found. The home has all the relevant documentation relating to adult protection including a whistle blowing procedure, the adult protection policy and the ‘no secrets’ guidance. The manager has showed Community Integrated Care the gaps in staff training but the inspector said all staff must have training in abuse as a matter of priority. 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 Page 15 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 standard(s) 19 A comfortable and safe standard of accommodation is provided for the service users, which meet their needs. EVIDENCE: The home is generally well maintained and suited to the service user’s needs. It is decorated to a standard that creates a comfortable and homely ambience. Both service users and staff spoken to said they were happy with the environment and found it to be very homely. There are future plans to install a power shower and redecorate all the communal areas. There are some issue with the children in the area causing a nuisance and bullying service users. The service users are dealing with this appropriately and the home is in regular contact with the local Policeman. On speaking with the service users this has not affected them continuing to be very happy living at the home. 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 Page 16 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 35 The home ensures that staff are trained and in sufficient numbers to meet service user’s individual and joint needs. EVIDENCE: By speaking with staff and looking at the training folder staff have received a variety of training including the learning disability awards framework, handling of medication and food hygiene. The manager also confirmed funding has been secured for all staff to begin their National Vocational Qualifications. There are some gaps in training but the manager is waiting on Community Integrated Care to see what training becomes available. The staff team have also worked in the home for significant periods of time all having experience supporting people with learning disabilities. Service users spoken to said they feel staff are able to support them in all aspects of their lives. Since the last inspection the home now has pictures in the hallway showing service users who is on duty at any one time. The inspector also viewed the rota and although the staffing level meets the needs of the service users the home has some vacancies. A part time staff member is about to start and the home is looking to recruit further. 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 Page 17 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 The health, safety and welfare of service users is fully promoted with staff being well trained and showing a sound knowledge within the areas of health and safety. EVIDENCE: All policies and procedures relating to health and safety are available in the home and the staff spoken to knew where and how to access them and had a satisfactory understanding of health and safety. Staff have also received the relevant training in areas such as fire safety and food hygiene and the records for this were seen. Staff spoken to said the house is safe to live in and the maintenance person would come out if there were any issues. The manager confirmed there are the relevant records and certificates in place to ensure the environment is safe and secure, this includes portable appliance testing and fire equipment testing. 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 Page 19 On the day of the visit the home was safe and free from any hazards. Since the last inspection there is now documentation in place to show all staff and service users are receiving regular fire training. One staff member is fire safety co-ordinator and is responsible for the training and the recording of the information. It was discussed with the manager that there needs to be more detail as to the specific training undertaken such as use of a video or questionnaires. Since the last inspection the home now has a food analysis chart that identifies the risks in the kitchen and a cleaning book and this is as a result of recent food hygiene training. 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 Page 20 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 3 3 x x x Standard No 22 23 ENVIRONMENT Score 3 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 2 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 36 Martin Close Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 Page 21 None 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. 1. 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 Good Practice Recommendations 36 Martin Close H54 S12311 36 Martin Close V241329 110605.doc Version 1.30 Page 22 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 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. 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