Inspection on 12/12/05 for 36 Martin Close

This inspection was carried out on 12th December 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

36 Martin Close 16/08/07

36 Martin Close 06/06/06

36 Martin Close 11/07/05

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 Oliver Unannounced Inspection 12th December 2005 2.45 36 Martin Close DS0000064998.V271324.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 36 Martin Close DS0000064998.V271324.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. 36 Martin Close DS0000064998.V271324.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 36 Martin Close Address Oakridge Basingstoke Hampshire RG21 5JZ 0151 420 3637 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.c-i-c.co.uk Community Integrated Care Mrs Tracey Janet Caulkett-Shelley Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 36 Martin Close DS0000064998.V271324.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th July 2005 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 bedrooms, 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 DS0000064998.V271324.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three hours. The inspector had to return to the home for a second day to look at staff recruitment with the manager. The manager was not available on the first day of inspection but the staff on duty assisted with the visit. Many of the core standards were inspected during the previous visit on 11th July 2005; therefore referral to both reports will give a full overview of the service. An opportunity was taken to look around parts of the home, view some records and talk to four service users and three staff. Service users spoken to said how happy they were living at the home. Throughout the visit it was evident there is a relaxed and supportive atmosphere. No relatives were visiting the home on the day of the inspection. What the service does well: What has improved since the last inspection? There is now more information in the plans detailing what specific support individuals require enabling staff to support them appropriately. All staff have now received training in abuse to enable them to further protect service users. 36 Martin Close DS0000064998.V271324.R01.S.doc Version 5.0 Page 6 A new staff member has started in the home and service users work well with them and said how much they like them. 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. 36 Martin Close DS0000064998.V271324.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 36 Martin Close DS0000064998.V271324.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): EVIDENCE: None of these standards were assessed on this occasion as inspected at the last visit and found to be satisfactory. 36 Martin Close DS0000064998.V271324.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, 7 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 up to date so staff are always clear on what to do. Service users are able to make decisions about their lives. Risk assessments are in place and ensure service users are able to take risks as part of an independent lifestyle. EVIDENCE: Two files were seen and since the last inspection they are more specific in areas where a service user requires particular support. They contain information relating to assessed and changing needs as well as personal goals. It was discussed with the staff member on duty that the information in the files must be up to date. One file had conflicting goal plans and it was unclear as to what was current information. 36 Martin Close DS0000064998.V271324.R01.S.doc Version 5.0 Page 10 Staff spoken to said they assist service users to update their plans and the service users spoken to said they are fully aware what is written in their plans. It was seen throughout the inspection how service users are supported to make decisions. When speaking with service users they confirmed how they chose the colours for the new carpets and colours for the walls. Additionally some service users are looking to start employment and have taken steps to achieve this. One service user says they can access the community independently and go out as they please. Since the last inspection risk assessments have been updated and show that service users are supported to take risks. There are clear instructions for staff to enable them to support individuals appropriately. 36 Martin Close DS0000064998.V271324.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): 16 and 17 Rights are respected and responsibilities recognised in service users’ daily lives. Service users are offered plenty of fresh food with lots of choices to enable a balanced and healthy diet. EVIDENCE: Throughout the visit it was evident service users’ rights are respected such as one service user coming straight in from work and going up to have a bath. Other service users had returned from various activities and retired to their bedrooms for some peace and quiet. One service user spoken to said he has a key to his bedroom and the front door and locks his bedroom when he is not at home. On the day of the visit a maintenance man arrived and the staff member on duty explained to the service users who he was and why he was at the home. 36 Martin Close DS0000064998.V271324.R01.S.doc Version 5.0 Page 12 The inspector viewed the menu for the week and this showed a variety of food offering a healthy diet for service users and the staff member spoken to said the menu is always looked at to ensure a balanced diet is available although alternatives are there as needed. On the day of the visit one service user was preparing the evening meal for everyone in the home. The kitchen was clean with plenty of space available to prepare food. Service users spoken to said they liked the food offered and are not given foods they don’t like. It was discussed with the staff member on duty that some foods had been opened and were not dated. Fresh fruit and vegetables were seen during the visit. 36 Martin Close DS0000064998.V271324.R01.S.doc Version 5.0 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 the following standard(s): 20 Policies and procedures are in place in relation to medication to protect service users but as required medication must be recorded once administered. EVIDENCE: The home has a monitored dosage system in place using blister packs and all service users are supported with their medication. Some service users have ‘as required’ medication but there was no documentation in place showing it has been administered or a running total of what has been administered, this was discussed with the staff member on duty. Additionally the medication policy clearly states ‘as required’ medication must be recorded. It was also advised the home obtain a copy of The Royal Pharmaceutical Society Guidelines. All staff have received training in medication and attended a distance learning course in conjunction with Basingstoke College of Technology held over a twelve week period. 36 Martin Close DS0000064998.V271324.R01.S.doc Version 5.0 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 the following standard(s): 22 and 23 Arrangements for protecting service users and responding to concerns are satisfactory. EVIDENCE: Since the last inspection all staff have now completed their training in adult protection and the staff member on duty was clear on what to do should they receive an allegation of abuse. It was also confirmed there have been no new complaints since the last visit. No other parts of these standards were assessed on this occasion as it was seen during the last inspection and was satisfactory. 36 Martin Close DS0000064998.V271324.R01.S.doc Version 5.0 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 the following standard(s): 30 The home was clean and hygienic. EVIDENCE: The home was clean and tidy on the day of the inspection and service users were involved in the cleaning of the home. The laundry room was seen and was appropriate with all the necessary equipment available including gloves and aprons. The service user who showed the inspector the laundry facilities confirmed they are responsible for their own washing. 36 Martin Close DS0000064998.V271324.R01.S.doc Version 5.0 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 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 and 34 The home ensures that staff are competent and qualified with the relevant checks and recruitment practices in place to ensure service users are protected. EVIDENCE: The inspector viewed two staff files and they contained all the relevant recruitment checks including application forms, references and criminal record bureau checks. The staff spoken to confirmed they have the skills to support service users including their experience of working in the field of learning disabilities and the training they have attended including person centred planning, principles of care and moving and handling. They also confirmed they receive regular supervisions. Service users spoken to like the staff that support them and felt they had the skills to do the job and they trusted them. 36 Martin Close DS0000064998.V271324.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): 37 and 39 The home is managed efficiently and service users benefit from a well run home. Service users views are sought to ensure they are involved in the selfmonitoring, reviewing and development of the home. EVIDENCE: The registered manager has worked in the home for a significant period of time and has the skills and experience to manage the home including attending many courses and completing her Registered Manager Award. Staff and service users spoken to said the manager was approachable and was able to assist with any problems they may have. Service users spoken to confirmed there are group meetings held once a week to raise and discuss queries and questions about the home. 36 Martin Close DS0000064998.V271324.R01.S.doc Version 5.0 Page 18 Regulation 26 visits are also undertaken on a monthly basis and a copy is sent to the Commission. Service users are involved in these visits and this is documented. Additionally in the hall there is a suggestion box for anyone to put comments in on how they think the service can be improved. This is suitable for the service users living in the home. 36 Martin Close DS0000064998.V271324.R01.S.doc Version 5.0 Page 19 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 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 36 Martin Close Score X X 2 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X X X DS0000064998.V271324.R01.S.doc Version 5.0 Page 20 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 36 Martin Close DS0000064998.V271324.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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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