Inspection on 14/09/07 for 362 Park Road

This inspection was carried out on 14th 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

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

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Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 362 Park Road Loughborough Leicestershire LE11 2HN Lead Inspector Bhavna Keane-Rao Unannounced Inspection 14th September 2007 9:30 362 Park Road DS0000068332.V350551.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 362 Park Road DS0000068332.V350551.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. 362 Park Road DS0000068332.V350551.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 362 Park Road Address Loughborough Leicestershire LE11 2HN 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) 01509 821185 josephkinch@btinternet.com Freedom Care Ltd Emmanuel Nyabadza Care Home 1 Category(ies) of Learning disability (1), Mental disorder, registration, with number excluding learning disability or dementia (1) of places 362 Park Road DS0000068332.V350551.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No person falling within category MD may be admitted into 362 Park Road unless that person also falls within category LD ie dual disability. No person to be admitted into 362 Park Road in categories LD or MD when 1 person in total of these categories/combined categories is already accommodated in this home. New service Date of last inspection Brief Description of the Service: 362 Park Road, is a detached bungalow, owned by Freedom Care Ltd, to provide care for one resident. The bungalow, is well maintained, the interior is up to date with décor and furnishings. It is situated on a main road, close to a superstore and the Loughborough town centre. There is parking space at the front of the bungalow for two cars and the gardens are private and well maintained. Information is located on site detailing the range of services offered, which includes the Statement of Purpose and a copy of the Commission for Social Care Inspections, Inspection Reports, which are located in the office. On 19th June 2007 the registered provider/manager confirmed the Fees for the service provided at the home is £1500 per week per person. 362 Park Road DS0000068332.V350551.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of pre-planning the inspection, which included viewing the last Inspection Report, reviewing of the pre-inspection questionnaire, the service history of significant events since the sent to residents from the Commission for Social Care Inspection. The unannounced site visit commenced on the 14th September 2007 and lasted three hours. The focus of the inspection is based upon the outcomes for the resident. Which means, for example, does the resident feel happy with the service he gets and does he feel involved in decisions made about his life. The method of inspection was ‘case tracking’. This method involves identifying individuals who currently live at the home and tracking the experiences of the care and support they received during the time they have lived there. Since there is only one resident who lives at this home, all his records and care plans were viewed along with detailed discussion with the resident. The method of case tracking included the review of residents’ individual care records, discussions with provider/manager and staff on duty with various responsibilities within the home and reviewing the records that were available. The inspection was also used to check that information provided by the manager matched the individual experiences of the resident. This was achieved by speaking with the resident and the staff who were on duty whilst observing day to day care practice. What the service does well: This home is very much led by the specific care needs of an individual. This property was purchased to meet these needs. The resident benefits by being supported by care staff that have a clear understanding of his needs, and receive the appropriate training to support the resident. Staff encourage the resident to express his views, and positive and supportive relationships between resident and staff exist, promoting residents welfare. The bungalow is a well-maintained, fresh and clean property. There is a relaxed atmosphere in the home, the resident was observed moving around the home freely and without restrictions. Both the staff spoken with were positive about working for the company. 362 Park Road DS0000068332.V350551.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 362 Park Road DS0000068332.V350551.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 362 Park Road DS0000068332.V350551.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): Standards 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a formal procedure in place to ensure that new residents needs and aspirations are assessed before admission to the home so that the all their care needs are met. EVIDENCE: The resident has access to a Statement of Purpose, which outlines the role of the care home, providing additional information as to the services offered, the accommodation and information on policies and procedures. At the point of admission there is a detailed assessments of care needs. These are carried out both by the home and by the placing authority. 362 Park Road DS0000068332.V350551.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): Standards 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. Resident’s independence is promoted and support is given to make decisions affecting all aspects of their life. EVIDENCE: Since this home is registered for one person, all relevant records were viewed including the care plans. There are a number of folders with regards to various care needs of this particular resident. There is a picture folder, which is in an easy read format detailing all the resident’s likes and dislikes. A Health and wellbeing folder was viewed, which contains specific details of how resident’s emotional and social care needs are met. 362 Park Road DS0000068332.V350551.R01.S.doc Version 5.2 Page 10 Educational folder was also viewed. This contained details of all day care provision along with hobbies, interests and what activities have been liked in the past along with future activities. Upon discussion with the resident and the staff on duty, it was evident that the resident is able to decide what activities are planned for the day. Although a new day planner has been set up with resident’s input, this is flexible depending on the care needs and the mood of the resident on daily basis. Staff were knowledgeable as to the resident’s wishes, and were seen giving support as per request. The resident is involved in the running of the home by structured Residents’ meetings. The minutes of these were viewed. A number of actions were identified at this meeting. However there are no records kept of the outcomes. Discussion was held with the staff and the provider and it was agreed that these would now be formally recorded after each meeting. Following a discussion with the registered provider it is noted that this is already in hand. 362 Park Road DS0000068332.V350551.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): Standards 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. Residents are supported to make choices about how they wish to lead their life and activities they participate in and what food they eat, which ensures they have control over their live. EVIDENCE: Daily records and care plans detail the range of social and education activities and recreational pursuits which include going out to night clubs, going out shopping, going for walks, accessing local library, going on line, working on his personal computer, going on holiday to Austria in February and visits to family home once a month. This is supported by staff who drive the resident to the parents home. There is a car for the sole use of the home’s business. This list is just a sample of activities, which are organised. There are formal risk assessments carried out to ensure that the resident is safe when undertaking any recreational pursuits. 362 Park Road DS0000068332.V350551.R01.S.doc Version 5.2 Page 12 During discussion with the resident he stated he ‘loved to play on a bandit machine’. Due to this ‘passion’ the provider purchased one for the resident’s bedroom. The resident with a great deal of pride showed this to the inspector. Regular contact is kept with families and friends by the resident. The resident has a personal mobile phone so that there is freedom to make private personal calls at any preferred time. The manager has purchased games called ‘Social Skills’ and ‘Looking good’ to aid discussions and promote these skills. The resident has a bank/building society account, which is managed independently. The manager has been asked by the residents to save £20 on his behalf until middle of each week. This would ensure that he has money towards the end of the week. This is not recorded. Discussion was held with the staff about the importance of records where there is input from the home. During the site visit records were set up to monitor this and to record any input The resident is involved in the planning weekly menu, purchasing of food and with meal preparation. A comment made by the resident was that he had to eat low fat food and that he did not always like this. Discussion was held with the provider who stated that they encourage the resident to eat healthy as they were under the guidance of a dietician. However that this was done by the use of verbal encouragement and discussions for example having low fat crisps rather then full fat or one packet rather then two. Also that this is recorded and on going. On the day of the site visit the staff and the resident, had planned to go out to the shops and then have lunch out. However due to the site visit there was a delay in this plan. An apology was made to the resident for this delay. 362 Park Road DS0000068332.V350551.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): Standards 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. Resident’s health, emotional and personal care needs are met in line with the care plan and as per resident’s wishes. EVIDENCE: The resident was spoken with who stated that as this was a home for one person sometimes he had to go to his bedroom to get privacy. Staff in discussion were also mindful of this particular issue and stated that they too did not like to impose in the residents space. The resident was positive about the general input from staff. The staff have clear understanding of their role in offering support and guidance, and awareness as to the rights of resident to express opinions and make decisions. This was demonstrated by the minutes of the residents meeting and also in the folder labelled ‘Untoward Incidents’. Staff record all areas of care where they had intervene. These are dated and signed by the member of staff. These are further checked and reviewed by the manager to 362 Park Road DS0000068332.V350551.R01.S.doc Version 5.2 Page 14 ensure action taken is appropriate and are counter signed with additional comments points of concerns and further action. Care plans demonstrated the level of input and support which is needed by the resident. There are records of all visits to doctors, dentist, opticians and other health care people. Medication records were checked and staff were observed giving out medication and recording it. This was found to be satisfactory. 362 Park Road DS0000068332.V350551.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): Standards 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are kept safe and protected from abuse. EVIDENCE: There is a complaints policy and procedure, which is detailed in the statement of purpose and made available to the resident and their families. During ‘chats’ with the resident he was asked if he knew who to go to if he had any problems. Without any hesitation he named a number of staff members, including the manager. The information sent in before the inspection indicated that there had not been any complaints or concerns made to the home. Staff training records demonstrated that training is provided to all the staff employed on protecting and safeguarding adults. The manager and the staff are aware of the need to inform the Commission of any concerns and events that effects the welfare and the wellbeing of the resident. This is displayed on the office wall. 362 Park Road DS0000068332.V350551.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): Standards 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The resident is provided with a warm, safe, clean, comfortable and wellmaintained environment suitable for their needs. EVIDENCE: This spacious bungalow has a lounge, a kitchen with a breakfast bar, resident’s bedroom, staff room/office and a bathroom. It was found to be warm, clean and decorated to the residents taste. The resident’s bedroom was viewed after invitation and found to be very specious and personalised. The resident was very proud of his bandit machine in his bedroom. The home has a large rear garden, and includes a patio area and lawned area. The garden has level access. The front of the property is paved, with parking space for two cars. Laundry facilities are located in the kitchen. The resident was observed using all the communal areas and his bedrooms without restrictions. 362 Park Road DS0000068332.V350551.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): Standards 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. There are sufficient numbers of trained staff to meet resident’s care and social needs. EVIDENCE: The staffing rota details that there are always two members of staff on duty during the day, with one member of staff sleeping on the premises overnight. The hours worked by staff are flexible to facilitate the resident in engaging in recreational and leisure activities. The member of staff spoken with stated she attends regular team meetings, which provide an opportunity for staff to discuss issues relating to the resident and the day-to-day running of the home. There is also informal network across both the registered homes, which is felt to be very positive by the staff. 362 Park Road DS0000068332.V350551.R01.S.doc Version 5.2 Page 18 The member of staff spoken with felt supported by the manager and said that he had been working for this company for a number of years and felt supported by the provider and the manager. Both the members of staff spoken with and the information received before the site visit indicates that there is a robust recruitment procedure which included a completed application form, along with request for two references and checks to ensure prospective employee is trustworthy. However the majority of staff records were locked and not available for viewing. Lists of up to date checks for any criminal convictions(CRB) were viewed. The member of staff spoken with confirmed that she had received all mandatory training. However she normally works at the other registered property owned by the same company. Staff training is recorded and was viewed. Staff confirmed that they receive regular one to one supervisions, which are recorded. 362 Park Road DS0000068332.V350551.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): Standards 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. There is a competent and committed registered provider and a registered manager who understands the needs of the individual resident. EVIDENCE: On the day of the site visit the manager was not on duty. The resident and the members of staff spoken with stated that the manager has a ‘hands on approach’ this enable them to go to him at any time with any issues. 362 Park Road DS0000068332.V350551.R01.S.doc Version 5.2 Page 20 Also stated there was a clear line of responsibilities and that she always felt supported by the manager but also by the provider as he was very much involved. The information received before the site visit indicates that there on going discussion with resident, his family and other health care people to ensure that the service provided was of a high standard. The members of staff and the resident spoken with verified this to be the case. However these records were not available for viewing on the day of the site visit. 362 Park Road DS0000068332.V350551.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 X 2 3 3 X 4 X 5 X 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 3 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 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 362 Park Road DS0000068332.V350551.R01.S.doc Version 5.2 Page 22 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 362 Park Road DS0000068332.V350551.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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. 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