Inspection on 20/09/06 for 39 Denford Road

This inspection was carried out on 20th September 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

39 Denford Road 27/07/05

39 Denford Road 15/12/04

39 Denford Road 07/07/04

39 Denford Road 03/11/03

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 39 Denford Road 39 Denford Road Ringstead Kettering Northants NN14 4DF Lead Inspector Linda Clarke Unannounced Inspection 20th September 2006 09:30 39 Denford Road DS0000012768.V311265.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 39 Denford Road DS0000012768.V311265.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. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 39 Denford Road Address 39 Denford Road Ringstead Kettering Northants NN14 4DF 01933 461908 01933 460917 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) Avens Limited Mr Philip Gregory Sargent Care Home 12 Category(ies) of Learning disability (12) registration, with number of places 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Up to 4 service users, with Learning Disability may also have a physical disability. 27th July 2005 Date of last inspection Brief Description of the Service: Number 39 Denford Road is a care home providing personal care and accommodation for up to twelve adults with a physical or learning disability. The care home is situated in the residential area of Ringstead, and has been adapted to use as two units of six beds each. The accommodation is over two floors, with access to the first floor via a stairwell. All bedrooms are single, and have en-suite facilities comprising of a toilet and wash hand basin. The rear and side of the property provides a car parking area and garden. Information as to the facilities and services offered is available to prospective service users upon request; and are available in both written and symbol format. Commission of Social Care Inspection Reports are located in the office. The range of weekly fees is between £750.00 and £1,139.00, which was provided on the day of the site visit. Additional costs for individual expenditure such as Chiropody, and hairdressing services are payable, the amount being dependent upon the services received. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the home visit, the inspector spent half a day reviewing the last inspection report, and information relating to the home received since that inspection, which includes the Pre Inspection Questionnaire and eight Service User and three Relative Comment Cards produced by the Commission for Social Care Inspection. During the course of the inspection, which lasted seven and a half hours, the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means that the inspector looked at the care provided to three residents living at the home by talking with the residents themselves; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were inspected. The inspector aspent time with service users and interviewed two members of staff in addition to speaking with the Manager and Deputy Manager. What the service does well: There is a commitment towards staff training and development, which is regularly reviewed enabling staff to provide quality and tailored care. Denford Road provides good quality care in a homely and stimulating environment. On the day of inspection the home had a busy, lively atmosphere. Service users were taking part in various daytime activities both in and out of the home. One service user was going out to visit her parent, whilst a gentleman was going train spotting. The staff team were friendly, helpful, and enthusiastic about the work they do. Those interviewed said they were committed to enabling residents to live more independent lives and providing high quality care. Staff were observed interacting with service users in a warm and positive manner. Relative comment cards gave positive feedback indicated that they were satisfied with the overall care provided. 39 Denford Road DS0000012768.V311265.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. 39 Denford Road DS0000012768.V311265.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 39 Denford Road DS0000012768.V311265.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 5. Quality in this outcome area is good. This judgement has been made using avaialble evidence including a visit to this service. The assessment process is well managed with assessments of need being carried out to ensure service users needs are continually met. EVIDENCE: Information regarding the services and facilities, which Denford Road provides is incorporated within the Statement of Purpose and Service User Guide these detail the initial assessment and trial period, information as to the aims and objectives of the Home, information on staffing, advice on raising concerns along with environmental information. These documents are produced in both written and symbol format, and are available to service users. The three service users records viewed contained a copy of the assessment, which recorded the information and observations of people involved in the service users life, the service user, their parents, existing care providers and Social Services. Contracts were presented in written and symbol format, of those viewed all were signed by the service user. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 9 Of the eight service user comment cards received, four indicated that they were asked as to whether they wished to move to the home; whilst four detailed that they had not been asked. All indicated they had received information about the home prior to them moving in. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 10 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans identify individual care needs and record resident views and choices. Care plans and records reflect the care needs of service users, enabling staff to deliver effective care. EVIDENCE: The care plans of three service users were viewed, all contained information as to how an individuals care is to be delivered, with reference to physical care, welfare, occupation and recreation. Information was also included which identified known triggers, which reflected a change in service users anxiety or behaviour; this enables staff to be proactive in supporting service users. There was clear evidence of regular consultation and reviewing of care plans, and the views of service users were recorded. Consultation with service users further evidenced that they were involved in all care decisions, supported by risk assessments. Two members of staff were interviewed by the Inspector, and confirmed their involvement in the reviewing of care plans, one member of staff’s role being supervisory. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 11 The eight service user comment cards which were returned indicated that seven felt that staff listened and acted upon what they said, one service user felt that this never occurred. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 12 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): 12, 13, 14, 15, 16 and 17. Quality is this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported and encouraged to establish and maintain positive social contacts and to access a wide range of educational, leisure and social pursuits. EVIDENCE: Service users were observed going out accompanied by staff to access a variety of leisure activities, for one lady this included a visit to her parent, a gentleman in the afternoon went out train spotting whilst others went out shopping. One service user spoke of his holiday in Blackpool, and requested that he would like to go again. The records of one service user recorded their attendance at college whereby he undertakes, craft, computer skills, life skills and healthy living activities. One service user spoke briefly to the Inspector about a day trip to Hunstanton, whilst viewing the photographs of the day trip. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 13 A majority of service user have contact with their relatives, for some this includes overnight stays, for one service user this including attending a Church. A lady indicated her trip to visit her parent the previous day having had a coffee and cake. The Inspector interviewed two members of staff, who advised that service users activities include trips to the cinema, pub, shops and picnics. Each service user has an individual activity programme, which reflects their individual needs and preferences. There are two separate dining areas, enabling staff to meet the individual needs of service users, a Cook is employed to provide meals, on the day of the site visit the meal comprised of chicken, potatoes and vegetables with fruit salad for dessert. An alternative meal was provided for one service user. Service users and staff eat together enabling conversation in a relaxed environment. The eight service user comment cards revealed that all but one service user feels able to do what they want to do, no additional comments were made. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 14 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): 18, 19 and 20. Quality is this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are provided with a very individual service, their specific and very individual personal support needs are clearly identified and well met. EVIDENCE: Records support that service users have regular access to health care professionals, which include General Practitioners, Opticians and Dentists, specialist health care has also be sought which includes Occupational Therapists, Physiotherapists and Clinical Psychologists. The care plans of service users viewed detailed the use of specialist equipment, which includes hoists and walking aids. Personal support is sensitively provided, and care plans reflect the level of support required. Service users have a dedicated member of staff referred to as a ‘keyworker’ who oversees the reviewing of care plans and supports the service in managing day to day aspects of their lives, including shopping for personal items. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 15 The medication records of three service users were viewed, records were in the main in good order, however there was one anomaly noted, discussions with the Manager and Deputy Manager resolved the issue, and the Manager agreed how this issue would be rectified. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 16 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. Quality is this outcome area is good. This judgement has been made using available evidence including a visit to this service. The complaints management is effective; service users feel safe and listened to. EVIDENCE: A complaints procedure is available to all service users, which service users have actively used, which evidences that service users are confident in making complaints. The information supplied in the Pre-Inspection Questionnaire submitted to the Commission for Social Care Inspection by the Registered Provider ‘owner’ of the care home detailed that a number of concerns had been received since the most recent inspection; the record of these complaints were viewed by the Inspector. A majority of the complaints were generated from the service users themselves, and were in relation to their views of fellow service users and how their conduct impacted on them. These concerns have been addressed by the then Registered Manager of the care home. Detailed records of complaints were recorded, however minimal if no information was recorded as to the feedback given to the complainant, this process needs to be improved to ensure that those making a complaint are consulted as to the outcome. The Commission for Social Care Inspection has not received any complaints or concerns. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 17 The staff training record detailed that staff have undertaken training in the subject of ‘Safeguarding Adults’, which provides staff with underpinning knowledge, enabling staff to promote the health and welfare of service users. Members of staff spoken with were able to state how this knowledge is implemented with regards to all care practices. Of the eight service user comment cards received, to the question do staff treat you well, five recorded ‘always’, two recorded ‘usually’ and one recorded ‘sometimes’. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 18 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): 24, 25 and 30. Quality is this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The décor of the home is of a basic standard and was found to be clean. EVIDENCE: The home although one building, on a day-to-day basis operates as two separate units, fpr service users with complex physical/disability needs, accommodation and care is provided in dedicated accommodation including bedrooms, and communal areas which is located on the ground floor, this area is separated by a secured door to the rest of the facility. Accommodation for the remaining service users is located on the ground and first floor. A tour of the premises highlighted that the décor of the home is of a basic standard; in some areas it was noted that paint was peeling from walls, ripped wallpaper, dirty blinds and in some areas stained carpets. All the bedrooms were viewed and were decorated in a neutral colour throughout which does not reflect the individual taste or preference of service users. The bedrooms are large, some providing an additional seating area, and have en-suite facilities, comprising of a wash hand basin and toilet. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 19 One bedroom had vinyl flooring, which is not necessary for the current occupant of the room, consideration should be given to replacing this with a covering, which reflects the service users needs and preference. The premises were clean and free from offensive odours, and a dedicated laundry area is provided. The garden and car parking facilities can be found to the rear and side of the care home, the garden is reasonably well-maintained, however could benefit from tidying, the garden and does not provide much in the way of shrubbery, plants and flowers for service users to enjoy. Of the eight service user comment cards received all but two indicated that the home is always fresh and clean. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 20 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, 33, 34 and 35. Quality is this outcome area is good. This judgement has been made using available evidence including a visit to this service. Trained and qualified staff are employed following robust recruitment checks and are employed in sufficient numbers to meet the care needs of service users. EVIDENCE: There is a pro-active approach to training, with a variety of topics being covered enabling staff to provide quality care to service users. The care staff team comprises of twenty members of care staff, a computer print out of training records revealed that thirteen members of staff have attained the Learning Disability Award Framework, which is vocational qualification for those working in the field of Learning Disabilities. One member of staff has attained a level 2 National Vocational Qualification in Care, whilst four staff have attained a level 3 NVQ in Promoting Independence, representing 22 of the care staff team. Interviews of two members of care staff took place, both spoke positively of their employment, and both demonstrated a clear understanding of the needs of service users, and were enthusiastic in their approach to service users welfare and rights. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 21 Staff confirmed that they have regular supervisions, which are recorded; the staff confirmed that supervisions were used to discuss care issues involving service users and staff training. Staff advised that the Management team were both approachable and helpful. The staffing rota showed that there were sufficient numbers of staff on duty, ensuring service users receive a tailored package of care to suit individual needs, preferences and choices. The staff team is made up of the Manager, Deputy Manager, Heads of Care, Team Leaders and Support Workers, all staff have individual responsibilities in the day-to-day running of the home. Staff meetings take place on a regular basis, with minutes being taken. The recruitment records of six members of care staff employed since the last inspection were viewed, all contained the appropriate employment checks including the taking up of written references and a Criminal Record Bureau Check. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 22 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, 39 and 42. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Newly appointed management arrangements are meeting the needs of the service. EVIDENCE: A newly appointed Manager was on duty on the day of the visit, following the recent resignation of the Registered Manager. The Manager has worked at the care home for a considerable number of years, and has been in her current position for four months. The newly appointed Deputy Manager was also on duty, having commenced in the role three weeks ago; prior to this her position was that of Head of Care, which she held for 5 years. The Manager and Deputy Manager have recently commenced the Registered Managers Award, and the Manager has submitted an application to the Commission for Social Care Inspection with a view to becoming the Registered Manager. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 23 There are systems in place to establish Quality Assurance; these include regular staff and service user meetings. Improvements could be made to the involvement service users have in the day to day running of the care home, through representation at staff meetings and involvement in staff recruitment. In addition consideration could be given to the development of questionnaires for service users, in order that they have a formal process in which to make comments, these should then be published and incorporated into the Service User Guide. Records submitted to the Commission for Social Care Inspection prior to the site visit, detailed the regular maintenance of the car home, for example the central heating, electrical appliances and fire equipment. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 X 4 X 5 3 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 2 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 3 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 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 2 X 2 X X 3 X 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 25 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. 1. Refer to Standard YA39 Good Practice Recommendations The Registered Person shall establish and maintain a system for evaluating the quality of the services provided at the care home, by enabling service users to actively involved in the day to day running of the care home, and have their views recorded. 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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. Extracts may not be used or reproduced without the express permission of CSCI 39 Denford Road DS0000012768.V311265.R01.S.doc Version 5.2 Page 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!