Inspection on 27/07/05 for 39 Denford Road

This inspection was carried out on 27th 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

39 Denford Road 20/09/06

39 Denford Road 15/12/04

39 Denford Road 07/07/04

39 Denford Road 03/11/03

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Hillside

Applegarth

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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 Denford Road 39 Denford Road Ringstead, Kettering Northants NN14 4DF Lead Inspector Sharon Treadwell Unannounced Wednesday 27 July, 2005 @ 12.45pm. 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. Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Denford Road Address 39 Denford Road Ringstead Kettering Northants NN14 4DF 01933 461 908 01933 460 917 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) Avens Limited Mr Phillip Gregory Sargent Care Home 12 Category(ies) of LD Learning Disability registration, with number of places Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Up to 4 service users, with Learning Disability may also have a physical disability. Date of last inspection 18/04/05 Brief Description of the Service: 39, Denford Road is situated in a residential area of the village of Ringstead and does not stand out from its neighbours. The House, a former home for the elderly, has been adapted to use as two units of six beds each. Internally these two areas are separated by a locked door, which enables staff to fully care for and supervise service users in each area who have distinctly different needs. The home has had the category of Learning Disabilities extended to include four service users who have an additional Physical Disability. Service users in both units are accommodated in single bedrooms with en suite toilet and basin and each unit has its own communal areas. Use of the two areas is not exclusive and the Deputy Manager clarified that service users may access lounge facilities on the other unit should they so wish. The home has a number of vehicles to enable service users to travel to shopping centres such as Rushden, Wellingborough and Northampton as these are some distance from the home and local facilities are limited. This home is one of three homes, owned by Avens Limited, in Northamptonshire, the two “sister” homes being sited in Kettering. There is a fourth home run by Avens Limited in Crowborough, East Sussex. 39, Denford Road is the largest of the three Northamptonshire homes. Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out at 12.45pm on a weekday afternoon. The home was not previously known to the inspector. Prior to this inspection the providers submitted a pre-inspection questionnaire with supporting information to the Commission for Social Care Inspection office at Northampton. Additionally seven relative’s comment cards and six service users’ comment cards were received by that office. This information was not available to the inspector prior to completion of the inspection or the writing of this report and the information contained in those documents will be referenced within the second inspection of the home later this year. The focus of inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users. The primary method used during this inspection was that of case tracking, which involved selecting two of the service users currently accommodated at the home (one in each of the units) and tracking the care they received through looking at their records and observation of and discussion with service users and staff at the home. This inspection took three and a half hours, during which the inspector spoke with four of the service users, one of the providers, the Registered Manager and his Deputy and a member of the staff team. This was a positive inspection with no requirements identified. Two recommendations have been made. What the service does well: The home has a commendable commitment towards staff training and development. Training is organised and overseen by the home’s management team and there is evidenced dedication to ensuring that all staff have undertaken training specific to their role. The home has a clear management structure; there is a registered manager, deputy manager, team leaders and care support staff. The home maintains a high staffing ratio, which is adjusted throughout the working day to take account of residents being involved in activities off site. Staffing levels ensure direct support for those residents with greater dependency. Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 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. Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 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 Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 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) 2, 4, 5. Documentation clearly details the home’s philosophy of care. Full assessments determine the home’s capacity to meet service users’ needs. EVIDENCE: The home’s Statement of Purpose and Service User Guide clearly detail the services provided. Both are made available to service users in appropriate formats. Prospective service users are subject to a full needs assessment by senior staff at the home prior to admission. The Registered Manager confirmed that all prospective residents were encouraged to visit the home for meals and overnight stays prior to admission. One service user spoken to confirmed his satisfaction with his placement at the home. He had been unhappy in a previous placement. The service users’ files tracked during the inspection evidenced progress in self-care capacities. Currently the home has contractual financial agreements with placing authorities and all service users and their families are supplied with a copy of the home’s Statement of Purpose and Service User Guide as well as full details of the terms and conditions of placement, at the point of admission. However, there is currently no signed contractual agreement made between the home Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 Page 9 and the service user and the home is recommended to develop such a document. Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 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 standard(s) 6, 8, 9. Care planning and review clarifies service users’ functional capacities and support needs. Service users are actively involved in this process. EVIDENCE: Residents’ meetings take place on a regular basis and a record of their involvement/participation is maintained. The manager and staff refer to the outcomes of the residents meetings when planning future care and activities. The minutes of the most recent meeting on one of the units (June 2005) recorded service users’ suggestions for activities and request for a computer. The Deputy Manager confirmed during the inspection that a computer was being installed in the Games Room for service users to use. A ‘Resident’s Profile’ is completed in relation to each service user, which operates as the care plan. This inspector found this document difficult to access as a plan of care but, in the two files tracked, its content was noted to fully address the care needs of the service users and staff spoken to spoke of its usefulness. The nominated inspector for the home, who is more familiar with the profile format, has also commented during previous inspections on its appropriateness. Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 Page 11 Care planning is supported by individual risk assessment. The profile is subject to regular review and update. Service user records at the home are computerised with only the most up to date profile and most recent review on the paper file. Currently the Resident’s Profile is not dated except by a print date from the computer. In the files tracked this gave the indication that there was a time lapse between review of the profile and its subsequent update and the home has been recommended to incorporate a date of completion into the profile format. Service users and their relatives take an active role in developing plans for their individual care; this was evident from discussions and the outcomes of recent reviews, which included contributions from service users and their relatives. Each service user has an individual activity plan and management, staff and service users confirmed the involvement of service users and their families in the compilation of these plans. The inspector has suggested that service users could sign their agreement to the plan to evidence this. Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 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 standard(s) 13, 14, 15. Service users are well 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 spoken to during the inspection spoke of staff support with their own personal hobbies and interests. One service user was especially interested in Ghost Trains and a member of staff had assisted him to construct a model of one. Some of the service users are especially interested in trains and train rides and train spotting trips have been arranged. A member of staff detailed good use of local facilities with service users choosing to attend local churches, feeding the horses in a local field and accessing local angling facilities. One service user goes horse riding locally on a regular basis. The member of staff detailed good relationships locally with invites to service users to attend local church fetes and barbecues. The Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 Page 13 member of staff said how useful the service users’ individual profiles had been for clarifying individual activity preferences when she was newly appointed. Several of the current service users access local day centres and educational centres and frequent trips are made to larger towns, such as Kettering, to access shopping and cinema facilities. Each service user has an individual activity programme, which is reflective of their individual needs and preferences. The Registered Manager informed the inspector that service users would be going on holiday to an activity centre in Wales in September (each unit is booked for a week) where service users will have the opportunity to sample a range of physical activities with support from staff and tuition from qualified instructors. On the occasion of this inspection one of the service users was staying with a family member for a few days and another was being visited by his brother. The Deputy Manager told the inspector that all except one of the current service users accommodated at the home had regular contact with families and the service user files tracked confirmed good relationships between the home and service users’ families. Although the home operates as two separate units the Deputy Manager explained that this was not prescriptive and that where friendships were established service users could spend time together in any of the communal areas of the home. Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 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 standard(s) 18, 19. Service users are provided with a very individual service, their specific and very individual personal support needs are clearly identified and well met. EVIDENCE: During the inspection service users were observed to receive a high level of personal, individual support from the staff on duty. Staff were noted to respond quickly and positively to the needs presented and to treat service users with respect. The home’s assessment processes, individual profiles and review system provide good information in relation to personal support needs. Service users’ bedrooms are very reflective of their individual personalities but their organisation is also reflective of the home’s capacity to address their individual personal support needs. Service users and staff spoken to appeared very clear about individual personal daily routines such as getting up, bathing and going to bed. Each service user has an allocated key worker and service users clearly valued these relationships. Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 Page 15 A tour of the premises evidenced that the unit, which caters for service users with physical disabilities was appropriately equipped for the provision of such care. The files examined contained good evidence of appropriate health care interventions and appropriate guidelines from health care professionals, for example in relation to the administering of rectal diazepam. In both service user files tracked during the inspection the service users had undergone periods of hospitalisation. Staff at the home, particularly key workers, had maintained a commendably high level of contact with both the service users and their families during these periods. Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 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 standard(s) None N/A EVIDENCE: No standards were inspected under Concerns, Complaints and Protection. These standards will be fully inspected during the second inspection of the home later this year. Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26. 27. Denford Road provides a homely, clean and comfortable environment for the service users accommodated. EVIDENCE: There are additional safety features in the part of the home that cares for service users with complex physical/mobility needs including ramps and guards. The bathroom and shower room in this unit are fully accessible to service users with a physical disability and are appropriate for assisted bathing. One service user has been supported to develop what is similar to a flat but within the main building. This was viewed during the inspection and was clearly reflective of personal choice. Five bedrooms were viewed during this inspection and all were large, airy and clean and highly personalised with posters, photographs and personal belongings. All bedrooms are fitted with locks and service users are provided with a key to their bedroom. Two service users thought that their bedrooms were ‘good rooms’. All bedrooms are single and, at minimum have an en suite toilet and basin. Some bedrooms have full en suite facilities. Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 Page 18 Service users on both units have access to a telephone to make personal calls. There is a good range of communal space within the home, which allows for service user choice of solitude or group membership. There is a games room in the more independent unit, which is equipped with a pool table and tea and coffee making facilities for the service users. A risk assessment has been completed in relation to service users’ access to these facilities. One of the service users spoken to was especially pleased with the recent erection of some shelving to house his large collection of videos. Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 Page 19 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 The home operates a commendable training programme, which ensures that staff have full access to training specific to the client group accommodated and their individual roles. EVIDENCE: The provider organisation, Avens Limited, has a sister company for the provision of training (Tailored Training Limited). The meeting room at the home evidences an impressive display of training certificates obtained by members of the staff team. All staff employed at the home are immediately registered on the Learning Disability Award Framework (LDAF) induction/foundation training course with automatic progression to National Vocational Qualification (NVQ) training. The inspector spoke during the inspection to one of the providers, Mr. Chris Andrews and was impressed by his evidenced dedication and commitment (clearly shared by the Registered Manager and Deputy Manager) to ensuring that all staff employed at the home were provided with a full range of training to equip them to provide ‘the highest standard of care’ to service users accommodated. Staff are additionally provided with role specific training such as None Abusive Psychological and Physical Intervention (NAPPI) training, manual handling and Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 Page 20 first aid. Evidence of completion of this training was noted in the certificates displayed. The home provides all staff with allocated hours each week on the working rota for the completion of training. During the inspection the inspector spoke with a recently appointed member of staff (two months) who is currently completing the LDAF induction/foundation training and spoke highly of the support she is receiving from both colleagues and management in undertaking this. She told the inspector that she had already been registered to commence NVQ level two training. A previous manager of the home operates as an internal assessor for both NVQ and LDAF training and both the Registered Manager and a number of the senior staff have completed or are completing Assessors Awards. External Independent assessment is provided through Tailored Training Limited. Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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) None N/A EVIDENCE: No standards were inspected under Conduct and Management of the Home. These standards will be fully inspected during the second inspection of the home later this year. Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 Page 22 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 3 x 3 2 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x x x Standard No 11 12 13 14 15 16 17 x x 3 3 3 x x Standard No 31 32 33 34 35 36 Score x x x x 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Denford Road Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 Page 23 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. 1. Standard Regulation None 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. 2. Refer to Standard 5 6 Good Practice Recommendations The Registered Manager is recommended to develop a written contract with service users to reflect the elements listed under Standard 5.2. The home is recommended to incorporate a date of compilation into the Residents Profile document. Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 Page 24 Commission for Social Care Inspection 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 Denford Road C51 C01 S12768 39 Denford Road V238293 270705 STAGE 4.doc Version 1.40 Page 25 - 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. 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