Inspection on 02/11/05 for 40 Kingsland Avenue

This inspection was carried out on 2nd November 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

40 Kingsland Avenue 24/04/07

40 Kingsland Avenue 04/10/04

40 Kingsland Avenue 17/05/04

40 Kingsland Avenue 12/03/04

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

CARE HOME ADULTS 18-65 Kingsland Avenue, 40 40 Kingsland Avenue Northampton Northants NN2 7PP Lead Inspector Judith Roan Unannounced Inspection 2nd November 2005 15:45 Kingsland Avenue, 40 DS0000012832.V263113.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 Kingsland Avenue, 40 DS0000012832.V263113.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. Kingsland Avenue, 40 DS0000012832.V263113.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Kingsland Avenue, 40 Address 40 Kingsland Avenue Northampton Northants NN2 7PP 01604 408395 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) Royal Mencap (Housing & Support Services) Mrs Eugennie Lawrence Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Kingsland Avenue, 40 DS0000012832.V263113.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th May 2005 Brief Description of the Service: ’40 Kingsland Avenue’ is a small three bedded personal care home registered to, and managed by the Mencap organisation. The home is compact and comprises a lounge, kitchen diner and one bedroom with shower room on the ground floor. On the first floor there are two further bedrooms, a bathroom and an office/sleep in room. All floor are accessible to the service users. The home also has a garden to the rear of the premises that is accessible and used by the tree service user living at the home. The home is close to the local Kingsthorpe shopping centre and community resources. Kingsland Avenue, 40 DS0000012832.V263113.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for Service Users and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting 1 resident and tracking the care they receive through review of their records, discussion with them, the care staff and observation of care practices. The inspection took place during the late afternoon and early evening, over a period of 4 hours and was carried out on an unannounced basis. The newly appointed acting manager and a new member of staff were on duty. The acting manager informed the inspector that she is presently completing the application form to become the registered manager with the CSCI. What the service does well: What has improved since the last inspection? The home has responded positively to requirements and recommendation made at the last inspection. Risk assessment in relation to smoking has been completed and successfully implemented. Kingsland Avenue, 40 DS0000012832.V263113.R01.S.doc Version 5.0 Page 6 Access to the home has been risk assessed and a ramp installed to ensure service users safety. Existing staff have completed vulnerable adults training. Infection control measures have been implemented in the upstairs bathroom. 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. Kingsland Avenue, 40 DS0000012832.V263113.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 Kingsland Avenue, 40 DS0000012832.V263113.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): 1,2,3 The homes information enables service users to choose and know that the service provided can meet their assessed needs. EVIDENCE: The home has a Statement of Purpose and service Users guide that is produced in an accessible style. Service users spoken with during the inspection confirmed that they were had good information about the home and were at ease talking with staff. The acting manager confirmed that the service user guide was available for the three service users but they did not have their own copy. The file seen by the inspector demonstrated that the service user had signed a copy of his assessed needs and that he held a tenancy agreement with Mencap. The three service user living at the home had been resident at the home for several years and had moved in long before the assessment tool available to the manager and staff had been developed. The manager was able to demonstrate their awareness, value and use of the tool for future service users. The manager was clear about the process of assessment and the need to involve all relevant people involved with a service user. Kingsland Avenue, 40 DS0000012832.V263113.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): 6,7,8,9,10 Care plans involving service users to make decisions and informing support workers about their needs, are kept confidentially within the homes recording systems. EVIDENCE: Care plans are available within the home and contain all the required information to meet service users assessed needs. The information was however disjointed and in discussion with the acting manager it was established that person centred planning is being introduced so that needs are shown holistically, stored effectively and available for staff use on a day-to-day basis. Can plans are reviewed with service users regularly in addition to joint reviews within day services that support workers attend. The inspector found evidence that independent support to service users in making decision about their future care is available and that any concerns or anxieties are fully investigated. Information in the files was clear about service users abilities and staff supported appropriately to make daily choices. Service users shared with the Kingsland Avenue, 40 DS0000012832.V263113.R01.S.doc Version 5.0 Page 10 inspector their involvement within the daily routines within the home and how this was decided. Risk assessments are contained on files and a requirement made at the last inspection on smoking has been undertaken. Service users records are maintained confidentially within the office that also doubles as a sleep in room. Kingsland Avenue, 40 DS0000012832.V263113.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): 14,15,16 A staff group that actively promotes service users to have a full and active lifestyle respects service users rights. EVIDENCE: Service users were happy to share their photographs of the summer holiday and talk about what they had enjoyed. The home supports service users to go on a holiday at least once a year. The inspector found that service users are encouraged and supported to maintain contact with family and friends outside of the home. There was also regular contact with other Mencap homes in the area whereby they shared meals and social events. Support workers were aware of the need to support service users with a ranger of relationships where there was minimal contact with family. In discussion with the acting manager it is clear that staff take an active role in enabling the relationship between the three residents and ensure that individual rights are maintained. Kingsland Avenue, 40 DS0000012832.V263113.R01.S.doc Version 5.0 Page 12 A risk assessment in relation to smoking has been completed and implemented successfully. Support and training was evident, as service users rights have been protected through negotiation and agreement. Kingsland Avenue, 40 DS0000012832.V263113.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): 18,19 Service users can be assured that their health care needs and personal preferences will be met with support from staff at the home. EVIDENCE: Service users have medical profiles within their care plans and clear information on how they would like to be supported. The information is stored across files and this would benefit from being more accessible, especially for new staff working at the home. Files inspected indicated that medical and other health care appointments were undertaken and supported by staff. The information was cross-referenced in both individual and a central information record. All future appointments were noted in the diary and used when planning daily routines. Kingsland Avenue, 40 DS0000012832.V263113.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): 22,23 The homes policies and procedures protect service users. EVIDENCE: The home has a comprehensive complaints policy that is in an accessible style for service users. Service users spoken with are aware of how to and to whom they can express their concerns. The home has had no complaints since the last inspection. Staff working at the home have undergone training on vulnerable adults. This was a recommendation made at the last inspection. The acting manager was clear how incidents would be investigated and the need to report protection of vulnerable adult (POVA) incidents. Kingsland Avenue, 40 DS0000012832.V263113.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): 24,25,26,27,30 The home provides safe, comfortable, clean and hygienic accommodation that is suited to the needs of service users. EVIDENCE: The inspector found the home to be clean and well maintained. Service users are supported and encouraged to be fully involved with job around the home. Service users have individual rooms that are decorated to their tastes and reflect their personalities and lifestyles. One service users proudly decorated their room with their sporting achievements and photographs of important events. It was evident that service users relaxed within their home and shared the communal areas with each other. There is a ground floor shower room that is accessible and a domestic style bathroom on the first floor that are both in keeping with the home and needs of service users. Hand towels and liquid soap is provided to ensure that cross infection is prevented. Kingsland Avenue, 40 DS0000012832.V263113.R01.S.doc Version 5.0 Page 16 A risk assessment has been undertaken in relation to safe access in the front garden. Repairs have been undertaken a ramp installed. This action was taken as a result of a recommendation made at the last inspection. Kingsland Avenue, 40 DS0000012832.V263113.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34 An effective and competent staff team supports Service users. Robust recruitment and selection procedures ensure that service users are protected. EVIDENCE: The staff team demonstrated their competence in being knowledgeable about service users needs. Staff have access to a range of training options to extend their skills. All staff had recently undertaken vulnerable adult training. The acting manager talked about their training in person centred planning and how this was to be cascaded to others staff. During the inspection the inspector was able to meet with the new member of staff who was presently undergoing their induction. The staff member was to be supported by experienced staff until they had been signed off their initial training. The staff member confirmed that she would not be able to work unsupported until she was been trained and competent in working on her own. The inspector took the opportunity to discuss the recruitment process with the new member of staff and the acting manager. All checks were satisfactory and ensured that service users would be protected by the procedures in place. The new staff member met with service users as part of the recruitment process. Kingsland Avenue, 40 DS0000012832.V263113.R01.S.doc Version 5.0 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 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): 37,39,42 The effectively managed home ensures that service users are safe, consulted and listened to. EVIDENCE: The acting manager demonstrated a good knowledge and understanding of her role. She is currently completing her CSCI manager application form. As part of her induction she has been discussing issues arising with her manager and peers to develop her skills. As part of the quality assurance system within the organisation service users are consulted within monthly reviews and their responses recorded. An area manager makes a monthly visit and service users are invited to give their views. All meetings with service users are recorded. In discussion with the manager this information is collated and made available to the CSCI annually. The homes records demonstrated that regular health and safety checks are completed in respect of the living environment, fire safety and methods of working. All external check completed by environmental health officer, heating Kingsland Avenue, 40 DS0000012832.V263113.R01.S.doc Version 5.0 Page 19 engineer, (PAT tests) qualified electrician were all found to be satisfactory. The home undertakes daily checks on fridge & freezers along with hot food test at mealtimes. Hazards are identified as part of the risk assessment processes within the home. Kingsland Avenue, 40 DS0000012832.V263113.R01.S.doc Version 5.0 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 3 3 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 3 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Kingsland Avenue, 40 Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000012832.V263113.R01.S.doc Version 5.0 Page 21 Are there any outstanding requirements from the last inspection? NO 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 YA6 Good Practice Recommendations It is recommended that the acting manager reviews care plans to ensure that they accessible, reflect person centred planning and current good practice Kingsland Avenue, 40 DS0000012832.V263113.R01.S.doc Version 5.0 Page 22 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 Kingsland Avenue, 40 DS0000012832.V263113.R01.S.doc Version 5.0 Page 23 - 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. 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