Inspection on 11/01/06 for 41 Newport Road

This inspection was carried out on 11th January 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

41 Newport Road 31/10/07

41 Newport Road 14/03/07

41 Newport Road 24/08/05

41 Newport Road 18/11/04

41 Newport Road 22/07/04

41 Newport Road 17/02/04

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Dalewood Respite Care

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Fairways

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

CARE HOME ADULTS 18-65 Newport Road (41) 41 Newport Road Cowes Isle Of Wight PO31 7PW Lead Inspector Liz Normanton Unannounced Inspection 11th January 2006 09:40 Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 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 Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 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. Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Newport Road (41) Address 41 Newport Road Cowes Isle Of Wight PO31 7PW 01983 294134 01983 294134 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) Islecare `97 Limited Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Authorisation to accommodate a service user over 65 years of age The home has been authorised to accommodate a named individual with a learning disability over 65 years of age. The condition will no longer apply when the individual ceases to be resident in the home. 24th August 2005 Date of last inspection Brief Description of the Service: 41 Newport Road is a home that provides personal care and accommodation for up to six adults with learning disability. It is a detached two-storey property situated on the main Newport to Cowes road about half a mile from Cowes town centre with its shops and amenities. While parking is mainly limited to side streets, bus stops are only a few yards from the home. There is a reasonably sized terraced rear garden available for residents use and a small lawned front garden with flowerbeds. Accommodation is on both levels. There are ten steps from the pavement to the front door and no lift from the ground to the second floor, making the home generally unsuitable for people with mobility difficulties. Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection on the 11th January 2006 with a further short visit to the manager on the 13th January as they were not present at the inspection. The focus of the inspection was to discuss previous requirements and assess key standards not audited at the previous inspection. The inspector observed that there had been some minor repairs to the kitchen. Care workers stated that this had been the result of a visit from the environmental health department. The manager confirmed that there has been discussion with the council with regard to the overall need for a kitchen refurbishment but as yet there has been no progress. The residents still do not have a written contract of the terms and conditions of their placement. The complaints procedure is still not in a format which is meaningful to residents. Re-decoration of the home has begun with the decorator being present on the 13th January. The old seating has been removed from the lounge and care staff have been given the go ahead to buy replacements. Staff files were still missing information. As a resident’s mobility has improved there is no longer a need for their bedroom door to be propped open, however the manager is still considering having a self-closing mechanism fitted. There has been further investigation into the asbestos panel in the kitchen and this has been considered a low risk. Two care staff were on duty during the inspection and the deputy manager who was on leave popped in to take a resident to the chiropractor in the morning. Two residents were at home and one returned in the afternoon. All three stated that they were happy living at the home. The inspector gathered evidence from discussion with care workers, manager, residents, reading records, policies and procedures and observation. What the service does well: The home provides prospective service users with written information to enable them to make an informed choice as to whether the home would meet their needs. The home is able to meet residents’ needs and aspirations by way of providing care plans, risk-assessments, health action plans, communicating with residents/relatives. Care workers have training relevant to the care needs of the residents. Residents are encouraged to participate in daily independent living skills within the home. Residents are able to take risks as part of living an independent lifestyle. The residents have been involved in drawing up house rules, which are displayed in a prominent area. The home protects residents from abuse and neglect. The home has equipment to meet residents’ needs. Training is provided for staff appropriate to meeting the needs of the residents. The manager ensures that the staff have regular support and supervision. The manager is relatively new in post and has begun to implement changes, which have begun to be of benefit to residents. The Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 Page 6 home is kept clean and free from hazards and provides a warm homely environment to the residents. 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. Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 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 Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 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 and 3 Prospective service users would be provided with written information to enable them to make an informed choice about whether the home suited their needs. The needs and aspirations of service users are met. EVIDENCE: The inspector viewed two service users’ files and found them to contain a statement of purpose and service user guide. The statement of purpose and service user guide both had up-to-date and accurate information. Each resident has an individual care plan and risk assessment in place. Each resident has a health action plan. Specialist services are provided from outside the home. Six support workers have undertaken Autism training. All staff members have experience of working with people with learning difficulties. The inspector observed residents positively interacting with care workers and they appeared happy and relaxed. Care workers informed the inspector that the residents had attended a meeting to learn more about Person Centred Planning and that they wish to incorporate this philosophy into the home. The manager is able to ascertain that the home might not be suitable for some individuals and would not accommodate anybody whose needs they didn’t feel could be met. Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 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): 8 and 9 Residents are able to partake in the day to day running of the home but are not directly involved in the development of the home’s policies and procedures. Residents are able to take risks to live an independent lifestyle. EVIDENCE: The home has corporate policies and procedures which are reviewed and updated taking into account feedback from annual reviews. Residents do not currently sit on interview panels or attend meetings with staff. Residents are offered opportunities to be involved with the cleaning and shopping and choosing decorations, furniture etc. One resident was observed making drinks and doing the washing up which they enjoyed. Each resident has an individual risk assessment on their file, which highlights areas of concern and ways to minimise risk. Three residents go out into the community unsupported to work and attend day centre services. Residents make hot drinks. The home has a missing person policy and procedure. Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 The home respects the residents’ rights. EVIDENCE: There is a notice of house rules devised by the residents on display in the living room. Care workers use a communication book so that they are aware of their daily responsibilities. A member of staff confirmed that all care workers knock on residents’ bedrooms before entering. Residents open their own mail and care workers will read the contents on request. All residents have been given a key to their bedroom. One resident confirmed that care workers always call them by their preferred name. The inspector observed residents choosing to be in company. Residents are supported to undertake household tasks on their house days. Residents are supported to collect their benefit. Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 Page 11 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): Three of the above standards were audited at the previous inspection and were met. EVIDENCE: Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 Page 12 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): 23 The home ensures that the residents are protected from neglect, abuse and self-harm. EVIDENCE: The home has a corporate adult protection procedure (this did not comply with the Isle of Wight Adult Protection Policy). The home also has a copy of the Isle of Wight Adult Protection Procedure. An adult protection procedure flow chart was on display in the dining area (this did comply with the Isle of Wight adult protection procedure.) Care workers on duty were aware of the “whistleblowing” policy. There was evidence that allegations are taken seriously and appropriate action has been taken by the manager. The home has an aggression policy/procedure to inform care workers how to deal with aggressive situations from residents. Care workers were aware that there are triggers which can cause outbursts and that they should avoid these. The home has residents’ finance policy and procedures. All residents have building society accounts. All monies are kept secure. Each resident has an individual record of spending. The inspector counted one resident’s monies and found the amount in safekeeping was accurate with the amount in the record book. One resident stated that they felt safe at the home. Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 Page 13 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): 29 The home provides the equipment needed to maximise residents’ independence. EVIDENCE: One resident has mild mobility problems. The home has provided a bath chair, and handrails are situated around the home. There is a wheelchair provided for use out in the community. Care workers stated that the wheelchair has recently been repaired. Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 Page 14 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): 35 and 36 An appropriately trained staff team looks after the residents. The staff team are well supervised by the manager. Residents feel the benefit of a well run home. EVIDENCE: Two care workers confirmed that they had received mandatory training as part of their induction, which includes moving and handling, food hygiene, health and safety and first aid. The manager stated that six care workers have attended an in-house Autism training day in September 2005 and that further autism training is planned for April 2006. Islecare 97’ Ltd have a training budget. The inspector examined four supervision records from individual staff members and found the contents to relate to the needs of the residents. Care staff confirmed that they receive formal supervision and these sessions were recorded. The manager is responsible for staff supervision. Supervision is available from the manager on request. Care workers confirmed that they had been provided with the home’s grievance and disciplinary procedures. Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 Page 15 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, 38, 39 and 42 The residents are beginning to see the benefits of having a manager who has strong leadership skills and a firm management style. Residents are able to give their views about the running of the home, however there are no systems to gather written information from stakeholders. EVIDENCE: The manager has eight years’ experience of being in a managerial role. They have knowledge and experience of caring for older people as well as learning disability. The manager confirmed that they are in receipt of a job description. The manager has a BTEC health studies qualification and has completed National Vocational Qualification NVQ level 3 in management and is currently studying NVQ level 4 Registered Managers award. In discussion with the manager the inspector learned that the manager takes full responsibility for the management of the home and provides staff with support to undertake their role. The manager was aware of the residents’ care needs and of the staff team’s strengths and weaknesses. The manager is responsible for the running of two homes and spends 19 and a half hours management cover at the home. A deputy manager is in employment. Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 Page 16 Care workers stated that the manager has merged the staff teams from Newport Road and Venner Avenue in to one team, which can work across both homes. They had mixed feelings about the merger, with one feeling it was positive and the other feeling it had an adverse effect on the residents. Both stated that they receive regular supervision and that the manager is clear about the direction in which they want the home to be run. Both stated that there have been a lot of changes, and one felt that things at the home were 100 better. The manager was described as firm but fair. Islecare 97 Ltd is an equal opportunities employer. Islecare 97’ Ltd undertake an annual audit by way of a questionnaire which residents are supported to complete. Feedback of the survey is provided. The home offers the residents the opportunity to have residents’ meetings. There is no written evidence from stakeholders. The home has policies and procedures in place for all aspects of health and safety in the work place. The care workers are responsible for checking the fire alarms and this is done on a weekly basis. Records of weekly fire tests were seen. A fire inspection was done on 19/07/05 and the certificate was seen. Care workers have received basic first aid training and there is a first aid kit situated in the kitchen and one in the lounge. There has been a visit from environmental health and a number of requirements were made which have been met. The manager has been informed that it would be more hazardous to health to remove the asbestos panel in the kitchen then to leave it in place until the kitchen is refurbished. The asbestos has been assessed and is considered to be low risk. Fridge and freezer temperatures are checked twice daily and the temperatures are recorded. Non-perishable food is also stored appropriately. All substances hazardous to health are stored appropriately in a locked cupboard. The home has a COSHH risk assessment. There is a generic risk assessment in place for all potential hazards in the home. The home has an infection control policy. Care workers were aware of, and were observed adhering to, the policy in their working practice. The laundry is sited next to the kitchen and has an impermeable floor covering. Individuals’ laundry is kept in separate washing baskets. There was evidence in the home that electrical appliances had been tested for safety. The home has recently purchased a new cooker, kettle and toaster. The manager ensures that care workers comply with relevant legislation by providing training, staff supervision, team meetings, access to files and by example. The home is kept secure and residents have a key to the front door. Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 Page 17 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 x 3 3 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 3 ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 3 30 x STAFFING Standard No Score 31 x 32 x 33 x 34 x 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x 3 3 x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x 3 3 2 x x 3 x Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? Yes 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 YA30 Regulation 5 23(d) Requirement Timescale for action 30/04/06 2. YA5 5(1)(c) Islecare to continue to pursue the council with regard to the refurbisment of the kitchen and provide CSCI with a timescale for action. This was a previous requirement. Islecare must provide residents 30/04/06 with contracts of the terms and conditions of their placement. The complaints procedure should be produced in a format that is meaningful to residents. The complaints procedure should include the details of how to contact CSCI. Staff files must contain all documents as required in schedule 2 The registered manager must undertake to obtain written feedback from relatives and stakeholders. 30/04/06 3. YA22 22(2)(7) 6. 7 YA34 YA39 19(d) 24 (3) 30/04/06 30/04/06 Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 Page 19 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 Newport Road (41) DS0000012514.V251436.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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