Inspection on 18/06/07 for 42 Stimpson Avenue

This inspection was carried out on 18th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

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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 42 Stimpson Avenue Northampton NN1 4LP Lead Inspector Judith Roan Key Unannounced Inspection 18 June 2007 15:15 42 Stimpson Avenue DS0000069550.V337502.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 42 Stimpson Avenue DS0000069550.V337502.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. 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 42 Stimpson Avenue Address Northampton NN1 4LP 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) 01604 230457 Tabs@42 Ltd Mrs Julie Amanda Sweeney Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. No person to be admitted into 42 Stimpson Avenue under category LD when there are 5 persons in total of this category already accommodated within the home. No person under the age of 18 years who falls within the category LD may be admitted into 42 Stimpson Avenue. No person over the age of 25 years who falls within the category LD may be admitted into 42 Stimpson Avenue. Only adults within the ages of 18 - 25 years with a diagnosed Autistic Spectrum Disorder may be admitted into 42 Stimpson Avenue. The maximum number of persons accommodated within 42 Stimpson Avenue is 5. First inspection Date of last inspection Brief Description of the Service: The home is located in a residential area of Northampton close to local amenities with good public transport links into the town centre. The service specialises in supporting adult people with a diagnosed autistic spectrum disorder and uses the TEACH system to communicate and support individuals. The building has been refurbished and is within keeping with adjacent properties. The accommodation provides single bedrooms with ensuite facilities. The communal areas provide extensive activity/educational areas as well as areas for relaxation. The enclosed garden provides safe outdoor space with a covered area for outside eating. The current fees for the service range from £1450-2500 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting one service user and tracking the care they receive through review of their records, observation of care practices and discussion with care staff. Communication with the service user was not possible due to the nature of their disability. The Inspector also received a completed a pre-inspection questionnaire from the homes manager. The inspection was carried out during the afternoon and early evening over a period of 5.75 hours. What the service does well: The home provides continuous assessment of service users needs. Carers are very knowledgeable about service users needs. Health care needs are monitored and appropriate action is taken. Service users have a range of daily activities of their choice. Service users are supported to be included within the home and have positive opportunities in being involved within the community. Photographic information is used to promote effective communication and forms the basis on how service users are supported with activities within the home and in the community. The home is maintained to a high standard and service users have access to individual rooms that reflect their personal preferences. Communal areas enable a range of activities to be undertaken within a homely setting. The carers show a high level of commitment to the work and bring a range of skills to support service users. Good management ensures that carers that are trained and supervised meet service users needs. The home has strong leadership that encourages service user, carers and family reflection on the service provided. 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 42 Stimpson Avenue DS0000069550.V337502.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 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3,4,5 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The admission process ensures that needs are assessed and that service users are fully involved within the process. EVIDENCE: Clear information is available for service users their families and funding authorities about the service provided at the home. It is evident from case records that a through assessment of need was undertaken by the homes manager at the time of admission to ensure that individual needs could be met. Detailed information is gained from the family, funding authority and support network as part of the admission process. The registered manager spends time with the service user to ensure that information is checked out before any introduction to the home to ensure that needs can be met. Service users are invited to spend periods of time at the home with carers ensuring that good information using the system is available to reassure service users. Files contain good information that has been gathered as part of the assessment process. This information is updated with ongoing work especially in relation to health care needs. 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 Page 9 Service users needs are continually assessed and changes to needs and how these are to be met are shared within the support team. Service users files hold contracts made with the funding authorities and the home. Due to service users having complex needs and difficulties with communication contracts have been put in place between home and their families as part of good practice. 42 Stimpson Avenue DS0000069550.V337502.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9,10 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users can expect that practices within the home promote their involvement and independence. EVIDENCE: Care plans were in place written in the first and in an accessible format. Daily plans are in place that continuously informs service users of what is happening. Within the plan there is good opportunity for service user choices. Care plans are reviewed every three months or more often to ensure that they are meeting agreed needs. Care plans ensure that carers have detailed information to promote independence in daily living activities. Daily records are maintained and carers fully understand their importance to ensure others working in the home are fully informed. Outcomes for service users are positive and needs are being met within the systems in place at the home. In discussion with carers it was evident they are very knowledgeable about the needs of service users. Feedback from families is recorded through regular contact. The communication system in place ensures that service 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 Page 11 users are continually informed about how and when contact with their family is occurring. Support for service users enables them to develop their skills and participate in everyday activities that they previously were not able to achieve. Learning is achieved by the consistent approaches used by carers and service users having access to and observing a broad spectrum of daily living activities. Throughout the inspection the inspector observed positive work with service users using strategies noted within the care plans in supporting people with behaviours that may challenge. Carers have received training (Proact SciprUK) that is positive range of options to avoid crisis, therapy and strategies for crisis intervention and prevention. Risks within personal care activities are considered on an individual basis and plans made to minimise these for each service user. Behavioural guidelines are clear and indicate how carers are to respond in known situations. Service users are encouraged to be as independent as possible with appropriate support. In this way service users are included within activities and not excluded because of any behaviour that may arise. 42 Stimpson Avenue DS0000069550.V337502.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Planned intervention enables and supports service users to develop personal skills and take opportunities for social and community activities. Practices respect service users rights and encourage individual and joint responsibility in the management of the home. EVIDENCE: A weekly activities programme is available that is often updated to take into account of weather, seasonal events, religious festivals and wishes of service users. New activities are tried out to extend the choices and experiences for service users. The educational room within the home provides a range of activities that focuses on the individual’s personal development. Careful planning is undertaken for all activities to ensure that service users and carers are protected and enjoy the experience. A sensory room developed within the home provides space where service users can emotionally express themselves and enjoy relaxation, sound, colour and visual experiences. 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 Page 13 Experiences for service users are good and varied. Service users are fully involved with day-to-day living tasks within the home with support from carers. Using the teach system ensure that service users are continually informed about an activity and what will be happening next. This support ensures that service users reassured and lowers their anxiety. The many communal areas within the home ensure that service users have a change of environment throughout the day with regular access to local community activities. The manager explained that as the service developed for each new service user the range of development and leisure activities would increase. Carers involved services users appropriately in preparation of the cooked teatime meal. The service user was offered a choice of meal from the menu that was varied and balanced. Specialist and cultural diets are met. Carers have a good understanding of nutritional needs of service users and give full attention throughout the meal. The standard of food prepared at the home is good. Feed back from families is recorded within the daily notes. The care plan details how regular contact is maintained. A sleep chart maintained within the service users room ensures that they are informed about when they will be seeing their family. 42 Stimpson Avenue DS0000069550.V337502.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users’ physical and emotional health needs are met. A trained staff team ensures that service users are well supported in meeting their physical and emotional needs. Medications systems within the home are robust and protect service users. EVIDENCE: Service users are supported to have regular health checks and there is evidence on files that GP, specialist, dentist and optician appointments are made. Personal support is provided in a discreet manner and with service users preferences being a top priority. Medical profiles for service users have clear information for carers to use. Notes were also available on any health care appointments. The files also contained background information on specific medical condition that aided the carers understanding of the service users needs. The home has a good medication recording system that demonstrates the path of medication coming into the home with safe administration and disposal. Two carers always sign the medication records. 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 Page 15 All incidents are recorded on file to show how carers have reviewed practice to minimise future risks. 42 Stimpson Avenue DS0000069550.V337502.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by an accessible complaints policy and abuse awareness practices within the home. EVIDENCE: The home has comprehensive policies and procedures in relation to handling concerns and complaints made. These are all in accessible format maintained in a quiet area for service users. As the service user group has limited communication staff are trained to observe changes in behaviour that may indicate that a service user is unhappy with the support they receive. Carers undertake abuse awareness training as part of their induction/ foundation training. The inspector was able to check out their understanding during the inspection. Carers are trained to note any physical injury within the service users file and this would be investigated through the homes safeguarding procedures and local protocols. No complaints have been received to date. 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is maintained to a high standard, providing a warm and relaxed environment with good personal and communal space. EVIDENCE: There are adequate rooms to enable everyone to have their own personal space in the large converted dwelling. Service user rooms are personalised, comfortable and well maintained. Service users are supported in maintaining their rooms to a high standard of cleanliness and safety. The home is well maintained and decorated to a high standard. There is a family size kitchen that is large enough for service users to assist or sit comfortably and be part of meal preparations. The communal space provides service users to undertake a range of activities with carers on an individual or group basis. The house has four floors with bedrooms on ground and first floors. The top floor provides a light and wellequipped educational area with sufficient space for service users to work individually. 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 Page 18 The garden is developed to provide areas for relaxation with outside eating space. The garden is enclosed and provides a safe area for service user to enjoy. 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,34,35,36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The trained, competent and supported staff team ensure that the service is professional and meets identified service user needs. EVIDENCE: At this inspection two carers were supporting service users with their daily activities. Since their appointment carers have developed skills and knowledge in supporting service users need through induction and core training. All new carers undertake an induction programme and would work alongside an experienced member of the team to gain full knowledge about the needs of service users that live at the home. Carers confirmed that they received training prior to working with service users and were confident in providing the level of support required. The recruitment system in place ensures that full employment checks are carried out. However in discussion with the inspector it was agreed that there was room for improvement in the area of references to ensure that one was obtained from the applicant’s present employer. All carers were seen to have a current Criminal Records Bureau (CRB) check. 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 Page 20 Carers are offered a range of opportunities to train and develop with support to undertake specific training in relation to the needs of people with a learning disability and autistic spectrum disorders. Carers have a contract of employment that sets out their responsibilities and role within the organisation. Carers also sign to state that they have read and understood policies and procedures at the home. Supervision is done on a regular basis with a signed agreement between the carer and manager of how the supervision is structured. Supervision levels at the home exceed the national minimum standards Carers are encouraged to give their views about how the service is run and this is used to review practice and development. 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,40,41,42,43 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is effectively managed and ensures that service users receive a quality service where their contribution is respected and their safety is safeguarded. EVIDENCE: The Registered Manager effectively manages the home in the best interests of service users and carers. Policies required as part of the registration are in place. Carers were fully aware of their content and importance. Data protection was maintained within the records kept. Accident records were appropriately kept and used to inform the manager of any trends or training needs. The registered manager is developing a quality assurance system that is person centred and is used to inform the development of the service in service users best interests. There is good record keeping ensuring that service users are protected. Financial records for service users are maintained with all 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 Page 22 transactions signed for. Families acted as appointees for benefits and maintaining bank account on service users behalf. The home has undertaken all health and safety checks required. 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 Page 23 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 3 4 3 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 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 3 3 3 LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 X 3 3 3 3 3 3 X 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? N/A 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 YA34 Good Practice Recommendations It is good employment practice that one of the references sought for staff is from the last employer. 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 42 Stimpson Avenue DS0000069550.V337502.R01.S.doc Version 5.2 Page 26 - 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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