Inspection on 14/07/06 for 45 Jubilee Road (Chartwell House)

This inspection was carried out on 14th July 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 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

45 Jubilee Road (Chartwell House) 25/10/05

45 Jubilee Road (Chartwell House) 23/05/05

45 Jubilee Road (Chartwell House) 29/09/04

45 Jubilee Road (Chartwell House) 27/05/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 45 Jubilee Road (Chartwell House) Waterlooville Hampshire PO7 7RE Lead Inspector Craig Willis Unannounced Inspection 14th July 2006 08:45 45 Jubilee Road (Chartwell House) DS0000011746.V298617.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 45 Jubilee Road (Chartwell House) DS0000011746.V298617.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. 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 45 Jubilee Road (Chartwell House) Address Waterlooville Hampshire PO7 7RE 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) 023 9243 3699 Mr David Rodgers To Be Confirmed Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th October 2005 Brief Description of the Service: 45 Jubilee Road is a privately owned service for three people who have learning disabilities. Since the last inspection a new manager has been employed, although they are not yet registered with the CSCI. The home is a three-bedded bungalow with an office in the roof space. It is in a residential area of similar properties and within walking distance to local shops and leisure facilities. Twenty - four hour staffing is provided which is flexible to the needs of the service users. There is a vehicle available for service users, which is unmarked. This service would not be suitable for wheelchair users as the rooms and door sizes would not be able to accommodate a wheelchair. However, due to the needs of service users accommodated a ramp has been installed from the lounge and kitchen doors to secure access for all to the small garden to the rear. The manager informed the CSCI on 22 May 2006 that the weekly fees at the home are between £472 and £1350 depending on the needs of the service user. 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The evidence used to write this report was gained from a review of the information the provider sent to the Commission for Social Care Inspection (CSCI) and a site visit to the home on 14th July 2006. A follow up visit was made on 18th July 2006 to meet with the service users as they were not at home during the first visit. During the site visit the inspector spoke with all three of the service users, staff on duty and the manager. A tour of the communal areas of the building was made and the inspector observed the way staff were supporting service users. Documents relating to the running of the home were inspected during the visit. What the service does well: What has improved since the last inspection? The home is ensuring that medication is administered safely, in line with their procedures. The home’s environment continues to be improved, with decorations to the lounge and one of the bedrooms. The hoist in the bathroom has been serviced and an occupational therapist has assessed the support provided for service users to get into the bath. 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 Page 6 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. 45 Jubilee Road (Chartwell House) DS0000011746.V298617.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 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are good systems to assess the needs of service users before they move into the home. EVIDENCE: The files of all three service users were inspected during the visit. Each contained an assessment of their needs and a copy of the care management assessment. This assessment covers the individual needs of service users, including communication and personal care needs. No new service users have moved into the home since the last inspection. The manager reported that before a service user moved in they would be invited to visit the home and meet service users and staff. 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 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 and 9 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has an adequate care planning and risk assessment system, although changing some documents to make them clearer will help to ensure the needs of service users are met. EVIDENCE: The personal files of all three service users were inspected during the visit. Each service user has a care plan that has been re-written since the last inspection. These plans are reviewed monthly and the manager reported that they would be changed if the needs of the service user had changed. The manager said service users have not been supported to develop person centred plans and agreed to contact local advocacy agencies to find out what support was available for service users. Care plans contain details of how service users should be supported to make decisions, including the way staff should communicate. Daily records demonstrate the support staff have provided to help service users make decisions, setting out the various options and consequences. Risk assessments were in place for all three service users. These documents set out the assessed hazards to service users and action to minimise the risk of harm. Manual handling assessments have been completed for two service 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 Page 10 users, however, a section on how many staff were required to provide support was confusing, stating that one or two staff were needed. The manager reported that her assessment was that it was safe for one staff member to provide support, following input from an occupational therapist on 22/3/06. The manager did not have a letter from the occupational therapist to confirm this. A staff member spoken with said that they were confident in the moving and handling support that was needed and felt that the practices kept service users and staff safe. It was also noted that one service user requires support to transfer from the floor to their bed, although there were no details in the care plan or risk assessment stating how this support should be provided. The manager agreed that she would make changes to these documents. 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 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): 12, 13, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides good support to meet the lifestyle needs of service users, including suitable activities, appropriate relationships and good meals that offer variety and choice. The rights and responsibilities of service users are recognised. EVIDENCE: Service users are supported to take part in a range of educational and leisure activities. Service users completed comment cards before the inspection and said “I like going to the pub” and “I like going on the mini bus to work and trips out”. Service users attend local day services, college courses and sessions at a local garden centre. Service users spoken with said they liked the activities they took part in and were particularly looking forward to a barbeque they were planning for the following weekend. Service users are supported to keep in touch with family and friends, with support provided to go to visit relatives and well as people being visited at the home. 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 Page 12 Details of the support service users need to complete household jobs, such as cleaning and cooking, are recorded in their care plans. Service users have a key to their bedroom and those spoken with said that staff respected their privacy. The home has a planned menu that takes into account the likes and dislikes of service users and provides a varied and balanced diet. Mealtimes are flexible to fit in with service users’ activities. The kitchen was well stocked with a variety of good quality food. Service users spoken with said that they liked the food and were able to have a snack between meals if they wanted. 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personal and healthcare needs of service users are well met by the way staff provide support and access to health services. The home has good systems for administering medication. EVIDENCE: All service users completed a CSCI comment card and stated that staff treat them well and that they are able to visit the doctor and dentist when they need to. Service users spoken with confirmed this. The recommendation made at the last inspection that the registered person should develop a cross gender policy and procedure has not been met. The manager said she has made sure that male staff are not providing intimate personal care to female service users, although this has not been formalised. Service users are supported to attend a wide range of health services, including GP, dentist, physiotherapist, district nurse, optician and chiropodist. Records were kept of visits and included any advice that was given by the practitioner. Medication is stored in a locked cupboard and records relating to administration of medication had been fully completed. All staff have completed medication training and the manager reported that they were all 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 Page 14 now completing an assessment of their knowledge through a training organisation. 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are confident their complaints will be taken seriously and acted upon and the home has good adult protection systems, which help to keep service users safe. EVIDENCE: The home has a complaints procedure available, which sets out who will deal with a complaint and how long the provider will take to respond to a complaint. The procedure has been supplied to all service users and they all sated on their comment card that they know what to do if they want to complain. The relative who completed a comment card said they are aware of the home’s complaints procedures. Service users spoken with said that they were confident any complaint they made would be taken seriously and investigated. No complaints have been received since the last inspection. The home has an adult protection policy and a copy of the local authority adult protection procedures. Staff have received adult protection training and the staff member spoken with demonstrated a good understanding of abuse and action to take if abuse was reported or suspected. 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 Page 16 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 and 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 well maintained and provides a safe, homely environment for service users. EVIDENCE: Since the last inspection the lounge and one of the bedrooms have been decorated. The service user whose room has been decorated said they had chosen the colours and the carpet. The home was clean and well maintained and the manager reported that she was able to access money to repair and replace items when necessary. The manager reported that she planned to redecorate the hallway and bathroom by the end of 2006. Service users spoken with said that they had sufficient communal space in the home. Since the last inspection the hoist in the bathroom has been serviced The home has a domestic washing machine in the kitchen, although there are procedures in place to prevent it being used whilst food is being prepared or eaten. There are handwashing facilities in the kitchen and bathroom. 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 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, 34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The qualities and qualifications of staff and robust recruitment procedures help to ensure the needs of service users are met. Staff receive adequate training, although this will be improved by an induction in line with the learning disabilities awards framework. EVIDENCE: The manager reported that three of the five care staff have the National Vocaional Qualification (NVQ) at level 2 or above and that she was looking for an assessor for the other two members of staff. The records of the most recently recruited staff member were inspected and contained all of the information and checks required. Since the last inspection the manager has re-assessed the staffing needs and said she feels the current levels meet the needs of service users. Service users and staff spoken with said they felt there are sufficient staff on duty at all times. Staff complete the skills for care induction, although the manager said they do not currently use the learning disability award framework. The manager agreed to look at how she could introduce this. Staff have undertaken training in first aid, fire safety, health and safety, food hygiene, moving and handling, adult protection and medication. 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 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 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run by a qualified manager who takes action to promote the health, safety and welfare of service users and staff. The registration of a manager will help to ensure that the service continues to develop. EVIDENCE: The manager reported that she has completed her application for registered manager with the CSCI and is waiting for the return one piece of information before it is submitted. The manager reported that she has completed the NVQ level 4 in care and the registered manager’s award. The registered provider completes monthly visits to the home and makes a report of his findings, including an action plan to address any deficiencies. The home has a development plan and regularly consults with service users, including an annual survey. The manager has implemented weekly quality assurance checks, to ensure that the service is continuing to meet the needs of service users. 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 Page 19 Since the last inspection the manager has completed assessments of chemicals used in the home. Fire evacuation risk assessments have been completed for all service users, although the manager agreed to provide more information about the understanding each service user has about the evacuation process. Regular tests are made of the fire alarm system and equipment and the system and extinguishers are regularly serviced. Staff have received fire safety training. The electrical wiring was checked in 2004 and portable electrical appliances are tested annually. The gas boiler was serviced in November 2005 and the hoist was serviced in November 2005. 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 5 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 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. Refer to Standard Good Practice Recommendations 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 45 Jubilee Road (Chartwell House) DS0000011746.V298617.R01.S.doc Version 5.2 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!