Inspection on 16/05/07 for 47 Festing Grove

This inspection was carried out on 16th May 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

47 Festing Grove 06/11/06

47 Festing Grove 07/11/05

47 Festing Grove 08/06/05

47 Festing Grove 18/01/05

47 Festing Grove 09/06/04

Similar services:

Flint House

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

The Cotswold Home

Fairways

Treloar College

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

CARE HOME ADULTS 18-65 47 Festing Grove Southsea Hampshire PO4 9QB Lead Inspector Annie Kentfield Unannounced Inspection 16th May 2007 11:00 47 Festing Grove DS0000011687.V336093.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 47 Festing Grove DS0000011687.V336093.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. 47 Festing Grove DS0000011687.V336093.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 47 Festing Grove Address Southsea Hampshire PO4 9QB 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 9283 2427 www.c-i-c.co.uk. Community Integrated Care Post vacant Care Home 4 Category(ies) of Learning disability (4), Physical disability (1) registration, with number of places 47 Festing Grove DS0000011687.V336093.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of one service user in the category PD referred to above may be accommodated at any one time. 6th November 2006 Date of last inspection Brief Description of the Service: 47 Festing Grove is situated in Southsea and managed by Community Integrated Care (CIC). The home is close to local shops and other amenities and a short walk away from the sea front of Southsea. Residents of the home have access to transport as the home has a car that can be driven by staff. The home is a two-storey building consisting of four single bedrooms of which two are on the ground floor and two on the first floor. The home has two bathrooms and both are close to resident bedrooms. On the ground floor is a lounge, kitchen and open plan dining room. To the rear of the property is a small courtyard garden. The building is accessible on the ground floor. The fees are between £1000 and £1100 a week. Chiropody, hairdressing and toiletries are not included. Service users contribute towards clothing, transport, outings and holidays assisted by an amenity fund from the registered provider. 47 Festing Grove DS0000011687.V336093.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the results of an evaluation of the quality of the service provided by 47 Festing Grove and brings together accumulated evidence of activity in the home since the last key inspection on 6th November 2006. Part of the process has been to consult with people who use the service and comment cards were completed by all of the service users with support from their key workers. Comment cards were not returned by relatives or care professionals. Included in the inspection was an unannounced site visit to the home by an inspector on 16 May 2007 between 11am and 5pm. During the visit the inspector spoke with staff on duty, the four residents, and the manager. The inspector toured the building with a member of staff and looked at a selection of records. Other information included in this report was supplied prior to the site visit in the form of an Annual Quality Assurance Assessment (self-assessment questionnaire) completed by the manager and e mailed to the Commission. Comments received about the home were positive. What the service does well: What has improved since the last inspection? Since the last inspection a new manager has been appointed who has been in post for 5 months. The manager had previously worked in the home as a care worker. This has been a positive step and since being appointed, the new manager has worked hard to make the improvements identified as concerns at the last inspection. The management approach is now consistent and organised and all areas of record keeping have improved. Staffing levels have improved and the monitoring of health and safety requirements has improved. 47 Festing Grove DS0000011687.V336093.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. The summary of this inspection report can be made available in other formats on request. 47 Festing Grove DS0000011687.V336093.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 47 Festing Grove DS0000011687.V336093.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 and 5 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The information for prospective service users has improved. After a period of instability in management and staffing there is a greater consistency of care within the home. EVIDENCE: The information about the home has been updated and a new guide to the services provided has been written. The manager and staff are aware of the need to produce the information in an accessible format and some thought is being given to using pictorial images and photographs. The manager is aware of previous concerns about poor practice in the way that one service user was admitted to the home and has put new systems into place that will be used if and when anyone else moves into the home. Records show that service users have a signed contract or terms and conditions of living in the home. The manager has also reviewed the procedure for ensuring that care manager reviews are regularly undertaken. The home has taken on new staff and service users can be confident that trained and competent staff needs will meet their care. 47 Festing Grove DS0000011687.V336093.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 and 10 - Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service involves residents in the planning of care that affects their lifestyle and quality of life. Staff understand the importance of residents being supported to take control of their lives and residents are consulted to gather information about their satisfaction with the service. EVIDENCE: Since the last inspection the manager and staff have worked hard to develop systems that demonstrate how residents are involved in the planning and review of care on an individual basis. Care plans are person centred and residents are able to invite other people to their care review if they want to. Comments from residents confirm that they make decisions about what they do each day and that carers listen and act on what they say. Residents are also asked to comment on the quality of the service, and an action plan is drawn up and regularly reviewed. 47 Festing Grove DS0000011687.V336093.R01.S.doc Version 5.2 Page 10 Risk assessments have been reviewed and where the need is identified, a multi-disciplinary risk assessment has been agreed between the resident, the home and the relevant care managers. Where limitations are in place, the decisions have been made with the resident and are recorded. The service is clear about the need for confidentiality and information is only shared with the agreement of the resident. 47 Festing Grove DS0000011687.V336093.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. 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 service has a strong commitment to enabling residents to develop their skills, interests, and preferred activities. Emphasis is placed on providing a menu that residents enjoy with lots of choice including a healthy option. EVIDENCE: The home has the advantage of being close to shops and other amenities and residents enjoy going out with members of staff. There is also a car available with designated members of staff who can drive. At the time of the unannounced visit to the home, some of the residents were at the day centre, one person was going shopping and to the library and a trip to the circus was planned for that evening and residents were looking forward to this. 47 Festing Grove DS0000011687.V336093.R01.S.doc Version 5.2 Page 12 It was evident that residents are encouraged and supported by staff to develop their social and independent living skills according to their preferences and abilities. The communication between residents and staff is good and it was evident that the staffing rota is flexible to ensure that there is always sufficient staff to go out with residents when required. The kitchen and open plan dining area are attractive and comfortable and menus and food choices are produced in a photo format. Emphasis is placed on providing a good choice of wholesome food with lots of healthy options. Meals out with the residents are often arranged. Fresh fruit, snacks and drinks are always available. 47 Festing Grove DS0000011687.V336093.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. 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 physical and emotional health care needs of residents are met and personal support is provided in the way that residents prefer and require. EVIDENCE: Each resident has a comprehensive health care assessment and plan and records are kept of all health contacts and treatment. Residents are registered with a local GP and have access to all specialist services. The health care plans have been reviewed (as required from the last inspection) Personal care is provided according to the needs and preferences of each resident and staff demonstrated a good awareness and knowledge of each resident and their preferences. There is a mix of female and male care staff and residents preferences are always noted. The storage and recording of medication in the home is satisfactory and care staff have received appropriate training and medication records are regularly audited. Staff are given time to attend seminars and training on specialist areas of health care matters. 47 Festing Grove DS0000011687.V336093.R01.S.doc Version 5.2 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. 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. Residents are protected from abuse and can be confident that their views are listened to and acted upon. EVIDENCE: Since the last inspection, the manager and staff have looked at producing the complaints procedure in different formats and have made a CD that residents can listen to. Staff are keen to look at other accessible formats for the residents such as video. Residents’ comments confirm that they have listened to the CD. Action has been taken on all of the recommendations from the previous inspection and a written strategy on Safeguarding Adults has been drawn up with Social Services to ensure that the policies and procedures give clear specific guidance to all staff about when and how any incidents should be reported. In addition, each resident is supported by their key worker to express their views about all aspects of the home in the six monthly review of care that has been recently introduced. The manager has also ensured that regular care reviews are carried out with residents’ community care managers and that any concerns are listened to and acted upon. All visitors to the home are now recorded in a logbook, kept by the front door of the house. 47 Festing Grove DS0000011687.V336093.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25 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 comfortable, clean and safe and meets the needs of the residents. EVIDENCE: The home is domestic in size and situated in a pleasant residential street and well maintained inside and outside. There is a comfortable sitting room, open plan kitchen and dining room and suitable toilet and bathroom facilities. All of the bedrooms are single, and decorated, furnished, and personalised as residents choose. The ground floor is suitable and accessible for wheelchair users. All areas of the home were inspected and found to be clean and tidy and there are policies and procedures for safe and hygienic working practice. Since the last inspection, a paper towel dispenser has been installed in the laundry. 47 Festing Grove DS0000011687.V336093.R01.S.doc Version 5.2 Page 16 Residents are able to use the kitchen and laundry subject to agreement in their care plan and risk assessment. 47 Festing Grove DS0000011687.V336093.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. 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. Staff morale is good resulting in an enthusiastic workforce that works positively with the residents to improve their whole quality of life. EVIDENCE: During the unannounced visit the inspector spoke to three members of staff, all were positive about their work and felt well supported with sufficient opportunities offered for training and development. Staff were enthusiastic about the newly introduced online induction programme ‘E Learning’ and found this easy to follow. Training for staff in autism awareness was planned for the following day and demonstrated that staff receive relevant training that is focussed on improving the outcomes for the service users. At the moment only a small percentage of the staff have achieved the National Vocational Qualification (NVQ) in care, level 2, but there are plans for more staff to be enrolled to achieve this. Since the last inspection new staff have been recruited and a senior support worker has been appointed and staffing levels have improved. Recruitment records were looked at and found to be thorough and robust. 47 Festing Grove DS0000011687.V336093.R01.S.doc Version 5.2 Page 18 Observation of practice in the home demonstrated that staff have good communication skills and a good awareness of the residents’ care needs. Interaction between residents and staff was appropriate and the needs of the residents were being consistently met throughout the visit. Since the last inspection the use of door alarms at night has been reviewed and a strategy has been agreed to use one alarm that only rings in the staff sleeping in room; this does not affect other residents. The manager confirmed that one member of staff sleeping in at night meets the needs of the residents. The manager is clear that the staff rota is arranged so that more staff are available during busy times of the day and with particular attention to the needs of the residents. 47 Festing Grove DS0000011687.V336093.R01.S.doc Version 5.2 Page 19 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, 39, 41 and 42 - Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Since the appointment of a new manager the organisational systems for the home have improved and the consistent management approach is of benefit to residents and staff in the home EVIDENCE: The manager has been in post since January 2007 and has the added advantage of having worked in the home before as a senior care worker. The manager has a relevant qualification and experience and plans to achieve the National Vocational Qualification (NVQ) Registered Manager Award at the earliest opportunity. The manager is in the process of completing an application for registration with the Commission. It is evident that since being appointed, the manager has worked hard to address the issues of concern raised at the previous two inspections and this 47 Festing Grove DS0000011687.V336093.R01.S.doc Version 5.2 Page 20 has been done with support from the registered provider. The manager demonstrates good skills of communication and organisation and understands the importance of person centred care that focuses on the needs of the residents in the home. Much improvement has already been evidenced in the way that records are kept and care plans particularly have been reviewed and developed, risk assessments have been reviewed and the procedures and policies for safeguarding adults have been reviewed and developed. Some of the other policies and procedures need updating and reviewing and the manager needs to ensure that all the required policies are in place and available. The manager is aware of where improvements still need to be made and plans to develop the home’s quality assurance process to include the views and feedback from relatives and health and social care professionals, with the long term aim of the quality audit informing the home’s development plan. Health and safety audits have improved and practice in the home is safe for residents and staff. The electrical wiring certificate is out of date and the manager plans to address this. The home has an up to date certificate of insurance. The procedures for looking after residents’ finances were inspected and the system is safely managed and records were up to date and accurate. 47 Festing Grove DS0000011687.V336093.R01.S.doc Version 5.2 Page 21 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 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 3 3 X 3 3 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 2 X 3 3 X 47 Festing Grove DS0000011687.V336093.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA39 Regulation 24 Requirement The organisation must develop their quality audit processes to measure and monitor all aspects of outcomes for the service users. This is a repeat requirement and the previous timescale has not been met. Timescale for action 31/07/07 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 47 Festing Grove DS0000011687.V336093.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 47 Festing Grove DS0000011687.V336093.R01.S.doc Version 5.2 Page 24 - 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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