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Inspection on 07/11/05 for 47 Festing Grove

Also see our care home review for 47 Festing Grove for more information

This inspection was carried out on 7th November 2005.

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

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The inspection identified that the home is maintaining an excellent service for the service users who live in the home. The first inspection audited many of the key standards and found that the home meets and excels in areas of service user choices, lifestyles, environment, staffing and the conduct and management of the home. One service user room was seen by the inspector, which was found to reflect the service users personality and the service user confirmed that they are able to have their room has they wish. Throughout the inspection it was evident that the homes staff promote and encourage service users to be independent. A service user was witnessed by the inspector to choose to remain in bed and on getting up who they had to assist them with their personal care, and what they wanted for their meal. From discussions with the homes staff it is evident that the home provides a service user led service that ensures service users choose and participate both within the home and outside as they wish.

What has improved since the last inspection?

The home has reviewed the complaints procedure from a legal requirement made at the last inspection. The complaints procedure has been completed in pictorial format and all service users have been given a copy, which was found in their files. The home has also obtained pictures of a range of meals to assist service users with limited verbal communication to participate in the selection of meals. The homes staff advised the inspector that this had been successful and service users now pick the menus for the week. These pictorial menus were on display in the homes kitchen, however, the inspector was unable to assess their effectiveness with service users due to their absence during the inspection. The home has held an away day for all staff and during this day the homes staff looked at service user plans and risk assessments. Staff confirmed that they found the day useful and are now able to write care plans and risk assessments.

What the care home could do better:

One service user file was audited by the inspector, which was found to be extensive and risk assessments were found to be comprehensive. A requirement has been made for the home to obtain a care managers review as this had not been carried out for some time. At the time of the inspection the home was preparing to admit a new service user, who potentially may enter another service users room. The home had fitted an alarm to the service users room that may be entered. The homes staff advised the inspector that this service user had agreed to this temporary measure, however, the inspector was unable to verify this during the inspection. On discussion, the homes staff advised the inspector that this would only be used when staff were occupied elsewhere during the night. The home is to consult with the service users care manager to ensure this does not constitute a restrictive practice and clearly document a procedure for the use of this alarm. The use of this alarm must be kept under constant review.

CARE HOME ADULTS 18-65 47 Festing Grove Southsea Hampshire PO4 9QB Lead Inspector Lorraine Parton Unannounced Inspection 7th November 2005 09:00 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 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 Community Integrated Care Miss Michelle Callard Care Home 4 Category(ies) of Learning disability (4), Physical disability (1) registration, with number of places 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 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. 8th June 2005 Date of last inspection Brief Description of the Service: 47 Festing grove is situated in Southsea, in Portsmouth and is managed by Community Integrated Care(CIC). The home is situated close to local shops and a short walk away from the sea front of Southsea. The home is a two storey house consisting of four single bedrooms of which two are on the ground floor. The home has two bathrooms, which are close to service user rooms. On the ground floor is a lounge, kitchen and open plan dining room, which leads out into the rear courtyard garden. Service users have access to the homes car and therefore further a-field facilities can be accessed. 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The second inspection of the inspection year took place over 3.5 hours and the purpose was to ensure compliance with one legal requirement brought to the homes attention at the first inspection in June 05 and to complete the inspection process for the year. The inspector audited 6 standards and reassessed 1 standard, in which the inspector had raised requirements at the last inspection. All key standards have now been assessed throughout the year. The inspector recommends that the reader also looks at the previous inspection report to ensure that they get a total overview of the home. The inspection involved a walk around the home and an audit of some of the homes documentation. The inspector was assisted by the homes staff and for a short time one service user living at the home. The home was found to be homely with a friendly atmosphere. The majority of the inspection was spent talking to the homes staff as two service users were out at the time of the inspection and one service user choose to stay in bed for most of the time the inspector spent in the home. The inspector had the opportunity to speak to the service user when they got up prior to going out. The service user confirmed that he enjoyed living in their home and that he was continuing to participate in a range of activities of his choice. What the service does well: The inspection identified that the home is maintaining an excellent service for the service users who live in the home. The first inspection audited many of the key standards and found that the home meets and excels in areas of service user choices, lifestyles, environment, staffing and the conduct and management of the home. One service user room was seen by the inspector, which was found to reflect the service users personality and the service user confirmed that they are able to have their room has they wish. Throughout the inspection it was evident that the homes staff promote and encourage service users to be independent. A service user was witnessed by the inspector to choose to remain in bed and on getting up who they had to assist them with their personal care, and what they wanted for their meal. From discussions with the homes staff it is evident that the home provides a service user led service that ensures service users choose and participate both within the home and outside as they wish. 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 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. 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2, 5 The home assesses the needs and aspirations of prospective service users who may wish to live in the home. All service users have a contract, which includes terms and conditions of tenancy. EVIDENCE: At the time of the inspection the home had a vacancy and were in the process of assessing and introducing a prospective service user into the home. The inspector was able to see the extensive assessment that had been carried out by the homes staff, which had been incorporated into a initial care plan. The home had also undertaken risk assessments for the assessed needs and the potential issues that may arise from the new service user moving into the home. Staff advised the inspector that the prospective service user had visited the home on several occasions and that they had chosen how they were going to decorate their room etc. All service users have a contract of tenancy with CIC. 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 All service users have a comprehensive care plan, however, this has not been reviewed with a care manager. EVIDENCE: One service user plan was audited by the inspector, due to issues with behaviour being notified to the inspector. The care plan was found to be extensive and the management of issues clearly documented. The homes staff advised the inspector that they had requested a review with care managers but the service user no longer had a care manager and they were waiting for a response. The care plan had not been reviewed for over a year. A requirement has been made. Previous inspections indicate the remaining standards have been met and therefore were not reassessed during the inspection. 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 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): NONE EVIDENCE: Previous inspections indicate these standards have been met and therefore were not reassessed during the inspection. 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 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): 20 Medication practices are safe. EVIDENCE: The home has adequate procedures in place to ensure medication stored and administered to service users is safe. The home has a documented procedure for the administration of medication and keeps adequate records for the administration, receipt and returned to pharmacy of any medication held in the home. The home operates a monitored dosage system that is supplied and monitored by the local pharmacy. All staff are trained six monthly in house by the local pharmacist. Staff advised the inspector that the training includes the homes policy, administration practices, storage and disposal of medication and the side effects of the medication service users are prescribed. 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 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): 22 The complaints procedure is in a suitable format for the service users living in the home. EVIDENCE: The home has reviewed the complaints procedure since the last inspection to ensure it is in a more suitable format for the service users living in the home. This has now being completed in a pictorial format and service users have all been given a copy. Staff advised the inspector that they had gone through the complaints procedure with all service users. The inspector was unable to assess this due to most service users being out of the home at the time of the inspection. Previous inspections have displayed that service users have clearly advised the inspector of whom they would talk to if they were concerned or unhappy about the service they receive. 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 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): NONE EVIDENCE: Previous inspections indicate these standards have been met and therefore were not reassessed during the inspection. 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 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): NONE EVIDENCE: Previous inspections indicate these standards have been met and therefore were not reassessed during the inspection. Staff advised the inspector that they had had a recent training day relating to undertaking care plans and risk assessments. Staff spoken to advised the inspector that they had found this day beneficial to their roles and understanding of service users. Staff advised the inspector that the home is nice to work in and that they feel supported by the homes management team. 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 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): 39 Service users views are listened to. EVIDENCE: The service user spoken to confirmed that they like living at the home and that they are involved in the running of the home. The home holds monthly meetings with each service user to discuss any difficulties they may be experiencing. These individual meetings are documented, which was audited by the inspector. No concerns had been raised. The homes staff gave the inspector several examples of how service users views are listened to and introduced into the running of the home. This included menus, choice of who assists with personal care, routines of the home and activities. Staff advised that service users are involved in the selection of prospective service users and new staff coming into the home. 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 47 Festing Grove Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X X X DS0000011687.V258985.R01.S.doc Version 5.0 Page 17 NO 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 YA7 Regulation 42 Requirement The home is required to implement a suitable procedure following consultation with the service users care managers regarding the use of an alarm on a service users bedroom door. Obtain reviews of care for service users living in the home. Timescale for action 31/01/06 2 YA6 35 31/03/06 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.V258985.R01.S.doc Version 5.0 Page 18 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 47 Festing Grove DS0000011687.V258985.R01.S.doc Version 5.0 Page 19 - 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. 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