Inspection on 29/05/07 for 48 Heath Road

This inspection was carried out on 29th 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

48 Heath Road 31/05/06

48 Heath Road 10/11/05

Similar services:

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 48 Heath Road 48 Heath Road Holmewood Chesterfield Derbyshire S42 5SW Lead Inspector Rose Veale Key Unannounced Inspection 29th May 2007 09:30 48 Heath Road DS0000063006.V338804.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 48 Heath Road DS0000063006.V338804.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. 48 Heath Road DS0000063006.V338804.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 48 Heath Road Address 48 Heath Road Holmewood Chesterfield Derbyshire S42 5SW 01246 857620 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) 48heathroad@tiscali.co.uk Milbury Vacant Care Home 10 Category(ies) of Learning disability (10) registration, with number of places 48 Heath Road DS0000063006.V338804.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st May 2006 Brief Description of the Service: Heath Road is a large detached home with a several lounges and a large dining room. Each bedroom has an en-suite bathroom and there is a bedroom provided for relatives who need to stay to due travel distance. There is ample off road parking and pleasant outdoor areas. Heath Road is home to people with a learning disability. All residents have access to a range of professionals via a referral system. Information about the home, including CSCI reports, is available in the Service User Guide, from the acting manager or the provider Fees at the home are £1710.00 per week. This information was provided in the pre-inspection questionnaire completed by the acting manager and received on 9th May 2007. 48 Heath Road DS0000063006.V338804.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and took place over 6 hours. The inspection visit focused on assessing compliance to requirements made at the previous inspection and on assessing all the key standards. There were 7 residents accommodated in the home on the day of the inspection. Residents and staff were spoken with during the visit. The acting manager was available and helpful throughout the inspection visit. Some residents were unable to contribute directly to the inspection process because of communication difficulties, but they were observed during the visit to see how well their needs were met by staff. Records were examined, including care records, staff records, maintenance, and health and safety records. A tour of the building was carried out. A questionnaire and surveys had been completed and returned prior to the inspection and information from this has been included in the body of this report. A random, unannounced inspection of the home took place on 20th September 2006. The purpose of the random inspection was to assess whether requirements made at the previous inspection on 31st May 2006 had been addressed. The findings of the random inspection are referred to in the body of this report. What the service does well: What has improved since the last inspection? The acting manager had been in post since November 2006 and has many years experience working with people with a learning disability. 48 Heath Road DS0000063006.V338804.R01.S.doc Version 5.2 Page 6 Staffing levels had consistently improved over the last few months and new staff had been recruited. Staff had been encouraged and supported to carry out training to meet the needs of residents. 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. 48 Heath Road DS0000063006.V338804.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 48 Heath Road DS0000063006.V338804.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was a comprehensive needs assessment process so that residents / their representatives were confident the home was able to meet their needs. EVIDENCE: The records of 2 residents were examined and both included detailed assessments of their needs prior to moving to the home. The survey responses received indicated that residents were able to visit the home and had received sufficient information before making a choice about moving to the home. The records seen did not include a contract / statement of terms and conditions between the resident and the provider. 48 Heath Road DS0000063006.V338804.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was a person centred approach to planning support so that residents’ own decisions and choices were encouraged and respected. EVIDENCE: The 2 records seen had support plans for the residents based on their assessed needs. The support plans were person centred and focused on the resident’s strengths and support needs. 2 residents spoken with said they were involved in planning and reviewing the support they needed. There was a keyworker system in place. The plans seen had all been regularly reviewed. There was some information in the records that was not current and could be archived. The plans seen were not signed by staff or residents / their representatives. The plans included a range of appropriate risk assessments. 2 residents spoken with said that their independence was promoted and they were supported to make decisions about their lives. Examples given included being 48 Heath Road DS0000063006.V338804.R01.S.doc Version 5.2 Page 10 able to use local shops on their own, and learning to play a musical instrument. Staff spoken with were knowledgeable about the needs and preferences of residents. Staff said that they were involved in care planning and review as keyworkers. 48 Heath Road DS0000063006.V338804.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 support provided ensured that residents were able to maintain and develop their preferred lifestyles. EVIDENCE: Residents took part in a range of activities appropriate to their needs and preferences. Each resident had a weekly plan of activities, though this was flexible around the resident’s wishes and changing circumstances. Residents responding to the surveys nearly all said they were able to do what they wanted. Residents spoken with and observed were engaged in meaningful activities, such as shopping, cleaning tasks, exercising, and using a computer. Residents spoke of other activities they enjoyed, such as attending college, preparing meals, playing musical instruments, horse riding, and attending social events. The daily records seen reflected the activities residents took part in. 48 Heath Road DS0000063006.V338804.R01.S.doc Version 5.2 Page 12 Residents spoken with said they had regular contact with family and friends. There was a bedroom available at the home if relatives had to travel a long way to visit residents. Residents were encouraged and supported to use local facilities such as shops, pubs and churches. The menus seen appeared varied and balanced with choices available. Some residents were able to help with preparation of meals. 1 resident was pleased that they were able to prepare meals independently. There was evidence that residents were encouraged to follow healthy eating guidelines. Residents made positive comments about living at the home, including “I really like it here” and “they’re helping me to be independent”. Residents with limited communication clearly had a good rapport with staff, showing spontaneous positive responses. 48 Heath Road DS0000063006.V338804.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 person centred approach to planning and delivering support ensured that residents’ personal and healthcare needs were met. EVIDENCE: The 2 care records seen included details of the support needed with personal and healthcare. The records included details of the residents’ preferences as to how staff should assist with personal care. References were made to promoting independence, privacy and dignity. It was observed that there were positive relationships between residents and staff. The survey responses indicated that residents felt they were well treated by staff. The care records included an assessment of residents’ physical health needs and there were support plans covering physical and mental health. There were records of the input of other healthcare professionals, such as GP, dentist, behavioural therapist, and consultant in learning disabilities. Residents spoken with confirmed that they were referred appropriately when needed, for example, to the optician for new spectacles. 48 Heath Road DS0000063006.V338804.R01.S.doc Version 5.2 Page 14 Medication was securely stored in the main office. Senior support workers administered medication and all had received appropriate training. Medication Administration Records (MARs) seen were correctly completed. There was evidence of good practice, such as handwritten entries on MARs having 2 signatures to indicate the entry had been double checked as correct, and a copy of the details in the support plan of when and why ‘as required’ medication should be given. 48 Heath Road DS0000063006.V338804.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. 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. There were satisfactory policies in place and good staff awareness so that residents were protected and their concerns effectively dealt with. EVIDENCE: The survey responses and residents spoken with indicated that residents know who to go to if they have a complaint. Records were seen of complaints made with details of the action taken. The complaints procedure was included in the Service User Guide and was in an appropriate format for residents to understand. There was a policy and procedure in place to address safeguarding vulnerable adults. Staff training records showed that nearly all of the staff had received training in safeguarding adults issues and procedures. Staff spoken with confirmed they had received training and were clear about procedures to follow if abuse was suspected. Nearly all staff had received training about use of restraint. A recently recruited member of staff had not received the training and was clear that they should not become involved in incidents where restraint was used until they had been properly trained. Records were kept of all occasions where restraint had been used. 48 Heath Road DS0000063006.V338804.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. 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 was generally well maintained, clean and suitably equipped so that residents enjoyed a safe and pleasant environment. EVIDENCE: Most areas of the home were seen and were clean and free from offensive odours. Residents spoken with were pleased with their bedrooms and took pride in keeping them clean. The lounges and dining room were furnished in a domestic and contemporary style. The home was suitably equipped for the needs of residents, such as handrails and easy access showers. An additional handrail had recently been fitted to the main staircase to assist a resident with reduced mobility. The manager had carried out an audit of all repairs / redecoration needed at the home and passed this on to the providers. Some work to the kitchen was being carried out on the day of the inspection visit. 2 residents commented that the vacuum cleaner at the home had been out of order for some time. 48 Heath Road DS0000063006.V338804.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. There were satisfactory recruitment procedures and a good staff training programme so that service users were protected and were supported by competent staff. EVIDENCE: On the day of the inspection visit there were 7 residents at the home with 6 support workers on duty for the morning shift, 7 for the afternoon shift and 2 staff working the night shift. The staff rotas seen showed that there were usually 6 or 7 support workers on duty during the day. 2 new support workers had recently been recruited. Recent changes to the rota had been introduced to allow more flexibility around residents’ needs. The acting manager said that additional staff could be provided if necessary to meet specific needs. It appeared from observation on the day of the inspection visit that staffing levels were sufficient. It was commented that staffing levels had consistently improved over the previous few months. The records for 2 members of staff were examined and both included all the required information. 1 member of staff spoken with had completed an 48 Heath Road DS0000063006.V338804.R01.S.doc Version 5.2 Page 18 induction process that included nearly 4 weeks of ‘shadowing’ more experienced staff. Staff training records showed that nearly all of the staff had received training in manual handling, fire safety, use of restraint, health and safety, food hygiene, safeguarding adults, infection control and first aid. In addition, some staff had received training to meet the specific needs of residents, such as epilepsy, challenging behaviour, using Makaton and British Sign Language. Staff spoken with confirmed the training recorded. The acting manager said that of 32 support workers, 19 had already achieved or were working towards a National Vocational Qualification (NVQ). It was found at the inspection in May 2006 and at the random inspection in September 2006 that staffing levels were not always sufficient and that staff did not always have the relevant training to meet residents’ needs. There was evidence at this inspection that staffing levels had consistently improved and that ensuring all staff were appropriately trained had been a priority for the new acting manager. 48 Heath Road DS0000063006.V338804.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 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 was well managed and there were good systems in place so that the health, safety and welfare of residents was promoted and protected. EVIDENCE: The acting manager had been in post since November 2006. She had many years experience in working with people with learning disabilities. She had applied for registration with CSCI and planned to start the NVQ Registered Manager’s Award. Staff commented that the acting manager was “approachable” and “a good team leader”. There was a quality assurance system in place at the home that included surveys sent out to residents / their representatives. A report was available of 48 Heath Road DS0000063006.V338804.R01.S.doc Version 5.2 Page 20 the analysis of results of the 2006 surveys. There was an annual service review and development plan produced using information from the surveys. There was evidence from the pre-inspection questionnaire and records sampled during the inspection visit that the health and safety of residents and staff was promoted. 48 Heath Road DS0000063006.V338804.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 X 2 3 3 X 4 X 5 1 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 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 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 48 Heath Road DS0000063006.V338804.R01.S.doc Version 5.2 Page 22 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. 1. Standard YA5 Regulation 5(1)(c)(3) Requirement Each resident must have a individual contract / statement of terms and conditions of living at the home. This will ensure that residents are protected and that residents/their representatives have sufficient information about living at the home. Timescale for action 30/06/07 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA6 Good Practice Recommendations Support plans should be signed by the resident / their representative to indicate their involvement and agreement, and by the member of staff involved. 48 Heath Road DS0000063006.V338804.R01.S.doc Version 5.2 Page 23 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 48 Heath Road DS0000063006.V338804.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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