Inspection on 22/05/07 for 5 Fallings Heath Close

This inspection was carried out on 22nd 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 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

5 Fallings Heath Close 13/04/05

5 Fallings Heath Close 26/08/04

Similar services:

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Extracts from inspection reports are licensed from CQC, this page was updated on 27/09/2008.

CARE HOME ADULTS 18-65 5 Fallings Heath Close Darlaston Walsall West Midlands WS10 8BT Lead Inspector Dawn Dillion Key Unannounced Inspection 22 May 2007 10:00 5 Fallings Heath Close DS0000020797.V341604.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 5 Fallings Heath Close DS0000020797.V341604.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. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 5 Fallings Heath Close Address Darlaston Walsall West Midlands WS10 8BT 0121 568 6176 0121 568 8188 smfallingsheath@accordha.org.uk Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Accord Housing Association Ltd Name of registered manager (if applicable) Type of registration Mr Philip John Gould Care Home 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 4 No. of places registered (if applicable) 4 Category(ies) of Learning disability (4) registration, with number of places 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 5 SERVICE INFORMATION Conditions of registration: 1. The home is registered to accommodate 4 adults with a learning disability. Date of last inspection Brief Description of the Service: 5 Fallings Heath Close is a residential home located in Darlaston, Walsall, and is part of Accord Housing Association. The home provides a service for four adults with a learning disability. The large modernised two-storey property is situated within a residential area and is in keeping with the local community. The home is accessible via public transport and is in close proximity to local amenities. The home comprises of four single occupancy bedrooms, equipped with en suite facility, one bedroom is located on the ground floor and the remaining three on the first floor. Bathrooms and toilets are situated in close proximity to bedrooms and communal areas. Appropriate aids and adaptations are provided, to meet the needs of the people who use the service. A passenger lift is in place to enable individuals to access all areas and facilities within the home. Located on the ground floor is a spacious lounge equipped with essential furnishings and items to provide a comfortable area for relaxation and recreational purposes. People who use the service also have access to a dinning area; there is also a modern domestic kitchen and a separate laundry area. Staffing is provided on a 24-hour basis to ensure the total supervision and support of people using the service. People who use the service at 5 Fallings Heath Close have access to relevant healthcare professionals if and when required. The fees chargeable for the service provided at the home is £1,307.44p per week, which includes a contribution of £62.35p per week from individuals using the service. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced Key Inspection of 5 Fallings Heath Close was undertaken within seven hours. The inspection methodologies that were used, to establish the quality of care provided and the effectiveness of the management of the home, to promote quality, diversity and best practices entailed the examination of the records, relating to the homes policies and procedures. One person that use the service was interviewed during the process of the inspection, due to the limited communication skills of the other service users, the Inspector was unable to communicate effectively with them. Three members of the staff team were also interviewed. A tour of the property was undertaken to ensure that the environment and systems in operation, were safe and conducive in meeting the needs of the people using the service. The Commission For Social Care Inspection registered the home in October 2006, and this is the first time that a key inspection has been undertaken since the registration. What the service does well: The service provided at 5 Fallings Heath Close was of a high standard, providing a service that was flexible to meet the needs of the individual. Care plans and risk assessments provided comprehensive information relating to the support people required to enable them to live a fulfilled lifestyle. Staff demonstrated a sound knowledge of the care needs of the people using the service and were proud of the standard of care provided at the home. One person living in the home informed the Inspector that she was “happy” living at the home and that staff were “nice.” The Registered Manager demonstrated a sound knowledge of the care needs of people using the service, and was proactive in promoting both a high standard of care and the rights of the individual. General observations during the process of the inspection identified that staff interacted with the people that use the service, in a positive and professional manner. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 8 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 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 9 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 examination of the homes Statement of Purpose, service user guide and the homes pre admission assessment. The homes admission procedure ensured that people, who wish to access the service, are provided with essential information, to enable them to make an informed choice. EVIDENCE: The homes Statement of Purpose provided comprehensive information, relating to the service and provisions available at the home. The document was quite large (50 pages) and was not designed in a format to promote the understanding of the people using the service. Discussions with the Registered Manager confirmed that the home was currently in the process of reviewing the Statement of Purpose, to provide a pictorial/easy read format. The home was purposed built to meet the needs of the people currently in occupancy, discussions with the Registered Manager, confirmed that people 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 10 who wish to access this service in the future, would be subject to a pre admission assessment. The homes admission procedure also included a trial visit to the home prior to being admitted. The examination of records, pertaining to people who use the service, evidenced that they had access to relevant healthcare services and specialist aids and adaptations to meet their identified care needs. The Registered Manager confirmed that a contract of the terms and conditions of residency was in place, however, due to the complex needs of the people living within the home, the contract were not signed by the individual, due to their lack of understanding. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 11 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. The examinations of care plans, risk assessments, minutes of service users meetings, discussions with one person who use the service and general observations. The homes practices ensured that people using the service are able to achieve an independent lifestyle. EVIDENCE: People who access the service at 5 Fallings Heath Close have complex care needs. The home has a positive person centred approach, providing a flexible service to meet the needs of the individual. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 12 Care plans were in place for each person, providing detailed information relating to their care and social needs. The examination of the care plans identified, that individuals had access to relevant healthcare services, to meet their physical and mental health needs. Where possible people were encouraged and supported to be actively involved in the development and review of their care plan. Care plans were reviewed on a regular basis to reflect the individuals changing needs. To provide consistency in the delivery of care, the home operated a key worker system. The Registered Manager informed the Inspector, that three out of four people in residence have a communication problem, making it difficult for them to participate in meetings. One individual was involved in regular meetings relating to the service and provisions provided and any eminent changes with the running of the home. Due to the complex needs of people using the service, each person required full assistance and support with the management of their financial affairs. Care Plans included a risk assessment, which identified any potential hazards, providing relevant information, relating to the control measures to reduce or eliminate the risk. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 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. Discussions with one person who use the service, staff and general observations. People who use the service were able to make choices about their lifestyle, and were supported to develop their life skills. EVIDENCE: Discussions with the Registered Manager confirmed that one person at the home accessed day care services throughout the week. The Registered Manager informed the Inspector that the home was currently reviewing social activities in view of the individual’s interests. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 14 Social activities within the community were somewhat limited due to the constraints on transport and the unreliability of the public transport to accommodate wheelchair users. Due to the complex needs of the people living in the home and the level of support and supervision required, it would be difficult for the individual to gain employment. Staff informed the Inspector that social activities consisted of shopping trips, in house activities, jewellery parties, eating out and bowling. On the day of the inspection three people were engaged in pastimes of their choice. One person using the service informed the Inspector “I enjoy the meals at the home, I don’t like eating out.” “I love monkeys and like going to the zoo.” “I like going shopping, I go in a taxi.” The home was not currently accommodating anyone with any specific cultural or religious needs; the Registered Manager informed the Inspector that the home had access to Ashram an association that provide advice and support in relation to cultural needs. People using the service were given the necessary support, to maintain contact with their family and friends, who were able to visit the home at anytime within reason. One person informed the Inspector that she would like a telephone in her bedroom. General observations during the process of the inspection identified that people had freedom of movement throughout the home, with limited restrictions due to health and safety. Bedroom doors were fitted with a locking device to promote the individuals privacy. One person informed the Inspector “staff knock on my door before they come in.” The home had produced a pictorial menu, providing various choices to reflect the likes and dislikes of the individual. There were no special dietary requirements due to cultural or religious needs. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 15 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 examination of care plans and risk assessments. The health and personal care that people received was based on their individual needs. The principles of respect, dignity and privacy were put into practice. EVIDENCE: Staffing was provided within the home on a 24-hour basis, to ensure that the individual received the necessary support and supervision, to promote their general health and welfare. People using the service were encouraged to maintain their preference to style of dress to reflect their personality. One person using the service informed the Inspector, “Staff help me choice my clothes and colours.” 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 16 The examination of care plans identified that people had access to relevant healthcare services. With reference to the homes medication system and practices, it was identified that the Lloyds Monitored Dosage System was in use. The examination of the medication administration record and the drug cassettes confirmed that people were receiving their medication as directed by the General Practitioner. Information relating to the level of support the individual required to take their medication was provided on the medication administration record. There were no individual protocols in place for the use of PRN (when required) medication, to ensure that these drugs are administered in accordance to the General Practitioners directions. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 17 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. The examination of the homes complaint procedure and staff recruitment procedures. People who use the service were able to express their concerns, and have access to a complaint procedure, and were protected from abuse. EVIDENCE: A pictorial complaints procedure was incorporated within the service user guide, which was accessible to the people using the service. Since the registration of the home in October 2006, the Commission For Social Care Inspection has not received any complaints about 5 Fallings Heath Close. Staff had received adult protection training on 18/01/07. The examination of staff files evidenced that all new recruits were subject to a Criminal Record Bureau check prior to the commencement of employment. Due to the complex needs of people using the service, all required full support in the management of their financial affairs. Three accounts and funds were examined all of which were satisfactory. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A tour of the property and the examination of safety records. The design and layout of the property enabled the individual to live in a safe, well-maintained and comfortable environment, which encouraged independence. EVIDENCE: 5 Falling Heath Close is located Darlaston, Walsall; the large modernised twostorey property is situated within a residential area and was in keeping with the local community. The property comprised of four single occupancy bedrooms, equipped with en suite facility, one bedroom is located on the ground floor and the remaining three on the first floor. All bedrooms were tastefully designed and decorated 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 19 to meet the needs of the individual. It was noted by the Inspector that a wardrobe was not secured to the wall, the Registered Manager made arrangements during to the process of the inspection to address this. One bathroom equipped with an assisted bath was located on both the ground and first floor. Appropriate aids and adaptations were provided to meet the needs of the people living in the home. A passenger lift was in place to enable individuals to access all areas and facilities within the home. Located on the ground floor was a spacious lounge equipped with essential furnishings and items to provide a comfortable area for relaxation and for recreational purposes. People who use the service also had access to a dining area; there is also a modern domestic style kitchen and a separate laundry area. It was noted that there was storage of latex disposal gloves. Advice should be obtained from the health protection unit regarding the continued use of these gloves. The cleanliness of the home was of a very high standard. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 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 examination of the staff working rota and discussions with staff members. There were adequate trained staff in sufficient numbers to support the people who use the service. EVIDENCE: Three staff members were interviewed during the process of the inspection, all of which confirmed that they were in receipt of a job description and a contract of the terms and condition of employment. Staff also confirmed that they had received a copy of the General Social Care Council code of conduct. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 21 It was identified that one person using the service used Makaton and had also taught a staff member the skill. Discussions with the Registered Manager identified that training within this area had not been commissioned for the staff working within the home. The home was registered to provide a service for four people who have a learning disability and complex care needs, such as communication problems, challenging behaviours and limited mobility. The examination of staff rotas identified that three staff were provided during the morning, having two staff in the afternoon and one at night staff. The Registered Manager was confident that the current staffing hours provided was sufficient to meet the dependency levels of the people using the service. Staff that were interviewed confirmed that staff meetings were undertaken on a regular basis. Three files pertaining to staff working within the home confirmed that appropriate safety checks were undertaken prior to the commencement of employment. Discussions with staff and the examination of training records identified that they had received relevant training in relation to their roles and responsibilities. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 22 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 examination of the homes policies and procedures, discussions with people who use the service and staff members. The management style was open and transparent promoting the rights and independence of the individual. EVIDENCE: Discussions with the Registered Manager identified that he had the appropriate qualifications and experience with regards to his roles and responsibilities. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 23 General observations during the process of the inspection identified that the Registered Manager demonstrated a clear leadership style and interacted well with the people using the service and his staff team. The examination of care plans and discussions with the Registered Manager evidenced his knowledge of the individual’s care needs and the strengths and weakness of the service. Staff that were interviewed commented that the management support was, “good and approachable.” With reference to the homes quality assurance system, there was evidence of monthly visits to the home by senior management, to monitor the quality of the service delivery. Questionnaires were distributed to people using the service, information collated from these questionnaires were fed back to the individual at the regular monthly meetings. The home also had a comprehensive quality assurance system, which covered all areas of the service provided within the home. The information collated from this system was published in a monthly management report. With regards to systems and practices that promote the health, safety and the welfare of people accessing the service, all safety records were up to date and well maintained. The water temperatures in some areas of the home were as low as 37oC and it is recommended that this should be monitored to provide an ambient temperature of 43oC. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 X 29 3 30 3 STAFFING Standard No Score 31 3 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 3 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 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 25 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 3 Refer to Standard YA12 YA20 YA35 Good Practice Recommendations More emphasis should be focused on equality and diversity to promote the quality of the service delivery. There is a need for a protocol for the use of PRN medication (when required), to ensure the robustness of the homes medication system. Makaton training for staff would promote communication between staff and the identified person who uses the service. 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 5 Fallings Heath Close DS0000020797.V341604.R01.S.doc Version 5.2 Page 27 - 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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