Inspection on 17/01/06 for 5 Paddock Way

This inspection was carried out on 17th January 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

5 Paddock Way 04/01/07

5 Paddock Way 10/08/05

5 Paddock Way 02/02/05

5 Paddock Way 06/07/04

5 Paddock Way 09/01/04

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Treloar College

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

CARE HOME ADULTS 18-65 5 Paddock Way Petersfield Hampshire GU32 3NH Lead Inspector Anita Tengnah Unannounced Inspection 17th January 2006 10:00 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 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 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 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 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 5 Paddock Way Address Petersfield Hampshire GU32 3NH 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) 01730 267120 Southern Focus Trust Mr Stephen Almond Care Home 8 Category(ies) of Learning disability (8) registration, with number of places 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th August 2005 Brief Description of the Service: 5 Paddock Way is a registered providing personal care for 8 persons with learning disabilities in the younger adults category. The property comprises two semi -detached houses that are connected internally, and 4 service users are accommodated in each. All service users have single bedrooms and both parts of the property have a bathroom, shower room separate toilet, lounge, kitchen /dining room and utility room. To the front of the property is a small garden and to the rear is a large enclosed well-maintained garden where seating is available. The home is situated close to local facilities and a short journey away from Petersfield town. Southern Focus Trust owns the service and has two other own homes that are registered with the Hampshire office. 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection was undertaken over a day on the 17th of January 2006. This was the second inspection for the period of 2005-2006 and the visit lasted three hours. Although there were 7 service users accommodated by the home, at the time of the inspection there were only 1service user was present. The inspection process included tracking care records, discussion with the service user and staff and a tour of the premises. What the service does well: What has improved since the last inspection? The home has one service user whose needs have changed and had a history of falls. It was identified that this service user would require extra support such as waking staff for her safety at night. This has been implemented and the home has one waking and one sleeping staff on duty. 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 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. 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 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 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 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 The home’s assessment procedure is good and ensures that the prospective service users’ needs could be met. EVIDENCE: The care record of a service user that was planning to move into the home was seen. The manager had completed a comprehensive needs assessment for the service user. Care management assessments were also secured prior to admission. The assessment had included health, communication, educational and social needs and risk assessments. As part of the assessment process, regular visits and overnight stays are undertaken and records of these were maintained. Information was available in suitable format including pictorial format and these included the complaint procedure, service user’s money and fire safety thus taking into account the needs of service users. 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 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): 9 Service users are supported to take risks, with a good system of assessment and reviews to ensure the safety of the service users. EVIDENCE: The home has in place a robust system of risk assessments for all service users and included action that should be taken to minimise the identified risks. These are reviewed at regular basis with the involvement of the service users. Staff are pro active in the way that support is given to enable service users to maintain their independence. There was one service user who was planning to move to another home due to her changing needs. She reported that staff have supported her in making this transition and had gained confidence and was looking forward to moving out. The home has a detailed plan of the daily activities that service users undertook as part of their independent living. These enabled them to monitor the service users activities and deal with unexplained delays/ absences form the home. 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 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): 13,15,16 The home offers and supports the service users choice for educational and leisure opportunities. The home has a good support system in place to ensure that service users maintain links with the local community, as they prefer. The daily routine at the service promotes the core values of independence and choice for the service users. EVIDENCE: Service users took part in a wide range of activities through the Day Activity Programme at the On Track Centre and Day Service Centre in Portsmouth. These included creative writing, drama, swimming, performing arts, photography, horticulture and skills for work. Service users were supported to take part in household activities and details of the support they required was included in their care plans. A service user spoken with during the inspection said that she enjoyed living at the home and was planning to visit “her friends” when she moves out. It was evident from 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 Page 11 the interaction observed that staff and service user had developed good relationships with each other. Staff support the service users in maintaining links with the local community. These included membership of local club where a monthly disco is held. Trips are organised throughout the year, some of the activities included trips to France, visits to London and Longleat Safari Park. Service users were supported to take part in household activities and details of the support they required was included in their care plans. Some of the service users assisted with the weekly food shopping. The core values of autonomy, choice and independence were upheld. The service users’ preferred form of address was included in their individual plan. A service user spoken with confirmed that she had unrestricted access to all parts of the home and she had autonomy with regards to the activities of daily living. 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 Page 12 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 The medicine at the home is well managed and ensures the safety of the service users. EVIDENCE: The home has policies and procedures for the management of medication. All medicine was maintained securely. All staff who deal with medication had undertaken training. The manager reported that the local Chemist who supplied the medication supported staff and undertook audit of medication as maintained at the home on a yearly basis. There was no service user whop administered their medication at the tome of the inspection. Records of medication administered seen showed that these were up to date. Records were available of medication received, administered and returned to the pharmacy. 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 Page 13 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): 22,23 The home had a satisfactory complaint and abuse procedures in place that safeguard the welfare of the service users’ accommodated. EVIDENCE: The home had a complaints procedure, which included details of who would investigate complaints, the time within which a complainant could expect a response and the contact details of the Commission for Social Care Inspection. The procedure is also available in pictorial format and a copy was available in the service users’ care plan. There has been no recorded complaint since the last inspection and a complaint log was available. The home has in place an adult protection procedure. Staff had undertaken training in the prevention of abuse. Staff spoken with was aware of the needs to report and record all allegations of abuse. The manager said that further update in the prevention of abuse is planned. 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 Page 14 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): The above core standards were inspected at the last inspection in August 2005. EVIDENCE: 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33 The home has an effective staff team to meet the needs of service users. There is an ongoing training programme in place to ensure that staff have the skills to meet the needs of the service users. EVIDENCE: The home had a staff rota, indicating that there was at least two staff between 7.30am and 10pm. The manager has secured extra cover, as a waking night staff and a sleeping staff was available on night duty to support the needs of one service user. The manager reported that the home does not use any agency staff and the company has a” bank” system for carers in place to cover any extra hours as required. This provided the service users with continuity of care, as the carers are familiar with the needs of the service users. The home has an ongoing training programme in place to ensure that staff have the skills to support the service users’ needs. Some of the training available included managing challenging behaviour, prevention of abuse and mandatory health and safety updates. 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,42 There are clear lines of accountability within the home that benefits the service users. There are adequate procedures in place to ensure the safety of the service users. EVIDENCE: The home has a registered manager and there are clear lines of accountability within the home. Staff and a service user spoken with were complimentary regarding the manager. Staff are involved in the assessment of prospective service users and comments included” we are involved in the decision making process and that communication is good “ within the home. It was evident that staff maintained good relationship with each other. Service users’ views were sought regarding the prospective service user who was planning to move into the home next month. The home has in place policies and procedures for the promotion of the health and safety of service users and staff. Information received from the pre 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 Page 17 inspection questionnaire shows that there is an ongoing programme of servicing and checks of equipments to ensure the safety of the service users. All COSHH materials were maintained safely as required. Staff was observed to follow the procedure for the control of infection. 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 3 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X 3 X X X X X 3 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 Page 19 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. Refer to Standard Good Practice Recommendations 5 Paddock Way DS0000011900.V278327.R01.S.doc Version 5.1 Page 20 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. 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