Inspection on 27/10/05 for 5 Prince of Wales Road

This inspection was carried out on 27th October 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 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 Prince of Wales Road 18/11/08

5 Prince of Wales Road 16/11/06

5 Prince of Wales Road 07/02/06

5 Prince of Wales Road 15/02/05

5 Prince of Wales Road 18/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Prince of Wales Road (5) 5 Prince Of Wales Road Dorchester Dorset DT1 1PW Lead Inspector Marion Hurley Unannounced Inspection 27th October 2005 10:30 Prince of Wales Road (5) DS0000059023.V255670.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 Prince of Wales Road (5) DS0000059023.V255670.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. Prince of Wales Road (5) DS0000059023.V255670.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Prince of Wales Road (5) Address 5 Prince Of Wales Road Dorchester Dorset DT1 1PW 01305 251935 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) Dorset Residential Homes Michelle E Barnes Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Prince of Wales Road (5) DS0000059023.V255670.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 4 service users who have physical disabilities may be accommodated at any one time. 15th February 2005 Date of last inspection Brief Description of the Service: ‘Encombe’ is situated in Prince of Wales Road, close to the town centre of Dorchester and provides a ‘short stay’ residential care facility for learning disabled adults who otherwise will generally be living in their family home. Around thirty adults use the service and the home is able to accommodate up to eight service users at any one time, with facilities for up to 4 service users who have additional significant physical disability. The length of stay at ‘Encombe’ can be from a few hours to a number of weeks and is arranged to meet the needs of service users and their supporters; most stays are arranged in advance, but the home will respond to a crisis situation where possible. The property had previously been used as a care home and is now owned by a housing association; full refurbishment and alterations have been undertaken to provide a high standard of accommodation, which meets the National Minimum Standards for younger adults. The home provides staff throughout the 24-hour day, including awake and sleep-in staff. Prince of Wales Road (5) DS0000059023.V255670.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection has been undertaken as part of the statutory inspection process in accordance with the Care Standards Act, 2000. 5 Prince of Wales Road was assessed according to the Care Home for Adults (18-65) National Minimum Standards. The overall time spent to complete the inspection process was a total of six hours, two of which were spent at the Home. A senior support worker and care worker were available throughout the inspection and three young people were present. However none of the residents participated in the inspection and it is hoped to involve residents at the next visit. A sample of records and documentation were read as part of the inspection process and discussions with staff were particularly helpful to demonstrate and evidence the high standards of respite services available at Encombe. What the service does well: One of the most valuable aspects of the Respite Services at Encombe is the quality of staff and their ability to absorb information about so many different people accessing their services throughout the year. Their commitment to understanding and gaining knowledge from other agencies to form the basis of the resident’s individual support plans is commendable. When residents have complex needs it was especially good to note the commitment to multi-agency working and the backup and contingency plans set in place by the management team. Encombe provides a safe yet stimulating environment for many people and is an equally valuable recourse to many families and supporters of the young adults accessing the services. Records read on the day and from discussions with staff it is clear that every effort is made to provide a genuine needs- led service and it was good to see various communication aids being used to suit each persons needs, including the use of pictures, photographs, communication cards and personal diaries. This attention to detail by staff all contribute to positive respite stays for the residents. Prince of Wales Road (5) DS0000059023.V255670.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. Prince of Wales Road (5) DS0000059023.V255670.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 Prince of Wales Road (5) DS0000059023.V255670.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&4 • Encombe provides a Respite Service and therefore since the last inspection there have been several “admissions”. However for the purposes of this standard records of the last young person to be introduced and commence respite at Encombe were read. • Full multi-agency assessments are undertaken with all prospective residents who might consider accessing the respite services. • The assessments are complimented with introductory visits for the prospective resident, which also allows the staff to observe the person and gain further insight into their needs and abilities and interests. EVIDENCE: One young person is in the transition from Children’s to Adult Services and has recently been introduced to the respite facilities of Encombe. Evidence for this standard was taken from discussion with staff and reading the detailed records pertaining to this young person. The young person was resident during this visit but did not join in though did come and observe the discussions a couple of times. The staff displayed a good understanding and knowledge of the person’s needs and their abilities and explained exactly what the introductory process for this young person had involved. Two initial visits were arranged for the young person to visit with their family and social worker, following the success of these the prospective resident was invited to visit independently. After a Prince of Wales Road (5) DS0000059023.V255670.R01.S.doc Version 5.0 Page 9 further two visits they were invited for an overnight stay. At the time of this inspection the second successful overnight stay had been completed. All contact with the prospective resident, their family and significant others had been recorded and observations of preferences and communication styles of the young person had also been recorded. In addition assessments from other significant agencies were requested which helped the staff at Encombe to understand and get to know the young person ensuring the visits and whole process was a positive experience. Inductions are always based on the needs of the people requiring the service and these are balanced with the needs of those already accessing the service. Prince of Wales Road (5) DS0000059023.V255670.R01.S.doc Version 5.0 Page 10 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&7 • Each person accessing Encombe for respite services has completed assessments and personal plans. • For most people accessing the respite service stays are of a short duration. However if there are any significant changes during the person’s stay then Plans are adjusted and the level and or style of support are modified to meet the residents changing needs. EVIDENCE: All young people receiving a respite service at Encombe have completed assessments. Information from these assessments and observations made by staff during introductory visits are all collated to form the basis of the person’s individual Life Style Plan. Included in these plans are the Goal Planning, which incorporates specific risk assessments. Where possible the Life Style Plans and Goal Plans are written and discussed with the young people however for some this is not yet achievable. Where possible pictorial aids are used and for one person they use communication cards and photographs to aid the communication between staff and themselves. To help this young person understand life and routines at Encombe all staff have been photographed and the young person can be shown a picture of which staff are working and who might be coming on the “next shift” Prince of Wales Road (5) DS0000059023.V255670.R01.S.doc Version 5.0 Page 11 The goal plans refer to all aspects of daily living activities e.g. personal care, diets, and health & safety issues. All the plans read on the day had been regularly reviewed. Prince of Wales Road (5) DS0000059023.V255670.R01.S.doc Version 5.0 Page 12 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): 12 & 13 • Residents staying at Encombe are encouraged and supported to maintain their usual routines in personal care, and attendance and participation in educational, social and leisure activities. EVIDENCE: Prior to each persons stay at Encombe staff make arrangements to ensure the prospective resident’s normal routines and pattern are maintained e.g. attendance at day services and or educational establishments as well as any regular leisure and social activities pursued. One person has been encouraged to manage their own diary and calendar during their stay and this seems to help them take responsibility for their own actions and to manage their time. From discussions with staff and reading daily records a very flexible and personal approach to supporting residents at Encombe is adopted with access to leisure and social events based on a principle of “as and when”. Much depends of the mix of people staying at Encombe at any one time. Either in small groups or on a one to one basis, residents have several opportunities to enjoy leisure and social events. A recent outing has included bowling, another horse riding and a visit to a Garden Centre for lunch. Prince of Wales Road (5) DS0000059023.V255670.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 19 • The home offers a good standard of personal support with individual preferences taken into account. • Healthcare needs are provided for including those with more complex physical and emotional needs. There was substantial evidence of excellent multi-agency work with colleagues from Health & Social Care Services. EVIDENCE: Staff demonstrated their knowledge and understanding of the wide range of different people accessing respite services at Encombe. With up to forty different people accessing the service throughout the year staff take the responsibility of ensuring they are well briefed prior to the person’s stay. Staff were quick to acknowledge the importance of getting it right on the day for both the resident and their family to truly benefit from the service. Additional evidence was noted in the daily records. Prince of Wales Road (5) DS0000059023.V255670.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed however please note there have been no complaints since the last inspection. EVIDENCE: Prince of Wales Road (5) DS0000059023.V255670.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 25 • Residents are always matched with their “bedroom preference” as this is an important part of their respite stay and provides further coninutuity for each person. EVIDENCE: A detailed list of each person’s bedroom preferences are recorded and always considered when arranging their respite stays. Some residents require special equipment so in addition to their “preferences”, consideration is taken to ensure their physical needs can be safely met in their bedroom and throughout the rest of the home. Prince of Wales Road (5) DS0000059023.V255670.R01.S.doc Version 5.0 Page 16 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): These standards were not assessed EVIDENCE: Prince of Wales Road (5) DS0000059023.V255670.R01.S.doc Version 5.0 Page 17 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): 42 • Reports from other agencies, regular servicing and maintenance of equipment and working practise in the home ensure that the health and safety and welfare of both residents and staff are promoted in the home. EVIDENCE: All records seen on the day of the inspection indicated that management and staff are diligent in completing their statutory training. Other records showed regular fire prevention training and drills were routinely undertaken and safety checks completed. Prince of Wales Road (5) DS0000059023.V255670.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x 4 x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x x x Standard No 24 25 26 27 28 29 30 STAFFING Score x 3 x x x x x LIFESTYLES Standard No Score 11 x 12 3 13 3 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 Prince of Wales Road (5) Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x DS0000059023.V255670.R01.S.doc Version 5.0 Page 19 N/A 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 Prince of Wales Road (5) DS0000059023.V255670.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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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