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Inspection on 05/07/06 for 51 Greedon Rise (Homefield College)

Also see our care home review for 51 Greedon Rise (Homefield College) for more information

This inspection was carried out on 5th July 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.

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

What the care home does well

The inspector was impressed by staff attitudes and communication skills; it appeared that relationships between staff and residents were very positive and resulted in residents being supported while also maintaining their independence. The premises were homely and residents appeared comfortable and at ease. Staff training was comprehensive and staff received the support and supervision needed to do their jobs. Staff induction and training covered all required areas and included comprehensive equality and diversity training. There was a wide range of social and educational activities available to residents. Social activities were age, peer and culturally appropriate.

What has improved since the last inspection?

Since the last inspection the home`s service users guide has been reviewed and now contains all the information required to make an informed choice about moving into the home. A lone working policy/risk assessment is in place that addresses action staff would need to take if further support was required. On call staff are available at all times and staff are fully aware of how to contact them.

What the care home could do better:

The introduction of a quality assurance programme would enable the registered persons to measure their success in achieving the aims and objectives and statement of purpose of the home. If further accredited medication training was provided for care staff this would increase staff knowledge and skills in this area and therefore improve outcomes for residents.

CARE HOME ADULTS 18-65 51 Greedon Rise (Homefield College) 51 Greedon Rise Sileby Loughborough LE12 7TE Lead Inspector Debbie Williams Unannounced Inspection 5th July 2006 4 pm 51 Greedon Rise (Homefield College) DS0000001799.V302340.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 51 Greedon Rise (Homefield College) DS0000001799.V302340.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. 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 51 Greedon Rise (Homefield College) Address 51 Greedon Rise Sileby Loughborough LE12 7TE 01509 816091 01509 815696 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) www.homefieldcollege.ac.uk Homefield College Limited Ms Wendy Cooke Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 5th of January 2006 Brief Description of the Service: 51 Greedon Rise is a 4 bed roomed, semi-detached property, situated on a residential estate in Sileby. The home does not stand out from its neighbours. The home is clean, comfortable and homely and currently accommodates two students in single rooms. Communal accommodation consists of a lounge, dining room, kitchen and enclosed, lawned garden. The home is one of seven, which are annexed to Homefield College. Students are initially accommodated at the college site, moving to one of the houses when assessment determines the requirement for greater independence in a longer term placement. Young people at the college have been placed by the Learning Skills Council. These placements are generally term time only and limited to 2 or 3 years. However, some young people receive continued funding from Social Services Departments and their placements progress to become long term. The college (and implicitly the seven houses) provide placements for adults with learning disabilities and those who have autistic spectrum disorder and some challenging behaviours. The college does not provide for students who require nursing care. The range of fees are based on individual needs and at the time of this inspection ranged from £540 and £799 per week. 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The main method of inspection used was ‘case tracking’ which involved selecting residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and observation of care practices. The inspector also spoke with care staff. Information provided within a pre inspection questionnaire was also used to gather evidence for this inspection. This was a positive inspection as it was evident that both residents accommodated were satisfied with the care they received and felt comfortable in their surroundings and with the staff on duty. What the service does well: What has improved since the last inspection? 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 Page 6 Since the last inspection the home’s service users guide has been reviewed and now contains all the information required to make an informed choice about moving into the home. A lone working policy/risk assessment is in place that addresses action staff would need to take if further support was required. On call staff are available at all times and staff are fully aware of how to contact them. 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. 51 Greedon Rise (Homefield College) DS0000001799.V302340.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 51 Greedon Rise (Homefield College) DS0000001799.V302340.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,3 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Prospective residents are provided with the information they need to make an informed choice about the home. It was evident that the care provided met the individual needs of the residents accomodated and that thorough assessments had been undertaken. EVIDENCE: Assessment records for the case tracked resident were examined, these were found to be comprehensive and addressed all aspects of the residents individaul needs. A copy of the service users guide was seen, this contained all required information. At the time of this inspection one student from the college was coming to the house for tea. This was part of the assessment process for this student eventually moving into the home. The staff member on duty said that assessments were carried out by the homes manager and by college staff. 51 Greedon Rise (Homefield College) DS0000001799.V302340.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are enabled to make decisions about their lives and their changing needs are reflected in their care plans, risks are assessed and managed appropriatley. EVIDENCE: Care plans were comprehensive and reveiwed by staff. Care plans included risk assessments. Staff spoken with said that residents rights to make decisions and take risks was part of their training, they gave examples of residents being enabled to make decisions regarding their daily lives. At the time of this inspection staff responded promptly to an unexplained late arrival of one resident It was evident that residents were enabled to make decisions and maintain an independent lifestyle. Residents meeting are held every Sunday when residents are able to air their veiws and staff provide feedback. On speaking with one resident, the inspector was able to establish that they were enabled to make decisions about their lives and to participate in all aspects of life in the home. 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 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): 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 the service. Residents are enabled to live ordinary domestic lives, their rights and responsibilities recognised and social, cultural needs addressed. EVIDENCE: The occupational and educational needs of residents accomodated were explored with staff and residents, it was evident that a range of occupational and educatioanl programmes were in place to meet the needs of individual residents. There was a range of age appropriate leisure activities available to residents. Residents confirmed they were enabled to maintain links with friends and family inside and outside of the home. Examples of residents excersising personal autonomy and choice regarding their daily lives were available. Part of residents daily routines included accessing local amenities. Meals and mealtimes are planned with residents 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 Page 11 deciding menus, participating in shopping and meal preperation. Menu records were seen and appeared to be providing a nutritious and varied diet. 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 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): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Personal support and healthcare needs are met in the appropriate manner required by individual residents. EVIDENCE: Residents spoken with confirmed that staff provided the right amount of personal support while maintaining privacy and dignity. Care plans detailed the level of support required by residents. Evidence was seen within daily care records of residents accessing healthcare facilities. Staff explained how healthcare services are accessed by residents. At the time of this inspection none of the residents accommodated were self administering their medication. Medication is stored and administered by staff in accordance with regulations. Staff members on duty explained that independence is encouraged in this area by staff taking the medication to the resident and supervising them while they take the required medication. Medication training is provided in house to all staff. Staff are supervised fifteen times and then signed off as safe to administer medication. It is recommended that all staff administering medication receive accredited training. 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 Page 13 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 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): 22 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Adult protection procedures in place minimise risk for residents. EVIDENCE: Protection of vulnerable adults training is provided to all staff and telephone numbers of persons to contact were provided. Staff induction training addressed whistle blowing procedures, harassment and bullying. Policies and procedures regarding residents personal money were in place and minimised risk. Complaints procedures were in place. Staff had received training regarding challenging behaviour. 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 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): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The premises met the lifestyle needs of residents accomodated and provided a comfortable and homely environment. EVIDENCE: Private accomodation for one case tracked resident was seen as was communal accomodation. Accomodation appeared very homely, comfortable and well maintained. Staff are able to access a maintanance team who are based at the college. Staff explained that residents are encoraged to take responsibilty for domestic chores within their capabilities. Private accomodation was personalised and appeared to meet the individual needs of residents. Risk assessments were seen regarding the environment.Staff receive regular health and safety training updates from the colleges health and safety officer. Information provided within the pre – inspection questionaire confirmed that the appropriate fire and health and safety checks were in place. 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 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): 32,34 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are supported by an effective staff team and protected by appropriate recruitment procedures. EVIDENCE: Staff records are stored centrally and therfore not availble for inspection. There were two memebers of staff on duty, the second staff member was being supervised as the Criminal Records Bureau check had not been cleared. Both staff members confirmed they had been asked to provide two references and required to have a Criminal Records Bureau check. The inspector spoke with the home’s Registered Manager shortly after the site visit and was able to confirm that a thorough recruitment process was in place and that staff records could be accessed at the college if required. Staff induction and training records were seen, these were comprehensive and included equal opportunities, race equality and anti racism training. Staff on duty said that all staff are expected to undertake a National Vocational Qualification. The homes manager co oridnates all staff training. Normally there would only be one staff member on duty, a lone working policy/risk assessment for this was seen. 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 Page 17 The home’s pre inspection questionaire stated that basic food hygiene, first aid, protection of vulnerable adults, health and safety and peron centred planning training had been provided in the last twelve months. Future training planned included -: first aid, teaching and learning and autism. 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 Page 18 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): 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Management and administration procedures in place serve the best interests of residents accomodated. EVIDENCE: There is no formal quality assurance programme in place. Residents meetings are held every week (minutes of these were seen), it is recommended that a formal programme of quality assurance is introduced. Staff on duty confirmed they received regular health and safety training from the health and safety officer who is based at the college. Accident records are maintained and monitored, as are near misses. Risk assessments were in place. Company policies and procedures were seen at the home and availble to all staff. Information provided within the pre – inspection questionaire confirmed that the appropriate fire and health and safety checks were in place. 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 Page 19 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 Page 20 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 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 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 3 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 x 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 x 3 x 2 x x 3 x 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 Page 21 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. Refer to Standard 20 Good Practice Recommendations It is recommended that all staff who administer medication receive accredited training which includes all the criteria as stated within this standard. It is recommended that a quality assurance and quality monitoring system is introduced which is based on seeking the views of residents accommodated. 2. 39 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 51 Greedon Rise (Homefield College) DS0000001799.V302340.R01.S.doc Version 5.2 Page 23 - 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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