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Inspection on 06/09/07 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 6th September 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.

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

service provides individually tailored care for the three residents who live there. Although there is a formality about the provision of care, the manager and her staff have found a way of making it much more informal and `homely`. Both the staff and the residents have known each other for a number of years although not from this unit. Two of the residents have been at the home for a number of months and the new resident is known to the people at this home and now lives with them. This has created a very relaxed stable environment, which is mutually beneficial for the residents and the staff. Residents are positively encouraged to be involved in the local community by the staff. This is a very positive working practice.

What has improved since the last inspection?

Since the last inspection all the staff have successfully undertaken training on safely administrating medication.

What the care home could do better:

Two of the residents were asked this question and they both said that this was a `good home` and that they could not think of anything that could make it better.

CARE HOME ADULTS 18-65 51 Greedon Rise (Homefield College) 51 Greedon Rise Sileby Loughborough LE12 7TE Lead Inspector Bhavna Keane-Rao Unannounced Inspection 6th September 2007 10:00 51 Greedon Rise (Homefield College) DS0000001799.V341800.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.V341800.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.V341800.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.V341800.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 July 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 three students in single rooms. Communal accommodation consists of a lounge, dining room, kitchen and enclosed, 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. The Learning Skills Council or local authorities have placed young people at the college. 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 site visit, ranged from £2219.73 and £2753.60 per month. 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of pre-planning the inspection, which included viewing the last Inspection Report, reviewing of the pre-inspection questionnaire, the service history of significant events since the last inspection and Comment Cards sent to residents from the Commission for Social Care Inspection. The unannounced site visit commenced on the 6th September 2007 and lasted five hours. The focus of the inspection is based upon the outcomes for the residents. Which means do the residents feel happy with the service they go, do they feel involved in decisions made about their life for example. The method of inspection was ‘case tracking’. This method involves identifying individuals who currently live at the home and tracking the experiences of the care and support they received during the time they have lived there. Since there are three residents who live at this home, they were all selected and discussions were held with them all. The method of case tracking included the review of residents’ individual care records, discussions with staff with various responsibilities within the home and reviewing the records, training records and the minutes of residents and team meetings. The inspection was also used to check that information provided by the manager matched the individual experiences of residents. This was achieved by speaking with residents and care staff who were on duty whilst observing day to day care practice. The manager was not on duty on the day of the site visit. The Commission for Social Care Inspection (CSCI) sent out three Comment Cards called “Have your Say about…” to residents and also to their relatives. This is a way of collecting views from people who use the services. The cards were sent to both the residents and their relatives. At the time of writing this report they had not been returned to us. What the service does well: service provides individually tailored care for the three residents who live there. Although there is a formality about the provision of care, the manager and her staff have found a way of making it much more informal and ‘homely’. Both the staff and the residents have known each other for a number of years although not from this unit. Two of the residents have been at the home for a 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 6 number of months and the new resident is known to the people at this home and now lives with them. This has created a very relaxed stable environment, which is mutually beneficial for the residents and the staff. Residents are positively encouraged to be involved in the local community by the staff. This is a very positive working practice. 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. 51 Greedon Rise (Homefield College) DS0000001799.V341800.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.V341800.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 2 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with information detailing the services offered by the home, with residents benefiting from a written contract. EVIDENCE: Residents have access to a Statement of Purpose, which outlines the role of the care home, providing additional information as to the services offered, the accommodation and information on policies and procedures. There has been one new admission to this home since the last visit. There is a set admissions procedure, which is followed. However it is flexible to suit the care needs of individuals. This flexibility is demonstrated where an assessment was undertaken during a holiday. A number of residents from various homes, owned by the same company, went on holiday and it provided an ideal opportunity for a ‘mutual assessment’. Alongside a formal assessment procedure. 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 9 At the point of admission residents are given all relevant information. This is kept in their individual files. However residents were not sure what information they had received. One Statement of Purpose was viewed during the visit. Detailed assessments and funding is agreed before any admissions to this home. This means that people have all the information about the service provided by this home and the cost for this service. 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. Resident’s independence is promoted, whilst they are supported to make decisions affecting all aspects of their lives. EVIDENCE: Three care plans were viewed. These were in detail showing how, what and where the care is provided. There is also a routine plan included in this portfolio to ensure consistent care is provided. For resident who has recently been admitted, the care plan is being developed. Care plans are written from the perspective of the residents, detailing the level of support required and how the support is to be provided, care plans are written for all aspects of daily living and included personal care, food, activities, health care and domestic skills. 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 11 There is an extensive list of actives that residents participate in from, going out for meals, discos, pubs, local events within the community to going to the church to worship. Often activities are arranged as and when requests are made. On the day of the site visit residents were supposed to go out to Loughborough for lunch and then to the park. However, due to the inspection, there was a change of plan with an agreement from the residents. We all went out to the local café for lunch and the residents decided that later they were going to go out to the local pub or to the supermarket for weekly shopping Residents have their money looked after by the home. A certain amount of money is kept in a safe place. Records of all financial transactions are kept; the balance is checked daily and transactions are signed by two staff members. A resident was observed going to the bank to withdraw some money. The staff at the bank knew the residents by their preferred name. Staff at the home have positively encouraged this involvement into local community. During the walk to the bank and to the café residents were observed being encouraged to cross the road safely, be polite to their neighbours and speak with people from within the local community. At the café for lunch, number of local people spoke to the residents and the café owner and her staff were familiar with the residents and knew them by name. During the site visit residents appeared relaxed, getting ready and having a cup of tea at individual times, they were observed interacted well with the staff and the staff appeared familiar with the residents daily preferences and choices. Observations of staff interaction with residents and discussions with staff showed that she had a clear understanding of residents needs, and was able to communicate effectively with the resident who at time have difficulty expressing themselves verbally. This was done, at times, by the use of Makaton. Two residents showed the inspector how to communicate using Makaton. Residents are involved in the running of the home by structured Residents’ meetings. The minutes of these were viewed. Residents had recently been on a holiday to Blackpool. They stated they had a good time. 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 12 51 Greedon Rise (Homefield College) DS0000001799.V341800.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): Standards 12,13,14,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy, experience and participate in different activities of interests and are supported to maintain their preferred individual daily routines and choice of lifestyle with the support of the staff. EVIDENCE: Weekly records and care plans detail the range of activities and recreational pursuits which residents engage in, these included cooking, drawing, eating out, trips to the town, parks, local horticultural college, BBQ’s and visits to other units, disco, domestic skills, visit to family and relatives. Residents are encouraged to use local transport, however there is a car available if needed. 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 14 Risk assessments support residents accessing recreational pursuits in a safe environment. All three residents have had a holiday this year to Blackpool. They all stated they enjoyed it. One resident said ‘ I didn’t want to come back!’ Residents are asked if they wish to attend church or any other place of worship. Two people have declined. One person attends the local church. A list was viewed which detailed important dates and addresses of people in residents lives. These enable the staff to support residents to maintain contact with their relatives. Resident’s relative’s birthdays are also recorded to ensure that all special occasions are celebrated and staff support residents to buy cards and presents. Residents have bank or building society accounts and access money out of their accounts with staff support. These records were viewed and found to be satisfactory. Residents spoke of their favourite dishes. One person stated he loved his ‘peri peri chicken’ which he had often. People are involved with meal preparation and to accompany staff to purchase their food from the local supermarket. Main shopping is done on a weekly basis. 51 Greedon Rise (Homefield College) DS0000001799.V341800.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): Standards 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. Resident’s health, emotional and personal care needs are met in line with the care plan and as per their wishes. EVIDENCE: Care plans provide details regarding the health care needs of residents. During the visit a member of staff was observed giving medication to a resident at the time prescribed. This was then recorded on to the medication records. The records were viewed and found to be accurate and up to date. Residents have a choice as to who provides them with personal support. Medication is kept locked and all the staff giving out medication have been provided with training to do so safely. Staff training records demonstrated this to be the case. Discussion was held with the staff on duty who stated that at present residents were not able to manage their own medication. 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 16 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): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are kept safe and protected from abuse. EVIDENCE: There is a complaints policy and procedure, which is detailed in the statement of purpose and made available to residents and their families. During ‘chats’ with residents they were asked if they knew who to go to if they had any problems. Without any hesitation they named various members of staff, including the manager. The information sent in before the inspection indicated that there had not been any complaints or concerns made to the home. Staff training records demonstrated that training is provided to all the staff employed on protecting and safeguarding adults. 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 17 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): Standards 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. Residents are provided with a warm, safe, clean, comfortable and wellmaintained environment suitable for their needs. EVIDENCE: On the ground floor there is a lounge leading to a kitchen with a separate dining room and a bathroom. On first floor there are four bedrooms with sink. Two bedrooms, which were viewed in detail, they were found to be spacious and decorated to individual residents personal taste. The third bedroom is going to be decorated according to the personal taste of the resident. The home has a large front and rear garden, which has level access. 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 18 Laundry facilities are located in the kitchen. Thus is easily accessible for residents who bring down their clothes each night to be washed. Residents were observed using all the communal areas and their bedrooms without restrictions. 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 19 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): Standards 32, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are sufficient numbers of trained staff to meet resident’s care and social needs. EVIDENCE: The staffing rota details that there is always a member of staff on duty during the day, with one member of staff sleeping on the premises overnight. The hours worked by staff are flexible to facilitate residents engaging in recreational and leisure activities. The member of staff spoken with stated she attends regular team meetings, which provide an opportunity for staff to discuss issues relating to residents and the day-to-day running of the home. There is informal network across all the seven registered homes. The member of staff spoken with felt supported by the manager and said “It (working at the home) was the best thing I did many years ago” 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 20 Staff spoken with confirmed the training she has received included health and safety, first aid, food hygiene, safeguarding from abuse, supporting behaviour, and medication to name some. The training enables staff to offer the appropriate support and care for residents, ensuring residents lead an active and fulfilling life in line with their wishes and expectations. Staff member confirmed that they receive regular one to one supervisions, which are recorded. 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 21 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): Standards 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. There is a competent and committed registered manager who understands the needs of individual residents and supports the staff. EVIDENCE: All the residents spoken with and the member of staff spoken with stated that the manager has a ‘hands on approach’, which they all obviously felt was extremely important for the smooth running of this home. The member of staff spoken with stated that there was a clear line of responsibilities and that she always felt supported by the manager. 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 22 The staff rota indicates that the manager does work at the home on regular basis undertaking care duties. One comment received from a resident was “I really like Wendy (manager) she is always nice to me.” The Pre Inspection Questionnaire detailed the regular maintenance of health and safety systems within the home, including fire systems and equipment, central heating systems and emergency call systems. These were found satisfactory on the day of the visit. 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 23 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 2 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 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 4 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 24 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 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 51 Greedon Rise (Homefield College) DS0000001799.V341800.R01.S.doc Version 5.2 Page 26 - 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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