Inspection on 23/04/07 for 57 Bury Road

This inspection was carried out on 23rd April 2007.

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

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

Other inspections for this house

57 Bury Road 03/05/06

57 Bury Road 04/10/05

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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 57 Bury Road Gosport Hampshire PO12 3UE Lead Inspector Michael Gough Unannounced Inspection 23rd April 2007 10:00 57 Bury Road DS0000064244.V331838.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 57 Bury Road DS0000064244.V331838.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. 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 57 Bury Road Address Gosport Hampshire PO12 3UE 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) 020 8544 8900 02392 587852 www.caremanagementgroup.com Care Management Group Limited Mrs Christine Charlton Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 03/05/06 Brief Description of the Service: This service is owned by the Care Management Group and was first registered in 2005. The provider has two houses next door to each other in Bury Road and they are registered separately. The house has been refurbished to a good standard and provides a home for up to six people who have a learning disability. The home is situated close to the centre of Gosport and has good links to public transport. Care Management Group have printed detailed information about this service in their statement of purpose and service user guide, which is available from them. Fees at the home range from £1.390.67 - £1.660.52 per week. Service users are responsible for paying for their own toiletries, chiropody and items of a personal nature. 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the evaluation of the quality of the service provided at 57 Bury road and takes into account the accumulated evidence of the activity at the home since the last inspection, which was carried out on the 3 May 2006. Evidence for this report was obtained from reading and inspecting records, through talking to the homes manager and her deputy and from observing the interaction between service users and staff. The inspector also toured the building. Other evidence was gathered from a pre inspection questionnaire, which had been sent to CSCI by the manager, and from reports of monitoring visits by senior mangers of The Care Management Group. The findings of the previous inspection report of May 2006 were also reviewed. It was not possible to gain the views of people living at the home due to the nature of their learning disability, however the inspector had the opportunity to read the homes quality assurance questionnaires which were returned by 2 relatives and 2 care managers. The home is registered to provide support for 6 service users who have a learning disability and at the time of the inspection there were 5 service users living at the home with 1 vacancy. What the service does well: Staff at the home provide flexible support for each service user and they are supported to access the local community and to undertake leisure pursuits of their choice. All service users have day service activities provided by the home. There is an effective care planning system in place and each service user has a key worker who assists individual service users to be involved as much as possible in this process. There is a comprehensive staff recruitment process and this is thorough and the staff team appears motivated and committed to providing good quality care. The home provides a comfortable environment and bedrooms are furnished to reflect the needs and wishes of each individual service user. 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 57 Bury Road DS0000064244.V331838.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 57 Bury Road DS0000064244.V331838.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): 2&5 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that there will be a detailed assessment of their individual needs before they move into the home. EVIDENCE: No new service users have moved into the home since the last inspection. The inspector discussed how individual needs are assessed with manager and she showed that there is a thorough assessment process undertaken. The manager would be involved in carrying out a full assessment and social service assessments are also undertaken. Contracts for all service users have been amended since the last inspection and these now include clear information on the terms and conditions of the home. 57 Bury Road DS0000064244.V331838.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users have individual plans to enable staff to give them the support they require and they are encouraged and supported to make decisions about their day to day lives. EVIDENCE: Care plans were seen for 2 service users and these were comprehensive documents that gave staff clear information on what support was required and how and when this should be given, there was information on the service users routines in the mornings, afternoon and evenings and care plans were person centred, were written clearly and could be followed easily. Service users are involved as much as possible in the decision making process in the home and they were consulted on all aspects of their lives and their wishes were respected and acted upon. It was clear by observing the staff interacting with service users that they are encouraged and supported to make their own decisions and staff at the home respect their wishes and views. 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 10 Each service users plan seen had risk assessments in place for identified risks. There were also generic risk assessments for the home and all risk assessment identified the risk and gave information for staff on how any risk could be minimised. 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 11 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged and supported to be part of the local community and to be involved in appropriate activities. Support is given to enable service users to maintain social contacts and daily routines at the home respect service users rights and responsibilities. Meals at the home are flexible and service users benefit from a healthy diet. EVIDENCE: Service users interests are recorded in their care plans. Some of the interests are listed as music, art, outings to beach, videos, shopping, trips in the car, games and crafts. Through discussion with staff and from viewing care plans it was clear that these activities form part of daily programmes. All of the service users use a local day service and enjoy sensory activities. The home also meets service users cultural needs, they understand cultural expectations regarding diet and one service user goes shopping with staff to buy his food from a specialist shop in Portsmouth and staff have learnt how to cook this 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 12 food appropriately. The inspector observed service users choosing what to eat for lunch on the day of the inspection and also where to eat. Assistance was given by staff in an appropriate manner that suited the service users needs. Menus seen showed that service users were offered a varied diet that reflected the preferences identified in their individual care plans. Family involvement is encouraged and there is a clear visitors policy. All service users have family involvement and there were positive comments seen from family members in the homes comments book. 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal support in the way they prefer and service users physical, emotional and health needs are met. The homes policies and procedures with regard to medication provide protection for service users EVIDENCE: Care plans for individual service users gave information on personal care needs and this is offered by care staff of the same gender wherever possible and the staff team are flexible around the times when service users want their personal support. Service users are registered with different GP’s at 2 local surgeries. Dental checks are carried out through the local health centre that offers NHS treatment. A local optician who has experience in supporting people who have a learning disability conducts eye tests. Other health care professionals are contacted through GP referrals. The home also has input from the local learning disability team who provide valuable support to the home. Staff at the home monitor service users health and support service users to access appropriate healthcare professionals and to attend any appointments. 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 14 The home has clear policies and procedures in place for the receipt, storage and administration of medication. The home uses a monitored dose system and all staff at the home have undertaken training in medication administration procedures. There is clear information for ‘when required’ medication and the home only uses medication prescribed by the GP. One service user who suffers from epilepsy is prescribed rectal diazepam for use in the event of a prolonged siezure, staff authorised to adminster this medication have been trained to do so. There is a separate epilepsy care plan for this service user, however it does not give clear information for staff on when to seek ambulance assistance, this was discussed with the homes manager who said that she would amend the care plan immediately and therefore a requirement was not made on this occasion. 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by a simple, clear and accessible complaints procedure and the homes policies and procedures protect service users from any form of abuse. EVIDENCE: The home has a clear complaints procedure and this includes timescales for the complaint to be addressed and gives details of how to contact the CSCI. There have been no complaints since the last inspection. Service users are not able to verbally communicate, however staff members were aware of the homes complaints procedure and said that they would support any service users to make a complaint. Staff have received training in the protection of vulnerable adults and said that they would talk to the manager if they had any concerns, they were aware that they could go above the manager if they felt that this was appropriate. The home has a copy of the Hampshire Adult Protection Policy and the manager and her deputy knew who would take the lead in any adult protection issues. 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a well-maintained environment and service users have access to comfortable indoor and outdoor facilities. All areas of the home were clean, pleasant and hygienic and free from offensive odours and this provided a pleasant environment for service users and staff. EVIDENCE: The inspector toured the Premises and these were found to be clean and were comfortably furnished. All bedrooms were furnished to reflect the needs and interests of each service users and were personalised as much as possible. There is an enclosed garden to the rear of the property and this had a table and chairs and also a swinging hammock. The inspector was told that the service users were each decorating a panel of fencing in the garden to make it more colourful. There is a communal lounge dining area and kitchen which were spacious enough to accommodate them all comfortably. There is also a quiet room and the inspector was informed that service users like to take themselves in the quiet room to relax. This room was sparcely furnished and 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 17 the inspector was told that the intention was to buy some sensory equipment such as a projector and mirror ball. The home has a small utility room which containes a washing machine and tumble drier and these were adequate to meet laundry needs in the home. 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 18 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): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users at the home are protected by the home’s recruitment procedures and qualified and trained staff support service users. EVIDENCE: The staff team showed a commitment to providing a good service. New members of the team have settled very quickly to their role. The home employs a total of 16 staff and the manager showed the inspector records that evidenced that 2 staff have completed NVQ apprenticeship with another 3 members of staff studying for NVQ apprenticeship. 5 members of staff have NVQ level 3 and a further 3 are studying for this and there are 3 members of staff with NVQ2 with 2 studying for this. The inspector looked at the recruitment files of 2 staff members and both files contained all required information that showed that appropriate checks had been carried out. The organisation has a training co-ordinator and the manager sends a training needs analysis each month so that appropriate training can be facilitated. Training records showed that all staff have completed an induction and also food hygiene, moving and handling, fire safety, first aid and restraint training 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 19 (DIGMAN) managing aggressions, challenging behaviour and care practices. The home has an effective induction procedure, which covers in house procedures and also induction and foundation training. 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home and the registered manager is experienced and competent to run the home. Service users, relatives and other interested parties are consulted about the running of the home and there are policies and procedures in place. The health safety and welfare of service users and staff are promoted and protected. EVIDENCE: The registered manager has completed the Registered Managers Award and is currently studying for NVQ at level 4 in care. She has the skills and experience to effectively manage the home. Each resident has a named key-worker who works closely with the service user concerned, they are involved in decisions about the service provided for their particular key resident and have supported them to complete satisfaction surveys. Service user, relatives and care managers are included in yearly care reviews and these reviews are used to monitor how the home is meeting 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 21 its aims and objectives. Regular monthly regulation 26 visits are carried out and this is another opportunity to monitor the service. There are policies and procedures in place to ensure safe working practices in the home and all care staff undertake statutory training, which includes health and safety, food hygiene, first aid and manual handling. The home has a new style accident book and the fire logbook was inspected and all required testing had been carried out. Certificates were available for annual testing of equipment and services. Fire equipment was last tested in September 2006, Gas equipment tested in June 2006, Electrical wiring in May 2005 and private electrical equipment in June 2006. 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 22 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 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 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 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 23 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 57 Bury Road DS0000064244.V331838.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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