Inspection on 12/12/05 for 58 Park Road (Royal Mencap Society)

This inspection was carried out on 12th December 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

58 Park Road (Royal Mencap... 18/05/06

58 Park Road (Royal Mencap... 23/08/05

58 Park Road (Royal Mencap... 04/08/04

58 Park Road (Royal Mencap... 17/05/04

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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 58 Park Road (Royal Mencap Society) 58 Park Road Kettering Northamptonshire NN16 9LL Lead Inspector Mrs Judith Sansom Unannounced Inspection 12th December 2005 04:00 58 Park Road (Royal Mencap Society) DS0000012884.V272156.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 58 Park Road (Royal Mencap Society) DS0000012884.V272156.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. 58 Park Road (Royal Mencap Society) DS0000012884.V272156.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 58 Park Road (Royal Mencap Society) Address 58 Park Road Kettering Northamptonshire NN16 9LL 01536 416550 01536 711761 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) Royal Mencap Society Mr Keith Millhouse Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 58 Park Road (Royal Mencap Society) DS0000012884.V272156.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd August 2005 Brief Description of the Service: Park Road is registered to provide care for up to four adults who have a learning disability. The home is a four bed-roomed residential house located opposites a large park, close to Kettering town centre. Residents access a range of community facilities by bus or other transport. The house has a good-sized open plan dining kitchen and comfortable lounge. There is also a fully enclosed rear garden and patio, which provides a private and pleasant sitting area for residents. Residents access healthcare, occupational training and work in the community. The staff team supports residents to pursue an active social and recreational life style according to their individual needs and preferences. 58 Park Road (Royal Mencap Society) DS0000012884.V272156.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission of Social Care Inspection is upon the outcomes for residents and their views of the service provided. The methodology of case tracking is used to find out if the care being provided to the residents is of an acceptable standard and meets their individual needs. ‘Case tracking’ involves the review of resident’s records, meeting with them and talking with the care staff who provide the personal care to the selected residents. The inspection also includes a review of the homes’ procedures and processes to ensure that all practices carried out by the staff protect the residents. The inspection process includes the collation of information from residents, relatives and visitors to the home. The manager submits a completed preinspection questionnaire. From these information sources an inspection plan is developed. The inspection in the home was carried out on an unannounced basis during the late afternoon. The inspection process that included the preparation and inspection took approximately three hours. The primary method of inspection used was ‘case tracking’ which involved selecting 2 residents and tracking the care they receive through review of their records, discussion with the residents, the care staff and observation of care practices. What the service does well: This home provides a warm friendly and homely atmosphere for the four residents who live at Park Road. All residents are encouraged to retain as independent lifestyle as possible, and staff ensure that all residents are offered as many different experiences as possible. Staff provide and arranges good opportunities for the personal development of the residents. All staff spoken with were friendly and pleasant. They presented as competent, caring and very committed to the wellbeing and quality of life of the residents. The staff group is stable and well motivated thus contributing to ongoing high level of care being provided. A detailed training programme is in place for all staff. 58 Park Road (Royal Mencap Society) DS0000012884.V272156.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. 58 Park Road (Royal Mencap Society) DS0000012884.V272156.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 58 Park Road (Royal Mencap Society) DS0000012884.V272156.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): This group of standards could not be assessed as there have been no recent admissions to the home. EVIDENCE: Although there have been no recent admissions to the home, information was well documented within the resident’s files that identifies that all admissions were conducted at an acceptable pace with advocates, family and resident being involved in the decision making process. 58 Park Road (Royal Mencap Society) DS0000012884.V272156.R01.S.doc Version 5.0 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 & 9 The care files contain detailed and well documented information confirming that the current practices in the home ensures that the health care needs of the people living there are being met. EVIDENCE: Care plans are developed with the aid of the resident and contain comprehensive care planning information and records. The information provides sufficient guidance and instruction for staff to follow when care is being provided. The care plans details the personal aims and goal to be achieved by each resident. Risk assessments are routinely recorded covering a wide range of generic and individual activities for each resident. Staff stated the residents were encouraged and supported to increase their independence, both within their personal care, and day-to-day living. Records and observations confirmed this statement. One resident said that she was always involved in her care plan, and that she was helped to read it before she signed it. 58 Park Road (Royal Mencap Society) DS0000012884.V272156.R01.S.doc Version 5.0 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): 11,12,13,14,15,16 & 17 Staff are successful in ensuring that each resident is seen as a whole person. This is achieved by all residents having the opportunity of being involved in meaningful individual activities and to make pertinent decisions about their personal development. EVIDENCE: The residents spoke openly about their life in the home, and the number of different activities they are involved in. Whilst the residents are encouraged and facilitated to spend quality time with blood-family members, the residents clearly care very much for each other and see each other as a ‘family’. Files confirmed that staff involve the residents in drawing together a meaningful programme for each person, with detailed daily notes to aid the decision-making. Both residents spoken with confirmed that they enjoyed what they were doing during the day, and records confirm a varied programme of day activities 58 Park Road (Royal Mencap Society) DS0000012884.V272156.R01.S.doc Version 5.0 Page 11 according to their individual needs, abilities and preferences. These include college courses and specialist day centres. Residents are encouraged to take part in the daily living tasks of the home. One resident talked about the routines such as washing and/or drying up, keeping their rooms tidy. One resident talked about how another resident had made her a cup of tea and breakfast when it was her birthday. The staff proactively works towards the social inclusion of the residents and arrange a varied social programme. Residents confirmed how much they enjoyed going to the wide variety of pubs, restaurants, leisure facilities and social clubs. The residents help to decide and plan the week’s menus, and take into consideration individual choices and preferences. Records are maintained of the foods eaten to ensure that each resident is consuming an adequate level of food. This is particularly important when the mid-day meal is frequently undertaken away from the home. 58 Park Road (Royal Mencap Society) DS0000012884.V272156.R01.S.doc Version 5.0 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, Detailed records are kept of health care needs and actions taken to ensure healthcare assessment and treatment as needed, including routine checks ups from appropriate professionals. These actions confirm that resident’s health care needs are assured. EVIDENCE: Currently none of the residents have use of any technical aids, however records evidence that there is ongoing assessments and involvement with community health care professionals. Detailed records are held on each resident’s individual file that evidence essential checks are undertaken from a wide range of health care professionals. Where the issues are of a personal nature the staff have recorded this information in a sensitive manner. 58 Park Road (Royal Mencap Society) DS0000012884.V272156.R01.S.doc Version 5.0 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The management of complaints and protection processes within this home is well managed thus ensuring the residents are protected from harm and abuse. EVIDENCE: Information is displayed about the home informing the residents of what to do if they wanted to make a complaint. This is written in a manner that ensures all residents could understand the information that was being given. The information is further endorsed by the addition of pertinent pictures should any of the residents have a difficulty in reading the written word. The commission has not received any complaints since the last inspection. Staff have a clear understanding of the actions to take to safeguard the residents in the event of an allegation or a suspicions of abuse being made. This is in line with the locally agreed procedures. Records demonstrate that the occurrence of one incident that has happened since the last inspection at a day-placement, was handled in an appropriate and sensitive manner by the staff in the home. All necessary people have been involved in the information sharing process. 58 Park Road (Royal Mencap Society) DS0000012884.V272156.R01.S.doc Version 5.0 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 & 30 The environment provides a homely, safe, comfortable surroundings and is maintained to an acceptable standard. EVIDENCE: The home continues to be suitable to meet the needs of the residents who are currently living in the home. The home is decorated and furnished in a manner that promotes a homely atmosphere. Residents enjoyed showing the Inspector their rooms and told the Inspector how much they liked their rooms. Each room was highly personalised and the residents clearly enjoyed the experience of having their own room to decorate and use, as they wanted. One resident spoke of the collection of DVDs and how her and her friend sit and watch these if there is nothing else on the telly that they want to watch. One resident said that if she was cold she could turn the radiator up. There have been no changes to the toilet and bathroom facilities, and residents’ needs can be met by these existing facilities. Bathrooms were warm and homely. All areas were clean and hygienic. 58 Park Road (Royal Mencap Society) DS0000012884.V272156.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: This set of standards was not assessed at this inspection. For further information please refer to the inspection report of August 2005. 58 Park Road (Royal Mencap Society) DS0000012884.V272156.R01.S.doc Version 5.0 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 & 38 There is good leadership, guidance and direction to staff that ensures the residents receive consistent quality care. EVIDENCE: The Royal Mencap Society, the registered body of this care service carry out frequent checks on all aspects of the home to ensure that standards are being maintained. The manager of the home was not at the home during the inspection process. Residents talked about how they were involved in some of the decisions made in the home. Regular residents’ meetings are held when all residents are encouraged to express their feelings about the topics being discussed. The residents spoke of how they liked the staff and that they could talk to any of the staff at the home. 58 Park Road (Royal Mencap Society) DS0000012884.V272156.R01.S.doc Version 5.0 Page 17 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 X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 3 X X X X X 58 Park Road (Royal Mencap Society) DS0000012884.V272156.R01.S.doc Version 5.0 Page 18 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 58 Park Road (Royal Mencap Society) DS0000012884.V272156.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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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