Inspection on 23/08/05 for 58 Park Road (Royal Mencap Society)

This inspection was carried out on 23rd August 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... 12/12/05

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 Park Road, 58 58 Park Road Kettering Northants NN16 9LL Lead Inspector Trisha Gibbs Unannounced 23 August 2005, @ 1.00 p.m. 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 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 Stationary 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. Park Road, 58 C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Park Road, 58 Address 58 Park Road Kettering Northants NN16 9LL 01536 416550 01536 711761 Telephone number Fax number Email 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 Only (PC) 4 Category(ies) of Learning Disability (LD) 4 registration, with number of places Park Road, 58 C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 4th August 2004 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 bedroomed residential house located opposite a large park, close to Kettering town centre. Service users 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 small fully enclosed rear garden and patio, which provides a private and pleasant sitting area for service users. Service users access health care, occupational training and work, in the community. The staff team supports service users to pursue an active social and recreational life style according to their individual needs and preferences. Park Road, 58 C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took two and a half hours and was undertaken at 1.00 p.m., and was the first statutory unannounced Inspection this year. The focus of Inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users. The primary method used during this Inspection was that of case tracking, which involved selecting two service users currently living at the home, and tracking the care they are receiving through looking at their records and talking to staff. The Inspector spoke to four members of staff, and to the Registered Manager. The Registered Manager had a pre-arranged commitment and was available only at the outset of the Inspection. An Inspection of the premises was also carried out. The service users were attending for day and community services for the duration of the Inspection, however the Inspector met one service user on his return from an activity. Additional documents were also looked at. This was a positive Inspection. What the service does well: Provides a very good range of individualised care planning documents and risk assessments for each service user. Offers pleasant, good quality accommodation in a small, normal family setting. Gives good consideration to service users’ individual needs, and provides good opportunities for the development of their independence skills. Provides a good training programme to a motivated staff team. Advocates on behalf of service users. Park Road, 58 C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 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. Park Road, 58 C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Park Road, 58 C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 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 standard(s) x It was not possible to assess Standard 2 in the absence of any recent admissions to the home. EVIDENCE: Although there have been no recent admissions to the home, there was good evidence within files, that current service users have their needs routinely re assessed through care planning review systems. Park Road, 58 C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 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 standard(s) 6,7 and 9 Service users are enabled to make choices, take acceptable risks, and to have their needs met. EVIDENCE: • The two files looked at contained very good detailed care planning information and records, covering all aspects of that service user’s daily life. One set of care planning documents were due for review in April, and the key worker indicated that this was now being attended to following a recently held annual review meeting on that service user. There was good evidence on files, of key worker involvement with service users. Documents were seen that outlined key worker responsibilities and conversations with staff confirmed that the key worker role is an active one. A very good range of Risk Assessments for generic and individual activities was seen on file. Staff also confirmed that service users were encouraged and supported to increase their independence, both within C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 Page 10 • • Park Road, 58 their personal care, and day-to-day living, and described how the risk assessment process was utilised for this. • Weekly service user meeting minutes provided good evidence to demonstrate that they participate in, and are consulted about, all aspects life at the home. The Inspector was impressed to learn; through reading the minutes, that service users often assist with the interviewing of new staff. Meal planning, appointments, and outings are routinely on the agenda. Park Road, 58 C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 15, 16 and 17 Service users are supported to enjoy a lifestyle based on normal living principles, and to access a good range of leisure and community activities. EVIDENCE: • The two service user files looked at provided good evidence that each service user, both having very different needs, was supported to engage in meaningful day time activities. One service user, whose needs were not being fulfilled through his daytime services, had recently had his needs re assessed through the care management system, following active and commendable advocating on his behalf from staff. He now has appropriate, allocated hours of one to one support and his daytime activities are tailored to his needs. Another service user leads a very active life, enjoying further education, and work experience opportunities. Good work is being undertaken with C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 Page 12 • Park Road, 58 • her by the staff team to increase her confidence and independence, with a view to her ultimately moving to a supported living setting. Staff said that service users attend for social activities locally, including at the leisure centre village, and Gateway club. Staff and service users celebrate birthdays and special occasions by going out for a meal. Service users are involved in daily living household tasks, according to their abilities. Staff confirmed that service users moved freely about the home and that routines were flexible. A service user, who has considerable needs, on returning from day services, walked around the house and garden as he pleased, supervised by a staff member in a nonimposing manner. Staff confirmed that family and friends are welcome to visit the home. Two service users maintain very close links with their families who are also included in care planning processes. Meals are eaten around a large wooden dining table in the light, open plan kitchen. Service users individual preferences are catered for, as evidenced in meal record charts and care plans. On the day of the unannounced Inspection, there was a large bowl of fruit in the kitchen and fresh vegetables in evidence. Two service users prepare their own packed lunches each day. • • • Park Road, 58 C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 19 Good attention is given to the personal and health care needs of the service users. EVIDENCE: • Service users’ care plans and reviews provide good information about their personal support needs and routines. One member of staff said that care plans are actively referred to, and would be adapted when service users become more independent in their personal care. Staff described how key workers assist service users to make decisions about their personal appearance, and to choose and purchase new clothes and personal items. Families are sometimes involved in this process. Service user care plans contained clear details about general and specific healthcare needs. Routine health care appointments were recorded on file, along with specialist consultant appointments. One service user, whose file was inspected, has significant health and medical needs, requiring regular input from Health professionals. This is all well documented. Again there was an example of a member of staff C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 Page 14 • • Park Road, 58 advocating strongly on a service user’s behalf, to a General Practitioner, for appropriate medical attention to be provided. This is commendable. Park Road, 58 C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x N/A EVIDENCE: The above Standards were not inspected on the occasion of this Inspection and will be inspected during the second Inspection of the home later this year. Park Road, 58 C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 and 30 58 Park Road provides a homely, clean and comfortable environment for the service users living there. EVIDENCE: • The Inspector looked at all of the accommodation provided for service users. The house was pleasant, clean and fresh throughout. Communal areas offered good space and were furnished to a very good standard. The lounge was nicely carpeted and decorated in deep colours, having a large bay window, providing a good view across the park. The house from the outside looks exactly like others in the road. Bathrooms and toilet facilities were very clean and decorated to a good standard. • Park Road, 58 C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 Page 17 • Service user bedrooms were highly individualised, each room displaying various items, photographs, and ornaments to reflect personal style and interest. All service users have televisions and music systems in their rooms. There is a well-maintained, enclosed garden, with flowers and shrubs, and a patio area to the rear of the house. • Park Road, 58 C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Service users are provided with care by an appropriately trained and well supported, staff team. EVIDENCE: • The Registered Manager indicated that at least five of the staff team are undertaking, or about to undertake, NVQ level 3, some having achieved level 2. Staff members spoken to were positive and enthusiastic about their NVQ training. One newer member of staff had just completed the LDAF induction and foundation training. Although the Inspector was unable to see the staff training programme on the occasion of this Inspection, discussions with the staff on duty confirmed that in addition to the above training, other essential basic training is routinely carried out, such as Fire Practice, Food Handling, First Aid, moving and Handling. Those spoken to appeared knowledgeable about the service users’ individual needs and care plans, and demonstrated a very positive attitude to their work. Staff confirmed that they receive monthly supervision and attend for regular staff meetings. C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 Page 19 • • Park Road, 58 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) x N/A EVIDENCE: The above Standards were not inspected on the occasion of this Inspection and will be inspected during the second Inspection of the home later this year. Park Road, 58 C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x 3 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Park Road, 58 Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 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. 1. Standard Regulation NONE 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 NONE Good Practice Recommendations Park Road, 58 C51 C08 S12884 58 Park Road V244593 230805 Stage 2.doc Version 1.30 Page 22 Commission for Social Care Inspection Northamptonshire Area Office Newland House, First Floor Campbell Square Northants, 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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