Inspection on 14/12/05 for 58 Whichers Gate Road

This inspection was carried out on 14th 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 Whichers Gate Road 07/08/07

58 Whichers Gate Road 05/09/06

58 Whichers Gate Road 15/08/05

58 Whichers Gate Road 22/11/04

58 Whichers Gate Road 04/06/04

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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 Whichers Gate Road Rowlands Castle Hampshire PO9 6BB Lead Inspector Mrs Pat Hibberd Unannounced Inspection 14th December 2005 09:30 58 Whichers Gate Road DS0000011747.V268365.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 Whichers Gate Road DS0000011747.V268365.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 Whichers Gate Road DS0000011747.V268365.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 58 Whichers Gate Road Address Rowlands Castle Hampshire PO9 6BB 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) 023 9241 3141 Mr David Rodgers Mr David Rodgers Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 58 Whichers Gate Road DS0000011747.V268365.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category LD are only to be admitted between the age of 30 and 55 years 15th August 2005 Date of last inspection Brief Description of the Service: 58 Whichers Gate is a three-bedroom house located on the outskirts of Rowlands Castle. The manager is Mr David Rodgers who also owns the Home and two other Homes registered with the Commission. The service provides an ordinary living setting for three people with a learning disability. The Home is not staffed on a 24-hour basis as support is targeted to the needs of the three Service Users accommodated. There are however, staff on call at all times. The Home is close to the village of Rowlands Castle, which has a number of small shops. Havant can be reached by bus although the Home has an unmarked vehicle available for Service Users to use. All the Service Users have their own bedroom and access to all parts of the Home with the exception of the office when staff are not in the Home. 58 Whichers Gate Road DS0000011747.V268365.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over two hours and was the second unannounced inspection of the 2005/2006-inspection programme. The inspector focussed on care provided to residents, discussions with the manager, two staff and inspection of documentation relevant to this inspection. Seven standards were assessed on this occasion. No requirements were identified. All of the core standards for younger adults have now been inspected during the 2005/2006-inspection year. The inspection included a tour of the home and garden. Time was spent with one resident with a view to gaining an understanding of care provided and to observe staff interaction and support. The commission also received a completed pre inspection questionnaire from the Home of which information provided would also be included within this report. The term residents will be used throughout this report as agreed with the manager. What the service does well: What was evident during this inspection was the Providers commitments to ensuring residents are able to pursue a semi-independent lifestyle within a risk management framework of care. One resident indicated that they feel able to talk to the staff that are always available on the telephone when not on duty in the Home. and, that their needs are met. It was further evident from discussions held with the individual that they are fully involved in all aspects of their care. 58 Whichers Gate Road DS0000011747.V268365.R01.S.doc Version 5.0 Page 6 Due to the Home not being staffed 24 hours a day the manager and staff have compiled a range of risk assessments addressing all aspects of care provision. These include issues of protection, which were detailed and regularly monitored with the residents one of whom was able to explain their understanding of why they had been compiled and the need to inform staff should they have any concerns. 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 Whichers Gate Road DS0000011747.V268365.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 Whichers Gate Road DS0000011747.V268365.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): All core standards have been assessed during this inspection year. EVIDENCE: 58 Whichers Gate Road DS0000011747.V268365.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): All core standards have been assessed during this inspection year. EVIDENCE: 58 Whichers Gate Road DS0000011747.V268365.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): All core standards have been assessed during this inspection year. EVIDENCE: 58 Whichers Gate Road DS0000011747.V268365.R01.S.doc Version 5.0 Page 11 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): All core standards have been inspected during this inspection year. EVIDENCE: 58 Whichers Gate Road DS0000011747.V268365.R01.S.doc Version 5.0 Page 12 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): All core standards have been assessed during this inspection year. EVIDENCE: 58 Whichers Gate Road DS0000011747.V268365.R01.S.doc Version 5.0 Page 13 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): All core standards have been assessed during this inspection year. EVIDENCE: 58 Whichers Gate Road DS0000011747.V268365.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,33,34 and 35 The home’s recruitment practices are satisfactory, ensuring residents are protected. Resident’s benefit from sufficient, competent and well trained staff. EVIDENCE: During the inspection observation of staff support indicated that they were interested, motivated and committed to the needs of residents in the Home. They were observed communicating effectively with the individual who was at Home and demonstrated knowledge and understanding of their needs. National Vocational Training (NVQ) 2 training has been completed by one of the three staff working in the Home. In discussion with one staff member they considered the manager to be providing a range of training that meets their needs and welcomed the opportunity of commencing NVQ level 3 training in the New Year. The staff team consist of three support workers and a manager. Rotas viewed indicated that there are staff on duty in the Home between 11am and 4pm on a Tuesday, 7pm and 10pm on a Thursday and 9am until 2pm on a Sunday during week one. During week two the home is staffed between 9am and 1pm on a Tuesday, 4pm and 10pm on a Wednesday, 4pm and 10pm on a Thursday, 4pm and 10pm on a Friday and 10am and 4pm on a Sunday. At all times there is a member of staff on call. In discussion with one resident they indicated, “ We don’t need staff all the time as we want our independence “ “ Here is the on call number there is always a member of staff on the end of a phone “. 58 Whichers Gate Road DS0000011747.V268365.R01.S.doc Version 5.0 Page 15 However, staffing levels are regularly reviewed to reflect residents’ changing needs. For instance due to a resident’s recent ill health staffing was increased for a period to ensure the individual’s needs were met. Three staff files were inspected which indicated that recruitment practices are thorough with all applicants undertaking a CRB (Criminal Record Bureau) check, having to provide two written references and complete a satisfactory three month probationary period before being confirmed in post. Residents are fully involved in the recruitment procedures. For example prior to an applicant being offered a post they would meet with residents in the Home as part of the recruitment process. Residents views/interaction would be observed and contribute to a decision as to whether the applicant is offered a position in the Home. A resident indicated that they had recently met with an applicant and that their views had been considered prior to the individual being confirmed in post. Training is organised by the manager. All staff have their own training and development assessment with one staff member spoken to confirming that they receive regular training that is provided as identified during supervision. Three staff files viewed indicated that staff have received a range of training, which includes fire safety, adult protection, food hygiene, moving and handling, fire and infection control. The manager indicated that all new staff undertake a thorough induction that utilises the Skills For Care Framework (formerly TOPPS). 58 Whichers Gate Road DS0000011747.V268365.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): 37,39 and 42 There is an experienced and effective manager who ensures residents’ views contribute to all developments of the Home and service provided. Systems in place to ensure the health and safety of residents are satisfactory. EVIDENCE: The manager Mr Rodgers has a wealth of experience having owned and managed residential care homes for a number of years. Mr Rodgers is currently completing NVQ Level 4 and has undertaken further training that includes fire safety. Mr Rodgers has a range of responsibilities and indicated that these include ensuring the written aims and objectives of the Home are met, policies and procedures are implemented, the budget is properly managed and residents are aware of their terms and conditions of residency. From discussions with one staff member and one resident and documentation viewed Mr Rodgers is demonstrating his ability to ensure systems are in place to achieve and meet his role and responsibilities and, provide effective leadership and management of the Home. 58 Whichers Gate Road DS0000011747.V268365.R01.S.doc Version 5.0 Page 17 The Home has an annual development plan with monthly objectives in place to measure outcomes for residents in respect of their care, staff and environment. Residents meetings are held monthly and are minuted. One resident confirmed that staff always follows up action identified during a meeting. Further systems implemented to ensure there is an effective quality assurance and monitoring of residents’ views include care plan and risk assessment evaluations on a monthly basis – or sooner if required and monthly visits undertaken by a manager of which copies of the outcome of those visits are forward to the commission. The manager regularly reviews all policies and procedures. Systems in place in the Home to ensure the health and safety of residents were satisfactory. These include monthly risk assessments of the building, regular fire checks and fire training of both staff and residents, food hygiene/infection control/moving and handling and COSHH (Control of substances hazardous to health) training for staff and gas and electrical appliance checks. Each resident has a fire evacuation risk assessment that is reviewed monthly. One resident was able to explain instructions they had been given by the manager in the event of a fire. There are smoke alarms throughout the Home. PAT (portable appliance testing) had been undertaken during this month. All food and freezer temperature records were up to date. Due to the absence of staff on duty 24 hours a day in the Home there is an intercom system at the front door. This allows residents to see and make a decision as to whether they wish to invite a caller into the Home prior to opening the door. 58 Whichers Gate Road DS0000011747.V268365.R01.S.doc Version 5.0 Page 18 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 X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 3 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 58 Whichers Gate Road Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000011747.V268365.R01.S.doc Version 5.0 Page 19 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 Whichers Gate Road DS0000011747.V268365.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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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