Inspection on 15/08/05 for 58 Whichers Gate Road

This inspection was carried out on 15th 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 Whichers Gate Road 07/08/07

58 Whichers Gate Road 05/09/06

58 Whichers Gate Road 14/12/05

58 Whichers Gate Road 22/11/04

58 Whichers Gate Road 04/06/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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 58 Whichers Gate Road Rowlands Castle Hampshire Postcode Lead Inspector Pat Hibberd Unannounced 15.08.05 08:40 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. Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 58 Whichers Gate Road Address 58 Whichers Gate Road Rowlands Castle Hampshire PO9 6BB 023 9241 3141 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) Mr David Rodgers Mr David Rodgers CRH 3 Category(ies) of LD Learning Disabilities registration, with number of places Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 22.11.04 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. Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over two and a half hours and was the first of the 2005/2006 inspection programme. Seventeen of the forty-three standards relating to younger adults were assessed. There were no requirements identified on this occasion. The inspection included a tour of the home and garden. Discussions were held with three Service Users. The manager was not available during the inspection but contacted the Commission later in the day to discuss the findings of the inspection. Due to the Home not being staffed on a 24 hour basis there were no staff in the Home during the inspection. Staff views of the service could not therefore be ascertained on this occasion. A manager from another Home owned by the Provider attended the Home to support a Service User to an appointment but was unable to contribute to the inspection. A meeting has been arranged with the Provider Mr Rodgers who also manages the service to discuss the staffing arrangements in the Home. Service Users advised that they liked living in the home, felt involved in decisions reached about their home and, that they considered the staff treat them well. There are risk assessments in place in relation to the periods when staff are not in the Home to ensure their protection. Further details of which can be found in the main body of the report. Two Service User files were viewed which further contributed to the findings of the inspection. What the service does well: Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 6 What was evident during this inspection was the Providers commitment to ensuring the service offers a semi independent lifestyle for the three Service Users within a risk management framework of care. Service Users indicated that they feel able to talk to the staff who are always available on the telephone when not on duty in the Home and, that their needs are met as detailed in the care plans viewed. It was further evident that Service Users are fully involved in compiling their care plan and in any review held. 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 Service Users who were 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: One requirement from the last inspection had not been fully met. This related to the need for the Home to have a rota detailing who was on duty and/or on call. Whilst there was a rota in the Home it did not include the manager . On the day of inspection Service Users and a staff member were unclear as to when he would next be on duty. The manager did contact the Commission later in the day to confirm he had a day off and would be on duty the next day. He acknowledged the need to ensure this information was documented on the rota for the benefit of Service Users and staff. This will be followed up at the next inspection. Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 7 The Home needs to further ensure Service Users Social Services care management assessments and contracts are available for inspection. This will also be followed up at the next inspection. 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. Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 8 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 Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 9 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) 2 There is a comprehensive assessment process ensuring Service Users’ needs are identified by the home prior to admission. EVIDENCE: The Home has an extremely comprehensive process of assessment which is undertaken by the Home’s manager and a senior member of staff prior to a placement being offered to a Service User. The process would include a prospective Service User visiting the Home prior to a placement being offered during which time interaction between Service Users currently accommodated would take place and staff views gained. A number of visits would take place (if appropriate) before a firm offer of a placement is made. There have been no new admissions to the Home since the last inspection. Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6,7 and 9 The arrangements for care planning are consistent for all Service Users, ensuring their care needs are met within a risk management framework. Service Users are able to make decisions about their chosen lifestyle with assistance as needed. EVIDENCE: Two Service User files were viewed and the care discussed with the individuals. The Service Users indicated that they were fully involved in compiling their care plan with staff and kept their personal file in their bedroom. The care plans had a range of information relating to the individual and the support required to ensure their needs are being met including a number of risk assessments which had been monitored and reviewed. Further discussions with the three Service Users confirmed that whilst there is not a key worker system operated in the Home they felt able to talk to all of the staff and make decisions as to their chosen lifestyles within a risk management framework of care. Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 11 Daily records and reviews held in files indicated that Service Users had contributed to care arrangements and that staff were discussing their individual needs to ensure continuity of care. Care management assessments and Social Services contracts however, were not available in the individuals files . Due to the manager not being available in the Home on the day it was agreed with the manager on the telephone later in the afternoon that he would ensure they were available at the next inspection. Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 12 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. Social activities, family contacts and meals are well managed providing service users with choice, independence and opportunities for personal development both in the home and community. EVIDENCE: All of the Service Users accommodated have part time employment . Service Users indicated that they enjoyed their work which provides them with a community presence, companionship and fulfilment. Files viewed confirmed that reviews of the placements are undertaken with the Service User, staff at the Home and the employer to ensure the individual is happy and receiving the appropriate level of support needed. Since the last inspection Service Users have been on an annual holiday to Disneyland supported by staff. They are also involved in a range of community activities including trips to the “pub” , theatre, shopping and Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 13 swimming. Service Users indicated that they enjoyed listening to music and watching television. cooking in the Home , Due to the independence of the Service Users and the Home not being staffed on a 24 hour basis discussions were held as to whether Service Users considered they had sufficient interests and support to pursue their chosen lifestyles. All indicated that they were” very happy with their life and would not want to change anything at the moment”. Staffing can be flexible however, dependent on activities arranged. For example when Service Users wish to go out for an evening staff support is arranged. The home has one unmarked vehicle available for service users. All Service Users accommodated can vote if they so wish. There is regular contact with family and friends with visitors being welcome to the Home . There is an intercom and camera installed to enable Service Users to see and speak to anyone visiting the Home of which Service Users were able to explain how and when they use the system. There were a range of risk assessments in files viewed in relation to Service Users accessing the community and undertaking tasks in the Home with or without staff support. Menus were discussed with the Service Users who explained that they are fully involved in shopping, preparing and cooking their own meals. The menu was varied and nutritious. At the last inspection a requirement was made for all opened food in the fridge to be labelled . On inspection of the fridge this requirement had been met with Service Users also able to explain their understanding of why this needs to be done. Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 14 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) 18,19 and 20 The health needs of Service Users are well met with evidence of good multidisciplinary working taking place on a regular basis. Personal support is provided in a way which promotes and protect Service Users’ privacy and dignity. There are satisfactory systems in place to monitor service users’ ability to self medicate. EVIDENCE: All Service Users have access to a GP with two care plans viewed confirming that they also have access to all health professionals as required including the local community learning disability health team. Details of preferred personal support needs for Service Users were available in their files although due to their independence minimum support is required. The information was detailed however, and had been regularly reviewed by the manager and staff team to ensure they had read and understood the guidance Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 15 documented. Staff were not able to be observed supporting Service Users with their personal care although Service Users indicated that they received the support they required and in a way that they were satisfied with. At the last inspection requirements were made for the manager to ensure he consults with the pharmacist with regards to the Homes dispensing process and, that a record is held of all medication self administered by Service Users including over the counter medication. Advice was also required to be sought from the Service Users GP with regards to self administration and any risks associated. This work has been completed . One Service User who self medicates was able to demonstrate that their medication is securely locked in a drawer and, that there are up to date records kept of when they take their medication. They were aware of the need to contact staff if they had any concerns and a risk assessment was available in their file to that affect. Staff monitor the records every two days with the service user only holding two days medication at a time. Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 The home has a satisfactory complaints policy and procedure ensuring Service Users concerns are addressed. Arrangements for protecting Service Users are satisfactory. EVIDENCE: There is a complaints procedure which documents the process undertaken by the Provider in the event of a complaint being made. In discussion with Service Users it was evident that they would be happy to talk to any of the staff or the manager should they have a complaint. The Service Users indicated that they did not have any complaints and were very happy with their life style and support received from the staff and manager. At the last inspection the manager indicated that Adult Protection training had been undertaken by all staff. Staff understanding of the process could not however, be determined on this occasion and will be followed up at the next inspection. Service Users have a lockable box in their room to keep money and valuables secure. The Provider is the appointee for all of the Service Users . One Service User was able to explain how they collected their personal allowance each week and, how they kept account of their savings in their diary. Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 17 Due to the Home not being staffed on a 24 hour basis risk assessments have been undertaken with regards to the arrangements in place to ensure the protection of the three Service Users. As detailed in a previous section the front door has an intercom and camera system . All Service users were able to explain what they should do in the event of a fire/use of electrical appliances including the cooker, washing machine, dish washer, television and video /bathing/handling of cleaning products with risk assessments to this affect being available in their individual files. Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 18 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 The home was clean, hygienic, homely and comfortable ensuring a suitable environment is provided for Service Users. EVIDENCE: All Service Users have their own bedroom which is individually decorated . Service Users indicated that they had been fully involved in choosing the colour scheme and decoration. The Home has a lounge and separate dining area which provides a comfortable and homely environment for Service Users. There is a good size kitchen which was clean, bright and airy. COSHH ( control of substances harmless to health) sheets are available for staff . Service Users were able to explain what products they use for each cleaning task when staff are not in the Home. There is a washing machine in the kitchen and dish washer and hand washing facilities. Service users explained that they were aware that they should not use the washing machine whilst they are cooking or, if preparing a snack. Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 19 Staff training in this area was not inspected on this occasion. The home has polices and procedures in relation to infection control although these were not inspected on this occasion. Although there are no Service Users accommodated with a physical disability at the last inspection discussions were held with the Provider in relation to an assessment being undertaken of all of the Service Users using the stairs and , whether there is a need for a stair rail. This transpired from discussions held between the inspector and the three Service Users who felt they would find it helpful to have a rail installed. The rail has been installed with Service Users indicating that this assists them using the stairs. Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 20 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) 33 Staffing in the Home is adequate and meets the current needs of service users. EVIDENCE: Rotas were viewed with Service Users able to advise that there are staff on duty in the Home on a Tuesday between 11am and 4pm , Thursday 9am and 3pm and a Sunday between 9am and 2pm. At all other times there is always a member of management of call . Details of the telephone numbers and who to contact were on the wall in the dining room. Service users indicated that they are happy with the staffing arrangement and enjoy the independence it enables them to have. A meeting has been arranged with the Provider David Rodgers who is also the manager of the Home to discuss the staffing arrangements in the home. Service Users indicated that they knew how to contact staff and, that staff were always available when they phoned the on call number. However, the manager was not included on the rota and Service Users were unclear as to when he was next on duty. The requirement from the last inspection therefore has not been fully met. This related to the need for the Home to have a rota detailing who was on duty Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 21 and/or on call. Whilst there was a rota in the Home it must include the manager. The manager did contact the Commission later in the day to confirm he had a day off and would be on duty the next day. He acknowledged the need to ensure this information was documented on the rota for the benefit of Service Users and staff. This will be followed up at the next inspection. Due to the manager not being available during the inspection training was not assessed on this occasion. Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 22 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) No Standards were inspected on this occasion. EVIDENCE: Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 x 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 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 2 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Name Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 24 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 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 Good Practice Recommendations Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 25 Commission for Social Care Inspection 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. Extracts may not be used or reproduced without the express permission of CSCI Name H54 S11747 58 Whichers Gate Road V218681 150805.doc Version 1.40 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!