Inspection on 06/09/05 for 59 & 61 Whipton Barton Road

This inspection was carried out on 6th September 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

59 & 61 Whipton Barton Road 29/08/08

59 & 61 Whipton Barton Road 13/09/07

59 & 61 Whipton Barton Road 04/07/06

59 & 61 Whipton Barton Road 30/01/06

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 59/61 Whipton Barton Road Exeter Devon EX1 3NE Lead Inspector Susan Lyons Announced 6 September 2005 th 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. 59/61 Whipton Barton Road D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 59/61 Whipton Barton Road Address Exeter, Devon 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) 01392 462512 Devon Partnership NHS Trust Mr Colin G J McDill Care Home 4 Category(ies) of LD: Learning Disability (4) registration, with number of places 59/61 Whipton Barton Road D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The bedroom identified on the site visit is not occupied until a washbasin is fitted. - This condition has now been met. Date of last inspection This is the first inspection. Brief Description of the Service: The home was originally two semi-detached modern bungalows, now converted into one property which is registered as a whole, with the option to be two separate units. The home provides personal care for younger adults who have a learning disability. Accommodation for residents is provided in four single bedrooms. There are two lounge/dining rooms, two kitchens and two bathrooms. There is a garden to the rear and front of the property. The home is situated in a residential area of Exeter close to some local shops and it has nothing to distinguish it as a residential home. 59/61 Whipton Barton Road D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place in the morning. It was the first inspection since the home was registered. Although the home is registered to take four younger adults there is currently only one resident accommodated. The inspector was able to meet and talk to the resident as well as talking to the three staff on duty and the manager. A tour of the building took place and documentation was looked at. Currently the majority of the staff are employed by the Health Authority and are line managed by an external manager. The manager and deputy manager of the home are employed by Trust Residential Services (TRS). What the service does well: What has improved since the last inspection? This is the first inspection. 59/61 Whipton Barton Road D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 Page 6 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. 59/61 Whipton Barton Road D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 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 59/61 Whipton Barton Road D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 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) 2 In-house information informs staff of the residents’ needs. EVIDENCE: The resident currently at the home, has staff who have previously provided support. Therefore a shared assessment was not required. However there is detailed information available for staff information. 59/61 Whipton Barton Road D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 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, & 9 There is clear and consistent, care planning in place, which provides staff with the information they need to meet needs. Involvement in decision making is encouraged and the identification and management of risk protects residents EVIDENCE: The care plan process was seen and it contains very clear and detailed information for staff to follow. This includes descriptions of the answers to give to certain questions, which may be asked. There are also guidelines in relation to triggers and distraction techniques. There is also a copy of the completed Person Centred Plan. Where possible decisions in relation to daily living are made by the residents. Any restrictions are all documented. Risk assessments have been completed and these were seen on the file. They are detailed and clear. 59/61 Whipton Barton Road D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 15 & 17 Activities are resident led. Links with the community encourage resident’s social opportunities. The home has created an environment, which supports residents with family and friend relationships. Residents benefit from the provision of nutritious and varied meals, which they help plan. EVIDENCE: Activities are resident led and whilst the home hopes to be able to offer more variety in the long term it is recognised that this has to be at the residents’ own pace and include their choice. Community facilities are used as much as possible. Family and friend visits are encouraged and also other forms of communication. A weekly menu is available, which the resident has been involved in choosing. If there are specific needs in relation to meals they are well documented. 59/61 Whipton Barton Road D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 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 standard(s) 19 & 20 There is a multidisciplinary approach to maintaining physical and mental well being. The systems for maintaining resident’s medical needs and the administration of medication are good but lack of attention to detail in one area may compromise this. EVIDENCE: There is evidence of a variety of health professionals being involved in the care, and decisions being made with the involvement of professionals and family. A local GP provides health care and regular chiropody is available. Dental and other services will be accessed as and when they are required. Medication is provided in a monitored dosage system from a local pharmacy. It was noted that there was some gaps on the recording sheets although it would appear that the medication had been given. It was felt that the member of staff had forgotten to sign to say it had been given. 59/61 Whipton Barton Road D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 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 standard(s) 22 & 23 Residents are protected by the complaints and adult protection procedures. EVIDENCE: The home has a complaints procedure. No complaints have been received to date. Staff confirmed that they have received training in relation to the Protection of Vulnerable Adults and answered appropriately when asked what they would do in a specific scenario. 59/61 Whipton Barton Road D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 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 standard(s) 24 The standard of the environment within this home is good providing residents with an attractive, clean and homely place to live. EVIDENCE: The home has been redecorated throughout and specific care has been paid to ensuring that it meets individual needs. The bedroom occupied, has been personalised with personal possessions. In each end there is a dining room/lounge, kitchen and bathroom. In the occupied end of the home there is one bedroom and in the other end there are three bedrooms. 59/61 Whipton Barton Road D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 34 & 35 Staffing levels meet the needs of residents. Residents safety may be compromised by incomplete recruitment practice. Residents benefit from the commitment to training within the home. EVIDENCE: Currently the staffing levels are three members of staff on duty during the day and two waking members of staff on duty at night. This ratio is high but care is taken to ensure that this does not impinge on the residents need for privacy and time to be alone. Clear guidelines are available for staff to follow in relation to this. Recruitment paperwork was sampled. It was noted that for some staff who are directly employed by the Health Authority there were no CRB s available although it is believed that they have been completed. The manager had already recognised this and is in the process of obtaining new ones. Staff who spoke to the inspector felt that their individual training needs were being met and also said that if they thought there was a course they needed to attend then they would be able to request to do so. Statutory training is undertaken on a regular basis. 59/61 Whipton Barton Road D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 Page 15 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) 37 & 42 Residents benefit from a supported staff team. Fire safety is maintained but records do not evidence all aspects of this. EVIDENCE: Although all the majority of the staff at the home are not directly employed by Trust Residential Services (TRS) and they are not line managed by the manager, this did not seem to be a problem for them and staff felt able to go to the manager for support or to discuss any issues they may have. It appears that staff have received fire safety training but it is difficult to evidence as no central record is kept within the home. All other fire safety checks have been completed within the timescales required. Due to the needs of the home some designated fire doors have to be held open. It is not always possible to fit approved door openers for this. The manager said that a fire prevention officer has said that this is acceptable. There is no written evidence of this. 59/61 Whipton Barton Road D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 Page 16 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 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x x 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 59/61 Whipton Barton Road Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 Page 17 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. 2. Standard YA20 YA34 Regulation 13 (2) 19 (b) Requirement You are required to ensure that medication is signed for at the time it is administered. You are required to ensure that in respect of all staff working at the home a Criminal Records Bureau check has been undertaken. Timescale for action 7-10-05 7-11-05 3. 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. 2. Refer to Standard YA42 YA42 Good Practice Recommendations It is recommended that a record is maintained of staff fire safety training. It is that writen confirmation is received in relation to fire doors. 59/61 Whipton Barton Road D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Suite 1, Renslade House Bonhay Road Exeter EX4 3AY 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 59/61 Whipton Barton Road D54-D06 S64093 59WhiptonBartonRd V236294 060905 Stage 4.doc Version 1.40 Page 19 - 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. 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