Inspection on 12/10/06 for 6 Durlands Road

This inspection was carried out on 12th October 2006.

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

6 Durlands Road 09/08/07

6 Durlands Road 29/09/05

6 Durlands Road 18/04/05

6 Durlands Road 25/10/04

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 6 Durlands Road Horndean Waterlooville Hampshire PO8 9NT Lead Inspector Nick Morrison Unannounced Inspection 12th October 2006 10:00 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 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 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 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. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 6 Durlands Road Address Horndean Waterlooville Hampshire PO8 9NT 023 9259 1915 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) Robinia Care Group Ltd To Be Confirmed Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th September 2005 Brief Description of the Service: 6 Durlands Road is a large, detached care home providing personal care, accommodation and support for four young adults with learning disabilities and complax needs. The home was opened in August 2004 and is set in a residential area on the outskirts of Horndean, on the A3 between Guildford and Portsmouth. The home is one of many owned and run by Robinia Care, a national company based in the South of england. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit took place as planned and lasted for five hours. During this time the Inspector looked through all the service user files, spoke with three service users, the manager and two members of staff and toured the premises. All records referred to in the report were seen on the day of the visit. What the service does well: 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. The summary of this inspection report can be made available in other formats on request. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 6 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 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 7 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from having their needs assessed prior to admission to the home. EVIDENCE: Service user files showed that each service user had an assessment of need prior to moving into the home. The assessments had been completed with input from service users, where possible, and input from families. Assessments were written clearly and covered the range of different need areas. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from having clear individual plans in place and from support to take decisions and risks appropriate to their development. EVIDENCE: The home has a good care planning system that is centred on the needs and preferences of service users. Service users and their families had been involved in the care planning process and the care plans related to the needs identified in the initial assessment. There were different care plans for each different area of need. The plans detailed exactly what support each person required and how the support needed to be delivered. Each different care for each different service user was recorded against after each shift, resulting in comprehensive ongoing records. The care plans were reviewed on a monthly basis and service users were involved in this process. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 9 The care planning process emphasised the rights of service users and the importance of them being involved in decisions about their own care and their own lives. Risk assessments were contained within the care plans and were well written. They contained clear information about the identified risks and had appropriate control measures put in place to ensure that all risks were minimised as far as possible. The home had a very positive approach to risk assessments and they were clearly used to support service users to do things they wanted to do rather than highlighting risks as a way of preventing service users form doing things. This is evident in the wide range of activities service users were supported to take part in, as described in the next section of this report. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from being part of the community and involved in varied activities. They also benefit from regular contact with their families and a healthy diet. EVIDENCE: The home has a very positive approach to ensuring that service users are able to take part in a wide range of activities appropriate to young people. The list of activities service users had been involved in includes holidaying in Benidorm, white water rafting, going to nightclubs, Zorbing (which involves rolling down a hill inside of a giant, air-filled ball), rally driving, go-carting, iceskating, sailing, going to the cinema, doing voluntary work, going to concerts and going to fair grounds. Service users spoken with saw themselves as very active young people and enjoyed having the opportunity to try out different activities on a regular basis. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 11 Service users were supported and encouraged to maintain contact with their families and friends. One service user was supported to compile a family tree. Service users spoken with said that staff were always supportive in helping them to keep in contact with families and friends and this was confirmed by support in this area being recorded on service users’ care plans. The rights of service users were emphasised throughout the home. Care plans placed emphasis on this, as did the home’s policies. Staff observed during the visit were clearly aware of service users’ rights and of their own role in ensuring that rights were respected. Service users felt that the food in the home was very good. There were no set menus in the home, but service users met each Sunday, together with a member of staff, to plan the menu for the coming week. In order to facilitate this, the home had a large set of photographs of different foods to assist service users to make choices. The photographs were colour-coded into different food groups and service users chose food from the different groups to ensure they had a balanced diet. Records were kept of what food was consumed and these demonstrated that meals in the home were varied and nutritious. Service users also had tea-making facilities in their rooms. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users are protected by the home’s medication policy and practices and benefit from having their health and support needs met appropriately. EVIDENCE: Service users spoken with were happy about the personal care they received. Details o the support each person required were clearly recorded on care plans and staff spoken with were clear about what support each person required. Care plans and records demonstrated that service users’ healthcare needs were regularly monitored and that they were supported to access relevant healthcare services as necessary. This included emotional health needs and the care plans seen, and staff spoken with, confirmed that the home had a very positive approach to responding to difficult behaviours in the home. This was supported by good staff training. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 13 Medication in the home was well managed. Accurate records were kept of all medication coming into and going out of the home as well as all medication administered to service users. The home had a comprehensive medication policy in place which staff were aware of. There were clear guidelines in place where service users required ‘as and when’ medication, and these had been devised and agreed with GP’s. All staff involved in administering medication had received relevant training and understood their responsibilities within the process of administering medication. Samples of staff signatures were kept on file so that it was clear who had administered each piece of medication. Photographs of each service user were kept on medication records to ensure that staff administering medication did not make mistakes. The manager reported that they had never had any medication errors in the home. All medication was appropriately stored in a medication cabinet. Unfortunately, the cabinet also contained other items such as lighter fluid and confidential service user documents. The manager said that this was due to not having alternative and secure places to keep these items. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from a clear complaints policy and were protected by the home’s abuse policies and practices. EVIDENCE: The views of service users were central to all the day-to-day planning in the home. Care plans recorded clear individual goals for each service user and service users spoken with confirmed that they had been involved in setting these goals. The home also has monthly meetings for service users and minutes from these meetings showed that service users were encouraged and supported to come up with ideas about what should and should not happen in the home as well as ideas for different activities. Staff spoken with were very clear that their role was to support service users in a way that respected their right to make their own decisions. The care planning process placed a lot of emphasis on ensuring that service users were involved throughout the planning of their care and that their own views and decisions were to be respected. The home has an abuse policy in place to ensure that service users are protected from any kind of abuse. Staff had received training on identifying and responding to instances of suspected abuse and those spoken with were clear about the relevant issues and their responsibilities in this area. There was also a chart on the wall in the office to encourage staff to consider potential abuse issues throughout their work. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 15 There was an effective process in place where staff in the home needed to assist service users to manage their finances. This included accurate records and receipts for all transactions. The manager monitored records on a regular basis and the system was so precise that there were not any errors. Individual care plans were clear about what support each service user needed with their finances. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a comfortable, safe and clean home. EVIDENCE: The home was clean and tidy throughout, without detracting from the homeliness and comfort of the house. Staff did not place unnecessary requirements on service users to keep the home clean all the time, instead concentrating on service users having interesting activities to do and being able to relax in their own home. The home was regularly maintained and the manager reported that a new stair carpet was on order as well as new flooring in the kitchen and lounge areas. The gardens and conservatory areas of the home were accessible to service users and were nicely kept. The home also has a sensory room, which service users used for relaxation purposes. Three of the rooms had en-suite facilities 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 17 and the person living in the other room had his own bathroom just outside of his room. The home had adequate infection control procedures in place and staff were aware of these. Although the home was relaxed and comfortable, there were no issues identified during the inspection that related to hygiene and cleanliness in the home. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from being supported by competent, trained staff and are protected by the home’s recruitment policies and practices. EVIDENCE: Rotas showed that sufficient staff were on duty at all times in the home. Service users spoken with felt that were sufficient staff and spoke very highly of the staff that supported them. During the inspection visit the Inspector observed staff interacting with service users in a very calm and supportive manner. It was clear that staff were implementing strategies identified in the care planning process during all interactions with service users. Staff supported service users in a consistent way according to identified strategies and this clearly contributed to service users feeling happy and relaxed. The approach of staff observed on the day was wholly positive. They demonstrated that they understood the needs of service users and were skilled in communicating effectively with service users and supporting their personal development. Staff training records were good and showed that staff are able to access a wide range of training opportunities. Some of these training opportunities were also available to agency staff supporting people who live in the home. Staff spoken 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 19 with aid that the quality of training within the home was very good and that it was quite freely available. They felt that the organisation supported them well in having the skills to do their job. Training needs were identified through regular support and supervision sessions. These sessions took place on a regular basis and staff spoken with said they found the sessions very useful. In addition to this, the manager had introduced a system for holding de-briefing sessions for staff after they had been involved in difficult and trying situations in the home. This was a very positive measure aimed at supporting staff to understand difficult situations and to be able to learn from them. Staff interaction with service users in the home was extremely good and demonstrated that staff receive very good training in communication, dealing with difficult behaviours, supporting service users to be in control of their own lives and encouraging personal development. Staff records showed that all necessary pre-employment checks were carried out on each member of staff prior to them beginning work in the home. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well run home and they are protected by the home’s Health and Safety policies and practices. Their views are fully considered within the home’s quality assurance processes. EVIDENCE: The manager of the home is registered and has the skills, experience and qualifications to manage the home. A new manager has been appointed to the home and was due to start work in the week after the inspection visit. All the systems in place in the home, as well as the approach of members of staff, demonstrated that the home was managed for the benefit of service users. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 21 The manager of the home identified a range of quality assurance methods employed in the home including regular monthly visits from senior managers, regular questionnaires for service users, families and other professionals, input from service user meeting as well as individual service user input through the care planning process and through daily activities, behaviour and discussions. The manager and the deputy manger were receiving training in implementing quality assurance systems and were in the process of developing an action plan for the service based on input from service users and other people with an interest in the service. All staff had received health and safety training and workplace risk assessments were in place and regularly reviewed. Records were kept to show that all equipment was regularly serviced. All accident and incident records were clear and the manager regularly monitored and reviewed these in order to look for patterns and plan to decrease future occurrence of these. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 23 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. 1 Refer to Standard YA20 Good Practice Recommendations A suitable, safe place needs to be found to store service users’ money, passports, birth certificates and lighter fluid without them being in the medication cupboard. 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 6 Durlands Road DS0000060861.V316175.R01.S.doc Version 5.2 Page 25 - 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!