Inspection on 25/08/05 for 61 New Road

This inspection was carried out on 25th 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

61 New Road 23/10/08

61 New Road 26/10/07

61 New Road 05/01/07

61 New Road 25/01/06

61 New Road 14/12/04

61 New Road 02/08/04

61 New Road 16/03/04

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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 61 New Road 61 New Road Netley Abbey Southampton SO31 5AD Lead Inspector Craig Willis Unannounced 25.08.05 10:00 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. 61 New Road H54 S12358 61 New Road V243829 25.08.05.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 61 New Road Address 61 New Road Netley Abbey Southampton SO31 5AD 023 8045 3347 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) New Support Options Limited To be confirmed CRH 6 Category(ies) of LD Learning Disability registration, with number of places 61 New Road H54 S12358 61 New Road V243829 25.08.05.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: There are no additional conditions of registration. Date of last inspection 14.12.2004 Brief Description of the Service: 61 New Road is registered to provide care and accommodation for 6 people with learning disabilities. The service is provided by New Support Options and the building is owned by Downland Housing Association, who are responsible for maintenence. Each service user has their own single bedroom and has access to communal bathrooms, lounge, dining room, conservatory, kitchen and garden. The home is located within 50 metres of local shops and pubs in the village of Netley Abbey. 61 New Road H54 S12358 61 New Road V243829 25.08.05.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the first of the year April 2005 to March 2006 and took place between 10am and 1.30pm. During the visit the inspector met with two members of staff and three of the service users. Comment cards were received from the relatives of three service users. What the service does well: What has improved since the last inspection? What they could do better: 61 New Road H54 S12358 61 New Road V243829 25.08.05.doc Version 1.40 Page 6 The manager needs to make sure that suitable employment checks have been carried out on staff working in the home, but employed by a different organisation. The organisation needs to make sure that an application for registration of a manager is made to the Commission for Social Care 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. 61 New Road H54 S12358 61 New Road V243829 25.08.05.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 61 New Road H54 S12358 61 New Road V243829 25.08.05.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 The home has good systems to assess the needs and aspirations of service users, which gives staff the required information to meet their needs. EVIDENCE: The records of three service users were viewed and each contained a ‘vital information profile’. This document set out the assessed needs and aspirations of service users. No service users have moved into the home since the last inspection. 61 New Road H54 S12358 61 New Road V243829 25.08.05.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 and 9 There are clear care planning and risk assessment systems in place, which provide staff with the information required to meet the needs of service users. EVIDENCE: The records of three service users were viewed during the inspection. Each service user had an individual plan, which set out how their assessed needs should be met. The plans also contain goals for service users’ personal development. Risk assessments had been completed for each service user, detailing what specific risks they face and action that staff should take to reduce the risks. The risk assessments and care plans are reviewed each month. 61 New Road H54 S12358 61 New Road V243829 25.08.05.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, 14, 15 and 17 The home supports service users to take part in a good range of leisure and educational activities and to maintain family relationships. Dietary needs of service users are well catered for with a balanced and varied selection of food available EVIDENCE: Service users spoken with said that they enjoyed the educational and leisure activities they took part in. Activities included courses at a local college, exercise classes, line dancing, bowling and bingo. One service user said that they were a member of a local church. Support was provided for service users to maintain contact with family and friends. On the day of the inspection two service users were meeting up with members of their family. Details of the support required were included in service users’ plans. Comment cards received from three relatives said that 61 New Road H54 S12358 61 New Road V243829 25.08.05.doc Version 1.40 Page 11 they were welcomed in the home and were kept informed of matters affecting their relative. Service users spoken with said that the food was good and they were able to have a choice of meals and eat at a time which suited them. The home has a planned menu, which provides a varied and balanced diet. 61 New Road H54 S12358 61 New Road V243829 25.08.05.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 The personal care and health needs of service users are met with evidence of access to a range of NHS services. The medication system at the home is well managed, which protects service users. EVIDENCE: Service users spoken with said that staff treat them well and provide personal care in the way they prefer. Details of the personal care support needed were included in service users’ individual plans. Service users said they were able to see the doctor and dentist when they needed to. Records were made of visits to health services, including GP, dentist, optician, well woman clinic and chiropodist. The records contained details of any advice given by the practitioner. At the time of the inspection none of the service users were administering their own medication. A monitored dosage system was being used and medication was stored in a locked cabinet in the office. Medication administration records 61 New Road H54 S12358 61 New Road V243829 25.08.05.doc Version 1.40 Page 13 had been fully completed. Staff had completed assessed medication training, which was repeated every six months. 61 New Road H54 S12358 61 New Road V243829 25.08.05.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 Service users are confident the home will listen to complaints and act on them. The home has suitable procedures in place to protect service users from abuse and staff have a good understanding of adult protection issues. EVIDENCE: The home had copies of New Support Options’ complaints procedure, which included how long it will take for a complainant to receive a response and contact details of the Commission for Social Care Inspection. Service users spoken with said they know how to make a complaint and were confident that it would be taken seriously. The record of complaints was not viewed and will be assessed at the next inspection. Two of the staff were spoken with, both of whom demonstrated a good understanding of adult protection issues and action they would take if abuse was reported or suspected. The home had a copy of the New Support Options’ adult protection policy and the procedure followed by the local authority. Since the last inspection staff had attended adult protection training. 61 New Road H54 S12358 61 New Road V243829 25.08.05.doc Version 1.40 Page 15 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, 25 and 30 The systems for maintaining and cleaning the home are good, which provides a homely and safe environment for service users. Service users’ bedrooms are well furnished and suit their needs. EVIDENCE: Since the last inspection new flooring has been fitted in one of the bathrooms, making it easier to keep hygienically clean. The home is well maintained, with good quality, domestic style fixtures and fittings. The bedrooms of two service users’ were seen during the visit. Both had been personalised with photos and ornaments and service users said they had all that they wanted in them. Good quality beds, bedding, drawers and a wardrobe had been provided in each room. The home was clean and hygienic on the day of the inspection. There were separate laundry facilities which did not require soiled laundry to be taken through food preparation or storage areas. Protective clothing was available for staff, who were observed using it during the inspection. 61 New Road H54 S12358 61 New Road V243829 25.08.05.doc Version 1.40 Page 16 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) 34 and 35 The organisation’s lack of knowledge about what employment checks have been carried out on staff working in the home may place service users at risk. The home has a good induction and training programme, which gives staff the skills and knowledge required to meet the needs of service users. EVIDENCE: The inspector was unable to check staff recruitment records as the acting manager was not present to gain access to the confidential records. A requirement was made at the last inspection that the home must obtain confirmation that suitable employment checks had been carried out on staff working in the home, but employed by a different organisation. The inspector spoke to the acting manager by phone following the inspection, who said that she did not think this confirmation had been obtained. Staff spoken with said that they felt New Support Options provided good training, which enabled them to meet the needs of service users. Records indicated that staff had received an induction and training in adult protection, challenging behaviour, health and safety, food hygiene, medication, moving and handling, autism, first aid and communication skills. 61 New Road H54 S12358 61 New Road V243829 25.08.05.doc Version 1.40 Page 17 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 and 42 The home is currently being well run by an acting manager, although an application to register a permanent manager is needed to ensure the needs of service users continue to be met. The home has good systems to ensure the safety and welfare of service users. EVIDENCE: The registered manager of the home has recently left her post and the Commission for Social Care Inspection have been informed that an acting manager has been appointed while a permanent manager is recruited. The acting manager is a member of the support team at the home and is being supported by the area manager to fulfil her duties. Staff spoken with said that the home was running well during these temporary arrangements. The fire alarm, fire extinguishers, bath chairs, hoists and gas system have all been serviced. Portable electrical appliances have been checked to ensure they are safe. Assessments have been made of chemicals used in the home, which were stored in locked cupboards. Staff have received fire safety training at 61 New Road H54 S12358 61 New Road V243829 25.08.05.doc Version 1.40 Page 18 least twice in the last year. Food is suitably stored in the kitchen, with opened packets labelled and dated. The temperature of the fridge and freezer is recorded daily. 61 New Road H54 S12358 61 New Road V243829 25.08.05.doc Version 1.40 Page 19 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 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x 3 3 x 3 Standard No 31 32 33 34 35 36 Score x x x 2 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 61 New Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x H54 S12358 61 New Road V243829 25.08.05.doc Version 1.40 Page 20 Yes 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 34 Regulation 19 (1) Requirement The registered person must obtain confirmation that all staff working in the home have had suitable recruitment checks undertaken. This requirement is repeated for the second time as the previous time-scales of 30/9/04 and 31/1/05 were not met. Timescale for action 31/10/05 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. 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