Inspection on 25/01/06 for 61 New Road

This inspection was carried out on 25th January 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

61 New Road 23/10/08

61 New Road 26/10/07

61 New Road 05/01/07

61 New Road 25/08/05

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 Netley Abbey Southampton Hampshire SO31 5AD Lead Inspector Craig Willis Unannounced Inspection 25th January 2006 09:45 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 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 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 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. 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 61 New Road Address Netley Abbey Southampton Hampshire SO31 5AD 023 8045 3347 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) New Support Options Limited Care Home 6 Category(ies) of Learning disability (6), Physical disability (2) registration, with number of places 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th August 2005 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 maintenance. 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 DS0000012358.V279267.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the year April 2005 to March 2006. Key standards not covered in this report were assessed at the inspection of 25th August 2005. The inspector spoke with three service users during the visit and met with the manager and a senior support worker. What the service does well: What has improved since the last inspection? What they could do better: 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 Page 6 The home’s complaints procedure contains suitable information, although the manager should ensure that all service users are supplied with the accessible version, to aid their understanding. The manager also needs to submit an application for registration 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 DS0000012358.V279267.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None The key standards were assessed in the inspection of 25th August 2005. EVIDENCE: 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 The home provides good support for service users to make decisions about their lives. EVIDENCE: Service users’ care plans set out details of how they should be supported to make decisions. This included specific information about the way service users’ communicate and the way support should be provided. Service users spoken with said that they were able to make decisions about their lives, such as when to go out and what activities to participate in. The manager reported that she had requested a formal advocate for one service user, to provide support for them in the decision making process. 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 13 and 16 Service users are supported to be a part of their local community and staff respect their rights and responsibilities. EVIDENCE: Service users are supported to use local shops, pubs and leisure centre. One service user said they were a member of a local church and the manager reported that there were good relations with the immediate neighbours. Service users are supported to take part in household jobs and details of the support that is required are included in care plans and risk assessments. Service users spoken with said that staff treat them well and respect them. 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None The key standards were assessed in the inspection of 25th August 2005. EVIDENCE: 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 The home has a suitable complaints procedure and service users are confident that their views will be listened to and acted on. EVIDENCE: The home has a copy of the standard New Support Options complaints procedure, which includes details of who will investigate a complaint, the time within which a complainant will receive a response and the contact details of the Commission for Social Care Inspection. The manager reported that she had just finished work on a more accessible version of this document, with pictures to aid understanding. This should be supplied to all service users. No complaints have been received since the last inspection. A service user spoken with said that they were confident that if they made a complaint it would be taken seriously and investigated. 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None The key standards were assessed in the inspection of 25th August 2005. EVIDENCE: 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 34 Staff are supported to obtain suitable qualifications and the home has robust recruitment procedures, which protect service users. EVIDENCE: Of the thirteen staff members, three have achieved the NVQ level 3, four are currently completing the award and two are due to start work on it within the next six months. New Support Options is an assessment centre for NVQ and two of the staff at the home are qualified assessors. Since the last inspection, the manager has obtained confirmation that all staff working in the home but not directly employed by New Support Options have had suitable recruitment checks, including an enhanced disclosure from the Criminal Records Bureau (CRB). The recruitment records of the two most recently employed staff at the home were viewed and both contained an application form, written references and an enhanced disclosure from the CRB. 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39 The home is well managed and service users views are used in the review and development of the service. EVIDENCE: New Support Options have appointed a new manager to the home, who has been in post for two weeks. The manager has previously been a manager at another New Support Options home and was registered with the Commission for Social Care Inspection (CSCI). The manager has obtained an application form for registration as the manager of 61 New Road and must submit this with the appropriate fee to the CSCI. Staff spoken with said they had received good support during the period when an acting manager covered the home. New Support Options has developed a regional ‘PATH’, which sets out their objectives and was developed as a result of a consultation of service users about how their services could be made more person centred. The manager reported that the home is developing their own ‘PATH’, in consultation with service users. It was planned that this work will be completed by March 2006. New Support Options’ senior managers make monthly visits to the home and 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 Page 16 the CSCI receives copies of the reports of these visits, which include actions that are required and who is responsible for completing them. 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 Page 17 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 X 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 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X 3 X X X X 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 61 New Road DS0000012358.V279267.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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