Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 03/05/05 for 63 Hoveringham Drive

Also see our care home review for 63 Hoveringham Drive for more information

This inspection was carried out on 3rd May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home provides a well run facility based on a domestic style amended to take account of what is possible for a group of people with multiple and profound difficulties. Records demonstrate that time was not an object to attempting to enhance the life and potential of residents.

What has improved since the last inspection?

Documents now record the names of members of staff offering support and comfort to residents following any disturbance in the home.

What the care home could do better:

It is a requirement of this report that a variation is sought to the registration to reflect the age of some residents, and allow for the aging of the others.

CARE HOME ADULTS 18-65 63 Hoveringham Drive Eaton Park Stoke on Trent Staffordshire ST2 9PS Lead Inspector Berwyn Babb Unannounced 03 May 2005 14:45 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. 63 Hoveringham Drive E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 63 Hoveringham Drive Address Eaton Park Stoke on Trent Staffordshire ST2 9PS 01782 201766 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) Choices Houseing Association Limited Mrs Terri Byczkowski Care Home 6 Category(ies) of 6 PD registration, with number 6 LD of places 63 Hoveringham Drive E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 06 December 2005 Brief Description of the Service: Hoveringham Drive is located on a large private housing estate in the Bucknall area of Stoke-on-Trent. It has access to a small but adequate shopping centre and, via a local bus route, has relatively easy access to the main shopping centres of Hanley and Longton. The bungalow is a purpose built unit that is run by The Choices organisation, who have a number of similar homes throughout the Potteries area. This home is registered to provide care for 6 females with varying degrees of Learning Disability. Two current residents have physical incapacity. The design of the home is based on the domestic model, with six bedrooms, a domestic kitchen/diner, laundry, and a communal lounge. Bathrooms and toilets have been specially adapted to assist those residents with a physical disability. Doorways and corridors are wide to facilitate wheelchair use and have been fitted with grab rails. The open plan layout established by creating an archway between the kitchen and the lounge has achieved its objective of encouraging residents to make more use of the lounge facilities. The property has a small but well kept garden at the rear with adequate seating for use in fine weather. There is a sloping Tarmac covered area at the front for car parking The exterior and interior are in a good structural state of repair. 63 Hoveringham Drive E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. During this unannounced inspection residents were engaging with staff within the home, and returning from excursions with staff away from the home. They were well presented and cared for, and staff were interacting with them in a sensitive and supportive manner that upheld their dignity whilst not leaving them open to harm from ill conceived actions. The purpose build home was well maintained, clean, warm, and tidy, and personal choices and likes of residents was reflected in both the environment of their rooms, and the program of their daily living. 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. 63 Hoveringham Drive E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 63 Hoveringham Drive E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3, and 4. The evidence assimilated demonstrated that new residents had only been admitted following a full assessment of their needs and choices, and a decision taken by the Choices representative that the home was able to meet them. An extended introductory process including overnight stay had been experienced by the latest admission. EVIDENCE: The inspector case tracked the documents relating to the last person to be admitted to the home, and these demonstrated that a very full multi-agency assessment had been undertaken during the period when resettlement was being considered for this lady, and that this had formed the basis for the comprehensive Person Centred [care] Plan [P. C. P.] used to measure whether the home would be able to meet her needs. The P. C. P. demonstrated that she had experienced 4 pre-admission visits to gauge the compatibility between herself and the existing residential group [and staff], before entering the home, one of these being for 24 hours duration. Post admission there had been a 6-month settling in period with regular reviews to ensure that the dynamics between the whole group was mutually beneficial, and that she continued to want to remain at the home. 63 Hoveringham Drive E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 8, and 9. The established adherence to best practice as recognised by the British Institute for Learning Disability found in the P. C. P.’s during previous inspections regarding individual needs and choices of residents, has been maintained. EVIDENCE: The quality of the P. C. P. examined in depth demonstrated that it was based on a full multi-agency assessment generated under the National Health Service and Community Care Act [1990] guidelines covering all aspects of the personal, social, and health care needs of that individual to a very detailed extent. There were indications that protocols had been put in place for anticipated, as well as current needs. Systems had been established that reflected responsible risk taking whilst providing positive opportunities for residents to enhance their lifestyles. Observation of the dynamics between carers and residents demonstrated that needs and choices were known and reflected in the care given. These include the search to maximise the input of residents into the running of their home, in line with their abilities. 63 Hoveringham Drive E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 Page 9 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, 16, and 17 Residents were seen through direct observation and reading of secondary source material, to have their opportunities for an appropriate and fulfilling lifestyle promoted to the maximum consistent with their abilities, needs, and choices. EVIDENCE: None of the current residents of 63 Hoveringham Drive would gain any benefit from employment, and the majority of the activities they engage in are made available through care workers in the home. Similarly they are assisted to maintain a community presence by being taken on shopping trips or to places for meals or entertainment. The attitude of the care staff towards the residents was seen to promote the best available level of independence within the routines necessary for maintaining an acceptable lifestyle and responding to assessed health and social needs, and staff were seen to have developed a manner of including residents in every activity and conversation that took place in the home. P. C. P.’s reflected the 24 hour program that each individual had established over many years of being observed for indications of positive or negative response, and waking/sleeping, rest/activity times were different for each individual. 63 Hoveringham Drive E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 Page 10 The inspector joined the residents for a sandwich, and was able to observe them having different ingredients according to choice. He was able to see them assisted where they needed in a sensitive and caring manner, and saw all hygiene procedures being observed during the preparation of the food. When examining the food storage cupboards he only saw good quality branded goods, being kept in a clean and tidy environment. Fridge and freezer temperatures were recorded regularly and within normal parameters, and the whole kitchen area was a credit. 63 Hoveringham Drive E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 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) 18, 19, and 20. The home presented as a place where all the needs of residents were sensitively and appropriately met. EVIDENCE: The sensitivity of the caring process was not confined to the provision of meals, staff were observed to be equally considerate during all care tasks shared with residents. Person Centred [care] Plans demonstrated an awareness of and response to identified and unexpected healthcare needs, with regular appointments with Chiropodists, Optometrists, Dentists, “Well person” clinics, hospital follow up appointments, and General Practitioner and Hospital doctor consultations as needed or planned. There was also evidence of input by District nurses and other professional advisors/therapists, and of the adherence to their instructions or advice. None of the current residents was responsible for their own medication. 63 Hoveringham Drive E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 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) 23 Residents appeared to be receiving the best possible support to safeguard them from abuse or neglect. EVIDENCE: In the care plan of one resident whose file was scrutinised, there was evidence of concern regarding the behaviour of one resident towards another, and steps taken the safeguard her from verbal abuse, in line with the published policies and procedures of the organisation. 63 Hoveringham Drive E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 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, and 30 The premises presented as clean and hygienic, and being built for purpose was homely and suitable for the needs of residents, with a good standard of decoration and maintenance. EVIDENCE: The inspector made a visual appraisal of the exterior, and was escorted on a tour of the interior. All areas were well maintained, of above currently required size, and scrupulously clean and tidy. The furnishings were of top quality, and resident’s rooms were decorated and furnished to reflect whatever preferences they had been able to communicate. 63 Hoveringham Drive E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 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) 35 Staff working in the home on the day demonstrated all the qualities of appropriately qualified and experienced personnel to work with residents who have a learning disability. EVIDENCE: The inspector undertook a formal interview with a member of the care staff, and she confirmed that from the point of her employment onward, she had received a proper and valid induction after satisfying the company that her experience, references, and qualifications, made her a suitable person to protect and care for vulnerable adults. She also demonstrated a knowledge not only of the statutory elements of caring, infection control, first aid, moving and handling, fire safety, Etc., but also of distinct features of the conditions and needs of residents with a learning disability. 63 Hoveringham Drive E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 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) 42 From the evidence noted during this unannounced inspection, it seemed that the registered manager was ensuring so far as was practicably possible, the health and safety of residents and staff. EVIDENCE: From examination of risk assessments in the P. C. P.’s, from observation of the environment and of practices current in the home, from talking to staff, and from checking a small random sample of policies and records [including fire prevention and medication administration] it was judged that safe working practices were being observed. 63 Hoveringham Drive E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 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 3 3 x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 x 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 4 Standard No 31 32 33 34 35 36 Score x x x x 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 63 Hoveringham Drive Score 4 4 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 Page 17 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 1 Regulation 4.[1],[c] Shedule 1 [5] Requirement The registered person shall seek a variation to registration to reflect the age of residents in the home. Namely for addition categories L. D. [E] 6 & P. D. [E] 6. Timescale for action By, 03/07/05 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. Refer to Standard Good Practice Recommendations 63 Hoveringham Drive E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 63 Hoveringham Drive E51-E09 S8319 Hoveringham Drive V225959 030505 Stage 4.doc Version 1.30 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. 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!