Inspection on 01/02/06 for 64 Chilcompton Road

This inspection was carried out on 1st February 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

64 Chilcompton Road 25/06/08

64 Chilcompton Road 12/07/06

64 Chilcompton Road 08/11/05

64 Chilcompton Road 16/03/05

64 Chilcompton Road 10/11/04

64 Chilcompton Road 10/03/04

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 64 Chilcompton Road Midsomer Norton Bath & N E Somerset BA3 2PL Lead Inspector Sarah Webb Announced Inspection 1st February 2006 09:00 64 Chilcompton Road DS0000008182.V274573.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 64 Chilcompton Road DS0000008182.V274573.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. 64 Chilcompton Road DS0000008182.V274573.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 64 Chilcompton Road Address Midsomer Norton Bath & N E Somerset BA3 2PL 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) 01761 419133 01761 417444 swallow2@gotads1.co.uk SWALLOW Ltd Mrs Beverley Craney Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 64 Chilcompton Road DS0000008182.V274573.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 3 persons aged 18 - 65 years requiring personal care only 19th October 2005 Date of last inspection Brief Description of the Service: 64 Chilcompton Rd is a Victorian terraced mining cottage in a residential area of Midsummer Norton. The house is in walking distance of the local community. The service provided is respite and life skills training for adults with learning disabilities and is run by the organisation S.W.A.L.L.O.W (South Wansdyke Learning and Living Our Way). This is a voluntary organisation for people in the Midsummer Norton area and is jointly operated by its members and trustees. The home is referred to as ‘Base House’ and members stay on a nightly basis arriving between 2.00pm and 4.30 pm and leaving the following morning by 9.30am. 64 Chilcompton Road DS0000008182.V274573.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 2.5 hours and was carried out as an announced inspection in following up the previous requirements and recommendations. The inspection methods used included record and documentation checks, case tracking, and discussion with the manager. All five requirements made have been met, as have 2 recommendations. There has been no change in that the base house has continued to offer a respite service more than a developmental process for its regular members with the home opening for 2 days a week. Because the service is currently low on the uptake of new members using the base house facility an application for a variation to accept 3 individuals at any one time aged 16 –17 years of age, has been agreed by the Commission. A condition of this variation is that they are offered a service separately from the adults. Documentation has been received by the Commission as to how the house will meet both the change in the service and the needs of a younger age group in terms of recruitment and training of staff. A deputy manager’s post is in the process of being advertised, and discussion has also taken place with Bath and North East Somerset Council regarding funding. What the service does well: What has improved since the last inspection? Care plans provide more detailed and specific information in order to inform staff so that they can meet individuals support needs. Risk assessments are in place in relation to an individual’s mobility and others have been reviewed in order that individuals are supported in taking risks safely. 64 Chilcompton Road DS0000008182.V274573.R01.S.doc Version 5.1 Page 6 Records are kept of when an individual is supported with the administration of medication so that they are not put at risk. An up to date record is kept of staff CRB’s so as to ensure the protection of members. Members’ personal details and the dating of care plans have improved so that individuals’ rights and interests are safeguarded. 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. 64 Chilcompton Road DS0000008182.V274573.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 64 Chilcompton Road DS0000008182.V274573.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): 1 The service is in the process of reviewing the comprehensive accessible information available for current and prospective service users in order to make a decision as to whether the agency is able to meet their needs. EVIDENCE: The statement of purpose is in the process of being updated in order to incorporate additional information in relation to the variation in place to offer a service to 16 – 17 year olds. Both statement of purpose and service user guide have been produced in an accessible format meeting the communication needs of the members attending the home. The manager said she is investigating an appropriate format for the service user guide to be given to the younger adults. 64 Chilcompton Road DS0000008182.V274573.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): 6&9 Care planning provides relevant information to adequately inform staff as to how individuals should be supported in order to meet individual needs. Risk management procedures have improved to ensure individuals are supported safely in taking risks. EVIDENCE: A requirement has been met for care plans to provide more detailed and specific information in order to inform staff so that they can meet individuals support needs. A requirement has also been met for members’ personal details and the dating of care plans to be implemented. Individual files contained personal details, assessments, and relevant information in relation to how people are supported. Individual profiles now in place, also inform staff of likes and dislikes, and give a quick guide to members needs. It is stated that this needs to be read in conjunction with the care plan for a fuller picture of individuals support needs. All care plans had been reviewed. 64 Chilcompton Road DS0000008182.V274573.R01.S.doc Version 5.1 Page 10 A requirement has been met for risk assessments to be implemented in relation to an individual’s mobility; others have been reviewed in order that individuals are supported in taking risks safely. 64 Chilcompton Road DS0000008182.V274573.R01.S.doc Version 5.1 Page 11 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 The service offers opportunities for individuals to take part in appropriate social contacts and occasions within the community in order to enhance their lifestyle. EVIDENCE: Standards 12 and 15, although are considered key standards to be assessed, are not appropriate to this respite service. It was evident through discussion with the manager that members have opportunities to develop friendships through their stay at the base house; one of the aims of the service is to offer opportunities for individuals to mix socially with each other. The home continues to encourage and offer opportunities for members to use the local shops and other facilities in the community. The organisation offers differing courses/activities for individuals to attend and has good links with a local further education college. 64 Chilcompton Road DS0000008182.V274573.R01.S.doc Version 5.1 Page 12 64 Chilcompton Road DS0000008182.V274573.R01.S.doc Version 5.1 Page 13 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): 20 The systems for the administration of medication have improved so as not to place service users at risk. EVIDENCE: There has been no change in that no personal care is provided; individuals stay for only one night and are independent with their bathing and dressing. It was evident that one person needs some support with their mobility; risk assessments in place had identified how this person was to be supported safely. Records indicated that there are 2 people who have medication prescribed; one person self medicates whilst the other requires support with their medication. A requirement has been met to keep a record of the administration of medication for a member. This was evidenced through observation of records as were individuals’ medication needs. 64 Chilcompton Road DS0000008182.V274573.R01.S.doc Version 5.1 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 the following standard(s): 22 & 23 The service has a satisfactory complaints system in order to listen to service users views. Arrangements are in place for protecting members from possible risk of harm or abuse. EVIDENCE: The organisation has a complaints procedure. An accessible format is given to members as part of their service user guide. There have been no complaints since the last inspection. This standard was assessed at the last inspection and evidenced that there are strategies in place to consult with individuals. It was evident through discussion with the manager that this practice has continued. The organisation has a policy in place for the protection of vulnerable adults. Staff have received training in this area and the manager has also completed Investigators training. The responsible individual and another senior staff member have also attended this training. Through observation of documentation it was evident that the manager is in the process of booking training for staff in the protection of children from abuse, in line with the requirements to offer the new service. A requirement is met for the CRB log to be maintained and updated with additional information received. 64 Chilcompton Road DS0000008182.V274573.R01.S.doc Version 5.1 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 the following standard(s): 24 The house presents a comfortable, clean and homely environment. EVIDENCE: There has been no change to this standard since the last inspection. 64 Chilcompton Rd is of a domestic nature and is used as a training facility; the house responds to the aim of the service in providing respite for members. The premises are not accessible to members who may require the use of a wheelchair internally due to the width of doorways and passageways. However there is access to the house via a ramp to the back door for one person. The house provides a suitably furnished environment that meets the needs of individuals. 64 Chilcompton Road DS0000008182.V274573.R01.S.doc Version 5.1 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 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): 33 A small competent staff team support members well in order to meet their individuals needs. EVIDENCE: A long term staff member based at the house is moving to another area of the organisation. A newly recruited staff member is in place to continue supporting members at the base house; it was evident that they have been inducted into the service, prior to working on their own. An advertisement is in the process of being implemented for a deputy manager for the house and other workers within the organisation. The manager said the new deputy manager post is key to the coordination of the new service to offer life skills opportunities to young people aged 16 and 17 years and in maintaining the aims of the original service. Documentation has been received by the Commission as to how the house will meet both the change in the service and the needs of a younger age group. The manager is in the process of following the organisations disciplinary procedures in relation to two of the support workers. 64 Chilcompton Road DS0000008182.V274573.R01.S.doc Version 5.1 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 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): 41 The home has improved in the keeping of certain records in order that members’ rights are safeguarded. EVIDENCE: It was evident that the manager has met all the requirements and recommendations from the last inspection, including a requirement to update personal details of members and date care plans There has been no change in that the house continues to be monitored through regulation 26 visits by a senior manager within the organisation. 64 Chilcompton Road DS0000008182.V274573.R01.S.doc Version 5.1 Page 18 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 3 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 3 ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 x 33 3 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x x 3 x LIFESTYLES Standard No Score 11 x 12 N/A 13 3 14 N/A 15 N/A 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 x x x x x 3 x x 64 Chilcompton Road DS0000008182.V274573.R01.S.doc Version 5.1 Page 19 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. Refer to Standard Good Practice Recommendations 64 Chilcompton Road DS0000008182.V274573.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Bristol North LO 300 Aztec West Almondsbury South Glos BS32 4RG 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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