Inspection on 21/07/05 for 65 Churchill Road

This inspection was carried out on 21st July 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 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

65 Churchill Road 14/01/08

65 Churchill Road 02/03/07

65 Churchill Road 07/02/06

65 Churchill Road 03/03/05

65 Churchill Road 13/04/04

65 Churchill Road 14/11/03

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 65 Churchill Road Forest Green Nailsworth Gloucestershire GL6 ODE Lead Inspector Tim Cotterell Unannounced 21 July 2005 14:00 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. 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 65 Churchill Road Address Forest Green Nailsworth Gloucestershire GL6 ODE 01453 833299 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) Gloucestershire Group Homes Joanne Wheeler Care Home 3 Category(ies) of LD Learning Disability Both (3) registration, with number of places 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: none Date of last inspection 3rd March 2005 Brief Description of the Service: 65 Churchill Road is a detached house that is registered to accommodate three service users with Aspergers Syndrome. Currently the home only has two service users living there. The organisation offers a very specialised, individual service for people with Aspergers syndrome, and staff receive training to support service users appropriately. The home is conveniently situated in Nailsworth, which enables service users to access local community facilities. Service users also have access to transport that is provided by the home and this enables them to access facilities in several other local towns. The home is not staffed at all times, but a member of staff is always on call if they are needed. Family and friends are welcome to visit the home at any time and service users can meet them in private if they wish to. The service users attend various activities, which include Day services provided by Gloucester Group Homes and they are given the opportunity to attend College courses if they wish. The Inspector has visited the day service that is provided by the organisation, it has been developed specifically for people who have Aspergers and offers service users very individual programmes to meet their needs. 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was undertaken during a morning and consisted of a visit to Spring Mill and then to 65, Churchill Rd. During the visit to Spring Mill the registered Manager was able to show the inspector a number of records to include staff rotas, service users guide, the philosophy of care, and a number of staff records. The inspector then visited the home with the registered manager and saw the accommodation and spoke to the senior member of staff who was on duty. The service users were out, one at work and two at spring mill. The two service users who were at Spring Mill were seen. What the service does well: What has improved since the last inspection? No significant changes. 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.doc Version 1.40 Page 6 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. 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.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 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.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) 1 Sufficient information is available for prospective service users and their families EVIDENCE: The inspector was given a copy of the philosophy of the home and the Service User Guide. It is now available for all service users and/or their relatives and advocates. 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.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) 6.7.9 The home supports service users which results in them being able to have an appropriate degree of independence and autonomy. EVIDENCE: A service users plan was seen and there was evidence that this is reviewed to ensure the changing needs are noted. Service users also have annual reviews and the objectives are reviewed after six months. Service users are given guidance and support and are able to make decisions about how they spend their time. There is daily consultation between staff and service users and they live in an inclusive environment where their views and wishes are considered and wherever possible met. The information held by staff is used responsibility and maintained in a safe place in the home. 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.doc Version 1.40 Page 10 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.doc Version 1.40 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 standard(s) 12.15.16 Service users have an active lifestyle and are supported by staff to ensure they undertake activities of their choice. EVIDENCE: Each service user has a weekly planner which indicates the activities for them; they were seen as varied and appropriate. Service users are able to access the Spring Centre, which offers a range of activities and outings. At the time of the inspection the computers were being used and the trips that week included, the cinema, the zoo and a visit to the Forest of Dean. Staff at the centre have made great efforts to provide a varied and appropriate range of things to do and it was evident that the service users were enjoying themselves and benefiting from the social aspects. There is also involvement in the local college and various recreational centres. One service user has employment in the community. 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.doc Version 1.40 Page 12 All service users have contact with a relative and the home provides support if this is appropriate. 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.doc Version 1.40 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 standard(s) none Not inspected EVIDENCE: 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.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) none Not inspected EVIDENCE: 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.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) 24.30 The home provides a clean and comfortable environment for the service users. EVIDENCE: All of the accommodation was seen and the home was found to be clean and organised. The bedrooms and communal rooms were in good decorative order and appropriately furnished. The home retains many of the characteristics of a “normal” domestic setting and the Trust has appeared to strike the right balance about what constitutes a homely and comfortable physical environment. 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.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) 35 The service users needs are met by staff. EVIDENCE: One of the “senior carers” was on duty and informed the inspector that he had nearly completed NVQ 3 at the local college. One of the problems for staff wishing to undertake studies was the difficulty of staff getting internal assessors. Whilst the registered manager is responsible for the service, the day-to-day direct support is provided by care staff who are supervised by the manager. Staff rotas are completed and the cover provided depends on the specific needs. There are times when service users are able to live independently. When the home is unsupervised there are arrangements for service users in the event of an emergency. Senior staff receive formal supervision from the registered manager and other care staff are supervised by the senior support worker, the supervision is recorded. 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.doc Version 1.40 Page 17 Ancillary staff consists of a part time cleaner and gardener. The senior staff member on duty was conversant with the needs of the service users and his practices reflected the philosophy of the Trust The inspector was told that the staff have links with Birmingham University, which provides a number of certificate/diploma courses through distance learning. 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.doc Version 1.40 Page 18 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) 39.42 The service users are able to affect what happens in the home. The management of the home ensure they live in a safe and comfortable environment EVIDENCE: Any changes or developments in the home would have occurred after consultation with the service users who are encouraged to take an active part in the running of the home. The Trust takes matters of Health and Safety seriously, and the physical environment was seen as safe with equipment being subject to regular servicing and inspection. Visits under Regulation 26 are being undertaken and copies of the reports sent to the Commission. The Trust also has a committee made up of parents of service users and they also undertake regular visits to the home. 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.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 3 x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x 3 3 x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 65 Churchill Road Score x x x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.doc Version 1.40 Page 20 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 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 Good Practice Recommendations 65 Churchill Road D51_D03_S16351_65ChurchillRd_V236987_050805_Stage4_U.doc Version 1.40 Page 21 Commission for Social Care Inspection 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester GL3 4AB 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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