Inspection on 24/06/05 for 69 Hoarestone Avenue

This inspection was carried out on 24th June 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

69 Hoarestone Avenue 25/04/07

69 Hoarestone Avenue 22/12/05

69 Hoarestone Avenue 18/01/05

69 Hoarestone Avenue 21/12/04

69 Hoarestone Avenue 24/03/04

69 Hoarestone Avenue 27/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Aston Court Nursing Home

Polesworth Group 70 Long Street

Breme

Ravenhurst

Polesworth Group 64 Long Street

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 69 Hoarestone Avenue 69 Hoarestone Avenue Whitestone Nuneaton CV11 4TH Lead Inspector Justine Poulton Unannounced 24 June 2005 15:00 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. 69 Hoarestone Avenue E53 S4343 69 Hoarestone Avenue V235609 240605 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 69 Hoarestone Avenue Address 69 Hoarestone Avenue Whitestone Nuneaton CV11 4TH 02476 327078 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) Mrs Hazel Lucas Mrs Hazel Lucas PC 3 Category(ies) of LD 2 registration, with number PD 1 of places 69 Hoarestone Avenue E53 S4343 69 Hoarestone Avenue V235609 240605 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 18 January 2005 Brief Description of the Service: Hoarestone Avenue is a domestic family house in a quiet residential area of Nuneaton. It is close to all local amenities. The home provides a family environment for two young men. The house is two storeys with each young man having ample private and communal space. The home is well maintained and suitable for the purpose. 69 Hoarestone Avenue E53 S4343 69 Hoarestone Avenue V235609 240605 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on a weekday and was carried out from 15:00 until 17:00pm. A total of 26 standards were inspected on this occasion of which none had shortfalls. The requirement from the previous inspection was met. Both young men were present during the inspection, as was the registered person and her husband. The home is a domestic family environment. The two young men that live with the family have done so since they moved in as foster children at the age of two, over twenty five years ago. The home is much more of a family placement type service, however Warwickshire does not have a family placement scheme. As such the home is registered and inspected under the Care Homes Regulations 2001. It must be stated that a number of these regulations do not fit the family based service that is being provided. What the service does well: What has improved since the last inspection? The home now reviews the young men’s care plans on a regular basis. 69 Hoarestone Avenue E53 S4343 69 Hoarestone Avenue V235609 240605 stage 4.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. 69 Hoarestone Avenue E53 S4343 69 Hoarestone Avenue V235609 240605 stage 4.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 69 Hoarestone Avenue E53 S4343 69 Hoarestone Avenue V235609 240605 stage 4.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) x Information available about the home is comprehensive and satisfactory, however the registered person does not intend to take any more residents should either of the current young men move out. EVIDENCE: The standards in this section are not applicable to the service being provided to the two young men that live in the home, as they live as members of the family, and have done so since they were both two years old. The registered person stated that she will not be offering permanent placements in the future, should either of the young men move on. Having said that, a comprehensive Statement of Purpose is in place, and the young men have placement agreements. 69 Hoarestone Avenue E53 S4343 69 Hoarestone Avenue V235609 240605 stage 4.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 Care planning information supports the identified needs of each of the young men living in the home. Both young men are encouraged to take risks in line with their abilities. EVIDENCE: The two young men that live in the home are very much part of the family. The registered person and her husband have cared for and supported them as members of their family since they were two years old, and are fully aware of their care and support needs. Both young men are fully able to make decisions about their lives, which was demonstrated in conversation with them. Both young men have comprehensive care plans in place that provide considerable detail about their specific needs and the levels of support required. These plans are reviewed on a regular basis by the registered person and young men. A review sheet is in place which details the dates of reviews. This is signed by the registered person and young men. Risk assessment documentation is in place for each young man, in line with their specific needs and abilities. Again these are all dated and reviewed as necessary. 69 Hoarestone Avenue E53 S4343 69 Hoarestone Avenue V235609 240605 stage 4.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 and 16 Both young men are supported to undertake peer and culturally appropriate employment or activities. Their right to make decisions about their daily lives is respected and encouraged by the registered person and her husband. EVIDENCE: In conversation one young man told the inspector all about his job as a part time kitchen assistant in a local old peoples home, which he said he enjoys. The second young man attends a local day centre for three days each week and was keen to tell the inspector what he does there, and to show off some of his craft work. One of the young men told the inspector about the award ceremony he attended on the previous evening, where he was presented with his ‘gold’ Gateway Award from Mencap. The registered person, her husband and the other young man all said how proud they were of him for achieving this, and had enjoyed the presentation ceremony at the Mayors Parlour. As the home is a domestic family household, any routines that are in place are in keeping with this. Mealtimes are flexible, as is the choice of meals eaten. The young men choose their own time for getting up and going to bed. Free time is spent doing things they choose, either individually or as a family, such as going out for a beer, heading into town to meet up with some mates or having a family barbeque. 69 Hoarestone Avenue E53 S4343 69 Hoarestone Avenue V235609 240605 stage 4.doc Version 1.40 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. Personal care and support needs are provided sensitively in keeping with the young men’s wishes. The storage of medication and support provided with taking this promotes independence. EVIDENCE: One young man is independent in his personal care needs, which is reflected in his care plan. The care and support needs of the other young man are fully documented in his care plan, and he is fully capable of advising of his support needs, if necessary. The registered person and her husband have cared for both young men since they were two years old, and are fully aware of how best to provide care and support appropriately. As a family home the young men are very much part of the family. Their health needs are monitored, with routine healthcare appointments being arranged at appropriate intervals. Family life suits both young men very well, and they both stated that were well cared for and looked after with a ‘great mum and dad’. Only one young man is prescribed medication, which is stored in a locked cabinet in his en suite shower room. The registered person assists him with ensuring that the medication is taken correctly and at the right times. A medication record sheet is in place, which is signed by the registered person, once each medication has been taken. 69 Hoarestone Avenue E53 S4343 69 Hoarestone Avenue V235609 240605 stage 4.doc Version 1.40 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) 22 The nature of the service provided ensures that the young men feel comfortable with voicing their concerns and opinions. EVIDENCE: A complaints procedure is in place, however both young men are more than able to voice their concerns should the need arise. Both said that would speak to ‘mum or dad’ if they were unhappy about anything, but as members of the family, formal complaints very rarely arise. 69 Hoarestone Avenue E53 S4343 69 Hoarestone Avenue V235609 240605 stage 4.doc Version 1.40 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, 25, 26, 27, 28 and 29 As a domestic family house the environment promotes ‘ordinary family living’ for the two young men that are resident. EVIDENCE: The home is a domestic family house. The young men both have a single bedroom, one upstairs and one downstairs. The upstairs bedroom is next to a bathroom and toilet, however a shower cubicle has recently been fitted in the bedroom, which the young man was keen to show the inspector. The downstairs bedroom has an en suite shower room with toilet, which is appropriately equipped with grab rails and a hoist, to meet the needs of the young man that uses it. Both bedrooms were decorated nicely, with good quality furniture, fixtures and soft furnishings. Both young men have electric ‘high/low ‘ beds appropriate to their needs. There was plenty of personalisation in the form of videos, trophies, pictures, ornaments, Playstation games and CD’s. As well as their bedrooms, the young men have the use of the spacious lounge, dining room, kitchen and garden, all of which are wheelchair accessible, thus making them easily accessible for the young man that uses a wheelchair on a permanent basis. 69 Hoarestone Avenue E53 S4343 69 Hoarestone Avenue V235609 240605 stage 4.doc Version 1.40 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) x EVIDENCE: None of the standards in this section are applicable to this home as no staff are employed. 69 Hoarestone Avenue E53 S4343 69 Hoarestone Avenue V235609 240605 stage 4.doc Version 1.40 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) 39 The questionnaire completed by the young men on a twice yearly basis ensures that their views are at the forefront of the family environment of the home. EVIDENCE: The registered person and her husband have compiled a satisfaction questionnaire that they complete with the two young men approximately every six months. Completed copies of this document were received by the inspector prior to the inspection being carried out. If anything is raised within these questionnaires regarding changing the home in anyway, this would then be acted upon. Given the nature of the home the inspector deems this to be satisfactory. 69 Hoarestone Avenue E53 S4343 69 Hoarestone Avenue V235609 240605 stage 4.doc Version 1.40 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 4 N/A N/A N/A 3 Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 x Standard No 11 12 13 14 15 16 17 x 3 x x x 3 x Standard No 31 32 33 34 35 36 Score N/A N/A N/A N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 69 Hoarestone Avenue Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x E53 S4343 69 Hoarestone Avenue V235609 240605 stage 4.doc Version 1.40 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 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 69 Hoarestone Avenue E53 S4343 69 Hoarestone Avenue V235609 240605 stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Imperial Court Holly Walk Leamington Spa CV32 4YB 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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