Inspection on 11/07/06 for 7 Debdale Road

This inspection was carried out on 11th July 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

7 Debdale Road 08/01/09

7 Debdale Road 15/01/08

7 Debdale Road 23/07/07

7 Debdale Road 25/01/06

7 Debdale Road 20/04/05

7 Debdale Road 18/10/04

7 Debdale Road 07/05/04

7 Debdale Road 17/02/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 7 Debdale Road 7 Debdale Road Wellingborough Northants NN8 5AA Lead Inspector Keith Charlton Unannounced Inspection 11th July 2006 03:00 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 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 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 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. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 7 Debdale Road Address 7 Debdale Road Wellingborough Northants NN8 5AA 01933 276930 01933 229606 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) www.caremanagementgroup.com Care Management Group Limited Mrs Hilary Jennifer Watt Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. By Agreement there is 1 Service user who has a mental disorder. No further service users are to be admitted in this category. By agreement there is 1 service user who has learning disabilities over 65 years. No further service users are to be admitted in this category. Date of last inspection Brief Description of the Service: 7 Debdale Road provides care for five adults with a learning disability. The home is situated close to Wellingborough town centre and is in close proximity to all local amenities with good transport links both by bus and train into central Northampton. The home is a semi-detached house in a residential street with a pleasant rear garden. Three residents are accommodated in single rooms and two residents share a bedroom. Communal areas consist of a lounge and a kitchen/diner. The Registered Manager stated that on the day of the inspection she did not have this information but would send it to the Commission for Social Care Inspection office. All residents receive funding from Social Service Departments. There are costs for extras – hairdressing, toiletries, holidays, etc. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service user and their views of the service provided… The primary method of inspection used was ‘case tracking’ which involved selecting two service users and tracking the care they received through looking at their records, discussion, where possible, with them and care staff and observation of care practices. This was an unannounced Inspection. A senior support worker was on duty to assist with the inspection process. She was the sole staff member on duty. Planning for the Inspection included looking at the last Inspection Report, and assessing any notifications of significant events sent to the Commission for Social Care Inspection by the Registered Manager. There have been no complaints received regarding the home since the last inspection. The Inspection took place between 15.00 and 18.25 on day one and was completed the following day with the Registered Manager, and included a selected tour of the building, inspection of records and indirect observation of care practices. The Inspector spoke with four residents, two members of staff and the Registered Manager. What the service does well: Residents needs appear to be well met. They live in a family home, with routines and activities that the residents said that they like. Residents have lived together for a number of years and are actively involved in daily activities such as cooking and cleaning with support from the staff. Residents’ benefit from pursuing social and leisure activities within the community whilst promoting educational needs and work experiences. The residents are consulted and involved in aspects of the running of the home – menu planning, the planning of holidays and short breaks throughout the year. Residents are involved in the development of their tailored care through their well set out and detailed Care Plans, which reflects their rights and choice of lifestyle. Residents spoken with said their needs were met through staff support. Comments received from the residents were again very positive, indicating they are happy and well cared for and they praised the staff and management for their efforts in making sure they had interesting lives. Observations made during the inspection showed that there was a good rapport between the residents and staff. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 6 Residents were comfortable around the staff on duty and staff patiently responded to their concerns and interests. 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. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 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 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment process was thorough and comprehensive, with individual needs assessed and recorded. EVIDENCE: There have been no new residents admitted for a long time - the contents of the current residents files contained needs assessments, which had been conducted since their admission to the home. There was evidence that other professionals had been contacted to contribute their assessments to the process. There was also evidence of Care Management assessments. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 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): 6,7,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Resident’s rights are respected and risks are assessed to ensure residents are given guidance and support to lead as independent a life as possible. EVIDENCE: Residents spoken to confirmed that there were meetings between themselves and the staff to discuss their care needs. One resident said she wanted to see her Care Plan - staff immediately carried this out and time spent talking about it. Care Plans had extensive detail through a proper information gathering process, e.g. a pen picture, life picture, residents personal lifestyle preferences. Residents spoken to were aware of the contents of their files and there was evidence that they had signed and that their comments as to their needs had been recorded on their Care Plans. There were photos to record activities that residents had participated in. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 10 Residents said they made their own decisions and choices, based on information provided by the staff and through a newsletter produced by the company. Risk assessments were in place, which linked to the care plans, and residents confirmed that staff explained the risks to them and demonstrated that they were aware of why restrictions were placed on them. One resident was seen by the Inspector to go out shopping to get ingredients for the evening meal as she was assessed to be safe to go out alone. Residents had an individual missing persons information sheet, contained in their file and there was a step- by- step procedure for staff to action. Residents spoken to said that they are provided with assistance and support to manage their own finances and a sample of financial records reviewed were found to be satisfactory. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 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): 12,13,14,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have a good lifestyle with the ability to participate in house and community activities, encouragement to maintain contact with friends and family, and have a choice of food they like. EVIDENCE: Residents confirmed that they attend day centres though one resident got ‘fed up’ with her day centre so the Registered Manager has organised it so that she has a variety of activities arranged by the staff instead. This was contained in her Care Plan. One resident said that she had learnt computer skills, which she enjoyed. Residents said that they were saving money for their forthcoming holidays, which they always enjoyed. The Registered Manager said residents were 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 12 having the opportunity to go on two annual holidays, both abroad if they wished. Residents confirmed that they are encouraged to participate in the household tasks according to individual risk assessments and that they enjoyed these tasks such as preparation of meals, hovering, and washing up. The personalised plans of care viewed for two residents being tracked showed their individual lifestyle, social interests respected. Staff and residents confirmed that local amenities are available and used by service users, such as the local supermarket, restaurants, and pubs. The home enabled service users to maintain contact with whosoever they wish to, and residents confirmed that their friends could visit the home. One resident said she rang her Mother by using her mobile phone. Service users are offered a well-balanced diet and take part in the menu planning, and purchase of food, and some of the residents assist in the cooking of food and snacks. One resident grated cheese during the inspection for the evening meal. Food likes and dislikes are recorded. Residents confirmed they are consulted and involved in menu planning and this was reflected in Residents Meeting minutes. The Inspector observed staff and residents speaking with each other in a friendly manner, giving time and space to the person speaking and respecting what they said. There are service users meetings held where all people are invited to attend and share their views about the home. Records of these meetings are available for staff and service users to refer to. The Registered Manager was interested in furthering residents participation in the running of the home by having resident(s) to sit in to give their views in staff meetings and to interview for new staff. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 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): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for planning care in this home are good ensuring that health, and the personal and social care needs of people living in the home are generally well met. EVIDENCE: There was evidence within the files that medical professionals were involved with health care needs on a regular basis. For example the notes of the General Practitioner visits included the problem, date of visit, and outcome. Chiropodist, dentist and optician appointments are arranged. Any visits from health care professionals are recorded on the contact sheet. An accident record showed that a resident had bumped her head though there was no medical assistance sought. The Registered Manager said that a short policy would be set up to ensure that medical advice is sought following any head injury so that residents health needs are fully protected. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 14 From discussion with staff about how the service users needs are met it was evident that the staff have a sensitive approach to the provision of personal care, and are aware of privacy, dignity and independence issues. The Home has a contracted Pharmacist and a pre-packed blister system is used. There is an incoming medication record with medication checked off by staff. A medication disposal record was seen. Information regarding residents’ medication was seen to be on file. There were no controlled drugs prescribed. The senior carer confirmed that all staff issuing medication had in house training. The Registered Manager said that refresher medication training was to be arranged. Residents spoken with indicated that they are involved in the discussion about the care that is provided. The two residents being tracked had in their Care Plan the level of support needed and their goals and aspirations. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 15 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents welfare is generally well protected by procedures in place. Residents views are listened to and acted upon. EVIDENCE: Residents said that they would tell the Registered Manager or staff members if they were unhappy with anything and they said it would be sorted out. Residents spoken with indicated that they felt safe and protected in the presence of the staff within the home. The complaints record indicated that no complaints had been received about the service since 2002. The complaints procedure is clearly displayed and contains information as to how to contact the Commission should a complainant be dissatisfied with the home’s response. This is a user friendly document and service users showed the inspector where it was displayed on the notice board in the kitchen. The Registered Manager said she would make amendments to the procedure so that it gave a choice as to whether to complain to management or the Commission for Social Care Inspection. A staff member on duty was asked about the understanding of whistle blowing procedures, and demonstrated a good understanding of the protection of service users from abuse. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 16 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): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service uses live in a homely and comfortable environment, and standards of hygiene are good. EVIDENCE: Residents rooms contained many personal possessions. Two of the residents share a room and the other three residents have a single room. Residents again confirmed that they were happy with their rooms. There are no en-suite facilities although all rooms contain a washbasin. It was noted that a basin in the double room has now been replaced. The residents share a bathroom, which does not have a fitted shower, and further consideration should be given to installing a shower so that a choice can be offered. There is a large garden to the rear or the property with a patio area. The lawn was not well maintained though residents and staff were trying to address this at the time of the inspection. It is recommended that shrubs and flowers of residents choice be planted to make this a more attractive area. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 17 The front garden, which was poorly maintained in the past, has been replaced by easy maintenance pebbles and is now in keeping with neighbouring houses. Domestic and hygiene maintenance was observed to be good with no odours present. The kitchen area was tidy, with work surfaces clean. There are now curtains to all bedrooms, to ensure residents rights to privacy. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 18 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): 32,34,35,36 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Staffing levels and staff training may not always ensure service users individual needs are met. EVIDENCE: Service users said they thought the staff were good and, ‘they take care of us’. From the rota inspected there is one staff on duty when residents are in the home with two staff on duty for periods when some residents want to go out. Comments were received that it would more effectively cover residents needs if there were always two staff on duty in the afternoon/evening as no one can go out if one resident wants to stay at home with only one staff on duty, plus residents sometimes need one to one attention, a need reflected on Care Plans and observation of the interaction between residents and staff. The Registered Manager said the Company were aware of these needs and is planning to increase staff accordingly. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 19 Staff records were inspected and generally found to have all the necessary statutory checks apart from a missing passport for one staff member and birth certificate for another staff member. The Registered Manager said this would be followed up. There are no current care staff with National Vocational Qualification level 2 training which does not meet the National Minimum Standard of fifty of staff with this qualification though the Registered Manager stated this is currently being followed up with two staff shortly to enrol on this course. The training folder evidenced that some staff have had training in a range of relevant topics in the past – medication, health and safety, food hygiene, first aid, fire, mental health etc, though the Registered Manager said refresher training was needed and training records were not up to date. The Registered Manager said this would be followed up. The Registered Manager recognised that staff supervision was behind schedule And would be working to ensure that this was fully in place to provide support and ensure consistent practice. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 20 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): 37,39,42 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Health and safety issues need to be fully addressed to promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: Residents said that staff listen to them and that regular meetings are held to discuss anything they want – food, holidays, repairs etc. Records showed that there are formal residents meetings on a regular basis and that residents comments were recorded verbatim, which indicated respect for their views. There was evidence of questionnaires completed by the residents in their personal files. A representative of the responsible individual makes regular visits to the home, to check various aspects of the service provided. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 21 Service users and staff said they thought the home was run well. Staff said they were supported, listened to and respected by the management of the home. It was recommended that the views of other stakeholders such as relatives and visiting professionals are also sought on a formal basis and the results of such consultations included in the home’s information, available to all interested parties. There are Risk Assessments as to safe working practices, but no Risk Assessments wee available for possible injury from hot radiators. The Registered Manager said this would be carried out. The hot water temperature was measured and measured 50c, 7c over the National Minimum Standard. This was then turned down by staff and measured again the following day and found to comply with the National Minimum Standard of 43c to prevent scald injury. A staff member was asked as to the fire procedure and was generally aware of this. Fire records showed that regular testing of fire bells and emergency lighting were generally in place (there were two occasions where weekly drills had not taken place – the Registered Manager said this would be followed up) and there are regular fire drills – evidenced in fire records. Fire doors to the kitchen, dining room and lounge were wedged open, causing a possible fire risk. The Registered Manager said a fire risk assessment on this issue would be carried out and the Fire Officer consulted. It was recommended that approved fire closures be fitted to preserve fire safety. 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 22 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 3 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 4 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X 3 X X 2 X 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 23 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. 1. 2. Refer to Standard YA32 YA35 Good Practice Recommendations The Registered Provider should ensure staffing levels are in place to always meet residents needs. The Registered Manager should continue to pursue a training programme, which will achieve comprehensive training for staff including National Vocational Qualification level 2 training. Health and Safety systems need to be fully in place to ensure residents safety regarding fire and risk of scalding. Regular supervision for staff needs to be in place to enable consistent support and staff practice. 3. 4. YA42 YA36 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 7 Debdale Road DS0000012762.V303626.R01.S.doc Version 5.2 Page 25 - 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. 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