Inspection on 20/04/05 for 7 Debdale Road

This inspection was carried out on 20th April 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 11/07/06

7 Debdale Road 25/01/06

7 Debdale Road 18/10/04

7 Debdale Road 07/05/04

7 Debdale Road 17/02/04

Similar services:

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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 Sheila Smith Unannounced 20th April 2005 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. 7 Debdale Road Version 1.10 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 Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Care Management Group Limited Mrs Hilary Jennifer Watt Care Home 5 Category(ies) of LD Learning Disability (5) registration, with number of places 7 Debdale Road Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: 1. By Agreement there is 1 Service user who has a mental disorder. No further service users are to be admitted in this category. 2. By agreement there is 1 service user who has learning disabilities over 65 years. No further service users are to be admitted in this catergory. Date of last inspection 18th October 2004 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. 7 Debdale Road Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of 7 Debdale Road was carried out over 3.5 hours ,a senior carer, and all five residents were present throughout the inspection. The inspection consisted of a group discussion with the residents and member of staff, a tour of the home and garden, and observation of records, including two residents’ personal files. Staff files were not available on this occasion. What the service does well: What has improved since the last inspection? What they could do better: 7 Debdale Road Version 1.10 Page 6 Recommendations made from the Inspection in October which referred to the painting of the outside of the home, have not been addressed. The garden requires urgent attention so that the home, and garden remain in keeping with the rest of the properties in the area. There are areas within the home where paint is peeling, and a washbasin in the large front bedroom was found to be cracked. Consideration should be given to installing a shower, so that residents can be given a choice of how to bathe Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 7 Debdale Road Version 1.10 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 7 Debdale Road Version 1.10 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) 2 The assessment process was thorough and comprehensive, individual needs and desires were assessed reviewed and recorded, so that each resident was assured that the home was able to meet their individual needs, and that staff would help them to attain their goals. EVIDENCE: There had been no new residents admitted for some considerable time but the contents of the current service users files evidenced a number of needs assessments 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. The assessment process has been revised in line with the required standards including an information gathering process, a pen picture and the 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 had been recorded. There was evidence of Care Management assessments. 7 Debdale Road Version 1.10 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 Resident’s rights are respected and they are encouraged to be involved in decisions about the home, and in their own lives within the home. Risks are assessed and residents are given guidance and support to lead independent lives. EVIDENCE: Residents spoken to confirmed that regular meetings took place between themselves and the staff to discuss issues within the home. One resident regularly attend a meeting with the company to discuss policies and procedures. Residents said they made their own decisions and choices, based on information provided by the staff and through a newsletter produced by the company. Presently no one uses advocacy services but staff were aware of how to access support. 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 told the Inspector that she was not allowed out alone because of the dangers of the traffic, but also said that staff who accompanied her outside the home assisted her to understand the risks. Each Resident had an individual missing persons information sheet, contained in their file and there was a step- by- step procedure for staff to action. 7 Debdale Road Version 1.10 Page 10 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 Version 1.10 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 13 15 17 Residents attend a variety of day and evening activities, and are provided with opportunities to take part in valued and fulfilling activities both within the home and in the local community. Families are encouraged to remain actively involved in the lives of the residents. Meals were well managed with food that was both appealing and attractive to the residents. EVIDENCE: Residents confirmed that they all attend day centres, including Teamwork, Harroden Road, Melton Road North, Delos and Rushwell. One of the residents explained that although she was a supervisor in the daycentre she was careful not to carry on that role, when she returned with her friends to the home. One resident said that she had learnt computer skills, through the college and was hoping to have a computer installed in the home. The senior carer explained that some of the residents received a payment from the day centres and that they had the choice of keeping the money, or adding it to their savings. One resident said that she was saving her money for her forthcoming holiday. 7 Debdale Road Version 1.10 Page 12 Residents confirmed that they are encouraged to participate in the household tasks according to individual risk assessments. Staff confirmed that the home has a positive relationship with the local community. Local amenities are available and used by service users, such as the local supermarket, restaurants, and pubs. The staff are able to give equal support to service users both within and outside of the home, by working to a flexible staff rota, which revolved around residents social needs, The home enabled service users to maintain contact with whosoever they wish to, and residents confirmed that friends visit the home. One resident communicated with her Mother by using her mobile phone during the inspection. 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 prepared a cup of tea during the inspection. Residents confirmed that they received three meals a day, 1 of which is hot, plus supper snacks and drinks as they wish. Likes and dislikes are recorded. Users confirmed they are consulted and involved in menu planning. 7 Debdale Road Version 1.10 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) 19 20 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 fully met. Medication systems were robust ensuring that residents were protected, by sound medication procedures. EVIDENCE: There was evidence within the files that other professionals were involved with health care needs. For example the notes of the General Practitioner visits included the problem, date of visit, and outcome. Chiropodist, Dentist and optician appointments are arranged on a regular basis. Residents confirmed that they were enabled to contact other professionals and could have private consultations if preferred. The senior carer stated that the home has good support from health care professionals. Any visits from health care professionals are recorded on the contact sheet. From discussion with the member 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 is maintained and signed by the receiving 7 Debdale Road Version 1.10 Page 14 Pharmacist. Service Users Medication profiles are maintained. There were no controlled drugs prescribed and no storage facilities for controlled drugs. The senior carer is responsible for the medication system, and demonstrated that she is fully aware of the required recording and storage systems for controlled medication if this becomes necessary. Through discussion it was confirmed, that staff receive training in the medication system. Advice was given that staff record that the resident has given permission for medication to be administered by the staff. 7 Debdale Road Version 1.10 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 standard(s) 22 Residents feel that their views are listened to and that action is taken to resolve complaints in a professional way. EVIDENCE: Residents spoken to confirmed that they were aware of the complaints procedure and that they could complain if they were unhappy with the service provided. The complaints records were not available during this inspection. Residents said that they were very satisfied with the staff and the care that they received, but that if they had a complaint they would make it to the Registered Manager .The complaints procedure was seen displayed on the notice board in a format that could be understood by the residents. One resident read and understood the procedure, by referring to the pictures. 7 Debdale Road Version 1.10 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 standard(s) 24 30 The home is comfortable , clean and homely and residents live in a safe environment. EVIDENCE: Residents were very keen and proud to show their rooms which contained many personal possessions. Two of the residents share a room, but said that apart from minor disagreements they mostly enjoyed the company of each other. The other three residents have a single room and residents confirmed that they were happy with their rooms. There are no en-suite facilities although all rooms contain a wash basin. It was noted that one basin in the double room was cracked and needed replacing. (A requirement has been made). The outside of the home requires re-painting, to prevent it standing out from other properties in the area. (A requirement has been made)The residents share a bathroom which does not have a fitted shower, and although the residents said that they were happy to have a bath, consideration should be given to installing a shower so that a choice can be given (A recommendation has been made) There is a large garden to the rear or the property with a patio area. The lawn is not well maintained and out of keeping with the surrounding gardens. (A requirement has been made) 7 Debdale Road Version 1.10 Page 17 During the tour it was noted that the lock on the cupboard, where the residents purses, and financial records was broken (A requirement has been made) Domestic and hygiene maintenance was observed to be good The kitchen area was tidy, with work surfaces clean, and all perishable foodstuffs appropriately refrigerated. Kitchen equipment, such as the cooker, refrigerator, and freezer were suitable in capacity for the needs of the service users The location of the laundry facilities was appropriate in relation to food storage, preparation, cooking and eating. 7 Debdale Road Version 1.10 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staff receive both statutory and specialist training so that they understand the individual needs of the residents and are able to respond appropriately to meet them. Staff rotas are flexible, with additional staff at weekends and other times to ensure that residents are escorted to activities of their choice, and are able to lead independent lives. EVIDENCE: Staff files were not available during this inspection, but the member of staff on duty confirmed that the company have a strong commitment to staff training. The senior carer confirmed that she had received training in dealing with a fire in the home, Health and Safety, Food hygiene, and First Aid. Newly appointed staff receive an induction program. The senior carer said that there had been some problems in accessing assessors for National Vocational Qualification training, meaning that few staff have the achieved the award (A recommendation has been made ) There was one member of staff on duty on the evening of the inspection, who would remain with the residents until the following morning. The senior carer and the residents confirmed that there were additional staff on duty to escort people to outside activities when required. 7 Debdale Road Version 1.10 Page 19 A resident commented ‘staff listen to us’ and ‘regular meetings are held to discuss issues arising’. 7 Debdale Road Version 1.10 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 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 There is a satisfactory process within the company, and within the home that seeks resident’s views about the services provided. Health and safety issues are addressed to promote and safeguard the health, safety and welfare of the people using the service. EVIDENCE: One of the residents attends a meeting in London with the company to review policies and procedures. There was evidence of questionnaires completed by the residents in their personal files. Regular visits are made to the home by a representative of the responsible individual, to check various aspects of the service provided. Formal residents meetings are held to discuss issues arising. Staff and residents confirmed that equipment is replaced or repaired, and observations made during the inspection confirmed that the residents live in a safe environment. Records observed included the accident book, and the fire 7 Debdale Road Version 1.10 Page 21 log- book which were found to be satisfactory. Policies and procedures relating to safe practices were available for all staff. The senior carer confirmed that there was an adequate supply of disposable gloves and aprons available for staff who need to assist with personal care. 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. Where there is no score against a standard it has not been looked at during this inspection. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 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 2 x x x x x 2 Standard No Standard No 31 32 Score x x Page 22 7 Debdale Road Version 1.10 11 12 13 14 15 16 17 x 3 3 x 3 x 3 33 34 35 36 x x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x 7 Debdale Road Version 1.10 Page 23 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. 1. 2. 3. 4. Standard 24 24 24 24 Regulation 23(2) (d) 23 (2) (d) 23 (2) (h) 16 (2)(l) Requirement The washbasin in the shared bedroom must be replaced A maintenence plan must be submitted to the Commission The garden must be maintained Residents finances must be kept in a secure place. Timescale for action 30/06/05 30/06/05 30/06/05 30/06/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard 24 35 Good Practice Recommendations Consideration should be given to installing a shower The Registered Manager should continue to pursue a training programme which will achieve 50 of care staff with Level 2 NVQs. 7 Debdale Road Version 1.10 Page 24 Commission for Social Care Inspection Address 1 Address 2 Address 3 Address 4 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 Version 1.10 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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