Inspection on 14/06/06 for 7 Park Hill Drive

This inspection was carried out on 14th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 Park Hill Drive 29/09/05

7 Park Hill Drive 28/04/05

7 Park Hill Drive 04/10/04

7 Park Hill Drive 02/04/04

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 Park Hill Drive Aylestone Leicester Leicestershire LE2 8HS Lead Inspector Ruth Wood Unannounced Inspection 14th June 2006 1:00pm 7 Park Hill Drive DS0000045625.V300381.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 Park Hill Drive DS0000045625.V300381.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 Park Hill Drive DS0000045625.V300381.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 7 Park Hill Drive Address Aylestone Leicester Leicestershire LE2 8HS 0116 2331035 0116 2331005 tweddle7@aol.com 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) 9 Grace Road Limited Ms Lynsey Rachel Jones Care Home 3 Category(ies) of Dementia (3), Learning disability (3), Sensory registration, with number impairment (3) of places 7 Park Hill Drive DS0000045625.V300381.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No person falling within category SI or DE may be admitted to the home unless that person also falls within category LD ie multiple disability 29th September 2005 Date of last inspection Brief Description of the Service: 7 Park Hill Drive is a detached house in a quiet area on the outskirts of Leicester, close to a variety of community amenities and transport links. Care and support is given to three adults with learning disabilities and associated sensory impairments. There are two good sized single bedrooms, a bathroom and toilet on the first floor and a further well sized single bedroom on the ground floor and a toilet. The kitchen and lounge are both situated on the ground floor and French windows lead from the lounge into an accessible and secluded back garden. The home does not stand out from neighbouring properties. The home’s sister property (9 Grace Road) is located across a quiet residential street and when not attending college residents go here for daytime activities. Current fees range from £580 to £850. 7 Park Hill Drive DS0000045625.V300381.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place on a weekday afternoon between 3:50pm and 5:40pm. 7 Park Hill Drive is the sister home to 9 Grace Road, which is located across the road and was inspected on the 8th June 2006. The majority of the home’s administration is conducted from Grace Road and staff training and recruitment records, together with some health and safety records were examined during last week’s inspection. To gather an overview of the full service it is recommended that this report be read in conjunction with that of 9 Grace Road. A resident of Park Hill Drive gave the Inspector a tour of their home and communication with them and another resident about aspects of their lives was supported and facilitated by staff. The two residents’ care plans were examined in detail. Facilities for the storage and administration of medication were examined and some discussion was held with the homes’ General Manager. What the service does well: 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 7 Park Hill Drive DS0000045625.V300381.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. 7 Park Hill Drive DS0000045625.V300381.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 Park Hill Drive DS0000045625.V300381.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. Residents’ needs are competently assessed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Two residents’ case files were examined; all contained an assessment completed by the home covering physical, social and emotional needs. Discussion with the Day Care Officer and a staff member together with observation and communication with the residents indicated that what was recorded was an accurate reflection of the their needs. The files also contained a comprehensive assessment completed by the placing social worker. 7 Park Hill Drive DS0000045625.V300381.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 good. Residents’ needs are accurately reflected in their plans and they are given opportunities to make choices and take risks. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans are currently being updated in line with recent developments in person centred planning but the existing care plans of two residents whose care was tracked were examined. Plans were very detailed, explicitly outlining how residents’ identified needs should be met and contained evidence of regular updates reflecting changing needs. Detailed risk assessments, including one relating to living at the home with a sleep- in rather than waking member of staff were in place. Communication with the residents, observation of care and discussion with two staff members indicated that plans were an accurate reflection of care given. Communication with one resident indicated that they helped with the cooking and cleaning in the home; staff members confirmed this. Another resident was observed being asked using Makaton (signed communication) what drink he would like. Staff were observed to use a variety of methods of communication with both residents including using objects to refer to, Makaton, speech and gesture. This facilitated residents in making choices. 7 Park Hill Drive DS0000045625.V300381.R01.S.doc Version 5.2 Page 10 The registered provider currently acts as appointee for two residents. All residents’ personal allowances are paid into a joint residents’ account held on behalf of all residents at 7 Park Hill Drive and the sister home 9 Grace Road. This is administered by Mr Tweddle and he is the sole signatory. A full record of each resident’s expenditure and balance remaining is kept, together with receipts and these were examined during the inspection of 9 Grace Road on 8 June. Several balances and receipts held were checked at random and these appeared accurate. 7 Park Hill Drive DS0000045625.V300381.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, 15, 16, 17 Quality in this outcome area is good. Residents have the opportunity to participate in vocational, and leisure activities and are able to maintain links, with family and the local community. A varied diet is served in pleasant surroundings. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One of the case tracked residents took part in a work experience placement arranged via their college last week and communicated that they had enjoyed this. Both residents whose care was tracked attend college for 3 and 4 days respectively. One of these resident’s college placement has recently re-started and is now very successful following training given to college staff by staff from the home on how to communicate with the resident. For the remaining days people engage in day care activities with people who live at 9 Grace Road. Good use is made of community facilities with regular outings to pubs, sporting facilities, parks and shops and staff said that both case tracked residents enjoyed going out. This was confirmed via communication with them; one resident showed the inspector their photographs of a recent trip to see monster truck racing and had clearly enjoyed this. People are given the opportunity to go on annual holidays, usually from September onwards when the weather is cooler. 7 Park Hill Drive DS0000045625.V300381.R01.S.doc Version 5.2 Page 12 When showing the Inspector around their home one resident indicated that they telephoned their father every night and their father visited them regularly; staff members confirmed this. Relatives and friends can visit the home at anytime, Christmas and birthday parties are arranged and relatives and friends are invited to these celebrations. Menu records submitted as part of the pre-inspection questionnaire indicate that generally only breakfast and tea are eaten at Park Hill Drive and that main meals are eaten at Grace Road. Menus examined during this home’s inspection demonstrated that a good range of food is served in the home, which takes into consideration residents’ personal preferences and health needs. Information about residents’ food preferences and needs is also displayed in the kitchen at Grace Road as a reminder to staff members. 7 Park Hill Drive DS0000045625.V300381.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. Residents receive appropriate personal support and their health needs are well met. Medication is generally well managed. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Personal support needs are detailed in care plans. Residents have access to a full range of healthcare support including regular private physiotherapy, reflexology and chiropody. They are also well supported by local GPs and by consultant psychiatrists. Health information is clearly detailed in care plans. If a resident has to be admitted to hospital they are always accompanied by at least one staff member. Residents’ medication is detailed in their care plans as well as on medication administration records. Medication is stored appropriately and systems are in place for ordering, receiving and returning medication. These are all documented appropriately. Amendments have been made to the documentation of one resident’s ‘as required’ medication following a recommendation at the inspection of Grace Road last week. 7 Park Hill Drive DS0000045625.V300381.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. Residents’ communication is responded to appropriately and good systems are in place to protect them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff members spoken with agreed that residents were able to make their concerns known. Observed interaction between staff and residents was good and indicated a positive relationship. The two residents whose care was tracked were able to express their feelings. Information received prior to the inspection visit suggests that the management team is aware of the home’s responsibilities under protection protocols and in matters in this area the home has acted appropriately in the past. Information gathered during the inspection of 9 Grace Road indicated that staff members receive training in the area of adult protection and have a good understanding of issues such as whistle blowing. 7 Park Hill Drive DS0000045625.V300381.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome group is good. Residents live in a clean, comfortable and well-maintained environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of the home was conducted with one resident and two staff members. All areas of the home were clean and tidy and many areas had been recently re-decorated and new furniture and floor coverings had been installed. Residents’ bedrooms are spacious and highly personalised. Discussion with staff last week during the inspection of 9 Grace Road indicated that staff had a good understanding of infection control and that they had received training in this area. 7 Park Hill Drive DS0000045625.V300381.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is good. Residents are supported and protected by well-trained staff and effective recruitment practices. This judgement has been made using available evidence including a visit to this service EVIDENCE: Staff recruitment is administered centrally from 9 Grace Road and procedures relating to this were inspected as part of their inspection on 08/06/06. Prospective staff complete an application form and two written references are obtained as part of the recruitment process. An enhanced criminal records bureau check is obtained for all staff before they commence work in the home. Evidence of identity was present on all staff records. Staff undertake a formal induction and each staff member has a training and development record. Training is regular and ongoing; at this visit staff members who had finished their shifts were observed engaged in workbook activities on health and safety. Many staff were observed at this inspection to have good communication skills including a good knowledge of Makaton. The day care officer confirmed that staff were given regular training in this area and that it was included in all new staff member’s induction. Some difficulty has been experienced in finding assessors for staff completing National Vocational Qualifications (NVQ). Some senior staff members are therefore undertaking the assessor’s award to enable training to be verified ‘inhouse’. The day care officer confirmed that she was currently undertaking the 7 Park Hill Drive DS0000045625.V300381.R01.S.doc Version 5.2 Page 17 Assessors Award. Five care staff hold an NVQ award in care at level 2 or above and eight staff are currently engaged in this training. One staff member is allocated to work at 7 Park Hill Drive when residents are there. One member of staff sleeps in at the home. The member of sleep – in staff does not normally have to undertake shift work prior or after their sleepin. On call procedures are in place to access staff from 9 Grace Road should additional staff be required. 7 Park Hill Drive DS0000045625.V300381.R01.S.doc Version 5.2 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 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 good. The health and safety of residents is promoted but a systematic quality monitoring system should be developed to ensure standards in all areas are continually monitored and improved. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The Registered Manager of 7 Park Hill Drive is currently on maternity leave but is due to return to work within the next few weeks. She has a National Vocational Qualification in care and hopes to register for either NVQ level 4 or the Registered Manger’s Award on her return. The ‘General Manager’ of both Park Hill Drive and Grace Road holds a post-graduate Diploma in Management Studies. Both managers undertake training alongside care staff in all aspects of care. There is currently no formal system of quality assurance within the home although staff opinion on the running of the service is invited during regular one to one supervision sessions and staff meetings. There is evidence however that systems and procedures are regularly evaluated and updated; for 7 Park Hill Drive DS0000045625.V300381.R01.S.doc Version 5.2 Page 19 example care plans are currently being updated in line with person centred planning. Ways should be examined of implementing a formal quality assurance system, which includes regular consultation with residents, their representatives and other interested parties. A new fire alarm system and on-call system were installed 13 months ago and these are now due to be serviced. Fire extinguishers were serviced in March of this year. Staff were observed to be completing distance-learning training on health and safety. All safety data sheets are in place for the home’s Control of Substances Hazardous to Health (COSH) assessment. Staff stated that they have regular training in moving and handling and the Provider stated on their pre-inspection questionnaire that 14 people hold a current first aid certificate. 7 Park Hill Drive DS0000045625.V300381.R01.S.doc Version 5.2 Page 20 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 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X 7 Park Hill Drive DS0000045625.V300381.R01.S.doc Version 5.2 Page 21 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA39 Good Practice Recommendations A formal quality assurance system, which includes regular consultation with residents, their representatives and other interested parties, should be implemented. 7 Park Hill Drive DS0000045625.V300381.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 Park Hill Drive DS0000045625.V300381.R01.S.doc Version 5.2 Page 23 - 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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