CARE HOME ADULTS 18-65
7 Park Hill Drive Care Home 7 Park Hill Drive Aylestone Leicester LE2 8HS Lead Inspector
Steve Hunnybun Unannounced 28 April 2005 at 2:00pm 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 Park Hill Drive Care Home C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service 7 Park Hill Drive Care Home Address 7 Park Hill Drive Aylestone Leicester LE2 8HS 0116 2331035 0116 2331035 tweddle7@aol.com 9 Grace Road Limited 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) Vacant Care Home 3 Category(ies) of DE - Dementia (3) registration, with number of places LD - Learning disability (3) SI - Sensory Impairment (3) 7 Park Hill Drive Care Home C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: None. Date of last inspection 4th October 2004 Brief Description of the Service: 7 Park Hill Drive is a detached house in a quiet residential area within Leicester City. Care and support is given to three adults with learning disabilities and associated sensory impairments. All service users attend day care services either at college, day centres or at the day provision within the sister home opposite. The home is pleasantly decorated and is of adequate size for its use. It does not stand out from neighbouring properties. 7 Park Hill Drive Care Home C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection took place over approximately three hours and was the first statutory unannounced inspection this year. None of the managers were available on the day of the inspection and the office where files are kept was locked so it was not possible to examine residents’ files. The inspector examined other records, spoke with a resident, observed care practice and spoke with a member of staff. What the service does well: What has improved since the last inspection?
This was a positive inspection last time and the home has continued to maintain high standards. 7 Park Hill Drive Care Home C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 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. 7 Park Hill Drive Care Home C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 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 Park Hill Drive Care Home C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 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) None of the standards in this section were looked at on this occasion. They will be examined in detail at the next inspection later in the year. EVIDENCE: 7 Park Hill Drive Care Home C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 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) 7 Residents are enabled and encouraged to make decisions about their lives and staff are mindful of their individual needs when offering them choice. EVIDENCE: The resident who spoke with the inspector stated that he is able to make choices about everyday life. Examples he gave included the décor in his room and whether he goes to the pub or not. He currently attends a range of day care activities on four days of the week and chooses to watch TV on his day off. The resident stated to the inspector that he wants to see a social worker. A member of staff stated that he has a named social worker but that his case is ‘inactive’ at present. The resident was advised to speak to staff regarding this. The resident stated that he has not had a review for some time but that he does not feel he wants one. Staff stated that his case would have been reviewed, as is practice at the home. The member of staff stated that service users are encouraged to make choices as much as possible but one has autism and relies heavily on routine so tends to make the same choices when offered. 7 Park Hill Drive Care Home C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 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) 12,13,15,17 Residents are offered a range of day care and leisure activities, which are appropriate for each individual. Residents are enabled to maintain relationships with family and friends. Residents enjoy their food. EVIDENCE: The resident who spoke with the inspector stated that he enjoys a range of activities each week. He attends college to do cooking, attends a local library and goes to a sport centre. He stated that he chooses not to go to the pub. The resident stated that he is enabled to use local facilities by staff, such as parks. The inspector discussed the other two residents’ day care with a member of staff. Both use the day care facility at the sister home over the road, one because he has been suspended from the day centre due to his behaviour. The inspector was shown some fine pieces of artwork that he has produced. The other resident enjoys construction activities such as bricks. Residents are registered to vote but the three at Park Hill Drive either choose not to or are unable to understand the process. 7 Park Hill Drive Care Home C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 Page 11 The resident who spoke with the inspector stated that he is enabled to maintain contact with his family. He visits his mum, brothers and sister regularly and staff help him to telephone between visits. The resident stated that he enjoys the food; his favourite is chips with pie or fish. He said the cook is called Linda and is ‘very good’. 7 Park Hill Drive Care Home C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 Page 12 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) 18,19,20 Residents’ personal care needs are met. Residents are enabled to access healthcare services when necessary. Residents’ medication is stored and administered appropriately. EVIDENCE: The resident was asked about personal support needs and stated that he can do a lot for himself and is able to do so but does get help from staff when he needs it. He is able to see a doctor when he needs to and staff help him get his prescriptions. He stated that he does not take medication other than when he is unwell. The inspector examined medication records for the other residents and found them to be in order. 7 Park Hill Drive Care Home C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 Page 13 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) 22,23 Residents are made aware of how to complain and feel happy to do so. Residents are protected from abuse and the home reacts appropriately when it is suspected that residents have been mistreated. EVIDENCE: The resident who spoke with the inspector stated that he knows who to speak to if he wishes to complain about the service. The member of staff stated that staff receive vulnerable adult training within their NVQ and that they are made aware of procedures such as whistle blowing. The member of staff has recently whistle blown and was supported by her managers throughout the process. She was clearly aware of vulnerable adult policies including the Multi-Agency Vulnerable Adult Protection document No Secrets. 7 Park Hill Drive Care Home C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 Page 14 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 Residents live in a comfortable, homely environment, which is kept clean, tidy and hygienic. EVIDENCE: The inspector looked round the home and found it to be comfortable and homely. Residents’ bedrooms have been personalised with pictures and belongings and there is a pleasant lounge. The resident who spoke with the inspector stated that he likes the house and his room in particular. The house was clean and tidy on the day of the inspection. 7 Park Hill Drive Care Home C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 Page 15 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 are trained in areas that enable them to best meet residents’ needs. EVIDENCE: The resident stated that he likes the staff and feels supported by them. In conversation with the member of staff in was clear that the team are provided with a comprehensive programme of training and development. All staff are registered for an NVQ and also have received training in areas such as; Makaton, medication, food hygiene and moving and handling. One resident communicates almost entirely in Makaton so this is a key piece of training for staff to undertake. 7 Park Hill Drive Care Home C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 Page 16 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) 37 The home needs a registered manager in order to meet statutory obligations and to ensure that residents’ needs are best met. EVIDENCE: There is currently no registered manager at the home. 7 Park Hill Drive Care Home C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 Page 17 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 x x x x x Standard No 22 23
ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score x 3 x x x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
7 Park Hill Drive Care Home Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 1 x x x x x x C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 Page 18 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. Standard 37 Regulation 8 Requirement The registered provider is required to identify a manager for the home and to submit an application to the commission to register that manager. Timescale for action June 30th 2005 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 none Good Practice Recommendations 7 Park Hill Drive Care Home C51 S45625 7 Park Hill Drive 280405.doc Version 1.30 Page 19 Commission for Social Care Inspection The Pavilions 5 Smith Way Grove Park, Enderby Leciester, LE19 1SX National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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