Inspection on 07/12/06 for 70 and 72 Worting Road

This inspection was carried out on 7th December 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

70 and 72 Worting Road 17/11/08

70 and 72 Worting Road 11/11/05

70 and 72 Worting Road 12/05/05

70 and 72 Worting Road 23/11/04

70 and 72 Worting Road 12/05/04

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

CARE HOME ADULTS 18-65 70/72 Worting Road Basingstoke Hampshire RG21 8TP Lead Inspector Peter J McNeillie Unannounced Inspection 7th December 2006 09:00 70/72 Worting Road DS0000012277.V318795.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 70/72 Worting Road DS0000012277.V318795.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. 70/72 Worting Road DS0000012277.V318795.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 70/72 Worting Road Address Basingstoke Hampshire RG21 8TP 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) 01256 844 057 Advance Housing and Support Limited Miss Catrina Jean Knapp Care Home 8 Category(ies) of Learning disability (8) registration, with number of places 70/72 Worting Road DS0000012277.V318795.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 11th November 2005 Brief Description of the Service: Advance Housing and Support Ltd. are the providers of care at 70/72 Worthing Road. The home comprises of two semi-detached properties that have been converted into one home, and is registered to provide care for up to eight people who have learning disabilities. All residents are accommodated in a single bedroom with en-suite bathroom and share two lounges, two kitchens and a conservatory. There is an enclosed garden and parking facilities to the rear. All areas of the home are accessible to residents. The home is situated in a residential area, close to the town centre of Basingstoke and is accessible to local amenities. 70/72 Worting Road DS0000012277.V318795.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A number of sources of information/evidence were considered in producing this report including a visit to the home, previous inspection reports, notifications to the Commission for Social Care Inspection (C.S.C.I.) under regulation 37, examining service users assessments/care plans, staff recruitment/ training records, policies / procedures comments by management, staff, service users and the results of an in house service user satisfaction survey. This key unannounced visit was the first inspection for the year 2006/07 and took place on 07/12/06 between the hours of 09.00 am and 1.00 pm. During the inspection all of the key standards for care homes for younger adults were assessed. The results/findings contained in this report will determine the frequency and type of future inspections. What the service does well: What has improved since the last inspection? What they could do better: The resident’s satisfaction survey should be extended to include families and visiting health and social care professionals. Risk assessments re health and safety need to be checked to ascertain they are accurate. 70/72 Worting Road DS0000012277.V318795.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. 70/72 Worting Road DS0000012277.V318795.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 70/72 Worting Road DS0000012277.V318795.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. 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 home has a well-developed system of assessing and identifying residents needs which ensures residents safety and assessed needs can be met. EVIDENCE: There have been no admissions since the last inspection. Residents, staff and management confirmed that prior to a permanent place being offered, prospective residents would visit the home on a number of occasions including overnight and weekend stays. During these visits a detailed assessment of residents needs and risks would be carried out overseen by the manager or a member of senior staff. Four of the residents files were viewed all included, an initial assessments covering a number of topics including housing related support, personal care support, daily living skills, managing money, looking after their physical and mental health as well as areas of risk. Residents and files confirmed residents and if appropriate external health care professionals including care managers also contributed to the assessments process including a pre placement review All assessments of need and risk are reviewed on a regular basis. 70/72 Worting Road DS0000012277.V318795.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There is a clear and consistent care planning system in place, which ensures resident’s needs are met within a risk management policy that involves residents in decisions that affect them. EVIDENCE: The inspector viewed four resident’s files. All contained plans on how assessed needs were to be met within a risk taking environment and confirmation that residents were consulted when the plan was formulated. Topics covered included personal daily routines, showering/bathing, cleaning teeth, cooking skills, kitchen hygiene, using domestic appliances, personal appearance, finance, medication, getting up routine, travel, and issues outside the home including taking responsibility for there own actions. Plans viewed had been produced in both a written and pictorial format. Resident’s are given the choice on which version they prefer to receive. 70/72 Worting Road DS0000012277.V318795.R01.S.doc Version 5.2 Page 10 All plans are reviewed on a regular basis. Risks assessments covered a number of topics, safety in the home environment, personal care, financial abuse, and specific risk assessments pertinent to individual needs. If following a risk assessment any type of restriction was indicated, this would not be implemented without the full consent of the resident. Files also contained “personal planning books” in a written and pictorial format, which residents had completed with the support of their key-worker. These indicated an individual’s choices, aspirations and contributed to the formulation of the care/support plan. 70/72 Worting Road DS0000012277.V318795.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The social activities family contacts and the provision of varied and nutritious meals were well managed and reflected residents interests and choices. EVIDENCE: Monthly “residents meetings” where any matters that affect living in or the running of the home are discussed. These could include an individual’s conduct to other residents, food, staff and staff attitudes, group activities, and arrangements for special times of the year such as Christmas. No subject is taboo as long as all of the residents agree. The inspector viewed signed minutes of the meetings. There is an expectation in the home that residents take responsibility for keeping the home clean and tidy and help to prepare meals. There are rotas in the kitchens showing who is responsible for which tasks each day. Service users also take a role in the recruitment of staff, with three or four of them deciding with a member of staff the questions they want to ask the 70/72 Worting Road DS0000012277.V318795.R01.S.doc Version 5.2 Page 12 candidates, and then interviewing the candidate (with the member of staff as a silent observer) after they have been interviewed by the manager. A daily menu, which was displayed in a pictorial format based on residents choice is produced once a week using a colour code system to ensure meals, are balanced. R Residents confirmed meal times were flexible to meet individual’s daily programmes, which form part of their support/care plan. Residents are allowed to entertain visitors as long as it does not interfere with the others living in the home. Residents in the home, which is situated in the community looks outwards to the community for their social and recreational pastimes. The range of activities currently being undertaken include, dining out, trips out, work, advocacy group, pubs, gym, clubs, day services, theatre, bowling, swimming, cinema, art work. 70/72 Worting Road DS0000012277.V318795.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Satisfactory arrangements are in place, ensuring the personal emotional, health care and medication needs of residents are met. EVIDENCE: Most of the residents are independent with regard to their personal health care needs and only require prompting and arranging of appointments to ensure needs are met. Where assistance is required staff and management informed the inspector this would be delivered in private but it was not possible to confirm this with residents who by this time during the inspection had all gone out. All drugs are which securely stored is administered disposed of and recorded in accordance with an in house and corporate medication policy and procedure by trained staff. Records of administration and disposal of unwanted drugs and medicines seen were complete and accurate in compliance with a previous requirement. Currently no residents are self-medicating, however, following a detailed risk assessment two residents are about to embark on a self-medicating programme. Progress will be evaluated at a future visit to the home. The inspector was informed the current system for the administration of drugs is to be replaced. Progress will be checked at a future visit to the home. 70/72 Worting Road DS0000012277.V318795.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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has clear policies and procedures in place which ensures residents are able to complain and are protected from abuse . EVIDENCE: An Adult Protection Policy and Procedure have been implemented to work in tandem with the procedure produced by Hampshire County Council. All management staff spoken to demonstrate they were aware of the procedure to follow should they witness or suspect the abuse of a resident. The complaints procedure, which was also included in the service users guide included information on how to contact The Commission for Social Care Inspection (C.S.C.I) and a record of complaints were viewed. Residents when asked said if they were not happy or had a complaint stated they would talk to the manager or other staff. Regular visits from independent advocates take place. 70/72 Worting Road DS0000012277.V318795.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. A safe, well maintained, clean and suitably furnished home is provided for residents which meets their needs. EVIDENCE: As previously stated in this report the home is situated in the heart of the community and comprised two terraced properties converted into one. From the outside there is nothing to distinguish the home from its neighbours a plus point for residents who do not wish to be seen as “different”. A tour of the building indicated the building was accessible, safe, generally well maintained meeting residents individual and collective needs. Resident’s bedrooms were not viewed during this visit as they had all gone out and no permission to view had been obtained by the inspector. Furniture was comfortable, in keeping with the décor, homely and well maintained. 70/72 Worting Road DS0000012277.V318795.R01.S.doc Version 5.2 Page 16 Residents commented how satisfied they were with the accommodation and how much they liked their rooms. Residents were able to access all parts of the building, which was safe, secures, clean and free from adverse odours. An infection control policy and procedure was in place as was a washing machine fitted with a high temperature and sluice programme. The inspector highlighted damage/wear at the bottom of a sliding door in the conservatory. Whilst this issue is not a problem at present action should be considered to avoid a problem in the future. 70/72 Worting Road DS0000012277.V318795.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s needs are met by sufficient numbers of well trained and supported staff who are recruited and selected using a procedure designed to protect all service users. EVIDENCE: Records seen confirmed all care staff are recruited in accordance with a corporate selection and recruitment procedure which includes the completion of an application form, the signing of a Rehabilitation of Offenders Declaration an interview and satisfactory Criminal Records Bureau (C.R.B) Protection of Vulnerable Adults (P.O.V.A) and reference checks. As part of their terms and conditions of employment following induction training all staff are expected to participate in an NVQ training programme. Records seen indicated that 83.33 of staff has been trained to at least N.V.Q. level 2. Additional training is also available records seen confirmed staff had received training in risk assessments, personal centred planning, handling medication, 70/72 Worting Road DS0000012277.V318795.R01.S.doc Version 5.2 Page 18 health and safety, food hygiene, moving and handling, first aid, changeling behaviour, dementia and the protection of vulnerable adults. 70/72 Worting Road DS0000012277.V318795.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management of the home ensures the health, safety and welfare of residents and staff are promoted and the home is run in the best interests of the residents whose views about living in the home are formally sought. EVIDENCE: The service is well managed by the registered manager registered manager who has a number of years experience in dealing with persons with a learning difficulty. The manager is qualified to National Vocational Qualification level in care/management at level four. Comments made by residents confirmed they can speak to the manager and all care staff at any time and they are always willing to listen and give them time. This view that was also echoed by the staff that confirmed management have an open door policy, and encourage them to share any concerns or ideas they 70/72 Worting Road DS0000012277.V318795.R01.S.doc Version 5.2 Page 20 have. There are clear lines of accountability within the home all staff were fully aware of there responsibilities. The inspector was shown a satisfaction survey completed by residents, which mirrored the views expressed by the inspector in this report. The inspector highlighted the need to extend this survey to relatives and visiting professionals such as care manager’s district nurses and doctors. Progress will review at a future visit to the home. A corporate health and safety policy was in place as were records of weekly health/ safety checks, the servicing of equipment, staff training in the techniques of moving and handling, first aid, health and safety, the procedures to follow in the event of fire (including evacuation) and accidents. All of the hot water supplies to baths were fitted with thermostatic controls set at 43 degrees centigrade. Risk assessments viewed stated that all radiators had been covered. This was incorrect.The manager gave a verbal undertaking that risk assessments will be re-done and appropriate action taken to ensure residents are protected from burning by hot surfaces in accordance with standard 42(3) iv. 70/72 Worting Road DS0000012277.V318795.R01.S.doc Version 5.2 Page 21 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 3 X X 2 x 70/72 Worting Road DS0000012277.V318795.R01.S.doc Version 5.2 Page 22 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 YA42 Good Practice Recommendations Risk assessments should be carried out to ensure it can be demonstrated that residents are protected from burning from hot surfaces, in particular radiators. 70/72 Worting Road DS0000012277.V318795.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 70/72 Worting Road DS0000012277.V318795.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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