Inspection on 19/09/06 for 74 Central Road

This inspection was carried out on 19th September 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

74 Central Road 23/09/08

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

CARE HOME ADULTS 18-65 74 Central Road Drayton Portsmouth Hampshire PO6 1QX Lead Inspector Annie Kentfield Unannounced Inspection 19th September 2006 11:30 74 Central Road DS0000067317.V304749.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 74 Central Road DS0000067317.V304749.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. 74 Central Road DS0000067317.V304749.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 74 Central Road Address Drayton Portsmouth Hampshire PO6 1QX 023 92 614526 023 92 614526 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) Hampshire Partnership NHS Trust Mrs Patricia Warwick Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 74 Central Road DS0000067317.V304749.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: The home is a detached house in the residential suburb of Drayton. Care is provided for up to 4 service users who have a learning disability. However, there are plans for the home to re-locate to another property in Portsmouth within the next six months in order to provide better facilities for the service users. Information about this move has been communicated to the service users, relatives, and staff by Hampshire Partnership NHS Trust, who are the registered care providers. 74 Central Road DS0000067317.V304749.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. In order to make a judgement on the quality of this service – information was gathered from a number of sources, including an unannounced visit to the home. During the visit the inspector spoke to two members of staff and a relative, and observed some of the practice in the home, looked at some of the home’s records, and toured the premises. The manager was not on duty but care staff were helpful in providing information and assisting with the unannounced visit. Additional information for this report was also provided by the manager in the form of data requested from the service prior to the visit. Comment cards were left for relatives and visitors to complete and return if they wished to. Service users were not able to complete comment cards. What the service does well: What has improved since the last inspection? What they could do better: There were no issues of concern identified during the visit to the home. The Commission is aware that the impending move to another property means that the service is not planning to admit any new service users to the vacant fourth bedroom. 74 Central Road DS0000067317.V304749.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. 74 Central Road DS0000067317.V304749.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 74 Central Road DS0000067317.V304749.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 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Although the service has not admitted any new service users since the last inspection – the care files record a clear plan of service users’ needs and aspirations in a person centred way based on a comprehensive assessment of care needs. EVIDENCE: The care files show that the service does not admit anyone to the home unless the manager is clear that all care needs can be met and all relevant information has been gathered from relatives and others involved in the service users’ care. 74 Central Road DS0000067317.V304749.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 and 9 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Although the service users are not able to formally agree and sign their individual plans of care – it is very clear from observation of practice in the home and from care records, that service users are consulted with, offered choices, and participate in the daily life of the home, as much as they are able, or want to. EVIDENCE: During the visit, it was observed that service users are offered lots of choice about what they eat, what activities they take part in, what they wear, and how care is provided. Suitable methods of communication are used including maketon, communication board, individual photo boards, pixim, and picture cards and books to support the service users to indicate their preferences and choices. The choices that service users make about all activities of daily living are recorded on a daily basis. All of the care plans are regularly reviewed and 74 Central Road DS0000067317.V304749.R01.S.doc Version 5.2 Page 10 updated and a record kept that these changes have been discussed with each service user. The inspector also noted – as good practice – that letters from the Hampshire Partnership NHS Trust, about the proposed move to another building, had been sent to individual service users using graphic symbols and pictures, and these letters had been explained and discussed with the service users by the manager and care staff. 74 Central Road DS0000067317.V304749.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 and 17 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users enjoy a varied programme of leisure activities both in the home and in the community. A good and healthy diet is balanced with providing choices of food that service users enjoy and like. EVIDENCE: It was evident during the visit to the home that all three of the service users have a planned programme of activities that they like to do and this includes visits to the library, swimming, bowling, cinema and concerts and sessions at local resources that offer a choice of recreational and social activity. Service users maintain contact with family and friends and one of the service users was going out with a relative during the visit and staff made a picnic lunch to be taken with them. Holidays can be arranged if service users want to. A member of staff explained that they like to support the service users to have as many opportunities for enjoyable activity as possible and the staff rota is 74 Central Road DS0000067317.V304749.R01.S.doc Version 5.2 Page 12 arranged around supporting service users to do this. The home has its own transport. It was evident that staff are very aware of special dietary needs, and balance this with providing a choice of food that service users like. The fridge and freezer were well stocked with good quality food and there was plenty of fresh fruit and vegetables available. There is a planned menu with a regular night each week for a take-away that service users take turns in choosing. All of the service users have a set of small laminated picture cards on a key chain that they use when they go out to assist them in communicating some of their meal/drink/activity choices. Service users are encouraged to help staff with daily household tasks such as loading the dishwasher or washing machine. When service users are at home, they can spend time in their rooms – some of the service users have lots of sensory equipment that they enjoy using – or listen to music, watch TV or videos, or play games. The home has a large garden that service users can use with a patio area, seating and a BBQ. 74 Central Road DS0000067317.V304749.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 and 20 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual health care needs are clearly recorded in personal care plans and service users are fully supported to access all health care services. Service users do not self medicate and all medication is administered by care staff who have received appropriate training. EVIDENCE: All of the service users are registered with a GP practice and records show that they have access to all health care services as identified in their care plan including physiotherapists, opticians, continence service and aromatherapy. Each service user has a health action plan and individual care plans that provide information for staff on how personal care is to be provided. Equipment needed to assist mobility is available in the home and care staff have had appropriate training in safe moving and handling. Medication is stored in a locked cupboard in the kitchen and dispensed by staff according to written policies and procedures. 74 Central Road DS0000067317.V304749.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 and 23 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff are aware of their responsibilities to protect the service users and training in policies and procedures for protecting vulnerable adults is arranged for all staff. EVIDENCE: No complaints have been recorded. No issues of concern were identified during this inspection. 74 Central Road DS0000067317.V304749.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 and 30 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home environment is safe and suitable for the service users and all areas of the home are clean and hygienically maintained. EVIDENCE: Generally, the home is clean and pleasant with single bedrooms and a shared bathroom/shower room for the three residents. The planning application to extend and refurbish the home was not approved so it is now planned for the home to re-locate to another building in Portsmouth. The new building will offer better facilities for the service users. Because of this, no requirements or recommendations have been made about the building, which is in need of some decoration and refurbishment, particularly in the kitchen and bathroom. The three bedrooms in use are on the ground floor with a fourth bedroom on the first floor that is only accessible via stairs. 74 Central Road DS0000067317.V304749.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 and 35 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staff team are experienced and qualified and records show that training in all aspects of safe working practice is regularly updated. EVIDENCE: The inspector spoke to two members of staff during the unannounced visit both of them have worked in the home for a number of years – one as a permanent member of staff and one as long term bank staff. Staff were happy and confident that the training provided is sufficient to give them the skills and knowledge for their work in the home and staff felt well supported by the registered manager and the management structure of the organisation. Before the unannounced visit – the registered manager had supplied comprehensive information about staffing levels, qualifications and training records. Most of the staff team of 10 – have achieved at least the minimum qualification in care (NVQ level 2) and one person is working towards NVQ level 3 in care. Staff training has covered fire safety, CPR, SCIP, food hygiene, medication, Maketon, infection control, health and safety, adult protection, safe moving 74 Central Road DS0000067317.V304749.R01.S.doc Version 5.2 Page 17 and handling and vehicle management (for those staff who have this area of responsibility). Eight members of staff have a current first aid certificate. Recruitment records were not inspected because there had not been any new staff appointed since the last inspection. 74 Central Road DS0000067317.V304749.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 and 42 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed and run with the best interests of the service users promoted and protected at all times. EVIDENCE: The manager is experienced and qualified and feedback from staff and visitors was very positive about all aspects of the way the home is run. It was evident during the visit that records are kept up to date, and the manager confirmed before the inspection that all maintenance and associated records with regard to health and safety are regularly updated to meet the regulatory requirements. Information supplied by the registered manager advised that the service users are not able to manage their own finances and one service user is subject to 74 Central Road DS0000067317.V304749.R01.S.doc Version 5.2 Page 19 power of attorney and the other two service users’ financial affairs are handled by the registered manager with only the registered persons being signatories. Although the service users are not able to take part in any formal feedback about the service it is clear that the manager and staff are positive and proactive in making sure that the best interests of the service users are always considered in the way that the home is run and this includes regular contact with the relatives of service users. 74 Central Road DS0000067317.V304749.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 X 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 3 X 74 Central Road DS0000067317.V304749.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. Refer to Standard Good Practice Recommendations 74 Central Road DS0000067317.V304749.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Southampton, Portsmouth and Isle of Wight Ground Floor Mill Court Furrlongs Newport, IOW PO30 2AA 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 74 Central Road DS0000067317.V304749.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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!