Inspection on 10/01/06 for 74 Cossington Road (Homefield College)

This inspection was carried out on 10th January 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 Cossington Road (Homefield... 02/11/07

74 Cossington Road (Homefield... 05/05/06

74 Cossington Road (Homefield... 08/09/05

74 Cossington Road (Homefield... 10/01/05

74 Cossington Road (Homefield... 28/09/04

Similar services:

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

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

CARE HOME ADULTS 18-65 74 Cossington Road (Homefield College) 74 Cossington Road Sileby Loughborough LE12 7RS Lead Inspector Mr Everton Osbourne Unannounced Inspection Tuesday, 10th January 2006 18:00 74 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 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 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 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 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 74 Cossington Road (Homefield College) Address 74 Cossington Road Sileby Loughborough LE12 7RS 01509 815569 01509 815696 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) www.homefieldcollege.ac.uk Homefield College Limited Mrs Lynne Lorraine Robinson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 74 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 7th September 2005 Brief Description of the Service: 74 Cossington Road is a four bedroom semi-detached property situated in the village of Sileby. This home is registered to care for three young people with learning disabilities. The town centre of Sileby is within close proximity to the home and residents have access to shops and other amenities. The home is easily accesible by public and private transport. The premise consists of two floors for residents use which is accessible by use of the stairs. The home has three single bedrooms without en-suite facilities. There are sufficient numbers of toilet and bathrooms in the home based on three people sharing the facilities. A garden is situated to the rear of the premises. 74 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took Two hours to complete. The outcome of this inspection was very positive based on observations made, document reading and conversation held with one resident. Robust systems are in place for the care of residents residing in the home. Observations made indicated that the premises are maintained to good standards creating a homely environment. The registered manager and one staff member were also spoken with as part of the inspection process. No Requirements or Recommendations were made during this inspection. 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 contacting your local CSCI office. 74 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 Page 6 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 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 Page 7 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): 1, 3, 4 and 5 Good admission processes ensure that residents receive good care in the right environment. EVIDENCE: The Statement of Purpose seen has adequate information about the service provision in the home. Conversation held with one staff member indicated that a copy of this document is given to prospective residents or their relatives. One resident’s admission record seen had a contract of residence including the Terms and Conditions. The document has the resident’s signature. One resident spoken with indicated that he is satisfied with the support he receives from the staff team on a daily basis. Conversation held with one resident indicated that a trial visit was offered to him. 74 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 Page 8 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, 8 and 10 Residents’ care plans are written so that residents can receive the care they need. EVIDENCE: Discussion held with the registered manager indicated that a review of residents’ care plans were carried out and that the documents are in the process of being typed at Homefield College. Conversation held with one resident indicated that he has a care plan and that he was involved in the care planning process. The care plan seen contains adequate information that gives the staff team instructions on how to meet this resident’s care needs. Observations made and conversation held with one staff member indicated that residents’ documents are kept locked and secured. Conversation held with one resident and observations made and documentation seen indicated that this resident is able to take risks with supervision from staff members. For example carrying out chores such as cooking in the kitchen. 74 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 Page 9 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): 16 Safe processes are in place to support residents’ in making responsible choices regarding their daily lives. EVIDENCE: Conversation held with one resident and observations made indicated that the resident takes full control of his daily life based on his care plan and risk assessment. The resident indicated that it is his choice to participate in completing daily chores and day care activities. 74 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 Page 10 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): 20 and 21 Good medication procedure is place to ensure that residents receive their medication at the times prescribed by their doctors. EVIDENCE: Observation of the medication process indicated that staff members appear to be adhering to safe medication practices. One resident’s Medication Administration Record was inspected and was found to be in order. The medication policy was examined. This document has suitable information for staff members’ guidance. Documentation seen indicated that suitable processes are in place in the event of the death of a resident. 74 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 Page 11 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 Good systems are in place to protect residents’ rights. EVIDENCE: Conversation held with one resident indicated that he is aware of whom to contact should he need to make a complaint. Observations made indicated that sufficient information is provided in the home for residents and staff members to make a complaint if needed. Conversation held with one staff member indicated that she has adequate knowledge concerning the protection of vulnerable adults in her care. The policy concerning adult protection seen contains adequate information for the staff teams’ guidance. 74 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 Page 12 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): 27, 28 and 29 The residents’ environment is suitable for meeting their accommodation needs. EVIDENCE: Observations made and conversation held with one resident indicated that there are sufficient numbers of toilet and bathing facilities in the home based on three residents residing in the home. Observations made indicated that there is sufficient communal space in the home for example the dining and lounge areas. Observations made indicated that there is sufficient equipment in the home for residents’ daily living needs for example kitchen equipment for meeting their cooking needs. 74 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 Page 13 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): 31, 33, 34 and 36 Staff members are adequately experienced and trained to deliver good quality care for residents’ care and protection. EVIDENCE: One staff member’s training and recruitment record seen indicated that all relevant documents are kept in order. For example evidence of training and recruitment documentation was seen and that they are in order. The staffing rota seen indicated that there appear to be sufficient numbers of staff members on duty throughout the day. Conversation held with one staff member confirmed that one staff member will be on duty throughout the night. Discussions held with the registered manager indicated that a risk assessment was carried out and that it is in the process of being typed at Homefield College. One staff member’s supervision record seen indicated that the registered manager is carrying out regular formal supervision sessions. 74 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 Page 14 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, 38, 40, 42 and 43 The home is managed well and staff members appropriately supervised for residents’ care and protection. EVIDENCE: Registration documents seen prior to the inspection regarding the registered manager and discussions held with her indicated that she appear to be suitably qualified and experienced to manage this home. One resident spoken with indicated that he is satisfied with the manager’s approach to managing the home. An inspection of the home’s written policies indicated that adequate information is provided for staff members’ guidance on safe working practice in the home. One staff member’s induction record seen indicated that the staff member had to sign a document to indicate that she has read and understood the home’s written policies and procedures. 74 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 Page 15 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 3 2 x 3 3 4 3 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 x 25 x 26 x 27 3 28 3 29 3 30 x STAFFING Standard No Score 31 3 32 x 33 3 34 3 35 x 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x 3 x 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 3 3 3 x 3 x 3 3 74 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 Page 16 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 Cossington Road (Homefield College) DS0000001798.V275632.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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. 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