Inspection on 02/11/07 for 74 Cossington Road (Homefield College)

This inspection was carried out on 2nd November 2007.

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... 05/05/06

74 Cossington Road (Homefield... 10/01/06

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 Bhavna Keane-Rao Unannounced Inspection 2 November 2007 10:30 74 Cossington Road (Homefield College) DS0000001798.V341061.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 Cossington Road (Homefield College) DS0000001798.V341061.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 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 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.V341061.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 5th May 2006 Brief Description of the Service: 74 Cossington Road is a four bedroom semi-detached property situated in the village of Sileby and is part of the Homefield College group. 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 local amenities. The home is easily accessible by public and private transport. Information is located on site detailing the range of services offered, which includes the Statement of Purpose and Service User Guide. In addition to this 74 Cossington Road provides prospective residents with a summary of the Commission of Social Care Inspections, Inspection Reports, which are available upon request. Prospective residents are given a copy of the statement of purpose and are able to visit the home on a trial basis. On 2nd November 2007 the registered manager confirmed fees for the services provided by the home are between £500 and £600 per week per person. 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of pre-planning the inspection, which included reviewing the previous Inspection Report and the Annual Quality Assurance Assessment (AQAA). As part of consultation the Commission sent Comment Cards to residents and their relatives. Two residents and two relatives’ Comment Cards were sent. Both residents comment cards were received and they were both positive about the home and the support they were given. None of the relatives comment cards were returned at the time of writing this report. The unannounced visit commenced on the 2nd November 2007 and lasted one day. The focus of the inspection is based upon the outcomes for the residents. The method of inspection was ‘case tracking’. This involved looking at how the care needs of residents are being met by the staff at 74 Cossington Road. At present there are only two people residing at this home. Both the residents were selected and discussions were held with them. The method of case tracking included reviewing of residents’ individual care records, discussions with staff of various delegated responsibilities within the home, reviewing training records, the minutes of residents meeting and reviewing any other relevant records. What the service does well: This home is very much led by the specific care needs of the residents. Residents’ benefit by being supported by care staff, who have a clear understanding of their needs. Staff receive the appropriate training to support the resident. Staff encourage the residents to express their views, and a positive and supportive relationships between resident and staff exist, promoting residents welfare. 74 Cossington Road is a well-maintained, fresh and clean property. There is a relaxed atmosphere in the home, one resident was observed moving around the home freely and without restrictions. The member of staff spoken with was positive about working for the company. 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. 74 Cossington Road (Homefield College) DS0000001798.V341061.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 Cossington Road (Homefield College) DS0000001798.V341061.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): 1, 2 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported to make informed choices through good information and a robust assessment process, which ensures that their needs can be met. EVIDENCE: Residents have access to a Statement of Purpose, which outlines the role of the care home, providing information as to the services offered, the accommodation, the costs and additional charges and information on policies and procedures. Individuals considering residency at 74 Cossington Road are supplied with information as to the services offered. In all cases residents are known to the home as they are students who reside at the main headquarters known as Homefield College. Individuals considering moving to this home are encouraged to visit the Home. There are detailed assessments and care plans set up to ensure that the needs of residents are tailored and individually met. These were viewed and were found to contain up to date information on the care needs of residents. 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 9 A resident spoken with stated that he was able to visit the home before he moved and that he was able to decided what he wanted in his room. There have not been any new admissions to this home since the last visit. 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 10 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, 8 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s independence is promoted, whilst being supported to make decisions affecting all aspects of their lives. They receive a wide range of activities and recreational pursuits that have a direct impact on the quality of care and their lifestyle. EVIDENCE: The care plans of two residents were viewed. The care plans gave information where appropriate, about the support needed to enable the residents to have a fulfilled life. Both the residents at the home are very independent and so are able to make choices about what they want to do. The resident spoken with stated, “ I do things that I like to do” The care plans are written from the resident’s perspective and reflect their wishes and preferences. These detailed their preferred daily living routines eg 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 11 from the preparation of meals to the activities they undertook. Records also included residents likes and dislikes along with information as to how these choices are to be supported. This process ensures that the care residents receive is reflective of their decisions and choices. The resident spoken with was able to verify that this was the case. Care Plans are supported by risk assessments. These enable the residents to take risks as part of their lifestyle choices. Areas, which are risk assessed, include, personal care, accessing transport, attending activities, flying abroad and household tasks. The existing care plans are being reviewed. The manager has stated that she is introducing care, which positively encourages resident’s participation. This will take into account their individuals wish, preference, interests and aspiration. This would enable residents to have a greater awareness of the contents of their care plans, especially by incorporating signs, symbols and photographs to support the written information. The member of staff spoken with demonstrated, through conversation and interaction with the resident, a clear understanding of their role in offering support and guidance to him as required. There is awareness as to the rights of residents to express opinions and make decisions. 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 12 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): 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents enjoy, experience and participate in different activities of interests. They are supported to maintain their preferred individual daily routines and choice of lifestyle. EVIDENCE: On the day of the visit one resident had gone out for the day. The other resident was getting ready to go out into the village for lunch and also to purchase ingredients for dinner that night. The resident and the member of staff interacted in a relaxed manner. Weekly records detailed the range of activities which residents participate in, these collectively included eating out at a variety of places including pubs, fast food outlets and cafeterias. 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 13 The activities participated in recently have included: gym session, art, sport and going out on the bike, shopping, cinema, library, accessing facilities at the leisure centres, bowling and swimming. There is an ‘in house’ programme to encourage the development of independent living skills such as cookery, personal hygiene to name but two. Recreational outings have included visits to Blackpool, Centre Parcs, Bradgate Park, spectator sports and theatre. One resident has family in France and so has enrolled for French for beginner’s classes. Visits to the family home and visits from relatives are positively encouraged and facilitated. Often this has meant long weekends or even weeks away. These are supported. These are all recorded in care plans and daily records. Residents do not require specialist diets at present. However they are encouraged to eat a healthy well balanced diet. The resident spoken with stated that he was very much in charge of what he cooked and ate. Both the residents have a separate bank or building society accounts and access money out of their account. Where there is staff involvement, all transactions are signed and all receipts are kept. The manager checks and counter signs the balance at the end of each week. 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 14 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. Staff know the residents health care needs well and support them to access appropriate services. EVIDENCE: The personal care that residents require is detailed in their individual care plans. The resident who was spoken with stated that he felt the staff at the home met his care needs. Records confirmed that residents benefit from a range of health care services, which include dentists, general practitioners, learning disability nursing services, podiatrist and opticians. Documentation details the level of support residents require in accessing health care. 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 15 All risk assessments are at present being reviewed to enable residents who are able to, look after their own medication. New guidelines are now in place, which includes self medication and temperature guides to ensure staff seek prompt medical attention. All staff responsible for the administration of medication have been trained to do so. The medication records were found to be accurate and up to date. 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 16 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. Residents are supported by a complaints procedure and by staff trained in safe guarding adult processes. EVIDENCE: Documentation submitted by the Registered Manager prior to the visit detailed that there have been no complaints with regards to the service. The Commission for Social Care Inspection has equally not received any concerns or complaints since the last Inspection. The resident who was spoken with was asked if he felt able to go to staff with concerns, he stated that he could and also named the manager and a number of staff members who he would go to. One member of staff who was spoken with confirmed that he had received training on how to keep residents safe and knew about the ‘Whistle blowing’ procedure. Training records confirmed this to be the case An observation between the resident who was at the home and the member of staff on duty was open and relaxed. Any issues of concern, which affect resident’s day-to-day lives, are dealt with as they arise. These are also recorded in the daily records. 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 17 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, 25, 27 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are provided with a warm, safe, clean, comfortable and wellmaintained environment suitable for their needs. EVIDENCE: 74 Cossington Road has two separate lounges to the front of the property. One lounge has been converted into a residents bedroom. The other one is used by residents as their lounge area. The fitted kitchen/dining area, to the end of the property, was seen to be used by the resident. There is a bathroom and toilet for both the residents and staff use on the first floor. 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 18 On the first floor are three bedrooms, two for the residents and one for staff. Access to the first floor is via stairs. One resident was able to show the inspector his bedroom. This was found to be large and spacious and decorated to individual resident’s choices. The resident spoken with stated that“I choose to live here as there is a lot of space and I can come and go as I please. I also have a key so I can let myself in.” All the residents are able to wash their own clothes and dry them. However support is provided as and when needed. This is recorded. 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 19 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. Sufficient numbers of trained staff are recruited through a robust recruitment process ensuring that residents care and social needs are individually, collectively and safely met. EVIDENCE: Four full time and one part time members of care staff, including the registered manager, support the residents; one member of care staff has completed level 2 of National Vocational Qualification and two members of staff are working towards this qualification. The resident who was spoken with was very positive about the care provided and the staff who supported him. The member of staff spoken with confirmed he had received appropriate training. Records viewed demonstrated that this included health and safety, first aid, food hygiene, report writing, safeguarding from abuse, supporting behaviour, and medication to name some. The training enables staff to offer 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 20 the appropriate support and care for residents, ensuring residents lead an active and fulfilling life in line with their wishes and expectations. The records and staff spoken with confirmed that there are regular one to one supervisions. These are at least once very eight weeks. There is also an annual appraisal. The manager stated that she had not been able to have a recent staff meeting but that this was planned for the coming month. 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 21 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 Registered Manager offers a clear sense of leadership, ensuring resident’s health; safety and welfare are promoted. Residents are provided with opportunities to comment on and affect the service they receive. EVIDENCE: The Registered Manager, Lynne Robinson, has been the registered manager of 74 Cossington Road for a number of years and has successfully completed her Registered Managers Award. There are weekly residents meetings held to ensure that they influence the way the home operates. Minutes of residents meetings were viewed. The 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 22 resident who was spoken with also stated that they were always asked what they wanted to do. Homefields College has a system in place where residents are part of a committee. The members of the committee visit all the registered properties to monitor the health and welfare of people who live there. The findings are formally shared with the company directors. It is noted that regular monitoring visits, regulation 26, have not been undertaken since 8th August 2006. However the AQAA demonstrates that this is an issue that the directors are aware of and are addressing. The AQAA submitted before the visit detailed the regular maintenance of health and safety systems within the home, including fire systems, equipment, environmental health visits, central heating systems and emergency call systems. 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 23 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 3 3 X 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 3 25 3 26 X 27 3 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 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 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 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 24 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.V341061.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 74 Cossington Road (Homefield College) DS0000001798.V341061.R01.S.doc Version 5.2 Page 26 - 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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