Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 11/07/05 for 76 Highlands Road

Also see our care home review for 76 Highlands Road for more information

This inspection was carried out on 11th July 2005.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The dedication of the staff team has enabled the home to manage a period of considerable instability in staffing, there is now a good match of well-qualified staff offering consistency of care within the home. The arrangements for the induction of staff are good with staff demonstrating a clear understanding of their roles. Links with the community are good, the home has its own vehicle and encourages social and educational opportunities. The home is introducing a "person centred planning" approach to its practices, enabling service users to have more control about their lives.

What has improved since the last inspection?

The statement of purpose has been revised. The home keeps a complaints log which was empty, as the home had not received any complaints. The home reimburses service users for meals eaten whilst away from the home from the amenities budget, petty cash returns and receipts were viewed by the inspector. The manager and one member of staff have devised a behaviour management system which includes both clear boundary setting and consistent use of sanctions and rewards. Staff receive adequate training regarding behaviour management and support from outside agencies.The home was not meeting the needs of a service user, therefore notice was served, the service user has agreed to this action and the manager and staff are working with all parties to ensure the move occurs as smoothly as possible. Service users and staff devised weekly menus which are displayed on the fridge in the kitchen. One bedroom was decorated to the service users preferences.

What the care home could do better:

The service users would benefit from a "user friendly" service users guide. The successful registration of a manger would improve the consistency of the day-to-day management of the home and provide staff with clear leadership. The home would benefit from to full complement of staff. Decoration of communal areas, especially the dining room and bathroom would considerably improve the "homely" environment. The home does not present well from the outside, as the paintwork is very worn.

CARE HOME ADULTS 18-65 76 Highlands Road Fareham Hampshire PO15 6BZ Lead Inspector Tracey Box Unannounced 11.07.05 9:30am The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 76 Highlands Road Address Fareham, Hampshire, PO15 6BZ Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01329 230121 Community Integrated Care Mr M Wearn CRH 3 Category(ies) of LD - 3 registration, with number of places 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Service users are only to be admitted between the ages of 30 and 50 years Date of last inspection 09.11.04 Brief Description of the Service: 76 Highlands Road is a registered care home, providing personal support and accommodation for three young adults with a learning disabilities. 76 Highlands Road care home is a bungalow set back from the main A27 road to Portsmouth in Fareham. Community Integrated Care (CIC) are the registered providers, and the manager, Nicola Keltie is in the process of applying to CSCI for registration to become the registered home manager. 76 Highlands Road is owned by Knighstone housing association and comprises of three single bedrooms, a communial lounge, dining room,kitchen and a laundry/staff sleep in room and an enclosed garden. 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place over four hours, the inspector was supported by the manager. The people living at 76 Highlands Road prefer to be referred to as Service users, therefore will be referred to as this throughout the report. Three service users were at the home, supported by two staff. At the time of the inspection the speech therapist visited one service user. The inspector witnessed good interacting between service users and staff who were participating in activities that they requested. The manager showed the inspector the layout within the home. The inspector spent time with one service user as they looked at their care plan. The inspector looked at records and asked staff and service users for their views. What the service does well: What has improved since the last inspection? The statement of purpose has been revised. The home keeps a complaints log which was empty, as the home had not received any complaints. The home reimburses service users for meals eaten whilst away from the home from the amenities budget, petty cash returns and receipts were viewed by the inspector. The manager and one member of staff have devised a behaviour management system which includes both clear boundary setting and consistent use of sanctions and rewards. Staff receive adequate training regarding behaviour management and support from outside agencies. 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 Page 6 The home was not meeting the needs of a service user, therefore notice was served, the service user has agreed to this action and the manager and staff are working with all parties to ensure the move occurs as smoothly as possible. Service users and staff devised weekly menus which are displayed on the fridge in the kitchen. One bedroom was decorated to the service users preferences. 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. 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: This standard was not assessed on this occasion. 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 The systems for service user consultation is improving, planning is underway to ensure service users views are both sought and acted upon. EVIDENCE: The manager explained the plan to introduce an “essential life plan” for each service user which will include information that the service user finds essential, important, details on routines / rituals, enjoys, likes/dislikes, details on preferences for communication and training needs, these plans will be reviewed every six months and the service user will be supported to invite the people they want, which may include family, advocate and social worker, this will enable the service user to make decisions about their lives. Care plans are in place at present. The home operates a “keyworker” system, so each service user has a designated member of staff, staff said “ I often spend one to one time with the resident I am keyworker to, we may spend time doing an activity, this promotes a relaxed atmosphere where a service user feels able to communicate their wishes.” 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,15 Links with the local community are good, and contact with family, friends and representatives are encouraged. EVIDENCE: Care plans reflect the individuals cultural beliefs, and the home encourages and supports where required, this is recorded in daily notes and minutes of meetings.. Service users are encouraged, in line with their care plan and risk assessments, to participate in social activities, both within the home and the community, however, staff confirmed service uses tend to prefer spending time within the home listening to music and pursuing their own interests with support as required. One service user was sat in the garden enjoying the sunshine, this is part of their care plan as they find it calming and relaxing. The home has its own vehicle, which encourages and develops social opportunities. 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 Page 11 The inspector witnessed the visitors book which detailed family and friends visits to the home. Staff reported there are no restrictions on visiting, unless stated in an individuals care plan. One service user has a lady visit the home to give them a massage, again, this is part of their care plan. Staff said they often support people to visit the local café for a drink and snack or cake. Care plans explore individuals sexual preferences, the manager explained at at present service users do not wish to partake in relationships, other than friendships outside the home. Should the need arise, service users would be fully supported and staff would follow the homes policy on personal and sexual relationships. 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 Comprehensive care plans and risk assessments are in place for all service users, however the manager must ensure they are reviewed monthly, with service users input. The health needs of service users are well met with evidence of good multi disciplinary working taking place on a regular basis. Service users are protected by appropriately trained staff, who follow the homes policies and procedures for dealing with medicines. EVIDENCE: The care plans and risk assessments states how the individual wishes to receive their personal support, however, they had not been reviewed for some time, the manager and staff explained this was due to the staff shortages the home has experienced. The inspector was assured this practice will improve. Daily records comment on individuals daily activities, physical and emotional health and behaviour, records of visits to outside agencies, such as doctor, dentist, optician are kept on the individuals file, this enables the home to monitor and track the information recorded. One service user was receiving regular support from a speech therapist. 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 Page 13 At the time of the inspection, staff administers all service users medication using a monitoring dosage system, staff informed the inspector all service users prefer staff to store and administer their medication. The inspector saw the homes comprehensive policy and procedure, and a record of all staff trained to administer medication which was found to be in order. 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 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 standard(s) 22 Service users views are listened to and acted on. EVIDENCE: The inspector spoke with the manager and staff, who confirmed the way they ensure service users views are listened to is to communicate in the style and pace appropriate to the individual, spend one to one time with service users, arrange regular staff meetings, which service users are invited to attend and by forming positive relationships with families, friends and outside agencies. The manager said the introduction of the essential life plans will require six monthly meetings, another way for service users to voice their opinions, as a result of these meetings, actions will need to be met. The home has a clear complaints procedure, the manager explained the plan to produce a “user friendly” copy in pictorial form. The inspector saw the complaints log, in which nothing was recorded as the home had not received any complaints. Throughout the inspection, staff listened to the service user, and responded appropriately to meet the individuals needs. 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 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 standard(s) EVIDENCE: These standards were not assessed on this occasion. 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: This standard was not assessed on this occasion. 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: These standards were not assessed on this occasion. 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 2 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 76 Highlands Road Score 2 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 Page 19 YES Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA 1 Regulation 5 Requirement A service users guide must be developed to include details as listed in schedule 1 of the national minimum standards. THIS IS A REPEATED REQUIREMENT FROM 30/12/04 Timescale for action 11/10/05 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 Good Practice Recommendations 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 Page 20 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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 76 Highlands Road H54 S12367 76 Highlands Rd V237133 110705.doc Version 1.40 Page 21 - 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!