Inspection on 19/07/06 for 78 Polwell Lane

This inspection was carried out on 19th July 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

78 Polwell Lane 30/07/07

Similar services:

8 Thorndale Road (Homefield College)

Hillside

Applegarth

122 Scorer Street

St Marys Nursing Home

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

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

CARE HOME ADULTS 18-65 HR Care Homes Ltd (78 Polwell Lane) Polwell Lane Barton Seagrave Kettering Northants NN15 6UB Lead Inspector Mrs Linda Preen Unannounced Inspection 19th July 2006 10:00 HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.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 HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.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. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service HR Care Homes Ltd (78 Polwell Lane) Address Polwell Lane Barton Seagrave Kettering Northants NN15 6UB 01536 722609 TO BE ADVISED 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) HR Care Homes Limited Vacant Care Home 5 Category(ies) of Learning disability (5), Physical disability (5) registration, with number of places HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. A total of 5 service users in the category of LD (Learning Disabilities) with PD Physical Disabilities) between the ages of 18 and 65 years may be acc accommodated in the home. No more service users may be admitted to the home when 5 service users in the category of LD (Learning Disabilities) with PD (Physical Disabilities) are already accommodated in the home. New Facility 2. Date of last inspection Brief Description of the Service: The home is a purpose built facility, with accommodation for residents all being on the ground floor. It is bright and airy and furnished in a homely manner. Resident’s rooms are large and all have ensuite facilities. It is situated in a residential area of a village, close to the amenities of Kettering Town. Transport is provided by the Home’s own minibus. Accommodation is provided for up to five younger adults, of either sex, who have a learning disability as well as physical disabilities. Fees range from £1300 to £1800 per week according to assessed need. In addition to this, residents are required to pay £20 per week towards the provided transport, and costs for activities such as sailing, holidays and outings. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Two hours were spent prior to the inspection planning areas to be looked at during the site visit. The inspection took place over a period of four hours as part of the statutory inspection programme, which requires that all homes are inspected at least once a year. Three residents were chosen to “Case Track” in order that their experience in the home could be assessed. This included looking at their records, talking to them and also to the staff concerning the care received. In addition to this staff records, fire records and medication records were seen. A limited tour of the environment was undertaken. What the service does well: What has improved since the last inspection? This is the first inspection of this facility. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.R01.S.doc Version 5.2 Page 6 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. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.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 HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.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): 1, 2, 3, 4 and 5 Quality in this outcome group is excellent. This judgement has been made using available evidence, including a visit to the service. Residents have the information required to enable them to make an informed choice concerning admission to the home. EVIDENCE: A Statement of Purpose, that explains the facilities and services offered and Service User Guide, that sets out the Terms and Conditions of residence and includes the complaints procedure, are available with both pictorial and written information,suitable for the service user group. Prospective residents are invited to spend time in the home in order that they may become familiar with staff and other residents before a decision is made to move in. One prospective resident had been to tea on three occasions and plans were in hand for him to have an overnight stay before finally deciding to move in. Resident’s records seen demonstrated that comprehensive assessments of need, both by Care Management and in the home were available in order to check that resident’s needs may be met in the home. Each resident also had a copy of “Terms and Conditions” in their files. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.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, 8 and 9 Quality in this outcome group is excellent. This judgement has been made using available evidence, including a visit to the service. Resident’s personal choices concerning lifestyle and interests are put first in the home. EVIDENCE: Individual care plans were very detailed and give step by step guidance to staff on meeting resident’s needs.This included methods of communication, which is particularly important for these residents who have limited verbal communication skills. Staff were observed to be putting these plans in to place when dealing with residents during the inspection, and dealt with residents in a relaxed and unhurried manner. Risk assessments were in place to ensure that residents may maximise their independence. Residents seen appeared well cared for and were relaxed in the presence of staff and visitors. Interaction between staff and residents was observed to be friendly and residents were treated with respect and due regard to their privacy and dignity. Although all of these residents had a learning difficulty, with limited verbal communication skills, in addition to physical problems,it was therefore difficult to hold a meaningful conversation with them, they were HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.R01.S.doc Version 5.2 Page 10 however still spoken to and their appearance and body language used to inform an opinion of their care in the home. Resident records contained detailed information concerning individual likes and dislikes, hobbies and interests, and families and friends. This is specially important as the residents have limited verbal communication skills. A company representative arrived during the inspection to demonstrate a new stand aid to enable one of the residents to stand up for short periods. The resident concerned was asked if he would like to try it, but declined. No pressure was put on him to do so and his choice was respected. Arrangements were made to loan the piece of equipment for a few days in order for him to become familiar with it before trying. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.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): 11, 12, 13, 14, 16 and 17 Quality in this outcome group is excellent. This judgement has been made using available evidence, including a visit to the service. Social Activities and meals are both well managed, creative and provide daily interest and variation for people living in the home. EVIDENCE: Residents have a varied and stimulating social life. For example one resident had been to a wedding reception, a garden party, the local fair, out with his family, sailing, hydrotherapy and to a club for people with learning disabilities all in the last few weeks. In addition to this a visit to a concert by West Life was planned for the weekend following the inspection. One resident had been to Blackpool for his holiday, a second was planning to go to Hunstanton and steps are being taken to arrange a holiday for the third resident who has only recently moved into the home. Residents have a day in the home on Wednesdays in order to relax and enjoy individual activities. Two residents had chosen to have a lie in and got up during the late morning. They were offered a choice of breakfast when they arrived in the dining room and were served this in an unhurried manner. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.R01.S.doc Version 5.2 Page 12 Lunch consisted of a choice of sandwiches or macaroni cheese and assistance was offered in a manner that preserved the residents dignity and promoted their independence. The main meal of the day is served at teatime owing to various activities residents participate in during the day. The menu is planned on a two week basis and takes into account residents likes and dislikes. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.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 Quality in this outcome group is excellent. This judgement has been made using available evidence, including a visit to the service. Residents physical and emotional needs are met. Systems for the ordering storage, administration and disposal of medication are satisfactory. EVIDENCE: Residents are assisted to access appropriate healthcare support, and records of General practitioner, hospital consultants, dental, podiatory ,speech therapy, occupational therapy and dental services were seen. Guidance is available for staff on how to meet individual’s emotional and social needs as well as physical needs. Systems for the ordering, storage, administration and disposal of medication were seen and found to be satisfactory.None of the residents are able to administer their own medication, and clear instruction is available to staff concerning the methods of administration to be used to enable medication to be taken. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.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 Quality in this outcome group is excellent. This judgement has been made using available evidence, including a visit to the service. Residents may be confident that their concerns will be addressed and that they will be protected from abuse. EVIDENCE: A copy of the complaints procedure is available in the Service User Guide and is in a format suitable for the resident group. There have been no complaints recorded in the home or reported to The Commission for Social Care Inspection since registration. Staff training records demonstrated that they had received training concerning the Protection of Vulnerable Adults from abuse, and on questioning were aware of the types of abuse possible and their responsibilities in reporting any actual or suspected abuse. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.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, 25, 26, 27, 28, 29 and 30. Quality in this outcome group is excellent. This judgement has been made using available evidence, including a visit to the service. A safe, clean, well-maintained environment is provided for the residents. Specialist equipment is provided to meet their needs. EVIDENCE: The home is brand new and purpose built to provide very high standards of accommodation for the resident group in a homely manner.It was clean and tidy and well maintained. In addition to large single occupancy bedrooms, residents have a pleasant lounge and dining room in which to spend their time. Adaptations for residents in wheelchairs are available in the kitchen in order to maximise their ability to participate in the running of the home. All resident rooms have specialist beds and ceiling hoist equipment to facilitate safe movement, and corridors and doors provide sufficient access to wheelchair users. Specialist bathing and shower facilities are also available. As stated above, a company representative arrived during the inspection to demonstrate a new stand aid to enable one of the residents to stand up for short periods. The resident concerned was asked if he would like to try it, but declined. No pressure was put on him to do so and his choice was respected. Arrangements were made to loan the piece of HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.R01.S.doc Version 5.2 Page 16 equipment for a few days in order for him to become familiar with it before trying. Resident rooms showed evidence of personalisation, with photographs, electrical equipment and soft toys in evidence. A pleasant garden is available, with level access from the dining room and four out of five resident bedrooms.Residents participate in watering plants according to their abilities. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome group is good. This judgement has been made using available evidence, including a visit to the service. Procedures for the recruitment of staff provide safeguards necessary to offer protection to the people living in the home. Staff are provided with training and are in sufficient numbers to meet the needs of the residents. EVIDENCE: Two carers plus the acting manager staff the home in the daytime and one carer is on duty at night to meet the needs of the current three residents. The acting manager is currently recruiting more staff in order to meet the needs of the two new planned admissions to the home. A selection of staff files was seen. These demonstrated that recruitment practices are robust and protect residents from potential harm. Criminal Records Bureau checks and references from previous employers are obtained prior to employment. An Equal opportunities policy is in place to ensure staff from all backgrounds are considered for employment. Staff training records demonstrated that statutory training was up to date with a matrix available to prompt updates and required training for new staff. Three of the current ten staff hold a National Vocational Qualification (which provides staff with a basic understanding of care practices) with another five currently working towards this award. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.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): 37,38,39, 41 and 42 Quality in this outcome group is adequate. This judgement has been made using available evidence, including a visit to the service. The Acting Manager ensures that the home is run efficiently, in a way that serves the best interests of the residents. EVIDENCE: The acting manager has been in the home for eight weeks and has extensive experience of working with this resident group. She is planning to commence the Registered Managers Award ( which trains managers to eficiently manage a home), and National Vocational Qualification level 4 ( which gives an advanced understanding of care needs and practices), before applying for registration with the Commission. Quality assurance systems are in place to audit all aspects of the home. Staff and resident meetings are held and minutes of these are available in the home. Staff confirmed that they feel well supported by the senior staff in the home. Relationships between residents, staff and the acting manager were observed to be relaxed and friendly. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.R01.S.doc Version 5.2 Page 19 Records of resident pocket money accounts were seen and found to be satisfactory although the acting manager was advised that two signatures should be obtained for all transactions in order to protect both residents and staff. A system of regular supervision for staff, to ensure their continuing training needs may be identified and in order to discus their progress in the home, has been implemented and staff spoken to confirmed that these sessions took place. Records of fire drills that included residents were available. Records of the testing of fire alarms were satisfactory, but emergency lighting is not being checked at the required monthly intervals.Evidence was available that the emergency lighting worked on the 4th July as it was used during a power cut caused by a storm on that day, so an immediate requirement was not issued in this respect, but a requirement to check lighting in future has been made. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.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 4 2 4 3 3 4 3 5 3 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 4 27 3 28 3 29 4 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 4 3 3 3 X LIFESTYLES Standard No Score 11 3 12 4 13 4 14 4 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 3 2 X HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.R01.S.doc Version 5.2 Page 21 N/A 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 YA42 Regulation 23 (4) c Schedule 4 Requirement Emergency lighting must be checked at the required intervals in order to ensure resident safety in case of a power failure. Timescale for action 01/08/06 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 YA23 Good Practice Recommendations Two signatures should be obtained for transactions from resident pocket money accounts in order to protect residents and staff. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V304835.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. 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