Inspection on 30/07/07 for 78 Polwell Lane

This inspection was carried out on 30th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 19/07/06

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 Irene Miller Key Unannounced Inspection 30th July 2007 04:00 HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.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.V341287.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.V341287.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 sdonaldson@hrcare.co.uk 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 Mrs Sharon Donaldson 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.V341287.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 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 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. 19th July 2006 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. The current fees range from £1500 to £1700 per week according to assessed need. In addition to this, residents are required to pay £20 per week towards transport costs for activities such as sailing, holidays and outings. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is based upon outcomes for people using the services and their views of the service provided. This visit was unannounced and focused on the ‘key standards’ under the National Minimum Standards and the Care Standards Act 2000 for homes providing care for younger adults (18-65) The care of two people living at the home was looked at in depth this involved looking through written information available on their care, such as their individual care plans (a care plan sets out how the home aims to meet a residents healthcare, personal, social and emotional needs). Sample checks were carried out on the homes policies and procedures, staff recruitment records, and the homes medication and quality assurance systems. Health and safety records on the general maintenance and upkeep of the facility were viewed, and general observations on the environment were made. The Commission for Social Care Inspection sent out to the home an Annual Quality Assurance Assessment form (AQAA) for completion by the registered manager, the AQAA had been returned to the Commission for Social Care Inspection prior to this visit, and provided information the care provided at the home and the management, administration and quality assurance processes. Time was spent prior to the visit reviewing information about the facility such as the previous inspection report and the homes service history, (the service history details all contact with the home including notifications of events reported by the home, telephone calls, letters, and details of any complaints and concerns received). The manager Sharon Donaldson was available at the home throughout the whole of the inspection visit. What the service does well: The staff are very experienced in reading body language and know the individual rsidents very well, staff were seen to effectively communicate with residents who have limited verbal communication. The care plans are very detailed giving specific step by step instructions on how to read the non verbal cues and on the residents preferred methods of communication and oopportunities are made available to work with specialists HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.R01.S.doc Version 5.2 Page 6 in accessing technology to aid in improving communication levels with the residents. Residents are enabled to lead full social lives and the home works in partnership with families. Individual and social activities take place such as going sailing, swimming and hydrotherapy sessions, attending day care, trips to pubs, clubs and the theatre, cinema, clothes and food shopping, visiting friends and families. There is good support from the healthcare professionals who are involved in the residents care. The home was bright, airy and designed to meet resident’s individual and communal needs there is specialist equipment available such as ceiling hoists, special seating, beds and bathing equipment. The home has its own mini bus and one of the residents has use of their own car, public transport is good to enable residents to have access with the local and wider community. The staff recruitment and selection procedures are robust and there is a high commitment to staff training and development. The registered manager has the skills knowledge and experience to effectively manage the home, and is working towards achieving an NVQ level 4 in care management and the registered managers award. Leading by example she ensures that staff are supported in meeting the needs of the residents and works closely with families to create an open and transparent culture within the home. What has improved since the last inspection? What they could do better: There was some gaps on the medication administration records (MAR) sheets where the staff had not signed when medication had been administered, in all instances this was over the lunchtime period. The registered manager said that she would speak with all staff as matter of priority to remind them of the importance of signing the MAR sheet immediately upon administration of the medication. A requirement has been made. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.R01.S.doc Version 5.2 Page 7 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. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.R01.S.doc Version 5.2 Page 8 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.V341287.R01.S.doc Version 5.2 Page 9 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): Standard 2 Quality in this outcome area is excellent. People using the service can be assured that they will only move into the home once it has been decided that the home can fully meet their individual needs and aspirations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans viewed had records available to demonstrated that prior to the residents moving into the home comprehensive assessments of care needs had been carried out, both by the home and the placing authorities. The assessments had details on the level of care and support required by each resident and identified the individual objectives in achieving a level of independence according capabilities. The home has recently been aquired by a new company and work was underway in changing over the managerial processes and policies and procedures in line with the new providers standards, the new policies were viewed during the inspection which were available in written, pictorial and voice activated methods which aim to be more effective in meeting the communication needs of the residents iving at the home. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.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): Standards 6,7 & 9 Quality in this outcome area is excellent. Resident’s personal choices concerning lifestyle and interests are put first in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The people living at the home have limited verbal communication skills and therefore the staff are required to read body language and mood states which were individual to each resident. The care plans were very detailed giving specific step by step instructions on how to read the non verbal cues. During the visit staff were observed working together with the residents, the pace of the home was relaxed and unhurried, staff were sen to work in partnership with the residents as an equal, offering choices and taking the time to reading the non verbal cues that were unique to each resident. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.R01.S.doc Version 5.2 Page 11 Individual risk assessments were in place to enable residents to maximise their independence, and there was records within the care plans of the residents individual likes and dislikes, hobbies and interests. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.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): Standards 12,13,14,15,16 & 17 Quality in this outcome area is excellent. Social Activities and meals are both well managed, creative and provide daily interest and variation for people living in the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Within one of the care plans viewed there was records of a resident having the opportunity to be assessed on using an electronic communication aid which work through infra red light which allows for the operation of a computer using symbols, sequences, spelling and pictures. On speaking with the registered manager she said that the assessment had been successful and should the resident obtain this communication aid it would enhance their ability to communicate greatly. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.R01.S.doc Version 5.2 Page 13 Individual and social activities take place such as going sailing, swimming and hydrotherapy sessions, attending day care, trips to pubs, clubs and the theatre, cinema, clothes and food shopping, visiting friends and families. The home has its own mini bus and one of the residents has use of their own car, public transport is good to enable residents to have access with the local and wider community. The evening meal on the day of the visit was Chicken Chasseur, with rice or potatoes, staff were seen to offer residents choice using communication methods unique to the individual. The menu had recently been reviewed to take into account residents likes and dislikes. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.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): Standards 18,19 & 20 Quality in this outcome area is good. The health and personal care needs of the people using the service are well supported, however gaps in recording medication that has been administered could have the potential to place people at risk. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Within the care plans viewed there was detailed information and guidance on how the staff were to meet each residents unique individual health, personal physical care needs. Records were available of changes in the residents health and of the staff responding promptly by accessing treatment through healthcare professionals such as the general practitioner, district nurse, hospital consultants, dentist, chiropodist, speech and language and occupational therapist and dentist. All medication is administered by the staff as non of the residents are able to self medicate. The new medication policy brought in by the new company was viewed and was very comprehensive. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.R01.S.doc Version 5.2 Page 15 The storage, and administration records of medication held within the home was sample checked, the registered manager explained that plans were in hand to provide a new medication storage facility to ensure that oral medication be stored separately from creams and lotions. On sample checking the medication administration records (MAR) sheets there was some gaps where the staff signature had not recorded when medication had been administered, in all instances this was over the lunchtime period. The registered manager said that she would speak with all staff as matter of priority to remind them of the importance of signing the MAR sheet immediately upon administration of the medication. Residents being unable to tolerate foods or fluids orally and fed through percutaneous endoscopic gastrostomy tube (PEG) feed, had clear written instruction on the methods of administering medication within their care plan, and there was information leaflets on the medical condition and on the medication prescribed to treat the condition. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.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): Standards 22 & 23 Quality in this outcome area is good. People using the service and their representatives can be assured that any concerns or complaints they may have will be listened to and acted upon and that they will be protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: No complaints had been received by the Commission for Social Care Inspection since the last inspection visit. The philosphy of the home is to work in partnership with residents and families and the registered manager has an open door policy,and regular contact is maintained with families. A complaints procedure was available in a format suitable to the needs of the residents living at the home, however the new policy that is to be introduced through the new company is innovative as it will be available in written, pictorial and voice activated methods. All staff receive training on safeguarding adults during their induction programme. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.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): Standards 24 & 30 Quality in this outcome area is excellent. People using the service are provided with a specialist facility that is homely, safe, clean and well-maintained. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A tour of building was carried out and all areas viewed were clean and tidy. The home is modern and purpose built and provides a very high standards of accommodation for the resident group. The large lounge /diner was homely and welcoming containing soft furnishings, pictures, ornaments and personal photographs. Resident’s bedrooms were spacious light and airy and had been individually decorated and personalised. All of the bedrooms had ceiling hoist equipment available, specialist seating and beds. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.R01.S.doc Version 5.2 Page 18 The ensuites and bathrooms had specialist bathing and showering aids and equipment available to meet the physical abilities of each resident. Staff spoken with said that they found the moving and handling equipment very easy to use. There was a pleasant garden with level access and a large patio area available with container plants, where residents had planted courgettes and tomatoes. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.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): Standards 32,34 & 35 Quality in this outcome area is excellent. People using the service and their representatives can be assured that the staff are trained and competent to fully meet their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The staffing levels were sufficient to meet the needs of the current residents living at the home, there was two carers on duty plus the registered manager. Staff files viewed had evidence available to demonstrate that the recruitment and selection procedure was robust and safeguarded the residents. All staff recruited to work at the home undergo checks through the Criminal Records Bureau (CRB) and the protection of vulnerable adults register (POVA) and written references are obtained from previous employers prior to taking up employment at the home. Upon employment staff are required to undertake a full induction training programme that lasts for three months during which they will work alongside HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.R01.S.doc Version 5.2 Page 20 an experienced member of staff and are closely supervised to ensure competency in meeting the residents individual needs. An annual training programme was in place that covered all mandatory training such as first aid, fire awareness, health and safety and food hygiene. In addition vocation training was provided that was specific to the needs of residents living at the home, such as epilepsy awareness, the mental capacity act, PEG feeds and stoma care. Many of the staff hold a National Vocational Qualification (NVQ) in care on speaking with one of the staff they said that the company were very good at providing training and that they had just completed their NVQ 2 and BTEC award in health and social care and were hoping to embark on an NVQ level 3 HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.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): Standards 37,39 & 42 Quality in this outcome area is good. People living at the home benefit from having management systems in place that are open and transparent and puts their best interests first. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The registered manager has the skills knowledge and experience to effectively manage the home, and is working towards achieving an NVQ level 4 in care management and the registered managers award. Leading by example she ensures that staff are supported in meeting the needs of the residents and works closely with families to create an open and transparent culture within the home. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.R01.S.doc Version 5.2 Page 22 Systems are in place to monitor quality assurance through regular meetings with, residents, families and staff, in addition satisfaction surveys are sent out to the healthcare professions involved with the care of the residents. Staff spoken with during the visit confirmed that they liked working at the home and took enjoyment in seeing the residents achieving a level of independence as their capabilities will allow. Staff said that the registered manager was supportive and that there was good opportunities for further training and self development. During the visit observations of residents, staff and the registered manager showed that the atmosphere in the home was homely, supportive and welcoming. There was effective risk management systems in place balancing health and safety with the rights for residents to take risks, the risk assessments viewed within the care plans demonstrated that foreseeable risks had been identified and action put into place to reduce the risks to an acceptable level. HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.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 X 2 4 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 2 X 4 X 4 X X 3 X HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.R01.S.doc Version 5.2 Page 24 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. 1 Standard YA20 Regulation 13 (2) Requirement Staff must sign the medication record sheets (MAR) upon medication being administered. Timescale for action 31/08/07 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 HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 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 HR Care Homes Ltd (78 Polwell Lane) DS0000064957.V341287.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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