Inspection on 06/03/07 for 79 Silvester Road

This inspection was carried out on 6th March 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 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

79 Silvester Road 13/12/05

79 Silvester Road 15/06/05

79 Silvester Road 28/02/05

79 Silvester Road 29/09/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 79 Silvester Road Cowplain Hampshire PO8 8TR Lead Inspector Michael Gough Unannounced Inspection 6 and 7 March 2007 09:00 th th 79 Silvester Road DS0000012361.V330509.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 79 Silvester Road DS0000012361.V330509.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. 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 79 Silvester Road Address Cowplain Hampshire PO8 8TR 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) 023 9226 8922 Mr Dawson Smith Mrs Julie Smith Mrs Julie Smith Care Home 6 Category(ies) of Learning disability (6) registration, with number of places 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2005 Brief Description of the Service: 79 Silvester Road is a care home accommodating six adult service users who have a learning disability. There is an active educational and activity plan arranged for service users throughout weekdays and as chosen by them. There is close contact maintained with the local community care team. The home is situated in a quiet residential area of Cowplain near Waterlooville, and blends in with all surrounding properties. The home is close to local shops and public transport is available within walking distance from the home. The accommodation comprises of an open plan kitchen, sitting room and conservatory, where service users are able to sit as a group for dining purposes. There are six single bedrooms, four of which are on ground floor level and a bathroom on both floors, fitted with shower facilities. Fees at the home range from £380 - £500 per week and service users are responsible for purchasing their own toiletries and items of a personal or luxury nature. 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the evaluation of the quality of the service provided at 79 Silvester road and takes into account the accumulated evidence of the activity at the home since the last inspection, which was carried out on the 13 December 2005. An unannounced site visit to the home took place on the 6 March 2007 and during the site visit the inspector had the opportunity to tour the home, read and inspect records and speak with the homes manager, who assisted the inspector throughout the visit. A further site visit took place on the 7 March 2007 when the inspector went back to the home to meet and talk to the service users who live at the home as they were unavailable at the first visit due to their day service and college commitments. The home is registered to provide support for 6 service users who have a learning disability and at the time of the inspection there were 5 service users living at the home. What the service does well: What has improved since the last inspection? Since the last inspection the home has further developed a risk assessment strategy so that risk assessments are in place to identify and minimise any risks to the health and safety of service users. All of the required documentation relating to persons employed at the home was available for inspection. A new kitchen has been fitted and the lounge has been decorated, vanity units in 3 of the service users rooms have been replaced also 2 service users bedrooms have been decorated. 79 Silvester Road DS0000012361.V330509.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. The summary of this inspection report can be made available in other formats on request. 79 Silvester Road DS0000012361.V330509.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 79 Silvester Road DS0000012361.V330509.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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are only admitted to the home once their needs have been assessed and the home is confident that they can meet their needs EVIDENCE: The pre inspection questionnaire and also information gained at the site visit showed that there has been no new service users admitted to the home since the last inspection. However there is clear admissions policy and the manager stated that she would carry out her own assessment and also obtain social service assessments if appropriate, before anyone moved into the home. Service users are able to visit the home on a number of occasions to be sure that the home can meet their needs. Assessment forms were seen in the service users files inspected and care management assessments were also on file. 79 Silvester Road DS0000012361.V330509.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users assessed needs and personal goals are set out in an individual plan of care and service users are involved in the care planning process. Staff at the home respect service users rights to be involved and make decisions about their day-to-day lives and service users are supported in this process by staff at the home. Service users are supported to take responsible risks as part of their independent lifestyle. EVIDENCE: Care plans were seen for 2 service users and these were comprehensive documents that gave staff clear information on what support was required and how and when this should be given, there was information on the service users routines in the mornings, afternoon and evenings and care plans were person centred, clearly written and could be followed easily. 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 10 Service users spoken to were aware of their care plan and they confirmed that they were involved in the care planning process. They are involved in regular reviews and said that staff give them the support they need. Recording was noted in a separate folder and staff gave a brief summary of what had been going on during their time on duty. Records were simple and gave evidence of support given and how the service user had been during the day/night. Service users were consulted on all aspects of their lives and their wishes were respected and acted upon. The inspector was informed that the home had a service user meeting every Tuesday evening and the service users spoken to confirmed that these meeting take place and said that they enjoy getting together and planning the weeks menu and also making decisions about life in the home. Staff support service users to make their views known and their views and wishes are acted upon. It was very clear by observing the staff interacting with service users that they are able to make their own decisions and staff respect their wishes and views. Each service user plan seen had risk assessments in place for identified risks. There were risk assessments for making hot drinks and meals and also for the protection of service users when out in the community. All risk assessments identified the risk and the degree of risk and they also gave information for staff on how to minimise any identified risk. 79 Silvester Road DS0000012361.V330509.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are encouraged and supported to be part of the local community and to be involved in appropriate activities. Service users benefit from staff support to maintain social contacts. Daily routines at the home respect service users rights and responsibilities. Meals at the home are flexible and service users benefit from a healthy diet. EVIDENCE: Activities are organised with the involvement of residents and service users attend day care activities and also a local college. Interests are detailed in each resident’s file and these include sewing, fabric art, women’s self care, cooking, photography and daily living skills. Service users spoken with confirmed that they enjoyed educational activities and had a very full programme of activities every day and at weekends. 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 12 Service users are encouraged to be part of the local community and are supported to be aware of what events are happening locally, they regularly go shopping and can access the community independently or with support from staff and service users support each other to go out into the community. The home has a visiting policy and this was on display in the hallway of the home. Service users confirmed that they are able to greet any visitors either in the dining conservatory area, or in bedrooms and also confirmed that they have regular visitors, and that on occasions they go home to parents homes for weekend visits and friends and family visit them at the home. Daily routines in the home promote service users independence as much as possible and service users are involved in all aspects of the day-to-day running of the home. Staff were observed knocking on service users doors before entering and seeking permission to enter rooms. Staff were observed interacting with service users appropriately and their preferred form of address was used. Service users spoken to said that they were very happy at the home and liked being involved in decision making. The inspector observed the evening meal being prepared and service users confirmed that they plan the week’s menu during their regular weekly meeting and staff support service users to ensure that there is a balanced diet. The home keeps a record of all food provided by the home and service users said that they were involved in making snacks and were able to be involved in the weekly shopping. 79 Silvester Road DS0000012361.V330509.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive personal support in the way they prefer and service users physical, emotional and health needs are met. The homes policies and procedures with regard to medication help provide protection for service users. EVIDENCE: Care plans for individual service users gave information on personal care needs and this is mainly verbal prompts as service users are quite independent, however staff are available to provide support if required. There is clear information on what support service users required in the mornings and evenings and also information on individuals personal care skills. Service users have a daily routine for their personal care and this helps with consistency. Service users are registered with a number of different GP’s at a local surgery. Dental checks are carried out by a local dental practice that offers NHS treatment and a local optician conducts eye tests. Staff at the home monitor service users health and they support service users to access appropriate healthcare professionals and to attend any appointments and the 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 14 local learning disability team are available to provide any additional support that may be required. The home has clear policies and procedures in place for the receipt, storage and administration of medication and the home is in the process of changing to a monitored dose system for medication and all staff at the home will receive appropriate training in medication administration procedures. The home has clear information for staff for administering when required medication. 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 15 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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by a simple, clear and accessible complaints procedure and the homes policies and procedures protect service users from any form of abuse. EVIDENCE: The home has a clear complaints procedure and this includes timescales for the complaint to be addressed and gives details of how to contact the CSCI. There have been no complaints since the last inspection. Service users spoken with were aware that there was a complaints procedure and said that they would speak to a member of staff if they were unhappy. Staff members were aware of the homes complaints procedure. Staff have received training in the protection of vulnerable adults and said that they would talk to the manager if they had any concerns and knew that social services would take the lead in any adult protection issues. Service users spoken to said that they felt safe at the home. 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 16 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides a well maintained environment and service users have access to comfortable indoor and outdoor facilities and the home was clean, pleasant and hygienic and free from offensive odours and this provided a pleasant environment for service users and staff. EVIDENCE: The inspector toured the building with the homes manager and found that the home was homely and comfortable and the curtains, carpets and fittings were of good quality and the décor was bright and cheerful. There was a large lounge area, which leads to a conservatory, which is also used as the dining area. The rear garden has a patio area and is laid to lawn with a table and seating in the warmer months. The home has a separate laundry room, away from areas where food is prepared, stored, cooked or eaten. There is a domestic tumble drier and 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 17 washing machine, which is able to wash clothing at appropriate temperatures. Service users have their own set day for doing their laundry and staff at the home support service users with their laundry as required. Staff at the home are provided with appropriate protective clothing and receive training with regard to infection control. 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 18 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 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff employed at the home have the competencies and qualifications required to meet service users needs. Service users are protected by the home’s staff recruitment procedures and trained staff support service users. EVIDENCE: The home employs a total of 4 care staff, plus the homes manager and the registered provider who also works at the home. All of the staff team at the home have obtained at least NVQII and service users benefit from being supported by dedicated and qualified staff. Staff records were inspected for 2 staff members and all relevant employment checks have been carried out, there have been no new staff employed since the last inspection. Training records were inspected and staff at the home have completed training in infection control, first aid, food hygiene, fire awareness, manual handling, managing aggressions, challenging behaviour, principles of care, health and safety and care practices. The home has an effective induction procedure, 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 19 which covers in house procedures and also induction and foundation training in line with the “skills for care” guidelines 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 20 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 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home and the views of service users and other interested parties are sought on how the home is meeting service users needs. The health, safety and welfare of residents and staff are generally protected, however the registered manager must ensure that a suitable fire risk assessment is in place for the home. EVIDENCE: The registered manager is also one of the registered providers and has been managing the home for 10 years; she has NVQ4 in care and has also completed the Registered Managers Award. She has the skills and experience necessary to effectively manage the home. 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 21 Quality assurance surveys are sent to service users and their families and the results of these surveys are collated by the manager and feedback is given to service users. The manager intends to expand the surveys this year to other interested parties and said that she will provide a short report on the outcomes of these surveys. The manager is responsible for Health Safety and appropriate certificates were in date for gas safety, private electrical equipment and fire alarms systems and equipment. The home employs a company to maintain the fire system and equipment in the home and the issue of the fire risk assessment for the building was discussed, however the manager was unsure if this had been completed and she will need to ensure that a suitable fire risk assessment is in place for the home. 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 22 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 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 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 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 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 2 X 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 23 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 YA42 Regulation 23(4) Requirement The manager must ensure that a suitable fire risk assessment is in place for the home. Timescale for action 21/04/07 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 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 79 Silvester Road DS0000012361.V330509.R01.S.doc Version 5.2 Page 25 - 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!