Inspection on 10/02/07 for 84 Kingsthorpe Grove (Royal Mencap Society)

This inspection was carried out on 10th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

84 Kingsthorpe Grove (Royal... 02/12/08

84 Kingsthorpe Grove (Royal... 09/02/06

84 Kingsthorpe Grove (Royal... 01/02/05

84 Kingsthorpe Grove (Royal... 16/04/04

84 Kingsthorpe Grove (Royal... 03/02/04

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

CARE HOME ADULTS 18-65 84 Kingsthorpe Grove (Royal Mencap Society) 84 Kingsthorpe Grove Northampton Northants NN2 6NT Lead Inspector Debbie Williams Key Unannounced Inspection 10th February 2007 11:00 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.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 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.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. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 84 Kingsthorpe Grove (Royal Mencap Society) Address 84 Kingsthorpe Grove Northampton Northants NN2 6NT 01604 792845 01604 792845 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) Royal Mencap Society Miss Helen Catherine Taylor Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Total number of beds 4 Service User Category Learning Disabilities over 65 years of age (LD) 9th February 2006 Date of last inspection Brief Description of the Service: 84 Kingsthorpe Grove, is a terraced property in a residential street and provides personal care, without nursing, for four adults with learning disability. The home is in the style of a large family house, with a bedroom for each service user. There is one ground floor bedroom, with shower. As there is no lift facility, service users do have to be able to safely negotiate stairs to use first floor bedrooms. There is a kitchen diner and a separate communal lounge. Furnishings and decor are to good standard throughout. To the rear of the premises, there is an enclosed garden, with garden furniture and a barbeque. 84 Kingsthorpe Grove is owned and run by the Mencap national organisation for children and adults with learning disability. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The main method of inspection used was ‘case tracking’ which involved selecting residents and tracking the care they receive through the checking of their records, discussion with them and observation of care practices. The inspector also spoke with care staff. Information from the provider’s pre inspection questionnaire was also used. This was a positive inspection. Good outcomes were achieved in all areas. Residents spoken with were happy with the service provided. The Inspection was undertaken during a weekend. There were opportunities to meet all the service users, and two staff on duty. What the service does well: What has improved since the last inspection? 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.R01.S.doc Version 5.2 Page 6 An ongoing programme of redecoration and refurbishment is in progress. Since the last inspection risk assessments and care plans are being reviewed on a regular basis. 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. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.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 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.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): Standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service Residents individual needs and aspirations are assessed. EVIDENCE: Care records for all four residents accommodated were inspected. Assessment records were comprehensive and included all required information. Staff spoken to confirmed that residents needs would be assessed prior to admission, all residents are referred to the home via social services who would also be involved in the assessment process. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.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): Standards 6,7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Care plans reflect residents changing needs and residents are enabled to make decisions and take reasonable risks. EVIDENCE: Care plans for all four residents were seen and found to be comprehensive. Care plans included individual preferences and abilities, communication needs and risk assessments. Care records seen confirmed that residents were making individual choices. A weekly meeting is held where residents are enabled to make choices about the following weeks menus and activities. Residents are assisted to manage their own finances. Information provided in the pre inspection questionnaire confirmed that records are maintained and each resident receives their personal allowance. Residents spoken with felt they were able to make decisions about their day-to-day lives. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15,16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to participate in appropriate peer activities and daily routines meet individual needs and preferences EVIDENCE: All four residents at the home attend day centres during the week. Records of all recreational activities were maintained. Activities taking place included cinemas, clubs, bingo and visiting the pub. During this inspection one resident went out for a walk and for coffee with a staff member. It was evident that staff enabled residents to maintain links with family and friends. Visitors were made welcome and residents were able to make phone calls and go out to visit their friends and family. Residents spoken with confirmed that daily routines were made flexible to suit their preferences. Menus are written on a weekly basis in consultation with residents at the weekly meeting. The lunchtime meal served during this inspection appeared appetizing and well presented, the dining area was congenial and residents appeared relaxed. Information provided in the pre inspection questionnaire stated that meal times were 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.R01.S.doc Version 5.2 Page 11 flexible in order to meet resident’s needs. Residents and staff spoken with felt that the quality of meals provided was good. Specific dietary preferences and requirements were recorded in residents care records. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The personal and healthcare needs of residents are met. EVIDENCE: Residents care records were inspected and found to contain evidence of good access to healthcare services and input from healthcare professionals. Care records detailed the level of personal support required by each individual resident. Residents spoken with were satisfied with the level of personal support provided and felt able to maximise their independence. Medication records and storage areas were inspected and found to be in good order. All staff have received training in the administration of medication. At the time of this inspection none of the residents were self-medicating and there were no controlled medications in use. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.R01.S.doc Version 5.2 Page 13 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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Policies and procedures in place promote protection for residents. EVIDENCE: Information provided in the pre inspection questionnaire recorded that one complaint had been received since the last inspection and that this was investigated and found to be partially substantiated and then resolved. The home’s complaint procedure was available in a user-friendly format and provided to all residents. All staff receive induction and foundation training which includes training on the protection of vulnerable adults. Staff spoken with were aware of the correct procedures to follow. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.R01.S.doc Version 5.2 Page 14 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents live in a homely, comfortable and clean environment. EVIDENCE: Communal areas and two residents rooms were seen during this inspection. Communal areas appeared comfortable, homely and well maintained. Resident’s rooms were personalised and also appeared homely, comfortable and well maintained. Residents spoken with were happy with their rooms. All areas of the home appeared clean and hygienic. Information provided within the pre inspection questionnaire confirmed that all health and safety checks and maintenance work had been carried out. One staff member spoken with said that an ongoing programme of redecoration was in progress and that new furniture was on order for one resident. Fire drills are carried out every six months; residents are involved in this and gather at the fire assembly point in the garden. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.R01.S.doc Version 5.2 Page 15 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Resident’s needs are met by staffing numbers and skill mix. EVIDENCE: Because this was an out of office hour’s inspection, staff records were not available. Staff spoken with confirmed they had undergone Criminal Record Bureau checks and provided references prior to commencing employment. Information supplied in the pre inspection questionnaire also confirmed that all staff had undergone criminal record bureau checks. All staff employed have received induction and foundation training, this was confirmed by staff spoken with and by information provided in the pre inspection questionnaire. At the time of this inspection there were four residents living in the home. Two staff were on duty during daytime hours and one sleeping staff member at night. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home is run in the best interests of the service users to protect their health safety and welfare. EVIDENCE: The home’s manager is registered with the CSCI. Residents are regularly consulted on how the service can be improved, minutes from residents meetings included on the agenda, food shopping, going out for meals, health and safety and fire training. Health and safety policies and procedures were clear and accessible for staff and residents. Information provided within the pre inspection questionnaire confirmed that the appropriate health and safety checks and maintenance were undertaken. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.R01.S.doc Version 5.2 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 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 3 33 x 34 3 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 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 3 x 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.R01.S.doc Version 5.2 Page 20 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 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 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V323889.R01.S.doc Version 5.2 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. 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