Inspection on 09/02/06 for 84 Kingsthorpe Grove (Royal Mencap Society)

This inspection was carried out on 9th February 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

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

84 Kingsthorpe Grove (Royal... 10/02/07

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 Irene Miller Unannounced Inspection 9th February 2006 16:00p 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 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.V273160.R01.S.doc Version 5.1 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.V273160.R01.S.doc Version 5.1 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.V273160.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Total number of beds 4 Service User Category Learning Disabilities over 65 years of age (LD) 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.V273160.R01.S.doc Version 5.1 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 upon outcomes for Service Users and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved tracking the care of the 4 service users living at the home, by looking at care records, discussion with the service users, the care staff, and observation of care practices. The Inspection was undertaken during the early evening. 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? What they could do better: Care plans and risk assessments need to be regularly reviewed, to fully reflect the level of support required by the service users. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 Page 6 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. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 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.V273160.R01.S.doc Version 5.1 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 & 5 Service users and their representatives have the information they require to make an informed choice about moving into the home, and can be assured that their needs can be met. EVIDENCE: There is a statement of purpose and service user guide, which is located within the office, however there was no copy seen to be available for service users and their representatives to accesses. The statement of purpose requires the contact address for the Commission for Social Care Inspection updating. Within the care plans there was records of assessment of service users needs. One service user had recently moved into the home and the staff were in the process of gathering information to develop a care plan, in the interim there was a very detailed assessment and care plan, which was provide from the previous care provider for staff to follow. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 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): 6,7,8,9 & 10 Service users are encouraged to make informed choices about their lives and to be suitably involved in the running of the home. EVIDENCE: The service users said that they were happy for the inspector to look at their care plans. The care plans were detailed and included evidence of service users preferences and information on the service users physical, personal emotional and spiritual needs. However review records indicated that they were last reviewed in 2004, staff said that the care plans were in the process of being updating on the computer. The care plans contained risk assessments on what to do in the event of a fire, hazards within the kitchen area, and personal care such as the use of razors. There were generic risk assessments in place for general environmental hazards, in and outside of the home. Some information is available to service users in user-friendly formats. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 Page 10 Staff were observed to encourage the service users to make choices and make independent decisions about their routines. Service users were seen to be confident in approaching staff to express their needs and wishes. Records of the service users meetings demonstrated that each service user was encouraged to participate in the running of the home to the level of their abilities, and that their input to the meeting, however limited, was valued and recorded. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 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): 11,12,13,14,15,16 & 17 Service users are supported in living fulfilling lifestyles both in and outside of the home. EVIDENCE: Within the care plans there was aims and objectives that identified the service users assessed needs, preferences and the level of support required to achieve their individual aspirations. All of the service users attend day centres enjoying a rest day during the week, where they can spend the day with their keyworker, taking part in activities of their choice, at home or within the local community. One service user regularly attends the local church each week, and is supported in attending worship. Records of communication with families and family contact were seen in the individual care plans. The home is proactive in involving service users families 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 Page 12 in their care. One service user was observed chatting to their mother on the telephone, and said that they were looking forward to their mother visiting. Service users participate in carrying out daily domestic tasks such as vacuuming, polishing and tidying their own bedrooms and personal laundry, each resident share the responsibility for food shopping equally within the home. Service users were observed participating in the preparation of the evening meal, laying tables and preparing refreshments. Records within the individual care plans demonstrated that the service users choice is respected, in visiting the local community going food and clothes shopping, eating out and visits to local clubs to meet up with friends. Trips to the local shops and leisure facilities are a regular part of everyday life within the home. Records were maintained within the care plans of service users weights and their nutritional needs, residents follow healthy eating plans and participate in physical exercise activities, such as keep fit and bowling. One of the service users talked of their enjoyment on going to Milton Keynes Theatre to see Snow White, and being a keen train enthusiast had visited Milton Keynes train station. The service users rights to experience appropriate, personal relationships, is recognised within the individual care plans and treated with sensitivity and respect. There were records of service users participation in recreational activities such as, keep fit, bowling, jigsaw puzzles, watching TV/ videos of their personal choice, outings, clothes shopping, aromatherapy, visiting friends and family. On the evening of the inspection all service users were at home, and were observed to be relaxed within each other company and pursuing their own interests, such as watching their favourite TV programmes and listening to music. Foods purchased included fresh fruit and vegetables, low fat alternatives and healthy options; the service users are helped to choose their weekly menu from a selection of healthy nutritious and appealing meal options. The meal on the evening of inspection was Chicken Korma, Rice and Nan Bread; all the service users said that they enjoyed the meal. All of the service users had been invited to a friends 40th birthday party and were looking forward to this event. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 Page 13 Service users said that they liked living at the home and liked the staff 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 The resident’s physical, emotional and healthcare needs are met, however the lack of regular reviews to the care plans, places the services users at risk of their care needs not being fully met. EVIDENCE: The care plans contained detailed information on the physical, personal and health care needs of the service users, on speaking with staff and service users there was some information contained within a care plan that was no longer relevant to the service users needs, which highlighted the importance of the care plans being reviewed more regularly. Staff were observed treating the service users with dignity and respect, there was a homely atmosphere within the home, the service users were relaxed and friendly with each other and the staff. Within the care plans and medication records there was detailed instructions for staff to follow, for service users who are diagnosed with epilepsy, which included observation records and treatment following epileptic seizures, the staff said training in this area was provided from a healthcare professional. There was guidance and information literature available within the medication 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 Page 15 file on the use of rectal stesolid, which demonstrated that the home works closely with healthcare professionals. The medication storage and administration records were viewed and all in order. All service users are registered with a local General Practitioner, the care input from Community health services was recorded which demonstrated that service users receive good support Within the care plans there was details of staffs sensitive responses to service users displaying expressions of distress. Staff were observed to be alert to service users changing moods, and able to respond in a manner likely to preempt any escalation. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Appropriate systems are in place for service users and their representatives, to voice their concerns and be confident that their complaints will be listened to and acted upon. EVIDENCE: There is information contained within the homes statement of purpose and service user guide on how to raise any concerns or complaints about the service, and there was a leaflet available on the notice board within the kitchen diner that was in a format appropriate to the service users needs. Service users have regular meetings that address any concerns or complaints that they may have and one to one time spent with their keyworker, provides an opportunity to raise any concerns or complaints they may have that may be of a personal nature. Records within care plans indicated were staff support and intervention is needed to protect service users from potentially abusive situations both internal and external for the home. The home has the Northamptonshire Inter Agency Policies and Procedures available within the home for guidance on how to respond to any allegations of suspected or actual abuse. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,26,27,28,29 & 30 The standard of the environment with this home is good providing service users with an attractive and homely place to live. EVIDENCE: The home is of domestic layout situated in a residential area within easy travelling distance to the town centre and local community resources. All areas were clean, tidy and well maintained. Service users have individual bedrooms and appropriate shared space within the home. Service users said that they were happy with their rooms and were very keen to present their bedrooms that were personalized with their belongings reflecting their individuality. The bathroom décor was pleasant and all areas clean. The kitchen was tidy and all work surfaces clean. There were visual reminders to staff and service users regarding food hygiene good practices. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 Page 18 The electrical maintenance records were looked at and were all in order. There is a lounge area and a kitchen/diner. Public areas were homely and conducive to a relaxing atmosphere. Records were available of daily cleaning routines the service users are involved with the upkeep of a clean environment. There is a large garden that is mainly laid to lawn, a patio area with outdoor seating and barbeque facilities. The staff said that one of the service users relatives had arranged to plant some spring bulbs, with the service users. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,32,33,35 & 36 Service users benefit from a staff team that are aware of their needs and appropriately trained and supported. EVIDENCE: The two staff on duty on the evening of the inspection were established member of staff employed by Mencap, The service users were relaxed and related well with the members of staff who were very knowledgeable of the service users individual needs and the level of support required by each. There was no registered manager on duty on the evening of the inspection, and staff recruitment, training and supervision files were not accessible. There were records of staff meetings with items on the agenda addressing health and safety issues, updates to organisational policies and procedures. On the staff notice board there was a notice with planned supervision dates and times, the staff confirmed that individual supervision takes place, that regular staff meetings take place and that there is ongoing training and support. Discussions evidenced that they were well motivated to provide professional care in the best interests of service users. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 Page 20 The staff rota was viewed which demonstrated that training was planned to take place on facilitating service users to make informed choices and on first aid. The staff confirmed that they would be attending the training. At night an on-call system is in place in the event of an emergency. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,38,39,41,42 & 43 The home is run in the best interests of the service users to protect their health safety and welfare. EVIDENCE: The philosophy of the home is to support service users in living as independent a lifestyle as possible; this is reflected within the care plans. Service users are regularly consulted on how the service can be improved, minutes from service users meetings included on the agenda, food shopping, going out for meals, health and safety and fire training. There are clear and accessible policies and procedures in place for staff and service users. The administration and maintenance records were good. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 Page 22 The care plans and risk assessments are specific to service users, however these need to be more regularly reviewed and updated to reflect current practice. Service users said that they were very happy living at the home, and staff said that they are well supported and found working at the home very rewarding. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 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 3 2 3 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 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X 2 3 3 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 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 YA41 Regulation 17(3) (a) Requirement Service users care plans and risk assessments must be regularly reviewed. Timescale for action 10/03/06 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 YA41 Good Practice Recommendations The statement of purpose should be made more readily available to service users and their representatives and updated with the address of the CSCI. 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 Page 25 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 84 Kingsthorpe Grove (Royal Mencap Society) DS0000012835.V273160.R01.S.doc Version 5.1 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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