Inspection on 23/06/05 for 91 Redlands Lane

This inspection was carried out on 23rd June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

91 Redlands Lane 06/10/08

91 Redlands Lane 06/10/06

91 Redlands Lane 02/11/05

91 Redlands Lane 14/12/04

91 Redlands Lane 08/07/04

91 Redlands Lane 06/01/04

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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 91 Redlands Lane Fareham Hampshire PO14 1HG Lead Inspector Gina Pickering Unannounced 23/6/05 09:30am 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 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 Stationary 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. 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 91 Redlands Lane Address Fareham, Hampshire, PO14 1HG Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01329 829661 Community Integrated Care Ms Linda Roxburgh CRH 2 Category(ies) of LD- Learning Disability: 2 registration, with number of places 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1- Service users between the ages of 19-60 of age may be admitted. Date of last inspection 14/12/2004 Brief Description of the Service: 91 Redlands Lane is a care home that offers care for up to two people who have a learning disabilty. The property is owned by Knightstone Housing Association and is managed by Community Intregated Care who is the registered person. The home is situated in a residential area near to the town of Fareham. The home has easy access to local recreational and health care facilities. 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced commencing at 10am and lasting four hours. The inspector was able to speak to two staff members and the two service uses as well as assessing documents. Both service users expressed that they are happy and content at the home and are able to express their needs and choices. What the service does well: What has improved since the last inspection? 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. 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 6 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 Standards Statutory Requirements Identified During the Inspection 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 7 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 standard(s) 1, 3 & 5 Prospective service users will only be able to make a partially informed decision regarding the suitability of the home for them as there are no details regarding the home in a format that the individual service users would be able to understand. Prospective services users will be able to move into the home confident that their needs will be met by the home. The service user and their representative are not made fully aware of their rights and obligations of residency at the home. EVIDENCE: The home has a statement of purpose that includes details that would allow the representative of a service user make an informed decision as to whether the home might suitable for the prospective service user. However there is no information in the statement of purpose nor is there a service users guide in a format that the present service users would be able to understand. However staff at the home discussed with the inspector that issues that should be included in the service users guide are discussed with service users in a manner in which they are able to understand. The home has not had the opportunity to implement their admission process as the two present service users have lived at the home sine it opened. However appropriate policies and procedures are in place that includes the assessment process to be implemented when a vacancy arises at the home. Discussions with a member of the care staff evidenced that he has knowledge regarding the need to assess a prospective service user to ensure their needs 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 8 can be met and that the environment at the home will suit the prospective service user. There were no relevant statements of terms and conditions between the service users and CIC available at the time of the inspection, therefore service users and their representatives are not fully aware of their rights and obligations. 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 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 standard(s) 6, 7, & 9 The service users are encouraged by the staff to be involved in decisions pertaining to their needs and personal goals. The home’s philosophy of care encourages and supports the decisions of the client. The ethos and management of the home supports the service users to take risks with regard to their life style and choices. EVIDENCE: The inspector viewed the two service user’s care planning documents. Details are available within these regarding the social and emotional needs of the gentlemen. Each service user has a person centred plan that uses pictorial images to convey information. Personal goals for each service user are reflected in the personal centred plans for each service user. The inspector assessed that the plans are individual to each service user reflecting their wishes for holidays and activities. A planned holiday was discussed with one service user who was able to indicate the aspects of the holiday that he was looking forward to. Discussion with staff at the home and viewing documents reveal that the service users are encouraged to take part in the care planning process. The service users are enabled to make choices regarding their daily routines and activities. Care plans indicate the communication methods that each service user uses to indicate his choice and decisions. The inspector observed 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 10 that throughout the inspection process the service users were able to make choices as to whether to interact with the inspector, go out with the care staff or spend time in their own flats. Risk assessments for all activities of daily living are documented; including the risks to service users, risk to staff and risk to public and the action to be taken to reduce these risks is recorded. Documentary evidence revealed that risk assessments are reviewed six monthly and amended accordingly. 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 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 standard(s) 12, 13, & 16 Social and recreational needs of the service users are well managed, enabling the service users to experience new activities and exercise choice. The management of the home ensures that the service users rights and decisions are respected. EVIDENCE: An assessment of the service user’s leisure interests and dislikes is contained within the care planning documents. A weekly programme of activities has been drawn up but is flexible enabling the service user to exercise choice. During the course of the inspection the inspector observed both service users being able to make choices regarding whether to take part in planned activities or meet with the inspector. Discussion with care staff evidenced their knowledge of the service user’s leisure interests. Both service users accesses community facilities with the support of staff such as public houses, cafes, and libraries. One of the service users has a job with CIC delivering the post to other local CIC homes. The developing personal centred plans should support the gentlemen achieve their dreams and aspirations with regard to leisure, social or educational activities. 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 12 Staff training and polices assure that staff at the home are aware of the service users rights and dignity. Observation during the course of the inspection evidenced that staff members treat both service users courteously with their rights respected as to their decision and privacy. 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 & 19 Staff are able to deliver personal support to the service users in the manner that the service users wish. The health and welfare of the service users are assured with effective links with the multidisciplinary health care team. EVIDENCE: Care planning documents provide detailed information regarding the service users preferences regarding the support required in receiving their personal care as well as the support required in other daily activities. Staff spoken with at the home work on a one to one basis with the service users enabling them to know the needs and preference each service user. The health care needs and emotional needs of the service user are documented in the care planning process. Full details are recorded of all contacts with health care practitioners. The health care needs of each service user are reviewed annually. Evidence is available to confirm that both service users have access to the multidisciplinary health care team including the learning disability team. 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 23 Service users are only partially protected from the effects of abuse. EVIDENCE: At the time of the inspection the inspector and a staff member were unable to find a policy pertaining to the protection of vulnerable adults. Training records indicated that three of five permanent staff members have received training with regard to the protection of vulnerable adults and both staff members on duty were able to describe the appropriate action that they would take should they have any concerns regarding the protection of the service users. Both service users have detailed statements regarding their finances that include details regarding any interest payments thus meeting a requirement made at the previous inspection. 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 & 30 The environment and practices compromise the safety of the environment of the home. EVIDENCE: The home is separated into two flats, which are furnished and decorated to meet the individual needs and interests of the individual service user. Both have a living area, dining area, kitchen, bathroom and bedroom. Following the previous inspection requirements were made regarding the décor of the downstairs kitchen that have yet to be fulfilled. The décor remains shabby with the furnishings not yet fully meeting the needs of the service user that lives there. Documentary evidence illustrates that this requirement has continued to be highlighted to Knightstone Housing Association who are responsible for the maintenance of the home. Corporate polices and procedures are available pertaining to hygiene and cleanliness of the home incorporating infection control issues. The home does not employ cleaning staff; care staff perform this task thus enhancing the homely. On the day of inspection the home was clean, tidy and free from any malodours. Difficulties in maintaining the hygiene of the downstairs kitchen have been highlighted by an environmental health inspection in May 2005; these have yet to be acted on. 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 16 A laundry room is located in the ground floor flat. This was viewed to be clean, tidy and posing no health risks. Staff receive permission from the service user residing in the downstairs flat to use the laundry area. 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) This standard will be assessed at the next inspection. EVIDENCE: 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Delays in the maintenance of various areas of the home could compromise the effectiveness of the good practice within the home of protecting the health and safety of the service users. EVIDENCE: Corporate and local policies and procedures are in place relating to the many aspects of health and safety within the home. Records indicate that staff receive training with regard to various health and safety topics including the recommended fire safety training. Weekly audits are performed regarding the environment and any concerns relating to health and safety are highlighted and acted upon. Issues regarding the maintenance are forwarded to Knightstone Housing Association for action to be taken. It is a concern of the staff at the home and CSCI that Knightstone Housing Association often take a lengthy period of time before acting upon the information they receive. The previous inspection resulted in requirements being made regarding the downstairs kitchen area and the temperature of running water from hot water taps; these have yet to be actioned. Risk assessments have been put in place 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 19 regarding the downstairs kitchen and the hot water that protects the safety of the service users whilst waiting for action to be taken. 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 1 3 x x 2 Standard No 22 23 ENVIRONMENT Score x 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x x 2 Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 91 Redlands Lane Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 2 x H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 21 yes 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 YA 1 Regulation 5 Requirement The registered person must ensure both service users have a service users guide is produced in a format they can understand. The registered person must ensure each service user has a ststment of terms and conditions of rsidency at the home that details rights and obligations, the breakdown of the fees payable and are signed by the service user or represenatative. THIS REQUIREMENT HAS PREVIOUSLY BEEN MADE ON 14/12/04 & 08/7/04 The registered person must ensure that the decor in the downstairs kitchen be made good to produce a clean, homely atmosphere. THIS REQIUMENT HAS BEEN PEVIOUSLY MADE ON 14/12/04 The registered person must ensure that the downstairs kitchen is furnished to meet the assessed needs of the service user. THIS REQUIREMENT HAS BEEN PREVIOUSLY MADE ON 14/12/05 The registered person must H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Timescale for action August 30th 2005 2. YA5 5 August 30th 2005 3. YA24 23 September 30th 2005 4. YA24 & 29 23 September 30th 2005 5. YA42 13 August Page 22 91 Redlands Lane Version 1.30 ensure that action is taken to reduce the distribution temperature of the hot water from the taps. THIS REQUIREMENT HAS BEEN PREVIOUSLY MADE ON 14/12/05 30th 2005 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 Good Practice Recommendations 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection 4th Floor- Overline House Blechynden Terrace Southampton Hampshire 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 91 Redlands Lane H54 S12365 91 Redlands Lane V234694 230605 Stage 4.doc Version 1.30 Page 24 - 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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