Inspection on 06/10/06 for 91 Redlands Lane

This inspection was carried out on 6th October 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 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

91 Redlands Lane 06/10/08

91 Redlands Lane 02/11/05

91 Redlands Lane 23/06/05

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 Hants PO14 1HG Lead Inspector Nick Morrison Unannounced Inspection 6th October 2006 11:00 91 Redlands Lane DS0000012365.V316143.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 91 Redlands Lane DS0000012365.V316143.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. 91 Redlands Lane DS0000012365.V316143.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 91 Redlands Lane Address Fareham Hants PO14 1HG 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) 01329 829661 www.c-i-c.co.uk. Community Integrated Care Ms Linda Roxburgh Care Home 2 Category(ies) of Learning disability (2) registration, with number of places 91 Redlands Lane DS0000012365.V316143.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 2nd November 2005 Brief Description of the Service: 91 Redlands Lane is a care home that offers care for up to two people who have a learning disability. The property is owned by Knightstone Housing Association and is managed by Community Integrated 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 DS0000012365.V316143.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 6th October and had been announced beforehand as a service user in the home finds it difficult to cope with unannounced inspections. The Inspector met two staff and two service users, toured the building and looked at all records and files referred to in the report. A second visit was arranged on 10th October so that the Inspector could meet with the manager and see records that had not been available in her absence. 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. The summary of this inspection report can be made available in other formats on request. 91 Redlands Lane DS0000012365.V316143.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection 91 Redlands Lane DS0000012365.V316143.R01.S.doc Version 5.2 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. 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 benefit from having their needs assessed prior to admission to the home. EVIDENCE: All the service users files contained initial assessments that had been completed prior to admission and updated since. The assessments had been used in devising each person’s care plan. 91 Redlands Lane DS0000012365.V316143.R01.S.doc Version 5.2 Page 8 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 and 9 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 having clear individual plans in place and from support to take decisions and risks appropriate to their development. EVIDENCE: Files showed that all service users had individual plans in place. Staff spoken with were clear about the plans for each person and services users understood the planning system. Plans were regularly reviewed with input from service users and Care Managers where appropriate. Each service user had a health profile in place and their healthcare needs were clearly and closely monitored. Staff and service users spoken with were very clear that service users made their own decisions about their own lives and the Inspector observed staff supporting service users to make their own choices. 91 Redlands Lane DS0000012365.V316143.R01.S.doc Version 5.2 Page 9 Risk assessments were in place for service users where specific risks had been identified. Staff spoken with understood these. Review dates on the risk assessments demonstrated that they were all reviewed on a regular basis. 91 Redlands Lane DS0000012365.V316143.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): 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. Service users benefit from being part of the community and involved in varied activities. They also benefit from regular contact with their families and a healthy diet. EVIDENCE: The home has an activities programme in place for each service users based on their interests. Activities are very individual and supported by staff from the home. Each person’s plan of activity was clear and was shared with them in a format they could easily understand. As each person has individual staffing, plans were able to be flexible and adapted to how they feeling on particular days. A lot of activities took place outside of the home and service users were clearly supported to become part of the local community. 91 Redlands Lane DS0000012365.V316143.R01.S.doc Version 5.2 Page 11 A visitors’ policy was in place and service users were encouraged to have visits from friends and families at any time. During the inspection visit the Inspector observed staff interacting with service users and they behaved in a respectful way and were aware of the rights of service users and staff respected their privacy by knocking and waiting for an answer before entering their rooms. Staff interaction with service users was positive throughout the inspection. Staff observed during the inspection were very effective in communicating with service users and showed a caring and supportive approach to their work and focussed completely on the person they were supporting. Formal menus were not used, but service users were supported to choose what they were going to eat and shop for it accordingly. Records of food consumed demonstrated that the diet was varied and nutritious. Individual preferences and dietary needs were fully considered Service users were happy with the food at the home. Staff had put a lot of time into supporting service users to try different foods and to choose foods that were healthy. One service user had lost a lot of weight as a result of this and appeared healthier and fitter as a result. 91 Redlands Lane DS0000012365.V316143.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): 18, 19 and 20 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 the home’s medication policy and practices and benefit from having their health and support needs met appropriately. EVIDENCE: Service users had been involved in their own care planning and were able to comment on how they received care. This also took place when care plans were reviewed. Service users files showed that health needs were monitored on a regular basis, depending on the needs of each person, and that service users were supported to access healthcare services as necessary. The home had an effective medication policy in place and staff were clear about their responsibilities within this. All staff involved in administering medication had received training. Medication records were all up-to-date and medication was appropriately stored. All medication coming into and going out of the home was accounted for. 91 Redlands Lane DS0000012365.V316143.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): 22 and 23 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 clear complaints policy and were protected by the home’s abuse policies and practices. EVIDENCE: There was a clear complaints policy in place, which was available to each service user. Service users were encouraged to highlight any issues they were not happy with and these were recorded and responded to. Records were kept of any complaint made. The home has adequate policies in place regarding responding to issues of potential or suspected abuse. Staff at the home had had adult protection training. Care plans contained guidelines on preventing self-harm where necessary. 91 Redlands Lane DS0000012365.V316143.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): 24 and 30 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 living in a comfortable, safe and clean home. EVIDENCE: The home is arranged into two flats, one for each service user. The service users do not have to share any facilities except the front door and even have their own personal part of the garden. Each flat is based around the needs of each service user and they are able to have their bedrooms, lounges, kitchens and bathrooms exactly as they want them. There has been recent refurbishment to the downstairs flat, including a new kitchen, which the service user is very happy about. The upstairs flat is in need of some redecoration and this is planned. The heating system in the house is about to be replaced as well. Service users are encouraged to be involved in housework, according to their wishes and staff ensure the cleanliness of the home. Infection control 91 Redlands Lane DS0000012365.V316143.R01.S.doc Version 5.2 Page 15 procedures were in place and the home was clean throughout whilst remaining comfortable and homely. 91 Redlands Lane DS0000012365.V316143.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): 32, 34 and 35 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 being supported by competent, trained staff and are protected by the home’s recruitment policies and practices. EVIDENCE: Staff training records were clear and demonstrated that training is a large feature of the organisation and that there is a commitment to ensuring that staff are well equipped for their role. Staff spoken with confirmed that the training available is very good and that they did not have any outstanding training needs that were not being dealt with. Staff files were well-kept and demonstrated that staff did not begin working in the home before all necessary checks had been undertaken. Staff had a clear induction when they began work and this was welldocumented. Staff spoken with confirmed that their induction programme was useful gave them a good understanding of their role as well as covering basic training issues. 91 Redlands Lane DS0000012365.V316143.R01.S.doc Version 5.2 Page 17 Staffing was based around the individual needs of service users and each service user had one-to-one staffing throughout the daytime. Service users did not require much support through the night and there was a member of staff sleeping in to be available if necessary. The staffing had recently been changed so that each service user had a dedicated staff team working with them. This had happened in response to the fact that service users were not happy about sharing the same staff. The change had resulted in both service users being happier about the arrangements. 91 Redlands Lane DS0000012365.V316143.R01.S.doc Version 5.2 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 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 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 living in a well run home and they are protected by the home’s Health and Safety policies and practices. Their views are fully considered within the home’s quality assurance processes. EVIDENCE: The home is well managed around the needs and wishes of service users. The Manager has the necessary skills, experience and qualifications to manage the home and roles and responsibilities within the home are made clear. Service users were able to contribute to the running of the home in a number of ways, including input into their own care plans and reviews, private meetings with keyworkers and they both had regular access to the manager. 91 Redlands Lane DS0000012365.V316143.R01.S.doc Version 5.2 Page 19 Service plans were clear and related to issues that had been raised by service users. Health and safety within the home was well managed. Up-to-date records were kept of all servicing. Staff training, including their induction, covered health and safety issues and there were good records to support this. Staff spoken with were clear about their health and safety responsibilities. Workplace risk assessments were clearly written and kept up to date. Service users and staff spoken with did not highlight any health and safety concerns. 91 Redlands Lane DS0000012365.V316143.R01.S.doc Version 5.2 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 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 91 Redlands Lane DS0000012365.V316143.R01.S.doc Version 5.2 Page 21 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. 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 91 Redlands Lane DS0000012365.V316143.R01.S.doc Version 5.2 Page 22 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 91 Redlands Lane DS0000012365.V316143.R01.S.doc Version 5.2 Page 23 - 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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