Inspection on 08/11/05 for 94 Saunders Close

This inspection was carried out on 8th November 2005.

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

94 Saunders Close 16/01/07

94 Saunders Close 07/06/05

94 Saunders Close 15/03/05

94 Saunders Close 06/04/04

Similar services:

Hunter`s Lodge

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 Saunders Close, 94 94 Saunders Close Kettering Northants NN16 0AP Lead Inspector Mrs Sara Morrison Unannounced Inspection 8th November 2005 02:30 Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 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 Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 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. Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Saunders Close, 94 Address 94 Saunders Close Kettering Northants NN16 0AP 01536 410340 01536 481089 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) www.northamptonshire.gov.uk Northamptonshire County Council Mr Alan Victor Kemish Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. The home is registered to accommodate 9 people in the category Learning Disability (LD) (18-65 years) for a maximum period of 6 months. No person falling within the category Learning Disability (LD) can be admitted where there are already 9 persons of category LD already in the home. Total number of service users in the home must not exceed 9. A maximum of 4 people who have a learning disability and a physical disability may be accommodated on the ground floor. One person whose predominant need is LD but who is over the age of 65 years may be accommodated. Date of last inspection Brief Description of the Service: 94 Saunders Close offers a short stay service to people with a learning disability and who may also have a physical disabilty. The home is on the same site as a day centre and is close to the centre of Kettering. Accommodation is over two floors. There are four bedrooms on the ground floor that are all accessible to people who use wheelchairs. There is a bathroom that has specialist bathing and toileting facilities, and a kitchen that has been adapted to be accessible to wheelchair users. There are several lounge and dining areas two of which have patio doors that lead onto a large patio and garden. There are three bedrooms and two bathrooms on the first floor plus a two bedroom self-contained flat that has its own lounge/dining room with a kitchenette and separate bathroom. Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four hours during the afternoon and early evening, was carried out as part of the regular inspection visits required by law and was unannounced. Prior to the inspection time was taken to review the information gathered since the last inspection and plan this inspection visit. The inspection included a tour of the majority of the communal areas and several bedrooms in the building; inspection of some care records, discussion with three of the staff, and discussion with several service users and the manager. The method of inspection was to track the lives of several service users. This was achieved by speaking to them about the service they receive, talking to staff that provide their care and reviewing their records. What the service does well: What has improved since the last inspection? Since the last inspection extra staff have been recruited, however it is difficult to say what has improved as at the time of the last inspection the home had not opened to service users and since this has happened the staff and service users have had to get used to living and working in the new building which they have appear to have done very successfully. Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 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 Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 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): 2,3 & 4 There is a thorough assessment/introduction process that ensures prospective service users can be confident their needs will be met during their stay. EVIDENCE: There was information on file, which demonstrated that assessments are completed by staff and include information from other professionals. Staff and service users said that before coming for a full stay service users are invited for tea visits and an overnight stay. Through discussion with staff and observation it was evident that staff are aware of the needs of each individual and understand their wishes. A member of staff explained how she communicates and understands a service user who has very limited communication. This person appeared relaxed and happy and responded to staff. Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 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 & 9 The care planning process from assessment through to review is good, and ensures that service users’ needs and any risks are considered. This enables service users to maximise their potential and live as full a life as possible. EVIDENCE: The home has introduced a form entitled ‘pre-stay check’. Staff said that key workers complete this form for each service user prior to each stay. This tool provides an ‘at a glance’ easy reference for staff as a reminder of the general needs of a person and the specific goals to be attained during their stay. There is an evaluation prompt whereby staff must sign to confirm that specific goals have been achieved. The manager stated that he uses this form to monitor if goals have been achieved. Where necessary risk assessments are completed, and demonstrated that service users are encouraged to take control of their lives. A service user who was staying in the independent flat said that staff support him to do his food shopping, he said he likes staying at the home and likes living in the flat. Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 There is a range of leisure activities available that enable service users to lead full and active lives. The meal served during the visit appeared wholesome and appetising, service users said they enjoyed the food. EVIDENCE: Within the care plans there is a social activity sheet that staff use to record all external activities that service users participate in. The records demonstrated that service users access a range of activities. A member of staff explained that several service users attend local clubs and they are encouraged to continue this when staying at Saunders Close. In addition there are planned activities and additional activities such as a trip to the pub or cinema that are arranged on a daily basis by the shift leader depending on service users preferences and staff availability. Service users said the food is good and they enjoy the meals. The kitchen was not inspected however the meal served during the inspection smelt and appeared very appetizing. A member of staff discreetly assisted the service user who required extra help and when he indicated that he had finished said Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 Page 11 that she would offer him a substantial supper, as he hadn’t eaten much of his dinner. The service user who was using the flat said that staff would assist him with the preparation for his evening meal. A member of staff came to assist however said she would return as the service user wanted to eat later in the evening. Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Staff are sensitive to the needs and wishes of service users and ensure that they receive personal support in the way they prefer and require. EVIDENCE: Through records, discussion and observation it was evident that relationships between staff and service users are good. Staff were seen to enable and encourage service users to make decisions and choices about their lives. Where service users have limited communication there was evidence of good communication with their carers to ensure information about their health well being and personal preferences is transferred to staff from the home. Service users said that staff help them in the way they prefer and they can choose times to get up/go to bed have a bath etc. Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed at this inspection. EVIDENCE: Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30 The environment provides a very high standard of accommodation. This is a comfortable, safe and well-equipped home for service users. EVIDENCE: The building offers a high standard of accommodation and facilities and remains in the same good condition as seen at the last inspection. This took place in June this year and was undertaken prior to the home being open to service users. It was interesting to see at this visit how service users felt about the new building. Although this is a large building there was an ambience of homeliness. It was good to see the service users happily moving around the home making use of all the facilities and space. Service users said they liked coming to stay and the manager explained that he has received 31 referrals for placements. The additional facilities for people with mobility problems have enabled more people to access the service. Currently there are no service users who require the use of equipment such as a hoist however staff said that it is anticipated that people requiring this level of support will be accommodated and specialist training is being organised for staff. Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 Page 15 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): 32, 34 & 35 There is a good staff team that are knowledgeable and competent and who meet the needs of service users in an effective and supportive way. EVIDENCE: Since the last inspection additional staff have been recruited and there is now a strong team who demonstrated their knowledge and understanding of the needs of service users. Through observation and discussion with service users it is evident that there are positive relationships between them and staff. Service users appeared relaxed and at ease with staff, staff were seen to encourage and enable service users. A new member of staff explained how she was recruited, which was in line with the requirements of the Care Homes Regulations 2001 and National Minimum Standards. She said that she was currently on induction and was ‘shadowing’ another senior. This person said she was impressed with the organisation of the home and in particular the arrangements for her induction, which she felt, was comprehensive and supportive. She said that staff have been welcoming and friendly and are a good team. Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 Page 16 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): These standards were not assessed at this inspection. EVIDENCE: Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 Page 17 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 x 3 3 3 x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X X X X X 4 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Saunders Close, 94 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000032518.V265133.R01.S.doc Version 5.0 Page 18 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 Saunders Close, 94 DS0000032518.V265133.R01.S.doc Version 5.0 Page 19 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. 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