Inspection on 31/10/06 for 98 Old Milton Road

This inspection was carried out on 31st 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

98 Old Milton Road 27/10/08

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 98 Old Milton Road New Milton Hampshire BH25 6EB Lead Inspector Ms Sue Kinch Unannounced Inspection 31st October 2006 10:00 98 Old Milton Road DS0000067406.V316400.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 98 Old Milton Road DS0000067406.V316400.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. 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 98 Old Milton Road Address New Milton Hampshire BH25 6EB 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) 01905 338626 Sanctuary Care Limited Mrs Janet Tolson Care Home 5 Category(ies) of Learning disability (5), Physical disability (1) registration, with number of places 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection This is the first inspection since Sanctuary Care was registered. Brief Description of the Service: The purpose of the home is to provide accommodation and address the individual needs of five younger adults who have a learning disability. The home and facilities are domestic in size and situated up a short drive close to the town centre of New Milton. Individual rooms are on the ground and first floors. Residents can also share a dining room, a lounge and a small garden. A car is available but residents are also encouraged to use public transport. Current fees are £889 per week. Information about the service is available in the front hall of the home. 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first key inspection of the home and all key standards were assessed. It was unannounced and was completed by one inspector over 7.5 hours. Three residents, five staff members and the manager were spoken with. Residents were out for most of the inspection but care practices were also observed over lunchtime and late afternoon. A partial tour of the home was made with some of the residents. Some of the homes records and policies and procedures were viewed. What the service does well: What has improved since the last inspection? What they could do better: No requirements have been made as a result of this inspection. The management has continued to introduce the policies and procedures of Sanctuary Care into the home. This has yet to be completed and a new Statement of Purpose provided. 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures are in place to assess the needs of new residents to ensure that they can be met before they are admitted to the home. EVIDENCE: No new residents have moved in within the last two years and so the process used for assessing the needs of new residents could not be evaluated. The manager confirmed that she has policies and procedures in place for this and described the process of assessment, which would be completed. This includes consultation with relevant parties, visits and consultation with current residents. The home regularly reviews the needs of the current residents. Residents spoken to confirmed that they were helped to do the things they wanted to do and conversations with staff showed that they know individual residents needs. The statement of purpose was discussed with the manager. She said that the residents had been issued with a statement of intent before the change of organisation registered to run the home. A user-friendly document had yet to be produced although the contents had been discussed with residents. The manager said that the statement of purpose is expected in December 2006. 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 Page 9 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 Page 10 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): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from being involved the planning of their care and are consulted regarding decisions and goal setting. Clear and effective care planning and risk assessment systems in place provide staff with the information they need to meet service users’ needs. EVIDENCE: A sample of three care plans was viewed and information was of a good and consistent standard. They included information about individual preferences, routines, the roles of staff and photographs to enhance residents understanding. Aspects of a care plan were discussed with a resident and member of staff. The resident had their own copy and was familiar with the contents of the plan. A member of the staff team said that care planning was being continually reviewed and developed. Written evidence of this was noted. Care plans contained comprehensive risk assessment and risk management plans. These were clearly written and indexed and showed evidence of regular 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 Page 11 reviews with the service user taking part. There was information on each specific identified risk, action needed to manage the risk and the people responsible for this. Risk assessments included, for example, activities such as mobility and accessing the community and were clearly linked to promoting service user’s independence, participation and choice. One specific issue for review was discussed with the manager. Two staff spoken with about care plans confirmed that they were key workers and involved in care planning with the residents. 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 Page 12 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): 12,13,15,16,17, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from the support given to make a range of choices about activities and stimulation in and out of the home. They enjoy support given and this extends to support with family relationships and taking responsibility. The meals at the home offer choice and variety and service users enjoy their meals and mealtimes. EVIDENCE: From viewing records, conversations with residents and staff and observation of activity there was sufficient evidence of various opportunities for stimulation and activity offered to residents. These include use of the local day service, college clubs and local amenities. Consultation with residents, when care planning, also affects decisions about activity and achieving personal goals, for example, one persons’ wish to go to the theatre was planned for the weekend 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 Page 13 following the inspection. Another person was being supported to do some shopping, that they really wanted to do, during the inspection. Responsibility is encouraged. For example each person is issued with a key to the house and their room and to be involved in money management, household tasks and food shopping. Independence is promoted and adaptations are sought to support this where necessary. Residents are able to use the house as they wish and all are encouraged to attend regular house meetings where they are consulted. The home is a short distance from the local shopping centre and staff confirmed regular use of this area. A car is available for greater distances but staff said that public transport is also used because residents like it. It was noted that plans for use of the train were documented in one residents plan. Contact with families and the staff role in supporting this was discussed with one of the staff members. It was confirmed that support was given with families on an individual basis and staff are also sensitive to the tensions that can occur over needs and wishes and confidentiality. Contact with family was discussed with one resident and another staff member and it was confirmed that independent use of the telephone was liked and encouraged. Support is also given with friendships within and outside the home. Healthy eating is promoted and the menu reflected this. Staff said that resident’s wishes are taken into account when planning the menu and when requested to help prepare food. They are also involved in the shopping. Cooking was documented in one of the care plans seen and the resident involved liked doing it. Residents have use of the kitchen and access has been risk assessed. During the inspection one resident was supported to make a drink and then to help prepare the evening meal. Residents said they liked the food. 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive support and care in the way that they prefer it and benefit from the staff knowing their needs well and ensuring that health needs are met. Residents can rely on a safe system of medication in the home. EVIDENCE: Through discussion with members of the staff team it was evident that the provision of personal support to service users was based on the core values of privacy, dignity, independence and choice. Attention is given to special needs and in one residents room it was noted that various pieces of equipment had been obtained to enhance meeting their needs and independence. Written documentation supported this and reflected current needs. Similar records of preferred routines were also recorded in the other two care plans viewed. Residents asked said that staff helped them and that they were all ‘alright’. Records are held of health and medical needs and of consultations with health professionals. Examples seen were consultations with dentists, opticians, doctors and chiropodists. Emotional needs are also addressed, for example, 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 Page 15 one member of staff commented on having received training in dementia as it was thought that one resident could benefit from it. Medication is well organised and is held securely at the home. All residents have medication administered and have been assessed as needing this. Records of prescribed medication are held. Records of administration are held securely and are up to date. Attention is given by management to the training needs of staff in respect of medication. On the day of the inspection, the staff had a one-hour meeting and this was specifically to offer a question and answer session about medication. The home has a medication policy and procedure and the management confirmed that there is a copy of the Royal Pharmaceutical guidance. 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users views are listened to and acted upon and service users are protected from abuse, neglect and self-harm. EVIDENCE: The home has a corporate complaints procedure provided by Sanctuary Care although the information would be difficult for residents to understand. However the home has a simple to follow “in house” complaints procedure including photographs for residents. Staff said that this is gone over with residents regularly and one resident asked recognised it. There has not been a formal complaint recorded but staff said that issues were raised and addressed informally from time to time and residents are listened to. Staff members receive training with regard to adult protection as part of their induction. Further training is planned for some staff in November 2006. A staff member spoken with was aware of possible abuses that could occur in a residential setting and their responsibilities in this area. There was a clear audit trail and procedure for the protection of resident’s money. Lockable spaces are provided in bedrooms for the storage of valuables and service users hold the key. 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a homely, comfortable, clean and safe environment. EVIDENCE: A partial tour of the home was made and all of the shared areas and three bedrooms were visited and were clean and adequately decorated. Attention is given to the decorative condition of the home and the paintwork in one toilet area was still drying. Maintenance issues are routinely addressed. A book is available for recording tasks for the maintenance worker and this is regularly used. The manager said that she could use a contractor as necessary and while the inspection took place a contractor visited to fix a door locking mechanism. A member of staff also had confidence that the faulty dishwasher, that had gone wrong the day before the inspection, would soon be fixed. There was sufficient written evidence to support the view that the manager follows up issues raised concerning the environment in order to get things done. 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 Page 18 Staff and residents do the cleaning. Staff said that residents are encouraged but that if they do not get involved staff do it. A part time cleaning post is vacant and this normally provides time for 3 hours of more intensive cleaning a week. Staff said they were managing. Interviews for the post were taking place during the inspection Residents have adequate provisions of furniture in their rooms and they have been helped to personalise them. They are also encouraged to display items such as art work through out the home and one resident showed great pleasure at a piece of their art work on the dining room wall. Sufficient laundry facilities are provided in an adjacent building between the registered property and another unregistered property also managed by the registered manager. This facility is shared with the residents of the other property. This arrangement was reported by the manager not to present any problems. Infection control is addressed in the home and a policy is in place and regularly updated. All bathrooms and toilets viewed were suitably equipped to ensure that a hygienic standard was maintained and staff members have access to protective equipment. 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Management commitment to training and supervision of staff ensures that residents are receiving services based on their choices and needs. A sound recruitment procedure enhances the safety of residents. EVIDENCE: The well-established staff team is regularly supported in supervision and staff meetings, which are documented. The management aim for staff to be supervised monthly and have records to show that this is mostly achieved. Staff confirmed that this is recorded and they have copies of the notes. Once a year the supervision is replaced by an annual review and training needs are assessed during this. Staff spoke positively about working in the home and feel supported. They showed an understanding of their roles and of the key worker role that they have with residents. Training begins with induction and the manager said that staff had been inducted and are available to support this. Staff are encouraged to take part in 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 Page 20 internal and external courses and records of this are held. The manager has a record of training needed and was planning further training for staff based on their needs. Courses planned for staff included professional boundaries, vulnerable adults, moving and handling and fire. Some of these are refreshers. The manager said that three staff have obtained NVQ2, one NVQ4 and three more were working towards NVQ2. The manager is aware of current required recruitment practices and this was supported in the sample of staff records viewed. 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run and residents and staff benefit from the positive management approach of the home. The organisation has suitable methods for obtaining residents views and ensuring the home is run in their interests. The health, safety and welfare of staff and residents are promoted and protected. EVIDENCE: The manager is registered, has many years of relevant experience and holds an appropriate qualification for the job. A staff member spoken to felt supported by the management. Information is made available and this 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 Page 22 includes through the Internet. Regular staff meetings are held on a weekly basis and the agenda is rotated offering opportunities for discussion and obtaining information. Staff members also receive regular supervision and training. The manager demonstrates a commitment to reviewing the quality of the service available to residents. A system is in place for this and residents are consulted. This is individually and in house meetings. An improvement plan is in place and includes items that residents have raised. The manager is aware of action needed to make improvements to the home and is monitoring progress. The manager has regular support from a representative of Sanctuary Care and other visits to check the quality of the service at the home are made. A range of policies and procedures are available in the home. Sanctuary Care has not produced all of these and some old ones are still in use. However this has been discussed on a regional basis with CSCI and the manager explained which ones are being reviewed and produced by the company. Health and safety is monitored at the home and policies and procedures are available. Systems are in place to provide staff with health and safety training and in records sampled evidence was found. One member of staff had recently completed a training course for training staff in moving and handling. Checks of systems take place regularly and fire training is organised. Some records of the latter had been lost and training was being planned to ensure that standards were met. A fire risk assessment had been carried out and evidence was viewed of the manager following up on issues raised. 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 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 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 2 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 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 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. 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 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 Page 25 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 98 Old Milton Road DS0000067406.V316400.R01.S.doc Version 5.2 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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