Inspection on 16/02/06 for The Richardson Partnership for Care

This inspection was carried out on 16th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

The Richardson Partnership for... 19/10/06

The Richardson Partnership for... 16/08/05

The Richardson Partnership for... 07/03/05

The Richardson Partnership for... 04/05/04

The Richardson Partnership for... 16/12/03

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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 Boughton Green Road 144 Boughton Green Road Kingsthorpe Northampton Northants NN2 7AA Lead Inspector Mrs C A Burgess Unannounced Inspection 16th February 2006 09:30 Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Boughton Green Road Address 144 Boughton Green Road Kingsthorpe Northampton Northants NN2 7AA 01604 791266 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) The Richardson Partnership for Care Mr Brian Richardson, Mrs Jacqueline Richardson, Miss Laura Richardson, Mr Greg Cheater Mr Michael Berkley-Blezzard Care Home 9 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9) of places Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home can accommodate 1 service user within the category Mental Disorder (MD) who also has needs within the category of Physical disability (PD) No person less than 25 years and over 65 years may be admitted to the home. 16th August 2005 Date of last inspection Brief Description of the Service: 144 Boughton Road is a Care Home, owned by the Richardson Partnership for Care, providing longterm personal care for up to nine residents who have a Mental Disorder following Acquired Brain Injury. The home is situated in Kingsthorpe, a suburb of Northampton, and is close to a local shopping centre and amenties and is easily accessible by public transport. It is set back from the main road and includes a car park at the front of the house. All residents have single room accommodation, and communal space includes a sittig room,with television, dining room and conservatory. There is a large garden to the rear of the house, where staff offices are also situated. The home has a mini bus that is used to transport residents to regular activities. Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of Inspections undertaken by the Commission for Social Care Inspection is upon outcomes for service users. This inspection took place over four hours. An opportunity was taken to look around the home, view records, policies and care plans and to talk with the staff. The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care they receive through a review of their records, discussion with the Registered Manager and care staff, and observation of care practices. Most of the residents were seen during the inspection. This was a positive inspection. What the service does well: The Registered Manager’s knowledge and enthusiasm, and that of the staff team, with the support of other healthcare professionals, ensure that the residents receive a high standard of personalised care. The home is well decorated and maintained, and provides a safe and homely environment and staff are caring and supportive towards the residents. Residents’ care plans are detailed to ensure that each resident’s individual and specific needs are met. The specific needs of residents with acquired brain injury are well managed and care planning and risk assessments for each resident ensure that individualised specific care needs are met. Staff are well trained and able to meet the residents’ needs demonstrating a commitment to consulting with residents and enabling them to have some choice and control over their lives. Staff ensure that residents are provided with a varied range of activities and life experiences, e.g. organises regular social and leisure. Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 Page 6 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. Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2. The admission process is very well managed thereby ensuring that the residents’ health and welfare needs are met. EVIDENCE: The pre-assessment process, completed by both the Marketing Manager, for the company, and the Registered Manager for the home, is detailed and robust and reflective of the aspirations, health, welfare and social needs of the residents. Standards 1, 2 & 4 were inspected in August 2005 and found to be met. Standard 1 was commended. Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 & 10. Residents (and/or their relatives) are well informed and supported about their assessed care and are encouraged to participate in the decision making process at all levels within their capabilities to do so. EVIDENCE: The home provides comprehensive and robust care plans, which are regularly evaluated and updated. Care plans provide focus on the specific and individualised care needs of the residents. Residents are consulted about the care provided. The residents sign the care plans to demonstrate agreement with the care provided. Staff are provided with appropriate training to ensure that residents’ confidentiality is respected and all information is stored in accordance with the Data Protection Act 1998. Standards 6, 7 & 9 were inspected in August 2005 and found to be met. Standard 6 was commended. Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 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): 11, 12, 13, 14, 15, 16 & 17 (partially) Residents experience a stimulating and varied life style matched to their individual and specific needs. EVIDENCE: Residents regularly enjoyed outings and activities. Mondays are ‘eat out’ nights when residents can go, with carers, for a pub meal. There are local shopping trips and trips by train to Milton Keynes. Weekly themed evenings are arranged in a local hall when all of the residents and staff from the homes within the Richardson Partnership for Care attend. The previous evening residents and staff had attended a theme night, ‘Witches and Warlocks’. There are also themed meal nights when food from different parts of the world is prepared in the home. Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 Page 11 Case files clearly indicated residents’ interests and activity preferences. Each resident has a daily activity programme tailored to his individual needs, much of this being provided ‘in house’, or is community based. A number of residents attend for specialist day care services such as Headway, or Workbridge, which enables residents to participate in office work and computer skills. Residents’ diverse religious and cultural backgrounds are acknowledged and supported to enable residents to participate in religious services and maintain contact with their cultural heritage, particularly where English is their second language. Advocates are provided where required. Residents are individually consulted about daily meals. Food is shopped for by the residents and staff and freshly prepared on a daily basis. Staff and residents eat together. Monthly residents’ meetings are used for consultation about food, activities etc. Care plans demonstrate that contact with friends and family is well supported. Standards 12, 13, 14, 15, 16 & 17 were inspected in August 2005 and found to be met. Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 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): 19 & 20. Residents are looked after well in respect of their health and personal care needs. EVIDENCE: Care plans are detailed and reflect residents’ specific and individual needs. The quality of record keeping is reflective of the high standard of care observed during the inspection and ensures that the needs of the residents are fully met. Medication administration is managed effectively within the home’s medication policy and procedural guidelines. Two care staff check, administer and sign for medicines to ensure the safe and timely delivery of residents’ prescribed medicines, which is seen as good practice. At the time of inspection no residents self-administered their medication but can do so, where appropriate, following a risk assessment and within the home’s self-administration guidelines to ensure that the resident is capable to do so. Staff receive medication training through Boots the Chemist which is supported by ‘in house’ training. Standard 18 & 19 were inspected in August 2005 and found to be met. Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 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): 22 & 23. Arrangements for receiving and responding to complaints are sound, resulting in satisfactory protection of residents’ rights. EVIDENCE: The complaints book was examined. One complaint, since the previous inspection had been dealt with according to the home’s policy and procedural guidelines and in an appropriate manner. Residents meetings, key worker notes and ‘one to one’ sessions demonstrate that residents are able to voice and address their concerns. The CSCI has not received any complaints about the home and the home’s complaints process reflects the government’s adult protection guidelines, set out in the ‘No Secrets’ publication. Staff are aware of their responsibilities in relation to the Protection of Vulnerable Adults (PoVA) and receive appropriate training. Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 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. A comfortable, well-equipped, homely and safe standard of accommodation is provided for the residents. EVIDENCE: The home is safe and well maintained and is decorated and furnished to a good standard which creates a comfortable and homely environment. There is a satisfactory system of maintenance and refurbishment. Two residents’ rooms seen were clean, well decorated and personalised. On the day of inspection all areas of the home were clean and maintained to a good standard. The previous inspection noted that an extension is being planned, and that this will enable all residents to have en suite facilities. Most residents have a hand washbasin in their room, one resident has en suite facilities but there are adequate showering, bathing and toilet facilities for the number of residents in the home. Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 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): 31, 32, 34, 35 & 36. Staff at the home are well trained and employed in sufficient numbers to meet the residents’ needs. EVIDENCE: There are clear lines of roles and responsibility within the home provided as a flow chart and available to both residents and staff. A pictorial board in the hall way shows residents the names of staff and who is on duty. The training schedules for January to September 2006 indicated a good range of essential basic training (e.g. Health and Safety, Medication, PoVA, Care Planning, Fire Safety etc), plus additional training appropriate to specific residents needs. The Richard Partnership of Care and Registered Manager demonstrate a commitment to staff training, and to ensuring that the staff group are National Vocational Qualified (NVQ). Five staff have achieved an NVQ in Care, Level 2/3 and others are undertaking NVQ’s. Three people who work for the company are work-based assessors. Training is well supported and a number of staff commented upon the support and commitment provided by the Richardson family that enables them to provide informed care for the residents. Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 Page 16 The Registered Manager and senior staff conduct formal staff supervision, with accompanying documentation, every 3 – 6 weeks to ensure that staff maintain the expected, effective standards of care for the residents. Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 41 & 42. The Registered Manager is knowledgeable and experienced; effectively supervises the staff and manages the home to protect the rights and needs of the residents. Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 Page 18 EVIDENCE: The Registered Manager stated that he has a BA/BA(Hons) in Life Sciences, an NVQ in Management, the Registered Managers Award, is currently undertaking NVQ, Level 4 in Care, and has thirteen years of care experience. He and his staff team are commended for their professionalism and commitment to maintaining and improving the high standard of care for the residents. Policies, procedures and record keeping are of a high standard and underpins good practice to ensure that the health and welfare of the residents is promoted at all times. Health & Safety Policy and Procedures, such as regular recorded fire alarm tests and water temperature tests are completed, to assure the health and safety of the residents and staff. Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 Page 19 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 4 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 3 32 4 33 X 34 3 35 3 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 X X X 3 LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 4 3 X 4 4 X X 3 3 X Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 Page 20 N/A 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 Boughton Green Road DS0000012714.V281092.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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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