Inspection on 19/10/06 for The Richardson Partnership for Care

This inspection was carried out on 19th October 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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... 16/02/06

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 Kim Cowley Unannounced Inspection 19th October 2006 11:00 Boughton Green Road DS0000012714.V316519.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 Boughton Green Road DS0000012714.V316519.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. Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Boughton Green Road Address 144 Boughton Green Road Kingsthorpe Northampton Northants NN2 7AA 01604 791266 01604 791882 info@careresidential.co.uk 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.V316519.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The Home can accommodate 1 Service User within the category MD who also has needs within the category of PD No person under 25 years and over 65 years may be admitted to the Home. 16.02.06 Date of last inspection Brief Description of the Service: Boughton Green Road provides residential care for up to nine service users with acquired brain injuries. The home is situated in Kingsthorpe, a suburb of Northampton, and is close to a local shopping centre and other amenities. The home is set back from the main road and has car parking at the front. All residents have single rooms, and communal areas include a lounge, dining room, and conservatory. There is a large garden at the rear of the house, where staff offices are also situated. Residents have the use of a mini bus. Fees are £1927 per week. Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection that included a visit to the home and inspection planning. Prior to the home visit, the inspector spent half a day reviewing the last inspection report, and information relating to the home received since that inspection. During the course of the inspection, which lasted five hours, the inspector checked all the ‘key’ standards as identified in the National Minimum Standards. This was achieved through a method called case tracking. Case tracking means the inspector looked at the care provided to three residents living at the home by meeting or observing them; talking with the staff who support their care; checking records relating to their health and welfare; and viewing their personal accommodation as well as communal living areas. Other issues relating to the running of the home, including health and safety and management issues, were inspected. The inspector also met with a number of staff members including the Manager, a Senior Carer, two Support Workers, and the cook. What the service does well: Boughton Green Road provides excellent care to residents in a homely and stimulating environment. On the day of inspection the home had a busy, lively atmosphere. Residents were taking part in various daytime activities both in and out of the home. Residents comments about the home included, I like it here because we get to go out a lot’, ‘Ive made friends here amongst the staff and the other residnets, and, Its relaxing here and theres no pressure. Each resident has an individual daily programme with in-house and community based activities including visits to pubs, clubs, cafes and restaurants, holidays, sporting activities, quiz nights, and trips out in the home’s minibus. Some residents attend specialist day care services or have paid part-time jobs. All residents interviewed were pleased with the extensive range of activities on offer and the following comments were made, I go out every day, I like going to cafes, I go with staff, and I like it here because we get to go out a lot.’ The staff team are multicultural, and some are multilingual which helps them to communicate effectively with all the residents. Both male and female staff are employed. Staff interviewed were enthusiatic about their work and appeared to have excellent relationships with the residents in the home. Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Boughton Green Road DS0000012714.V316519.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 Boughton Green Road DS0000012714.V316519.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are assessed prior to admission to ensure the home is suitable for them. (Standard 2 was inspected.) EVIDENCE: All residents are fully assessed prior to admission by the Manager, on behalf of the home, and the Marketing Manager, on behalf of the company. Potential residents are visited in their homes or in hospital as part of the assessment process. Relatives and health and social care professionals are consulted to get their views on resident’s needs. These steps help to ensure the home is suitable each resident and that staff can care for them properly. Records showed that all residents were properly assessed prior to admission, and both they and their families had the opportunity to view the home. New residents have extra staff support while they settle in. Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in these outcome areas is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ health and social care needs are met. (Standards 6, 7, and 9 were inspected.) EVIDENCE: Those care plans inspected were of a high standard being clear, detailed and well organised. Residents are encouraged to be involved in producing their care plans, and where possible, and sign to say they agree with them. They are also encouraged to attend any meetings about their care and to contribute to these. This is good practice and helps residents to take responsibility for their lives. All residents have annual social work reviews of their care, and staff at the home carries out internal reviews at least every six months. Residents at Boughton Green Road are particularly vulnerable to risk due to the nature of their condition. In response to this staff have put in place Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 Page 10 detailed risk assessments. These are drawn up following consultation with residents, the health and social care personnel that support them, and, where relevant, their families/friends. Those inspected showed a range of potential risks being explored and decisions made about the level of risk in each area. Staff use ‘Joint Decision Making’ forms to involve residents in their risk assessments. Staff and residents fill these in together, recording the type of activity a resident wants to do, along with the possible risks involved. Looking at the information in this way helps residents to better understand risk-taking. Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are encouraged to lead full and active lives. (Standards 12, 13, 14, 15, 16, and 17 were inspected.) EVIDENCE: Each resident has an individual daily programme with in-house and community based activities including: • • • • • • • Shopping trips Visits to pubs, clubs, cafes and restaurants Holidays Making their own jigsaw puzzles Sporting activities Quiz nights Trips out in the home’s minibus Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 Page 12 Some residents attend specialist day care services, for example Workbridge (which enables residents to gain skills in office work and gardening), and Headway. Two residents have paid part-time jobs, which they carry out with staff support and supervision. Once a week a teacher is employed to run an arts and crafts session in the home. Newspapers (English, and from particular residents’ countries of origin) are made available to residents. Some residents are given ‘Orientation Sheets’ every day. These consist of a list of their activities for that day with times and places. They help residents to be independent as they can consult their list rather than having to keep asking staff what they are meant to be doing. All residents interviewed were pleased with the extensive range of activities on offer and the following comments were made: I go out when I want. I like to go out for a hamburger and chips. I go out every day. I like going to cafes, I go with staff. The staff take me to see my relatives. I like it here because we get to go out a lot.’ Residents’ diverse religious and cultural backgrounds are acknowledged, and residents are helped to participate in religious services and maintain contact with their cultural heritage, particularly where English is their second language. All the staff on duty were knowledgeable about the residents’ cultural needs. Care plans show that staff help residents to keep in touch with their families and friends. The Owning Body provides resources, where necessary, for them to do this, including paying travel costs and supplying staff to accompany residents on visits. Staff give families support and advice where necessary. A cook is employed from 9.30am to 3pm every weekday, and at weekends care staff cook. Residents are asked for their choices from the day’s menu every morning. House meetings are held every two months were menus are discussed and residents asked to come up with ideas for future meals. Mostly fresh produce is used and the cook shops daily. Menus are designed to meet the different cultural needs of the resident group and English, African, and Serbian food is served. Every Tuesday residents have a theme night focussing on a different country, which includes the opportunity to try food from around the world. Staff said mealtimes are popular social events in the home. Residents can either eat in the dining room or the conservatory. One resident commented, The food is good. I like the paella. Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The health and personal care needs of residents are met. (Standards 18, 19, and 20 were inspected.) EVIDENCE: Residents’ personal care needs and how they are to be met are set out in their care plans. These have been agreed in consultation with residents and their families/carers, and are regularly reviewed. Staff are trained to treat residents with dignity and to respect their privacy. Residents are registered with a number of different GP surgeries, and District Nurses visit the home when necessary. Residents visit opticians and dentist in the local community. A chiropodist comes to the home every six to eight weeks and provides foot care for eight of the nine residents. The Owning Body funds this service. Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 Page 14 The Owning Body employs a contract clinical psychologist who is currently reviewing the care of all the residents. The psychologist advises staff on dealing with challenging behaviour. Staff encourage residents to be aware of men’s health issues, and leaflets are available to increase staff and residents awareness of these. Medication administration is well-managed and clear policies and procedures are in place for staff to follow. The home’s contract pharmacist trains staff. Two staff sign when medication is administered as an extra safety precaution. At present no residents self-medicate. Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 Page 15 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents feel able to talk to staff about any concerns they might have. (Standards 22 and 23 were inspected.) EVIDENCE: There is a standard complaints procedure in the service user guide and this is made available to residents and their representatives. Residents are encouraged to tell their key worker if there is anything they are not happy about. Alternatively they can talk to any other member of staff including the Manager, or raise issues at residents’ meetings. A senior carer said, ‘We keep reminding residents that they must speak out if anything is wrong. We don’t want things to build up inside them. They have two one-to-one key working sessions every three weeks and they are always asked then if they are happy with the service. They are also asked at residents’ meetings.’ Staff are knowledgeable about adult protection and the home has all the required policies and procedures in place. In-house training on this subject is also provided to staff. There have been no complaints since last inspection Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 Page 16 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): Quality in this outcome area is good. Residents live in an environment that is comfortable and well maintained. This judgement has been made using available evidence including a visit to this service. (Standards 24 and 30 were inspected.) EVIDENCE: The home is decorated and maintained to a good standard and all areas inspected were clean and tidy. One resident’s room was inspected and found to be well equipped and personalised. Overall the premises are homely and comfortable. A minority of the residents smoke and they use the conservatory for this purpose. At the back of the home is a large secluded garden with a lawn and seating areas. Since the last inspection the following improvement have been made to the premises: • • New ensuite in one bedroom Redecoration of communal areas DS0000012714.V316519.R01.S.doc Version 5.2 Page 17 Boughton Green Road • • • Electronic gates installed on the driveway Refurbishment of the laundry One bathroom turned into a shower room All areas inspected were clean and tidy. Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Friendly and professional staff meets residents’ needs. (Standards 32, 34, and 35 were inspected.) EVIDENCE: The staff team are multicultural, and some are multilingual which helps them to communicate effectively with all the residents. Both male and female staff are employed. Staff interviewed were enthusiatic about their work and appeared to have excellent relationships with the residents in the home. 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 entrance hall shows residents the names of staff and who is on duty. Training is organised by the Owning Body and staff spoke positively about the numerous training opportunities they are given. One member of staff said, ‘We get speicalist training. We get the skills we need to work with this resident group.’ Staff train for two days every three weeks, either in-house or at community venues. Staff have the opportunity to become trainers themselves if they have expertise in a particular area. Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 Page 19 Records show that staff have attended an extensive range of course since the last inspection incliuding Crisis Prevention Intervention, Acquired Brain Injuries, Infection Control, Whistlebowing/Vulnerable Adults, Moving and Handling, Diabetes, and Makaton. Three people who work for the company are NVQ work-based assessors and all staff are encouraged to obtain NVQ qualifications. The Owning Body carries out recruitment and records showed that all staff employed had the required documentation in place, including references and CRB/POVA checks. This will help to safeguard residents. All staff have formal supervision every four to six weeks with the Manager or other senior staff. In addition regular staff meetings are held which are either general or specific to particular residents. Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents live in a home that is safe and well managed. (Standards 37, 39, and 42 were inspected.) EVIDENCE: The Manager has NVQ Level 4 in Care, the Registered Managers Award, and 16 years relevant care experience. A member of staff said, ‘The Manager is supportive and approachable. He encourages us to train. He gets on with all the residents and knows them well.’ The Owning Body’s service director supervises the Manager and oversees the running of the home. The Manager carries out an ongoing internal audit of the service to check that standards are being met. This includes extensive consultation with residents. Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 Page 21 Records showed that the health, welfare and safety of residents and staff is a priority in the home. Appropriate checks and servicing of equipment has been carried out, as has consultation with the Fire Department and the home’s Environmental Health Officer. Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 Page 22 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 2 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 4 33 X 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 4 X 3 X X 3 X Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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.V316519.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Boughton Green Road DS0000012714.V316519.R01.S.doc Version 5.2 Page 25 - 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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