Inspection on 26/07/05 for Churchill House

This inspection was carried out on 26th July 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

Churchill House 08/08/06

Churchill House 12/12/05

Churchill House 15/12/04

Churchill House 17/10/04

Churchill House 26/07/04

Churchill House 27/01/03

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Churchill House 23 Winifred Road Waterlooville Hampshire PO7 7TD Lead Inspector Nick Morrison Unannounced 26 July 2005, 10:00 th 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 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 Stationary 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. Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Churchill House Address 23 Winifred Road Waterlooville Hampshire PO7 7TD 023 9224 1483 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Care Management Group Limited Care Home 3 Category(ies) of Learning Disability - LD - 3 registration, with number of places Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category LD are only to be admitted between the ages of 30 and 55 years. Date of last inspection 17.10.04 Brief Description of the Service: Churchill House is a semi-detached house within walking distance of the main shops in Waterlooville. The house has parking at the front and a large, wellkept garden to the rear. There are two bedrooms for service users on the first floor, along with a sleep-in room for staff and a bathroom. The other service user’s bedroom is on the ground floor at the front of the house. Also on the ground floor are the lounge, the conservatory/dining room and the kitchen. The home is owned by the Care Management Group (CMG). At the time of inspection there was no Registered Manger. The Responsible Individual is Mr Michael Buckingham. Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place on 26th July 2005 starting at 12.00 and lasting two and a half hours. During this time the Inspector toured the premises, looked at documentation and had discussions with the Manager, staff and service users. What the service does well: What has improved since the last inspection? What they could do better: The Manager acknowledged that written risk assessments for individual service users need to be updated and regularly reviewed and that support and supervision for staff needs to be increased. In addition the home needs to be able to demonstrate that service users’ views form the basis of regular quality assurance checks. Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 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. Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 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 standard(s) 1 and 5. Service users have the information they need about the service and the protection of a written statement of Terms and Conditions. EVIDENCE: Since the previous inspection the Statement of Purpose and Service User Guide have both been updated to reflect the current arrangements in the home. All service users had their own copy of the Service User guide, which they kept in their own rooms. Both documents are written in an easy-to-read format and include symbols where appropriate. All service users had written contracts of the Terms and Conditions of their stay and, since the previous inspection, the organisation and the service users had signed these. Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 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 standard(s) 6 and 9 Improvements in care planning and service user consultation enable the home to meet the service users’ needs. However a lack of written risk assessments potentially places the service users at risk. EVIDENCE: Since the previous inspection Care plans had been re-written. The format now used for planning focuses more clearly on the needs and aspirations of service users and there is more service user involvement in the process. Guidelines were in place for supporting service users with particular activities. The planning process had contributed to some significant improvements in the lives of people living at the home. The written risk assessments in the home were out of date. The manager acknowledged that these need to be re-done so that they are relevant to service users’ current needs. Once completed, these will need to be kept under regular review. Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 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 standard(s) 12, 13 and 15 Service users benefit from staff supporting them to pursue their interests, use the local community and maintain their relationships. EVIDENCE: Since the previous inspection the amount of activities service user are involved in has increased significantly. Details of all activities are kept in each service user’s daily diary and include day trips to other towns, using the local shopping centre, going out for lunch and going to the local pub to watch football matches. Activities had been planned in response to the known interests of service users. Two service users have begun to use a day service for two days a week and the third has begun doing voluntary work at the local church. One service user has been assisted to get back in touch with an old friend he had not seen for over five years. Staff had managed to track down the friend despite the fact that she had moved several times. The staff now support the service user to visit the friend in Essex once a month. All three service users have significantly more active lifestyles than was the case at the previous inspection. Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 19 and 20 Service users’ needs were met and they were protected by the medication policies and practices within the home. EVIDENCE: Since the previous inspection there had been a significant increase in the amount and regularity of healthcare appointments for service users. On the day of inspection one service user had been to the dentist to have new false teeth fitted. Records showed that all healthcare checks were being organised for all the service users. This had not been the case in the past and the amount of treatment each service user required was quite high. The staff spoken to were committed to supporting service users to attend appointments for checks and treatment. One service user had begun to have professional input for their communication needs. All medication in the home was kept securely and accurate records were kept of all medication that was administered. Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 22 and 23 Service users are protected by the home’s approach to complaints and by policies and training in respect of abuse issues. EVIDENCE: Service users spoken with during the inspection said that staff did listen to them and the things they were unhappy about. There was documentary evidence in the daily diaries that staff were listening to concerns that service users had and were recording them and working out how to respond to them. The Complaints Procedure was available to all service users in their Service User Guide and contained symbols explaining how to complain and pictures of individuals they could complain to. Training in responding to issues of potential abuse had been delivered to some staff and plans were in place to extend this to all staff during the rest of the year. The home had adequate policies and procedures in place for issues of suspected abuse and staff spoken with had an understanding of these. There had been a recent adult protection issue in the home. The home had acted appropriately according to the procedures in dealing with the issue. Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 24, 25, 28 and 30 Service users benefited from a clean, hygienic and comfortable home which suited their needs and was well maintained. EVIDENCE: The home was safe and comfortable whilst remaining homely. Service users appeared comfortable in the house and said that they liked the décor of the home. Maintenance records showed that issues were recorded and responded to appropriately. There appeared to be no outstanding safety issues in the home. Two of the service users had recently had their bedrooms decorated and had chosen new furniture for them. They had been involved in choosing the colours and decoration for their rooms and appeared to be very happy with the new décor. The third service user is in the process of choosing new furniture and paint for his room. The shared spaces in the home consist of a lounge, conservatory/dining room and a kitchen. These are maintained well and suit the needs of service users. One service user has always had his own shed in the garden, which he uses to Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 Page 14 spend time on his own. This has recently been replaced with a brand new shed which he chose himself and which has been supplied with electricity so that he has light in there and can listen to a radio. The home was kept clean and hygienic throughout and staff had regular rotas for maintaining cleanliness. Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 and 36 Service users were supported by adequately trained staff but would benefit from those staff receiving more regular support and supervision. EVIDENCE: The home has a structured staff-training programme that covers all required areas as well as offering further, developmental courses for staff. Staff in the home had been attending courses on a regular basis since being employed in the home and certificates were kept in the home to demonstrate this. Staff spoken with confirmed that the home provides training appropriate to their needs. Since the previous inspection the home had introduced Support and Supervision sessions for staff. However, records of these showed that each member of staff had only had one session this year. This was insufficient and the home must ensure that all staff have regular supervision. Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 and 42 The Health and Safety practices within the home promote the protection of service users. Service users would benefit from regular quality assurance that was focused on their views. EVIDENCE: The home has some Quality Assurance processes but there was no evidence that these had been routinely used within the home. The documentation was not even in the building at the time of inspection but was brought along later for the feedback session. The processes appeared to be useful in managing quality but need to be actively used and need to ensure that service users’ views will be a central aspect of the process. Health and safety was well managed within the home. Regular checks were made in relation to all health and safety issues and these were part of the daily and weekly tasks required of all staff. There appeared to be no outstanding health and safety issues. Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 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 3 x x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 1 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x x x x 3 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Churchill House Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 3 x H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 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. 1. Standard 9 Regulation 13 (4) Requirement Clear, written risk assessments must be in place for service users where a degree of risk is evident Regular Support and Supervision must be in place for all staff Timescale for action 20 September 2005 20 September 2005 2. 36 18 (2) RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard 39 Good Practice Recommendations The Manager should ensure that a regular programme of quality assurance is in place and that this focuses on the views of service users. Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO15 1GW 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. Extracts may not be used or reproduced without the express permission of CSCI Churchill House H54 S11742 Churchill House V240116 260705 Stage 4.doc Version 1.40 Page 20 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!