Inspection on 08/08/06 for Churchill House

This inspection was carried out on 8th August 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Churchill House 12/12/05

Churchill House 26/07/05

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 Tracey Box Unannounced Inspection 8th August 2006 09:30 Churchill House DS0000011742.V299403.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 Churchill House DS0000011742.V299403.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. Churchill House DS0000011742.V299403.R01.S.doc Version 5.2 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 Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.caremanagementgroup.com Care Management Group Limited To Be Confirmed Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Churchill House DS0000011742.V299403.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 12th December 2005 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 users 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 Manager. The Responsible Individual is Mr Michael Buckingham. The team manager confirmed the fees for the home range between £550.00£1050.00 per week. Churchill House DS0000011742.V299403.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The opportunity was taken to look around the home, view records, procedures and talk with two of the three service users who live at the home, who said they were happy at the home. The inspector also had the opportunity to observe the interaction between service users and staff. The staff on duty during this visit felt they were supported to do their job. The commission has received information from the home prior to this visit. This has provided additional evidence that the home is meeting the key standards. The CSCI sent out three relative/visitor questionnaires, however none were returned. What the service does well: What has improved since the last inspection? What they could do better: The communal bathroom would benefit from some maintenance work, as it appears shabby and does not present for a welcoming, comfortable environment for service users. Staff would benefit from infection control training, as they clean and prepare food in the home. Staff may benefit from annual appraisals to monitor their progress and training and development needs. Please contact the provider for advice of actions taken in response to this Churchill House DS0000011742.V299403.R01.S.doc Version 5.2 Page 6 inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Churchill House DS0000011742.V299403.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 Churchill House DS0000011742.V299403.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 at least once during a 12 month period. 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. Service users benefited from having their needs and aspirations assessed on a regular basis. EVIDENCE: Evidence from service users’ files showed that they had all had care management assessments prior to moving into the home. In addition, the home undertook further assessments of service users’ needs on a regular basis. Assessments were comprehensive and addressed a full range of need areas, including psychological and mental health needs, communication and employment/educational needs. Individual Care Plans on file clearly related to the issues identified through the assessment process. Individuals needs and aspirations are discussed at their annual reviews, records showed these occurred and involved social services and the service users families if they wished. Churchill House DS0000011742.V299403.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 at least once during a 12 month period. 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. Service users know their assessed and changing needs are reflected in their individual plans. Service users benefit from assistance to make decisions about their own lives, and are fully protected by the home’s risk assessment practices. EVIDENCE: One service user spoken with was clear that he was able to make his own decisions about his life and lifestyle and that these were supported by staff as well as being encouraged to participate in activities by himself, such as walking to the local shop. Staff spoken with were able to demonstrate an understanding of the need to support service users to make their own decisions, this is also covered during new staff induction. Records made at service users annual reviews confirmed service users are fully supported to undertake activities that they have identified. One record showed a service user changed their mind after trying, and decided they no longer wished to continue with the activity. Churchill House DS0000011742.V299403.R01.S.doc Version 5.2 Page 10 Records showed service users views on holidays, these were taken into consideration when planning holidays. Service users had keys to their rooms. Individual bedrooms were decorated to each service users taste, one service user said ‘I like my bedroom, I have all my medals, my stereo and TV, I also have my own shed in the garden. The Statement of Purpose and Service User Guide were clear about the rules in the home and each service user had a copy. These also contained information on who service users could talk to if they were unhappy about any aspect of the home. Both documents were produced in an easily accessible format for service users who had some difficulty reading. Risk assessments were on file for each service user to cover areas where potential risk had been identified, all of which had been reviewed every three months. The risk assessments seen were clearly written and staff said they were easy to follow. Churchill House DS0000011742.V299403.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 at least once during a 12 month period. 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. Service users participate in activities appropriate to their age, peer group and cultural beliefs as part of the local community. The home actively promotes appropriate personal, family and sexual relationships. Service users’ rights are protected and they enjoy a healthy and nutritious diet. EVIDENCE: A service user described the home as ‘nice place to live with great staff’. The service users spoken with explained that they each have a weekly programme of activities that the staff support them to plan. This plan was seen in the records. The home has one vehicle, which service users use to attend their activities. The manager said the local area provides good public transport, and one service user often walks to the local shop. The Inspector saw menus for the previous and coming weeks. Service users were involved in writing the menus and were supported to consider the need Churchill House DS0000011742.V299403.R01.S.doc Version 5.2 Page 12 for balanced and healthy meals. The menus showed that the food offered was healthy and a variety of meals were available. There were not different choices available at each mealtime, but the menus were based around the known and expressed preferences of each of the three service users. An alternative was available if any of the service users decided on the day that they did not want what was on the menu. The individual dietary requirements of each service user were recorded on the assessments referred to under standard 2. Churchill House DS0000011742.V299403.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 at least once during a 12 month period. 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. Service users benefit from having personal support in the way they prefer. Comprehensive procedures ensure service user’s physical and emotional health needs are met. Service users are protected by appropriately trained staff, who follow the homes policies and procedures for dealing with medicines. EVIDENCE: The service user spoken with was able to confirm that he had been consulted about how he preferred to receive personal care and this had been recorded on his care plan. The care plan was clearly written and specific enough to explain to each member of staff the exact support they needed to give and how it needed to be given. Staff spoken with were clear about each person’s care plan and individual preferences. Care plans include records of visits to healthcare professionals and records of ‘keyworker’ monthly sessions, in which service users spend time with their keyworker discussing what ever they want. One service users spoken with confirmed that they use of the home’s car and staff will drive them. The staff spoken with confirmed that currently there are no service users who self-administer their own medication. This was reflected in the records sampled. The staff were observed and discussed with the inspector good Churchill House DS0000011742.V299403.R01.S.doc Version 5.2 Page 14 medication administration practices that are reflected in the homes policy and procedures that were briefly sampled. The medication receipt, administration and disposal records were seen by the inspector and found to be satisfactory. Records showed all staff have received medication training, and all staff who administer medication have been assessed by the team manager. The manager showed the inspector the home’s medication storage cupboard that was clean with medication stored correctly in date and in sufficient quantities. The home have a risk assessment for medication errors. Churchill House DS0000011742.V299403.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 at least once during a 12 month period. 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 know their views are listened to and acted upon. The home has satisfactory procedures for protecting service users’ form abuse. EVIDENCE: One service users was clear of who they would talk to if they had to complain, he also said that the staff are very good and always listen to him. The home’s complaint records were seen and found to have no entries, the team manager said this was because they have not received any complaints. The inspector did advise the pages of the log are numbered to show a true record of complaints received and action taken. The staff spoken with confirmed that the complaints log is up to date. The staff confirmed that they receive training in Abuse of vulnerable adults. There has been no allegation of abuse at this home. The home has a copy of the Hampshire County Council ‘Protection of Vulnerable Adults’ policy and procedure that is available in the home’s office. The inspector looked at the financial records of two service users who said they preferred the home to hold the majority of their cash. The cash held equated to the amount recorded for each individual. The amount of cash held in the home for each service user is also checked by staff after each staff shift change over. The manager confirmed the home hold a maximum of £60.0 for each service user (this amount is stated in the home’s risk assessment for service users money). Money is stored in a cash tin which is locked in a cabinet in the staff office. Service users have their own bank accounts or post office accounts, and staff support service users to access their money. Churchill House DS0000011742.V299403.R01.S.doc Version 5.2 Page 16 Churchill House DS0000011742.V299403.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 at least once during a 12 month period. 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. Generally the home presents as clean, hygienic and comfortable providing a safe, homely environment for service users to live in, however the bathroom needs maintaining to ensure a pleasant area for service users to enjoy. EVIDENCE: The home appeared clean, no offensive odours were detected. However the lounge carpet had stains on it, the team manager said he has arranged for a cleaning company to clean on a regular basis. The sofa and armchair were worn, the team manager said the service users had recently chosen a new suite which will be purchased soon. The bathroom appeared shabby, the sealant around the bath was mouldy and incomplete, causing water to seep through to the kitchen ceiling. The curtains were not attached to the curtain rail properly and there were no hand towels to dry hands with. The team manager said this issue will be raised as an urgent maintenance request. A requirement was made as the bathroom does not provide a pleasant area for service users to use. Staff said they have completed infection control training, and were aware of the home’s policies and procedures of hygiene issues. The inspector saw Churchill House DS0000011742.V299403.R01.S.doc Version 5.2 Page 18 records of staff training and the member of staff who was cooking confirmed they were up to date with food hygiene training. The home’s radiators and pipe work are safe ensuring that all potential hot surfaces are kept to low temperature. The garden appeared well maintained and is accessible to service users. One service user showed the inspector their bedroom which was clean, bright and warm, furnished to the individuals taste and personalised. The manager explained service users are encouraged to furnish the room with personal belongings, furniture and pictures to make it feel like home. Churchill House DS0000011742.V299403.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 at least once during a 12 month period. 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. Service users individual and joint needs are met by appropriately trained staff who are well supported and supervised. Service users are protected by the homes practices regarding the recruitment and selection of staff. EVIDENCE: Records of staff training reflect the training staff have received. The home has a suitable recruitment and selection procedure in place and the records of three staff demonstrated that this was followed appropriately. All staff had had necessary checks prior to beginning work in the home. Staff confirmed they receive regular structured supervision, however their manager is approachable at all times should they need to see him. The service users spoken with described the staff as ‘friendly, helpful’ and make us laugh. All the service users spoken with said there was sufficient staff around and like their key worker. The rotas showed that a minimum of one care staff were on duty each day shift and one sleeping night staff each night. The team manager confirmed he feels there are sufficient staff on duty to meet individual service users. The staff undertake the cooking and cleaning with the service users assisting if they wish. Churchill House DS0000011742.V299403.R01.S.doc Version 5.2 Page 20 Churchill House DS0000011742.V299403.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 at least once during a 12 month period. 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 with a supportive manager and organisational structure. The home has an effective quality assurance and monitoring systems with service users being fully involved in the process. Service users health, safety and welfare are fully protected by the home. EVIDENCE: The team manager said he and the registered manager work opposite each other and spend an average of 30 hours a week at the home. The team manager confirmed he has completed his National Vocational qualification (NVQ) level 4 in care, and is due to commence his Registered Managers Award (RMA) soon. The staff confirmed there is clear management structure they feel supported by their team manager and benefit from regular supervisions and staff meetings, the inspector saw records which show staff receive regular supervisions, however staff do not receive annual. Churchill House DS0000011742.V299403.R01.S.doc Version 5.2 Page 22 The inspector sampled three staff files, which confirmed staff receive regular mandatory training, and specific training to meet individuals needs, such as adult protection. The manager confirmed that the home’s induction programme has been assessed against the Skills for Care Council induction standards and staff have been working to the Learning Disability Award Framework (LDAF) standards. One member of staff told the inspector “This is my first job in the care sector, I feel that the training I have done so far has given me the skills I need to support service users who live here. The provider has developed a quality assurance system which the home are using to gain views and opinions from the people who use the service, a questionnaire has been sent to service users and their families/representatives. The inspector saw one completed questionnaire from a service uses which stated ‘I have freedom of choice to do things with my life.’ The team manager said the home have regular service users meetings, the inspector read the minutes of one meeting which included discussing the weekly menu, personal hygiene, daily chores and what a CSCI inspection involves. The inspector saw records of monthly regulation 26 visits. The staff complete regular weekly health and safety checks to ensure the safety of the building. During the inspection the fire alarm was tested as part of these checks (service users and the inspector were informed of the alarm test.) Certificates were seen to show regular servicing of the boiler, electrical items and liability insurance. Churchill House DS0000011742.V299403.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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 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 Churchill House DS0000011742.V299403.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. 1. Standard YA24 Regulation 23 (2,c,d) Requirement The manager must ensure the bathroom furniture and decoration is clean and reasonable decorated. Timescale for action 29/09/06 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 Churchill House DS0000011742.V299403.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: 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 DS0000011742.V299403.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. 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!