Inspection on 18/06/07 for Community Care Solutions (Husbands Bosworth)

This inspection was carried out on 18th June 2007.

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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Community Care Solutions... 23/05/06

Community Care Solutions... 05/10/05

Similar services:

Hillside

Applegarth

Trevayler Residential Care Home

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

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

CARE HOME ADULTS 18-65 Community Care Solutions (Husbands Bosworth) 29 High Street Husbands Bosworth Lutterworth LE17 6LJ Lead Inspector Martin Hefferman Unannounced Inspection 18th June 2007 09:30 Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.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 Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.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. Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Community Care Solutions (Husbands Bosworth) Address 29 High Street Husbands Bosworth Lutterworth LE17 6LJ 01858 881200 F/P 01858 881200 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.communitycaresolutions.com Community Care Solutions Limited Position Vacant Care Home 8 Category(ies) of Learning disability (8), Mental disorder, registration, with number excluding learning disability or dementia (8) of places Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. No one falling within category LD may be admitted into Community Care Solutions (Husbands Bosworth) where there are 8 persons of category LD already accommodated within this home. No person under 16 years of age and over 25 years of age who falls within category LD may be admitted into Community Care Solutions (Husbands Bosworth). The service users admitted into Community Care Solutions (Husbands Bosworth) who fall within service user category LD may only be accommodated in number 29 High Street. To accommodate the existing 4 named service users over the age of 25 at Community Care Solutions (Husbands Bosworth) until 31st December 2006 23rd May 2006 Date of last inspection Brief Description of the Service: Community Care Solutions (Husbands Bosworth) is registered to provide care for up to eight people aged between sixteen and twenty-five years of age who have a learning disability or mental disorder. The home is on the main street in Husbands Bosworth, close to local shops, churches and pubs. There are bus routes nearby to Leicester and Market Harborough. The home has undergone a number of changes since the date of the last inspection, both in terms of its conditions of registration and the premises. Residents will in future be accommodated in single bedrooms. They have access to two lounges, a dining room and a kitchen, all of which have been refurbished. There is a small patio and garden area to the rear of the house, which residents can use. At the time of the inspection, fees ranged from £1500 to £1750 per week. Information about the service provided at Husbands Bosworth is available. Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to the home took place on 18th June 2007, lasting approximately two and three quarter hours. The main method of inspection used on that day was ‘case tracking’ which involved tracking the care received by the one person who lived at the home through review of her records, discussion with staff and observation of care practices. The inspector was not able to communicate with the resident. An operational manager was present for part of the visit. A discussion was also held with the service manager. The inspection took account of all information received since the date of the last visit. What the service does well: 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. Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 Page 6 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 Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 Page 7 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): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment practices are effective, ensuring that individual needs are identified and can be met before a placement is made. EVIDENCE: Information about the service provided at Husbands Bosworth was available at the time of the visit. The service manager stated that an up-to-date copy of the information would be given in a suitable format to the person who was living at the home. The home had obtained a copy of the placement plan and the essential information record completed by a social worker. Staff from the service had also completed their own assessment. Records indicate that the prospective resident visited the home before she moved in. Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff members have access to the information they require to meet individual needs. EVIDENCE: An individual plan was available for the person who was living at the home. The plan had been signed by the acting manager and the person’s key worker, social worker & next of kin. Risk assessments had also been completed on a wide range of issues, detailing the measures to be taken to minimise the risks that had been identified. A staff member stated that she had had an opportunity to acquaint herself with the relevant documents before she started work at the home. The staff member assisted the resident to make decisions during the course of the visit, using appropriate communication methods. She chose for example how she spent her morning & what to have for lunch. She was also able to make full use of communal areas and her bedroom. Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements relating to the various aspects of the resident’s lifestyle appear to be well managed, with planning underway for her to participate in further activities. EVIDENCE: A staff member stated that opportunities for daytime activities were being explored at the time of the visit. In the interim, staff members are undertaking activities with the resident, encouraging her to participate in domestic tasks & taking her on trips out to acquaint her with the local area. The resident appeared to enjoy a trip to the park & shops on the day of the visit. She has also undertaken some activities with people living at a similar home run by the registered provider. Records indicate that the resident is in regular contact with her family and had recently returned from a visit to see her mother. Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 Page 10 The resident was offered a choice of food for lunch. She appeared to enjoy the meal that was provided. A staff member stated that known likes & dislikes had been taken into account when devising the menus. Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 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. 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. The resident’s personal support & healthcare needs appear to be met. EVIDENCE: An individual plan details the personal care the person requires. It also sets out details of the healthcare needs that have been identified and of the action that is felt to be necessary as a result. The resident is not able to manage her medication. Records of the medicines received into the home and administered to her met relevant requirements. Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 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. 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. The resident appears to be protected by the home’s arrangements for handling complaints and responding to allegations of abuse. EVIDENCE: Copies of the home’s policies & procedures relating to complaints and the protection of vulnerable adults were available at the time of the inspection. They appeared to meet the requirements of standards 22 & 23 respectively. The service manager stated that staff members also have access to the local area child protection procedures, that they are subject to POCA & POVA checks and receive training on the protection of vulnerable adults & children. The operational manager stated that no complaints had been received since the date of the last inspection. Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 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. 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. The resident lives in a comfortable and safe environment. EVIDENCE: The areas of the home that were inspected were decorated and furnished to a satisfactory standard. The resident’s room appeared to reflect her individual interests and personal tastes. The operational manager stated that they were in the process of refurbishing other areas of the home as plans were made for further residents to move in. He was reminded that fire doors should not be wedged open. Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The unavailability of staff records at the time of this visit means that it was not possible to verify that residents are protected and their needs met by trained staff. EVIDENCE: The operational manager stated that staff records are held centrally. Documents detailing the recruitment checks & training that have taken place were not available on the day of the visit. The registered provider has subsequently submitted information, which whilst unverified indicates that appropriate pre-employment checks have taken place and that staff have received training relevant to their work. Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home appears to be generally well managed. EVIDENCE: The operational manager stated that the acting manager was in the process of completing an NVQ level 4 & the Registered Managers Award at the time of the inspection. The latter was on a period of extended leave at the time of the visit and a deputy manager from another home run by the registered provider had been brought over to oversee the home. Copies of Regulation 26 reports (visits by the registered provider) were available. The operational manager stated that the company would survey the views of residents and staff in the future. Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 Page 16 Community Care Solutions have produced policies & procedures on a range of safe working practices. The operational manager stated that staff members have received training on these areas although no records were available to verify this. Records indicate that fire alarm tests & drills have taken place at the required frequency. The operational manager stated that the emergency lighting system would be tested on a monthly basis. Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000064674.V336869.R01.S.doc 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Version 5.2 Page 18 Community Care Solutions (Husbands Bosworth) 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. 1 Standard YA34 YA35 Regulation 19 Requirement A record of the recruitment checks and training that have taken place must be available for inspection to verify that residents are protected and their needs met by trained staff. Timescale for action 18/07/07 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 Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Community Care Solutions (Husbands Bosworth) DS0000064674.V336869.R01.S.doc Version 5.2 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. 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