Inspection on 28/06/05 for Coolhaze

This inspection was carried out on 28th June 2005.

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

Coolhaze 19/07/06

Coolhaze 28/11/05

Coolhaze 21/09/04

Coolhaze 20/04/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 COOLHAZE 119 Howard Road Plymstock Plymouth PL9 7ER Lead Inspector Wendy Baines Unannounced 28 June 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. COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 Page 3 SERVICE INFORMATION Name of service Coolhaze Address 119 Howard Road Plymstock Plymouth PL9 7ER 01803 882296 01803 882296 jac.sdarc@ukonline.co.uk Peninsula Autism Services & Support Ltd 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) Mr Sam George Johnson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: One named person aged under the age of 18 Date of last inspection 20th April 2005 Brief Description of the Service: The Registered Provider for Coolhaze is Peninsula Autism and Support, a limited company managed by Board of Directors. The organisation states that it concentrates solely on providing care services for people with Autistic Spectrum Disorders. Coolhaze is a large detached property and has been arranged into three separate self contained units. Service users have usually been assessed as requiring high levels of staffing to access opportunities inside and outside the home. The Commission for Social Care Inspection has received an application from the Registered Provider to Register a new manager. COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 28th June 2005, between 10am – 1pm. The acting manager was available throughout the inspection, however, on this occasion, due to prior arrangements in the home it was not possible to meet with service users or other staff members, and a tour of the premises did not take place. The inspection concentrated on discussion with the acting manager, Mr Sam Johnson, and the inspection of service user and staff files, and other records kept in the home. What the service does well: What has improved since the last inspection? The acting manager has worked hard to address the requirements and recommendations highlighted at the previous inspection. Contracts between COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 Page 6 the home and service user have been developed and service users provided with a copy of these agreements. The manager has been reviewing the information available to staff regarding service user needs to ensure that information is accessible and understood by those providing care. There has also been an introduction of a new activity timetable to support staff to look at leisure and social opportunities available to service users. What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 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 COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 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) 1,2,3,4,5 Service users, prospective service and their representatives are provided with adequate information to make a decision about where they wish to live. EVIDENCE: The home has a Statement of purpose and this is available to current and prospective service users and is also displayed within the communal hallway of the house. The acting manager said that consideration is still being given to providing a service user guide in a range of appropriate formats. Service users are invoiced monthly for transport. This information should be included in the service user guide. Since the last inspection there has been one new admission to the home. Case tracking of service user records confirmed that a thorough pre-admission was completed, and a range of information collected to determine the appropriateness of the placement. The acting manager said that visits would be arranged for the prospective service user if this is considered appropriate. The pre-admission information for the new service user had been translated into an initial care plan for the home. Individual records are kept for each service user and these contained assessments, care plans, risk assessments, and behaviour guidelines, all of which had been recently reviewed or were due for review. Since the last inspection individual contracts between the home and service user had been completed, these were signed and dated. COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 Page 9 COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 Page 10 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) 6,9 The home has a clear and consistent care planning system in place to provide staff with the information required to satisfactorily meet service users needs. The risk assessment process allows the home to minimise identified risks whilst promoting independence whenever possible. EVIDENCE: Each service user has a care plan, risk assessment and behavioural guidelines that are regularly reviewed. Any restrictions on choice or freedom were based on a risk assessment, had been agreed with the service user and/or representative and were regularly reviewed. There was also evidence of multiagency involvement in the planning and reviewing of service user care plans. COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 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 standard(s) 11,14,15 Care plans and records confirmed that much consideration is given to developing and maintaining service users skills and opportunities inside and outside the home. EVIDENCE: Information in care plans, as well as talking with the Acting Manager confirmed that service users are supported to live as full a life as possible, and to have opportunities for personal development. As each service user has their own separate facilities within the home they are able to attend to tasks and develop skills dependent on assessed need and individual wishes. Daily records confirmed that service users partake in a range of activities inside and outside the home. Some of these arrangements are planned, one service user attends regular days at a Local Authority day service and other activities may be flexible and dependent on a range of factors each day. Care plans documented the specific leisure opportunities enjoyed by service users and a daily planner was available for one service user to enable him to choose and be aware of arrangements and opportunities for the week ahead. The Acting Manager advised that service users have been assessed as requiring 2:1 staffing to COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 Page 12 access opportunities away from the home. However, the staff rota seen on the day of the inspection did not confirm that these staffing levels were always available to meet the assessed need. Sarah Mahoney the Responsible Individual for Coolhaze has advised that the home has liaised with social services regarding staffing levels and funding for activities and staffing levels are reviewed on a regular basis. The acting Manager said that the home has recently developed new activity timetables with a view to reviewing this area of care. Contact with relatives and friends was encouraged and the acting manager recognised the importance of maintaining and supporting these contacts. Records confirmed that staff have worked closely with family members to agree arrangements for contact and communication and this information was clearly documented. COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 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 standard(s) 18,19. Information within service users files ensure that staff are aware of personal and healthcare needs and how this support should be delivered. Service users have their own individual facilities where they can receive support with personal care needs in private. EVIDENCE: Service user plans provided information about personal, emotional, and health care needs. Care plans were sufficient in detail to ensure that staff are aware of how care should be delivered. External professional advice and guidance was sought when necessary from local health care professionals and Social Services. As all facilities are separate service users can receive support with personal care needs in private. The acting manager said that although service users have been assessed as requiring high staffing levels inside the home much consideration is given to issues of privacy and respect. Service user files contained a range of information about service users past and present health needs, other agency involvement and plans for routine health checks. A Range of charts are used to monitor any changes in health needs. Medication procedures were not inspected on this occasion, however discussion took place with the Acting Manager to refer to the ‘Royal Pharmaceutical COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 Page 14 Society’s guidance on the administration of medicines in care homes’ particularly in relation to the storage and recording of Controlled drugs. COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 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 standard(s) 22,23. The home has a range of systems to ensure that service users are able to express their views and concerns and the homes recording and monitoring systems ensure that these issues are recognised and responded to promptly. Service users can now be confident that the home responds to any incidents promptly, and follows the advice of the Commission and other agencies to ensure that procedures in the home protects service users at all times. EVIDENCE: Neither the home nor the Commission for Social Care Inspection have received any complaints regarding the service since the last inspection. The home has a complaints procedure and this was displayed in the communal hallway of the house. Service users have a range of communication methods and the Acting Manager said that it was crucial that staff build a relationship with service users to enable them to understand how each individual communicates. This information is supported by staff training, input from outside agencies, and the use of daily records and incident charts. Each service user has a separate file containing Incident Reports, and other relevant charts, which can be support staff to recognise and respond to non-verbal forms of complaint and concerns. There is an Adult Protection procedure in place as well as a copy of the local Alerters Guide. Following a recent incident reported to CSCI, the Registered Provider has informed the Commission that they are undertaking a review of these procedures and policies within all their care homes. The Acting Manager confirmed that following the incident all staff have completed additional training, including ‘ whistle Blowing’. COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not inspected on this occasion. EVIDENCE: As the inspection was unannounced, and due to prior arrangements made by the home it was not possible or appropriate to complete a tour of the premises on this occasion. These National Minimum Standards will be covered within future inspections. The acting manager said that no major changes had taken place or were planned for the building. COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 Page 17 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) 31,32,33,36 Systems are in place within the home to ensure that staff receive support on a formal and informal basis, and from outside agencies when required. The staff rota seen on the day of the inspection did not fully reflect the agreed staffing levels as outlined by the Registered Manager. The Responsible Individual for the home has advised that staffing levels are currently being reviewed. EVIDENCE: The Acting Manager said that there have been several recent changes to the staff team, and he has been looking at job descriptions and staff roles to ensure consistency of care. Staff meetings and formal supervision sessions take place on a regular basis and this information is recorded. Staff rota’s were available within the home. The Acting manager advised that service users had been assessed as requiring 1:1 and 2:1 inside the building and all service users required 2:1 outside. The staff rota did not confirm that these staffing levels were always available. COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 Page 18 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) 37,38,41 In the absence of a Registered Manager the Registered Provider has made sufficient interim arrangements to ensure the home is run effective. EVIDENCE: Since the last inspection the previous Registered Manager has left the organisation. Mr Sam Johnson the acting manager was present throughout the inspection and The Commission for Social Care Inspection have received a Registered Managers application. Mr Johnson has been overseeing the day- to- day management of the home with support from Sarah Mahoney (Responsible Individual) and one of the Directors for Peninsula Autism Services. Through discussion it was evident that Mr Johnson has been developing records in the home to ensure that sufficient information is available to those providing care and working with staff to ensure they have a good understanding of their role and responsibilities. Records confirmed that Mr Johnson was also included on the rota to work with service users. The Registered Provider should ensure that the staff rota takes COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 Page 19 into account the need for the manager to have sufficient time to attend to management tasks. All documentation relating to service users was up to date and accurate. Records relating to health and safety issues, such as risk assessments, the accident book, fire log book and employers liability certificate were available and up to date. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 COOLHAZE Score 3 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 Page 20 LIFESTYLES Standard No 11 12 13 14 15 16 17 Score 3 x x 3 3 x x Standard No 31 32 33 34 35 36 Score 3 3 2 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 2 3 x x 3 x x COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 Page 21 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. 2. 3. YA37 18 The Reistered Provider must ensure that staffing arrangements within the home allow for the Registered Manager to attend to management tasks when required. 29.10.05 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. 1. 2. Refer to Standard YA23 YA33 Good Practice Recommendations The Registered Provider should ensure that staff are aware of local Adult Protection protocols and attend local multiagency training. The Registered Provider should continue to regular monitor staffing levels and ensure that this are sufficient at all times to meet the assessed needs of service users as set out in the care plan and Local Authority contracts. COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 Page 22 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 COOLHAZE D52-D04 S53993 Coolhaze V215272 260405 Stage 4.doc Version 1.20 Page 23 - 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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