Inspection on 28/11/05 for Coolhaze

This inspection was carried out on 28th November 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

Coolhaze 19/07/06

Coolhaze 28/06/05

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 Devon PL9 7ER Lead Inspector Wendy Baines Announced Inspection 28th November 2005 10:00 Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 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 Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 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. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Coolhaze Address 119 Howard Road Plymstock Plymouth Devon PL9 7ER 01803 882296 01803 882296 sgjcoolhaze@hotmail.com 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) Peninsula Autism Services & Support Limited Mr Sam George Johnson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 2005 Brief Description of the Service: The Registered Provider for Coolhaze is Peninsula Autism and Support, a limited company managed by a 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 Registered Manager for Coolhaze is Mr Sam Johnson. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Due to the complex care needs of service users the inspection was announced. Prior to the inspection it had been agreed with the Registered Manager that the inspection would be announced to enable the staff to plan for the visit and reassure service users if necessary. The Inspection took place on the 28th November between 2- 4pm. The Registered Manager was available throughout the inspection. A sample of service users care plans, risk assessments, fire safety, and accidents/ incident forms were seen, and a sample of other daily records. Two of the staff on duty met with the inspector and were also observed during the day. The bedroom, bathroom and kitchen area for one service user was seen as were the communal parts of the building. Two Commission for Social Care Inspection Questionnaires were completed, and the Pre-inspection questionnaire had been completed and returned by the Registered Manager. What the service does well: The Registered Provider for Coolhaze, Peninsula Autism Services & Support Ltd, state that they provide support for people with Autistic spectrum Disorders. Staff have been selected and trained to ensure that the needs of this service user group can be met. Coolhaze is a large property, which has been separated into three selfcontained units so that staffing and care can be provided in an individual, and ‘Person Centred’ way. Sam Johnson the Registered Manager leads the staff team in an open, positive and inclusive manner, and is well supported by Sara Mahoney (Responsible Individual) and other senior management from the organisation. Staff are provided with detailed information regarding service users current and long- term needs and this information is regularly reviewed. The homes care planning, risk assessment and daily recording process ensures that service users are enabled to make choices and maintain their independence within a safe environment. The home liaises regularly with care managers, health agencies and the specialist Learning Disability Services. Procedures are in place to ensure regular contact and communication with family and friends. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 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 Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 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): 1,2,3. Prospective service users can be confident that the information they are given prior to admission, and the homes assessment process will help them make a decision as to whether the home will meet their needs. EVIDENCE: The home has a Statement of Purpose, Service user guide and Statement of terms and conditions detailing fees and services provided. A pre-admission assessment is completed to establish if the home can meet service users needs and this documentation was available on files. There had been no new admissions to the home since the last inspection, however records were seen for one service user who had moved to the home at the beginning of the year. Following admission a detailed care plan had been completed covering all areas of care and providing guidelines for staff during the transition stage. Records and discussion confirmed that the service user had settled well and was being supported by staff to consider day opportunities away from the home. The manager said that staff were required to familiarise themselves with the service users communication methods, behaviours and interests and to use this knowledge to build a relationship and ensure that needs continue to be met. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 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): 6,7,8,9,10. The home has a clear and consistent care planning system in place to provide staff with the information required to satisfactorily meet current and longterm needs. The risk assessment process allows the home to minimise identified risks whilst promoting independence and choice whenever possible. EVIDENCE: Each service user has a care plan, risk assessments and behaviour management guidelines, all of which are regularly reviewed. This information was very detailed and covered all areas of care. The documentation inspected following the review of a care plan was not dated. Discussion took place with the manager for the need to ensure that any amendments made to service user plans are signed and dated. Since the last inspection the manager has reviewed the homes care plan process and developed this information to include; more detail about each area of need, an action plan of how the need will be met and specific guidelines for staff. In addition to the main care plan each file contained ‘Progressional plans’ identifying long- term goals and the steps required to achieve these goals. There was also evidence of multi-agency involvement in the planning and review of service user plans. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 Page 10 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. Due to the layout of the home and the high staffing levels care can be provided in a very ‘person centred’ way and discussion with the manager and staff confirmed that where consideration is given to personal preferences and choice. The homes risk assessment process determines how much choice each individual can have on a day- to- day basis and a range of methods are used to support the choice making process. One service user is provided with a weekly activity planner, which includes a list of different activities from which he can be supported to make a choice, and another service user is supported to use pictures, symbols and signs to enhance communication and promote independence. The manager said that information regarding daily events in the home is passed to each service user dependent on their individual needs and communication methods. Staff had recently considered the needs of one service user and the support he may require whilst building work was taking place at the home. The majority of service user records were found to be stored securely, however this was not the case for the daily communication records completed by staff. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 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): 11,15,16,17. Services users are supported to lead a full and active lifestyle. Consideration is given to developing and maintaining skills and promoting choice where possible. Service users can be confident that they will be supported to maintain and develop relationships with family and friends and enjoy a well balanced diet. EVIDENCE: Information in care plans, as well as discussion with staff confirmed that service users are supported to live as full a life as possible, and to have opportunities for personal development. Since the last inspection the organisation has appointed an activities coordinator and each service user has their own activity planner. The planner includes a choice of activities, focusing on; communication, socialization and Independent living skills, and guidelines for staff on how to encourage, motivate the service user to try the activity, and how to analyse the outcome. The manager said that this process enables service users to make choices and have more control over their lifestyle. Contact with relatives and friends was encouraged and the Manager recognised the importance of maintaining and supporting these contacts. Several examples were given of how the home had recognised and responded to Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 Page 12 concerns expressed by parents regarding contact arrangements and any agreements were documented and reviewed. Service users have their own separate facilities in the home these include; bedroom, kitchen/dining area, bathroom/toilet, separate access and individual garden area. Although all service users have been assessed as requiring 1:1 or 2:1 support discussion with staff confirmed that consideration is given to privacy and allowing service users their own space. Daily planners are used to support service users to make choices and to be aware of arrangements for the day. The flexibility of these arrangements depends on risk assessments and individual needs. Throughout the inspection staff demonstrated an awareness of service users rights and were respectful at all times. A four weekly menu plan was provided as part of the pre-inspection questionnaire and this confirmed that a well- balanced choice of meals is provided. Records confirmed that there are some special dietary requirements and these have been documented as part of the service user plans. Health records confirmed that the home has made referrals and requested advice from the Dietician and other health services when required. Due to the separate facilities in the home service users have their own dining/ and kitchen area and are supported to partake in shopping and food preparation dependent on their skills and risk assessments. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 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. Information within service users files ensure that staff are aware of personal and healthcare needs and how support should be delivered. The systems for the administration of medication are good with clear and comprehensive arrangements in place to ensure service users medication needs are met. EVIDENCE: Service user plans provided detailed information regarding service users personal, emotional, and health care needs. Daily personal guidelines were provided in a list format with detail of service user preferences and routines. The medication administration system was inspected and staff spoken to were knowledgeable and competent regarding this area of care. Service users have their own individual medication cabinet and there was separate storage and recording arrangements for the use of controlled medication. One senior staff member is responsible for the ordering and organising of all medication in the home and only senior staff who have been trained are able to administer medication. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 Page 14 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): 23,24. Service users and relatives can be confident that their views will be listened to and any complaints will be taken seriously. The home recognises the vulnerability of service users and has a range of systems in place to ensure their protection and safety. 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 written complaints procedure and this is displayed in the communal hallway of the home. The manager said that he makes efforts to speak to the parents of service users regularly to ensure that any concerns are dealt with promptly. The daily communication book outlined several examples of regular contact between the home, parents and other people involved in the service users care. Service users have a range of communication methods and the manager said that it is crucial that staff build a relationship with service users to enable them to understand how each individual communicates. Each service user has a separate file containing behaviour/ incident reports and other relevant daily charts, which can assist staff to recognise and respond to non-verbal forms of concern/ complaints. The latest Alerters Guide and prevention of abuse procedures were available to all staff. All staff have completed protection of vulnerable adults training and the manager has attended local multi-agency training. All service users are risk assessed as to their vulnerability with regards to all types of abuse. The manager said that the home regularly liaises with specialist service to agree behaviour management guidelines and these were found to be clearly documented with a date for review. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 Page 15 All staff members undertake Studio 3 (Behaviour management) training as part of their induction and this is updated regularly. In addition there are also; ‘lone working’ procedures, debriefing, staff meetings and individual supervision to ensure that staff receive sufficient support and advice when working with service users who may present challenging behaviours. Records relating to service users’ finances were found to be in good order and up to date. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 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 the following standard(s): The layout of the home has been well planned to meet the individual care needs of service users. The standard of the environment is good providing service users with a safe and comfortable place to live. EVIDENCE: Coolhaze is a large detached property, which has been divided into three separate units. Each service user has separate access with their own garden area, bedroom, bathroom, lounge/diner and kitchen. Within the main part of the house there is also a communal kitchen, staff office and sleeping-in room. During the visit the communal parts of the house, and one of the service users rooms were inspected, and were found to be clean, tidy, and well maintained. Discussion took place with the manager regarding privacy, as windows within bedrooms are very large and not all have adequate blinds or other screening. It was evident that staff and management are aware of this issue and are continuing to explore ways of addressing this problem. The manager said that since the last inspection parts of the house have been re-decorated and plans are in place to re-new some carpeting and furniture. There is an on-going maintenance programme, however the manager said that the planning of re-decoration could take time, as some service users need to be well prepared and supported to cope with any changes. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 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 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): Service users and their representatives can be confident that enough staff will be on duty to meet service users assessed needs and that staffing levels will regularly be reviewed. The homes recruitment process is thorough and ensures the protection of service users. EVIDENCE: Staff spoken to were very aware of their own role and the role of others working within the home. All staff spoken to were able to give a clear account of service users needs and the type of care and support provided. Training profiles confirmed that all staff partake in a range of in-house and external training opportunities. As part of the staff induction training is arranged in; Health and Safety, medication, food hygiene and fire safety. Records confirmed that this training is regularly updated. In addition staff attend specialist training in; Protection of Vulnerable Adults, Autism Awareness, Studio 3,and 54 of care staff have completed NVQ 3 training in care. Care plans confirmed that service users have been assessed as requiring either 1:1 or 2:1 support inside and outside the home. The homes risk assessments and duty rota confirmed that these staffing levels are in place. The manager said that staffing levels are reviewed regularly within staff and key-worker meetings. Since the last inspection the home has recruited two additional full time members of staff, which the manager said has further improved the care provided. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 Page 18 Records were seen for staff who had been recently appointed to work in the home. Application forms had been completed with dates to confirm employment history. Files also contained two written references, ID and Criminal Records Bureaux Checks. The manager said that consideration was being given to ways of including service users in the recruitment process. Staff receive regular, planned supervision and these meetings are documented. In addition records and discussion confirmed that there are; regular meetings to discuss individual service users, handover meetings, and debriefing following a difficult incident. The manager said that the rota is usually planned to allow him to attend to managerial tasks and to be available to support the staff team. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 Page 19 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): The manager is supported well by the senior staff in providing clear leadership throughout the home with all staff demonstrating an awareness of their roles and responsibilities. EVIDENCE: Peninsula Autism Services and Support Ltd, is the Registered Provider for Coolhaze and is managed by a Board of Senior Directors. Mr Sam Johnson is the homes Registered Manager. The organisation states that care is provided for adults who have been assessed as having Autistic Spectrum Disorder, and training relating to this area of care is regularly provided to all care staff within the organisations care homes. Mr Johnson has undertaken relevant training and has a wide knowledge regarding Autistic Spectrum Disorders. Since becoming Registered Manager he has invested considerable time working with staff regarding their roles and the needs of service users, and has further developed systems and procedures within the home to improve the care provided. Mr Johnson receives regular support and supervision by Sara Mahoney the Responsible Individual for the home. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 Page 20 Although facilities in the home are separate the atmosphere is very positive, warm and inclusive. Quality Assurance Questionnaires are sent out to parents to gather their views about the services provided in the home. The manager highlighted the difficulty of gathering feedback from service users, but ways of gathering the views of Health and social care professionals who visit the home was discussed. Policies and procedures have been written and reviewed regularly and cover all the activities in the home including Health and safety risk assessments. Accidents and incidents have been recorded. Fire safety systems have been properly maintained and tested. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 Page 21 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 3 3 x 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 2 Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 LIFESTYLES Standard No Score 11 3 12 x 13 x 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Coolhaze Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 x DS0000053993.V250285.R01.S.doc Version 5.0 Page 22 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. 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 YA6 YA10 Good Practice Recommendations The Registered Provider should ensure that all amendments to care plans are dated. The Registered Provider should ensure that all records relating to service users are kept secure to ensure confidentiality of information at all times. Coolhaze DS0000053993.V250285.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Ashburton Office 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 DS0000053993.V250285.R01.S.doc Version 5.0 Page 24 - 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. 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