Inspection on 30/03/07 for Cornview

This inspection was carried out on 30th March 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 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

Cornview 05/03/09

Cornview 04/10/05

Cornview 13/06/05

Cornview 22/12/04

Cornview 07/07/04

Cornview 14/07/03

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 Cornview 124 Roman Road Basingstoke Hampshire RG23 8HS Lead Inspector John Vaughan Unannounced Inspection 30 March 2007 10:00 th Cornview DS0000012413.V328712.R02.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 Cornview DS0000012413.V328712.R02.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. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Cornview Address 124 Roman Road Basingstoke Hampshire RG23 8HS 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) Care Home 4 Liaise Loddon Limited cornview@house.loddon.co.uk Category(ies) of Learning disability (4) registration, with number of places Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users in the category LD are not to be admitted under the age of 16 years. 4th October 2005 Date of last inspection Brief Description of the Service: Cornview is a care home providing personal care and accommodation to four young adults who have autism and associated complex behaviours within the category of learning disability. The home is owned and managed by Liaise Loddon Ltd. The home is a four bedroom detached bungalow with a communal lounge and dining room that opens out to a paved patio and enclosed rear garden. The home is in the heart of Basingstoke and is close to all the local amenities, which are regularly used by service users. Service users are supported by the home’s staff to access the community and engage in meaningful activities. Placement fees range from £130,000 to £230,000 per year. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector met with the manager, staff and observed service users during the visit. The complexity of service users needs means that it is difficult to speak to service users about their views on the service they receive. The inspector spent time observing service users in their daily activities and the interaction between the service users and staff supporting them. During the visit the inspector looked at records held in the service and toured the home. In preparation for this inspection the inspector reviewed information held by the commission including the most recent reports on the service, regulation 26 visits and incident reports sent to the commission under regulation 37. What the service does well: Service users benefit from an individual activity programme that has been put together based on their individual needs and interests which included music and drama therapy, art and crafts, going to shops, pubs and restaurants. Detailed care plans support the service users with their assessed needs and these are reviewed with the individual on a regular basis. The home had a relaxed atmosphere and the inspector saw positive contact between the staff and service users. A varied an appealing menu is offered to service users reflecting their need and choices and staff and cook were very clear on individual needs and wishes when making choices about meals and drinks. Special diets are provided to meal service user’s needs. The home is clean and tidy and free from any unpleasant smells. Rooms are light and bright and have been decorated to a good standard. Service users looked comfortable and relaxed in their private rooms. The home provides a high staff level to meet the needs of service users and these staff are supported to develop their skills through a good training and development programme. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Cornview DS0000012413.V328712.R02.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 Cornview DS0000012413.V328712.R02.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 and 4 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The practice of the service ensures that prospective new service users only move into the home following a full assessment of their needs. Service users and their representatives are encouraged to visit and get to know the home before moving in. EVIDENCE: The commission received in formation from the acting manager of the home prior to the visit that indicated that no new service users have been admitted to the home in over three years. This was confirmed at the visit. The inspector looked at the records for three of the service users and found clear information on the needs of each person. Assessments were completed prior to the admission of each service user and these files contained information from previous placements, care manager assessments and reports from residential schools. The home’s assessment is clear and detailed with information on all aspects of the service users needs including likes and dislikes, personal care, social interaction, leisure, behaviour, routines and important relationships. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 9 The staff spoken to during the visit explained that potential new service users have opportunities to visit the home and get to know the service, have a meal and meet other people before they move in. A service user guide is provided in a format that is more accessible to service users using pictures, symbols and signs to explain what the service will provide to the individual. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by a comprehensive care planning system that documents and responds to their assessed needs. The practice of the home supports service users to make choices about their everyday lives and risks are minimised through an established assessment process. EVIDENCE: A detailed support plan was seen for service users covering all aspects of daily living. This plan is reviewed every six months and evidence of the involvement of the service user, family members and the care manager in this process was seen on the service user’s records. The inspector noted that the review includes progress on goals, recognised achievements and plans for the next six months. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 11 Plans contained very specific guidelines for supporting the service users with behaviour that challenges and staff were very aware of these guidelines and the inspector observed staff following these guidelines during the visit. Staff explained that as they develop their relationship with the individual their intervention and support techniques change and this was also reflected in the guidelines seen by the inspector. Important routines, activities and interests are documented and responded to in the care plans. Service user plans seen had a number of skill building support plans in place and these are part of an independence building award scheme. Staff are supporting the service users to receive recognition for their achievements by obtaining these awards. The inspector spent short periods of observing staff interaction with service users and found this to be meaningful and sensitive to the needs of service users. A staff member was seen giving a service user some space to relax in their room although the person needed close support when with other people this made the support less restrictive and overwhelming for the individual. Staff spoke to service users in a valuing way, offered choices and respected the individual’s wishes when they declined to join in on an activity. Guidelines also encourage the service users to express their wishes and staff talked through daily routines which support individuals to make choices about their day to day lives including what to wear, what activities to take part in and what to eat and drink. Staff demonstrated a high level of awareness of the service users needs around personal support, communication and social interaction and told the inspector about how they support the individual to develop their skills and activities. Each of the service user’s plans contained a risk assessment document with information on how to manage these risks. The positive support coordinator took the inspector through the assessments for one service user that they have completed. A more detailed risk assessment record is in the process of being introduced that highlights the risk decision against benefits and harms to the individual and the measures used to minimise the risk. A member of staff has attended a four day course in person centred planning and they are undertaking a project to develop the care planning system to develop strategies to support service users to be able to have greater choice in their day to day lives. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 12 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): 11, 12, 13, 14, 15, 16 and 17 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 the provision of a well organised and varied activity programme enhanced by contact from families and friends. The home provides service users with a well-balanced, healthy and varied diet reflecting their likes, dislikes and dietary needs. EVIDENCE: On the day of the visit service users went out of the home to engage in activities. Records contained information on activities that people take part in and this includes massage, video and music sessions, walks to local shops and restaurants, bowling, art and craft sessions and cooking. People also visit an educational establishment for sensory, music and drama therapy sessions. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 13 The complexity of service users needs means that it is very important for routines and activities to take place on time and when they have been agreed. Each person has a very detailed daily routine and the inspector saw this information in the daily planner and service user’s records. Service users plans contain individual lesson plans for each of the activities service users take part in. These plans provide guidelines for the activity, aims and objectives and each time an activity takes place a record is made to assist with future evaluations. The inspector saw evidence of family involvement in the support of service users, staff support service users to make regular contact with their families and this includes support to travel to their families for overnight and weekend stays. Throughout the day the inspector saw staff working with service users and their approach was reflected in the information seen in each of the care plans. Staff spoke positively to service users and joined in activities including a karaoke session. Staff gave service user’s space in their private rooms and knocked on doors before entering. The securing and removal of furniture and locking of wardrobes are addressed within a risk assessment strategy to minimise the risk of personal injury to the individual and support staff. A menu plan is provided for service users and the cook told the inspector that they are aware of each of the service users likes and dislikes and ensure alternative meals are available if needed. One person has very specific dietary requirements and the cook talked through how they provide meals and snacks to meet this person’s needs. This includes baking fresh bread suitable for the person’s diet. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 14 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home provides support for service users to access health Care professionals to meet their needs. Personal support is given in a way that respects the privacy and dignity of the individual. EVIDENCE: The inspector saw evidence on file that each person’s medical and health needs are responded to appropriately. Each person is registered with a general practitioner and the staff maintain contact with the surgery to ensure service users health needs are kept under regular review. The home has clear statements on the rights of service users including privacy and dignity. Service users are supported receive treatments and to meet visitors in private. The inspector examined the home’s arrangements for the administration of medication and found them to be satisfactory. Records are in place for the administration and disposal of medication. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 15 Staff members confirmed that they have had medication training and supervision of their administration practice. The inspector noted some used of over the counter homely remedies and gave advise to the manager on documenting and seeking agreement for this medication from the pharmacist or general practitioner. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 16 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures are in place demonstrating that the views and concerns of service users, their families and representatives are recorded and responded to. Service users are protected by policies and procedures to report and respond to allegations and suspicions of abuse. EVIDENCE: The home has a complaints procedure. The inspectors were able to confirm that there have been no complaints since the last inspection by examining records and talking to the manager and staff. The complexity of the needs of service users living in this home mean that it would be difficult to communicate concerns for a number of individuals. Communication plans are in place for the service users, a pictorial complaints procedure is also available and staff were clear on how each service user would communicate when unhappy or distressed and what they would do when this happens. The home has a policy on the protection of vulnerable adults and a copy of the Hampshire Protection of Vulnerable Adults Policy is also in place. Staff members have training on protecting service users as part of their training package and could discuss clearly how they would report any suspicions of abuse. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 17 During the course of examining records two incidents where noted which involved service users causing injury to another service user. The incidents had been dealt with however neither incident was reported under regulation 37. This was discussed with the manager who agreed that any future incidents that are reportable under this regulation will be sent and staff would be made aware of this. The inspector advised that the care manager of the individuals involved need top be made aware of the incidents to decide if any further action is required. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 18 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, 25 and 30 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 a comfortable, well maintained, safe and accessible home that will be enhanced by the programme of redecoration and refurbishment of the environment. EVIDENCE: The inspector toured the home assisted by staff members and the manager. The environment is in a generally good state of repair although this requires regular maintenance to keep it in this state. The environment has been adapted to meet the needs of the group of people living in the home and the inspector observed individuals making full use of each of the rooms. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 19 The manager discussed the planned refurbishment and redecoration of the home, which includes the replacement of the lean to, used a laundry/utility room. Each person has a room that has been decorated and adapted to reflect their wishes with additional safety and security measures being incorporated to maintain individual needs and these adaptations are reflected in each person’s support plan. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 20 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 and 36 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by a well-trained and supervised team of staff who have been recruited through a thorough recruitment process that protects service users. EVIDENCE: The inspector spoke to staff during his visit. Each person confirmed that they have had a full induction to the home. This included training in Moving and handling, health and safety, administration of medication, food hygiene and protecting people from abuse. Other training has included epilepsy, autism, communication and PROACTSCIPr-uk® the company’s accredited approach to supporting people who challenge services provided for them which includes physical intervention strategies. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 21 The inspector spent time with one of the senior staff responsible for training in this area and discussed a well-organised programme of induction and ongoing training for staff. Staff confirmed that this is they have extensive training and they feel very well supported through the induction, training and supervision programme in the service. Staff said that they worked with more experienced staff to get to know the service users and the expectations of their roles. Induction records were seen and regular updates are arranged to maintain staff skills. The inspector examined four staff records to confirm that all information required is in place. This included an application form, two written references, proof of identity and the unique number for completed Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks. The manager was advised to retain confirmation of POVAfirst checks within staff files and maintain the CRB record on file for examination by the inspector. Staff have a detailed and thorough interview which includes a visit to the home where applicants are observed during their interaction with staff and service users. The inspector confirmed that an ongoing programme is in place for staff to obtain a National Vocational Award (NVQ). The information provided by the manager and training coordinator confirmed that staff are undertaking this award at present. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 22 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 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a well run home and the systems for obtaining the views of stakeholders and reviewing the service are in place in the home however some work is needed to demonstrate how this has an impact on the service. EVIDENCE: Since the last inspection the manager of home has changed. The home has an acting manager who has worked in the home for some time and has been acting as manager for approximately six months. The home has not had a registered manager for some time and this was highlighted in previous reports. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 23 Staff spoke highly about the support and organisation of the home, communication is good and clear information is available is available to support staff in their roles. The quality assurance system was discussed with the manager who said that families and representatives are encouraged to comment on the running of the home through a “We can do it better” feedback form. Positive comments were seen from one service user’s parents obtained in 2006. Regulation 26 visits take place monthly and this years records were seen on file. A significant gap in these records was noted between April 2006 and November 2006 and the manager could not confirm if these visits took place. In April 2006 a visit took place by the directors of the organisation who completed an audit. The inspector was unsure how the information gained from all of these methods is drawn together to develop the service and the manager was unsure if an annual development plan is in place. The inspector was provided with information prior to the visit to confirm that regular servicing and maintenance of fire fighting, heating and hot water systems. Policies and procedures are in place to maintain a home that meets health and safety legislation. Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 24 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 3 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 3 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 3 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 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 2 X X 3 X Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 25 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. 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. Refer to Standard Good Practice Recommendations Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Cornview DS0000012413.V328712.R02.S.doc Version 5.2 Page 27 - 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!