Inspection on 04/10/05 for Cornview

This inspection was carried out on 4th October 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

Cornview 05/03/09

Cornview 30/03/07

Cornview 13/06/05

Cornview 22/12/04

Cornview 07/07/04

Cornview 14/07/03

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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 Liz Palmer Unannounced Inspection 4th October 2005 11:00 Cornview DS0000012413.V255891.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 Cornview DS0000012413.V255891.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. Cornview DS0000012413.V255891.R01.S.doc Version 5.0 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.V255891.R01.S.doc Version 5.0 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. 13th June 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. It is owned by Liaise Loddon. The home is a four bedroomed detached bungalow with a communal lounge and dinning 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. Service users are supported by the homes staff to access the community and engage in meaningful activities. Cornview DS0000012413.V255891.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection for the year 2005/2006 and was unannounced. Any key standards not assessed on this occasion were looked at during the last inspection. Therefore, this should be read alongside the last report. The visit took place over three hours. Four service users were met during the inspection but due to their complex needs were not able to give their opinions of the home. They were relaxed and enjoying their planned activities during the inspection. Four staff were spoken to, one of which is employed by the company to work across their four homes coordinating their educational activities. Once again no requirements or recommendations were made during the inspection. What the service does well: What has improved since the last inspection? Service user reviews have taken place. Cornview DS0000012413.V255891.R01.S.doc Version 5.0 Page 6 Staff have received training in relation to supporting service users with the educational side of the service provided. Photographs are being introduced in a more structured way to support service users in making choices and exercising their rights. 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. Cornview DS0000012413.V255891.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 Cornview DS0000012413.V255891.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): 2 Initial assessments are undertaken to ensure that prospective service users needs’ will be met by the home. EVIDENCE: An assessment for the most recent service user to move to the home was looked at. The assessment was carried out by the service manager and was in depth containing all the relevant information, for example, behavioural needs, communication needs, risk assessments as well as the persons likes and dislikes. Cornview DS0000012413.V255891.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): None of these standards were assessed. EVIDENCE: Cornview DS0000012413.V255891.R01.S.doc Version 5.0 Page 10 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): 15 and 16 Arrangements for service users to socialise and to express their preferences ensure rights are respected. EVIDENCE: Important relationships are recorded in individual care plans. Service users are supported to maintain contact with families, for example, being assisted to write letters regularly. The acting manager stated that good relationships are maintained between families and staff and staff also support service users to visit their families, for example, by driving them their and supporting them during the visit if necessary. Staff spoken to were able to give good examples of how service users rights and responsibilities are upheld in the home. The home is very focused on independence and each service user has individual plans of how this is can be achieved and maintained. Cornview DS0000012413.V255891.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 Policies and procedures for storing, recording and administering medication protect service users. EVIDENCE: The policies and procedures for medicines administered in the home are suitable for the service users living in the home. Only staff who are trained administer medicines. Lockable storage is provided and two staff sign when medication is given. No service users currently self-administer medication. Cornview DS0000012413.V255891.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed. EVIDENCE: Cornview DS0000012413.V255891.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): None of these standards were assessed. EVIDENCE: Cornview DS0000012413.V255891.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 34 The arrangements for the recruiting, induction and training of staff ensures service users are supported by competent and qualified staff. EVIDENCE: Staff spoke highly of the training they receive, in particular the training and support they get related to the complex and challenging needs of the service users they support. Training records showed that regular and suitable training is provided including mandatory courses and service specific training. Staff files showed that a suitable recruitment procedure is followed, including an application form, interview, references and police check being carried out prior to appointment. Cornview DS0000012413.V255891.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 EVIDENCE: The acting manager is currently being supported by the service manager with suitable training being provided to prepare him for applying to be registered. Comments from staff generally showed support for the manager and most staff were happy with the support they received. All staff spoke highly of the organisation and the management structure. All managers in the organisation work hands on with service users. The home is constantly reviewing the service it provides and service users and their families are involved in this. Training and the policies and procedures followed in the home promote the health and safety of service users and staff. Training such as first aid, manual handling, health and safety, fire safety and food hygiene is provided. Cornview DS0000012413.V255891.R01.S.doc Version 5.0 Page 16 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 x 3 x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x x x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 3 x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Cornview Score x x 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 x x 3 x DS0000012413.V255891.R01.S.doc Version 5.0 Page 17 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.V255891.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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