Inspection on 02/12/05 for FCH Romsey Winchester

This inspection was carried out on 2nd December 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

FCH Romsey Winchester 29/06/09

FCH Romsey Winchester 30/06/07

FCH Romsey Winchester 17/05/05

FCH Romsey Winchester 11/11/04

FCH Romsey Winchester 17/06/04

Similar services:

The Lodge Nursing Home

Bracken House

Sunnycroft

Field Farm House

Edgeview Nursing Home

Church Terrace Nursing & Residential Home

The Forbury

The Maples

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

CARE HOME ADULTS 18-65 Fch - Romsey/Winchester 81/83 Winchester Avenue Nuneaton Warwickshire CV10 0DN Lead Inspector Sheila Briddick Announced Inspection 2nd December 2005 09:30 Fch - Romsey/Winchester DS0000004487.V264629.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 Fch - Romsey/Winchester DS0000004487.V264629.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. Fch - Romsey/Winchester DS0000004487.V264629.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fch - Romsey/Winchester Address 81/83 Winchester Avenue Nuneaton Warwickshire CV10 0DN 02476 327543 02476 354175 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) FCH - Housing and Care Lilian Jakovlevs Care Home 13 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (13), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (3) Fch - Romsey/Winchester DS0000004487.V264629.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. People admitted to the home will be in the category of mental disorder, excluding learning disability and dementia, in the age range of 18 to 64 years 17th May 2005 Date of last inspection Brief Description of the Service: The Romsey/ Winchester Care Home is a registered establishment for 13 service users with a mental disorder. FCH Housing & Care provide 24 hours support to the people living in the home. The care home consists of 2 four bedded houses, a 2 bedded bungalow and 3 single bedded flats. All are selfcontained with accessible bathrooms, fitted kitchens, lounge and dining facilities. There is a walk-in shower and a bathroom in the four-bedded houses. Each property, other than the first-floor flats, has its own garden; there is also a communal garden with a seating area and greenhouse. The office, sleeping room facility for staff, communal lounge and kitchen are situated in 46 Romsey Avenue. Service users each have a tenancy agreement for the self-contained property they live in. The property is situated in a quiet suburb of the town of Nuneaton in Warwickshire and close to all local services and amenities. Fch - Romsey/Winchester DS0000004487.V264629.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place on 2 December 2005 between the hours of 9:30 a.m. and 2:30 p.m. during this time the inspector had the opportunity to meet with the residents, observe the interactions between the residents, staff and their environment, taught at home and examine documents relating to the residents and management of the home. Staff members on duty were involved in the inspection process. Comment cards were received from professionals in contact with the care home, relatives and residents themselves and their comments are included in this inspection report. What the service does well: The people living in this home say that they are being supported well by the people caring for them, enabling them to live as independently as they wish. Service users expressed comments that the staff team give me the support I need that makes me feel secure and I feel safe and comfortable and like the house . The service works closely and effectively with professionals involved in the care service as part of meeting service users needs. Comments from a professional involved in the service spoke highly of the structure and caring attitude of the staff towards clients and that staff regularly keep you updated with changes and communicate very well. Comments from relatives included the staff team are very helpful and patient and we are always made to feel welcome when we visit, the staff team are very efficient and Im very happy with the way my relative is being looked after. Consultation with the people who live in this home in day-to-day issues and the development of the service is to a high standard. The service is well able to demonstrate ongoing success and achievement in meeting service users aims and objectives and the homes statement of purpose. Fch - Romsey/Winchester DS0000004487.V264629.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. Fch - Romsey/Winchester DS0000004487.V264629.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 Fch - Romsey/Winchester DS0000004487.V264629.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 The manager and staff team work closely with care managers and care professionals in the assessment of prospective service users needs to be sure that they have the skills and knowledge necessary to support and meet the individual’s aims and objectives. EVIDENCE: Two care plans were examined on this occasion. Each care plan clearly identified that a needs assessment had taken place and this included assessments from mental health services and occupational therapists. There was significant evidence of service users being involved in the assessment of their needs and of changing needs being reviewed on a regular basis. Recovery Teams and Care Programme Approach (CPA) Teams are being kept informed of changing needs and involved in the care plan programmes being developed to support needs. This includes rolling activity programs with the Recovery Team to enable service users to access activities in the community. Comment cards returned by relatives to the Commission for Social Care Inspection all stated that they are consulted about their family members care if their family member is unable to make decisions themselves. Fch - Romsey/Winchester DS0000004487.V264629.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): 9 The people living in this home are being supported to take responsible risks based on effective risk management strategies that are agreed and recorded on the individual’s care plan. EVIDENCE: On care plans examined satisfactory risk assessments were in place. This included safety in the community, mobility around the home, being alone and managing finances. There is evidence of consultation with mental health recovery teams in agreeing action necessary to protect people from harm. Risk assessments are reviewed regularly on a monthly basis between the key worker and service user. The views of service users are included as part of the risk assessment process. Aids and adaptations are in place to support action necessary to minimise risk. This includes providing a Piper Alarm system so that service users can remain independent and be alone if they wish. A comment from a service user regarding this included, I feel safe with this. All service users spoken with said that they felt safe and appreciative of the staff support to maintain their safety. Fch - Romsey/Winchester DS0000004487.V264629.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): 13 and 16 The people living in this time are being supported to maintain appropriate and fulfilling lifestyles in and outside of the home. EVIDENCE: Service users spoken with were confident and satisfied with the support being offered to them to enable them to access the community and maintain their independence. Care plans clearly identified how this support was to be offered. Service users spoken with were accessing the community either with support or without, appropriate to their needs and wishes. This included accessing banking facilities, keeping health-care appointments, shopping, and leisure and college activities. One service user was looking forward to starting a flower arranging course at the local college and appreciative of the support that will be given by the staff team initially. Staff were seen to respect service users privacy by knocking on front doors before entering their homes. Service users can access a shared facility in the home if they wish, which is linked to their individual accommodation. Service users spoke of enjoying activities together in this area, which included cooking, and craft sessions. Independence is promoted and maintained well in this home and the domestic skills of service users assessed as part of the care planning process, and identified support, promotes independence. Fch - Romsey/Winchester DS0000004487.V264629.R01.S.doc Version 5.0 Page 11 Comments received from service users and staff about activities they share together, including meals out and trips to the local theatre, cinema and restaurants demonstrates further the positive working relationships that have developed and are well established. Fch - Romsey/Winchester DS0000004487.V264629.R01.S.doc Version 5.0 Page 12 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 and 20 Personal support is being offered in this home in such a way as to promote and protect service user’s privacy, dignity and independence. The medication at this home is well-managed promoting good health. EVIDENCE: Comments from service users indicate that the people supporting them respect their privacy. Service users said that they felt safe and you get the support when you need it and this makes me feel secure Written comments received from professionals stated, the staff are supportive and caring towards clients. Information on care plans is sufficient for staff to be able to meet personal care needs in the way service users prefer or wish. A service user spoken with said that the care plan program for meeting their personal care needs was “very good”. Service users said that staff had a good understanding of mental health illness and how the support offered is specific to their individuals needs. Staff demonstrated an understanding of the individual needs of service users and the level of support necessary at times of ill health. Staff were seen to promote an independent lifestyle and discuss with service users the support they would need for the days activities. There is significant evidence of multi-professional working with occupational therapists, physiotherapists and mental health nurses in meeting the specialist Fch - Romsey/Winchester DS0000004487.V264629.R01.S.doc Version 5.0 Page 13 support requirements of service users. A service user spoken with confirmed that the support from district nurses was good. There is a well-established key worker system, which includes monthly documented review meetings between key workers and service user. The two medication records examined were up-to-date and in good order. This included a correct balance of medicine held in the home against the Medicine Administration Record, (MAR), chart and full directions and dosages being recorded on the MAR chart. There was a copy of the current GP prescription for the service user on each medicine file. Comments received from relatives shows that they are kept informed when necessary of important matters about their family member. Fch - Romsey/Winchester DS0000004487.V264629.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): These standards were not assessed on this occasion. EVIDENCE: Fch - Romsey/Winchester DS0000004487.V264629.R01.S.doc Version 5.0 Page 15 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): 24 The standard of the environment in this home is generally good and providing service users with an attractive and homely place to live. EVIDENCE: Service users live in their own individual accommodation or share accommodation with two or three other service users. All are tenants in their own right of the accommodation they are living in. Service users spoken with were very pleased with the redecoration and refurbishment that had recently taken place and this included, painting and decorating to shared areas and bedrooms, refurbishing the kitchen at 83 Romsey Avenue and installing protective covers over all radiators. Service users were appreciative of the support from staff in keeping their environment clean and fresh. They said that they felt “comfortable” and “I like my home” Fch - Romsey/Winchester DS0000004487.V264629.R01.S.doc Version 5.0 Page 16 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 The people living in this home can be sure that they are being supported by a competent and qualified staff team who have the skills and experience necessary to meet their individual and specialist needs. EVIDENCE: Service users spoken with said that the staff understood their specific needs, listened to them and said “they don’t treat us all the same” and “ we can talk to staff and plan activities with them”. There is a training and development programme in place necessary for developing staff skills and knowledge for the tasks they are expected to do and this includes, mental health awareness, behavioural family therapy, person centred planning and NVQ assessment. Staff spoken with who had attended the mental health awareness training had found this training beneficial and informative. There continues to be an active NVQ programme in place with 50 of the staff team having achieved the qualification. Staff spoke of having good working relationships with other professionals in the care service and this included Social Workers and CPN Nurses. Fch - Romsey/Winchester DS0000004487.V264629.R01.S.doc Version 5.0 Page 17 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): 39 and 42 The home regularly reviews aspects of its performance through a good programme of self review and consultation, which includes seeking the views of, service users, staff and relatives. The policy and procedures for safe working practice in this home are ensuring that service users health, safety and well-being is being promoted and protected. EVIDENCE: There is a development plan for the home, which service users, and staff have been involved in identifying. Areas for service development includes person centred planning for all service users, reviewing and updating induction for new staff, seeking the views of outside agencies involved in the care provision and updating and improving the service user guide. Service users and staff are all to be involved in action plans to meet identified targets. The key worker system in this home is based on a cycle of planning, action and review with documented evidence that this is a continuous process. Service users had been informed about this inspection visit and were able to meet the inspector in private. Fch - Romsey/Winchester DS0000004487.V264629.R01.S.doc Version 5.0 Page 18 Friendship Care and Housing, FCH, are reviewing their policies and procedures and the registered manager is reviewing and implementing local policies and procedures as part of the development plan for the service. There are effective policies and procedures in the home for ensuring safe working practice and for maintaining the health and well-being of people living and working there. All staff working in the home are trained in safe working practices, which includes, moving and handling, fire safety, first aid, food hygiene and infection control. There is documented evidence of the regular servicing of boilers and central heating systems, regulation of water temperatures, which includes control of risk to Legionella, effective risk assessment management and security of the premises. A record of any accident or injury to service users is recorded and reported to the Commission for Social Care Inspection. Fire safety is managed well and records maintained are up-to-date and in good order. Fire blankets and smoke alarms are sited in each service users kitchen and however a recent review of fire equipment in the home by outside contractors recommended fire extinguishers should also be sited in the kitchen areas. Fch - Romsey/Winchester DS0000004487.V264629.R01.S.doc Version 5.0 Page 19 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 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fch - Romsey/Winchester Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 X DS0000004487.V264629.R01.S.doc Version 5.0 Page 20 Yes. 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 Refer to Standard YA42 Good Practice Recommendations It is recommended that advice received from fire safety contractors to site a fire extinguisher in each service users kitchen is actioned. Fch - Romsey/Winchester DS0000004487.V264629.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 Fch - Romsey/Winchester DS0000004487.V264629.R01.S.doc Version 5.0 Page 22 - 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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