Inspection on 31/10/06 for Fellowes Way (49)

This inspection was carried out on 31st October 2006.

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

Fellowes Way (49) 23/10/08

Similar services:

Chesham House

Argyll House

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

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

CARE HOME ADULTS 18-65 Fellowes Way (49) 49 Fellowes Way Stevenage Herts SG2 8BS Lead Inspector Pat House Unannounced Inspection 31st October 2006 10:00 Fellowes Way (49) DS0000065469.V318097.R01.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 Fellowes Way (49) DS0000065469.V318097.R01.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. Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fellowes Way (49) Address 49 Fellowes Way Stevenage Herts SG2 8BS 01438 726886 01438 726887 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) The Robinia Care Group Ltd Lyndsey Butcher Care Home 5 Category(ies) of Learning disability (5), Mental disorder, registration, with number excluding learning disability or dementia (5) of places Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: 49 Fellows Way is a home for five younger adults who may have a learning disability or mental disorder. The home is a modern detached house sited in a residential area of Stevenage Town. The house has two floors but no passenger lift and there are bedrooms on both floors. There is a lounge, dining room, kitchen and laundry and all rooms are spacious. The staff office is easily accessible on the ground floor. There is some parking available on the front drive and parking available in the road outside. There is also a garden at the back of the house. The nearby town has good bus and rail links and provides a wide range of facilities and entertainments. The home’s Statement of Purpose is kept in the office and is available on request. Current fees for the home are £1337 per week. Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day with one inspector. This was the first inspection of the home, since its registration with the CSCI and there were three service users at home during the visit. Two of the residents were spoken with as was the staff on duty and one visitor. The Manager was not on duty on this occasion. A brief tour of the home took place and a selection of records was examined. What the service does well: 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. Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 Page 6 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 Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 Page 7 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): Standards 1,2,3,4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users can be sure that the home will meet their individual needs as they receive detailed information, have full assessments completed and have the chance to visit the home before moving in. EVIDENCE: The home has a detailed written Statement of Purpose/Service User’s Guide which staff said was given to all new service users and families. Records examined showed that a new resident had visited the home twice before moving in and there were written assessments on service user files from referring agencies and from staff at the home. Service user records also contained signed contracts between the home and individual residents. Earlier in the year, the Manager had informed the CSCI of various incidents relating to one service user and this young man has now moved out of the home, as his needs could not be met appropriately in that setting. Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 Page 8 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): Standards 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. Detailed records showed that service users are supported to make their own decisions about their lives although risks are also identified and monitored. Residents’ care plans are regularly updated so that staff are aware of individual changing needs. EVIDENCE: Two service users’ care plans were checked and were very well documented, containing all appropriate details in a clear format. Key workers were named, inventories of possessions signed and there was evidence that service users were involved in completing the plans. Support plans had good reviews noted and there were detailed risk assessments in place, again with reviews noted. All service users have up to date photographs on file and staff said that families are given letters asking for details of wishes regarding serious illness and death. Staff spoken with said that they have begun to update care plans in line with guidelines for “Person Centred Planning”. Staff spoken with also gave examples of how they worked with the residents to ensure they made their Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 Page 9 own decisions about their lives and individual choices were recorded in plans, along with risk assessments where appropriate. None of the staff at the home take charge of residents’ personal allowances, although one service user is accompanied by a support worker to withdraw cash from his account. Mostly, relatives handle the residents’ finances and bring in pocket money to the home. Where this is handled by staff, records and receipts are kept. Audits of cash held take place at each staff shift “hand-over” session. Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12,13,15,16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures in the home ensure that service users have the opportunity to take part in a wide variety of activities and maintain relationships with family and friends and are able to fully take part in local community life. Care staff support residents to enjoy their own choice of food and maintain a healthy lifestyle. EVIDENCE: There were three service users in the home during the inspection. One other resident was attending college and one was undertaking work experience. All residents have an individual weekly activity programme displayed on a notice board and there are staff rotas for house “outings”. One service user has guitar lessons and residents attend “Leisure Direct” sport sessions and staff said there are regular day trips out. In the bedroom of one service user there were certificates from attendance at a Photography Course and for Fire Safety training. Staff said that there are DVD nights organised for residents and evenings when board games are played. One resident said he was looking Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 Page 11 forward to a planned long weekend to Skegness with staff. During the inspection a visitor from “Connections” called to see one fairly new service user whom she was helping to make future plans. This visitor felt the resident had settled well into the home and was now looking to start voluntary work and do a part time training course. Staff said that all current residents had family visits and that one resident had regular visits from his friend. Service users spoken with said that staff always treated them with respect and knocked on bedroom doors before entering. All service users have keys to their doors and all take responsibility for keeping their rooms clean. Residents also have allocated tasks in the home including laundry and plant care duties. All service users cook individually and each has a fridge and freezer space. Weekly shops are planned individually and three residents go shopping independently. Staff complete food and fridge and freezer temperature checks and these are recorded. There is a dishwasher in the kitchen to ensure utensils are kept clean and hygienic. Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. Procedures in the home ensure that service users’ health is promoted and protected and that service users’ health needs are met in the way they prefer. EVIDENCE: Service users spoken with confirmed that they chose their own clothes and bedtimes and had both male and female staff to offer support. Records showed that the residents’ health care was monitored and referrals to other professionals were made when appropriate. Service users are encouraged to maintain their own personal care and mouth care was documented in care plans. Three current residents are self-caring and two require more staff support. This support is detailed in individual plans. The system for administering medication was checked and all records were well documented. None of the residents take charge of their own medication, but are assisted by staff to monitor what is taken. Some general paracetamol is used, and this is appropriately documented. It was commendable that almost all the medication taken by service users was “non-prescription”, but it was felt that the home’s Medication Policy needed expanding to take account of this. Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 Page 13 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): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s policies ensure that service users are protected from abuse and have their concerns listened to. EVIDENCE: The home has written policies for the Protection of Adults and for Whistle Blowing, which staff said they were aware of. Care staff have all received training in these areas and Adult Protection training is included in Induction training. The home has a detailed Complaints Policy, and residents spoken with confirmed they would no hesitate to voice a concern to staff if they had any. Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 Page 14 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): Standards 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well maintained, clean and hygienic and provides a comfortable and safe environment for the residents to enjoy. EVIDENCE: The home is extremely attractive and well kept and all rooms are large and bright. Service users’ bedrooms are spacious and were full of residents’ personal possessions. The dining room has music equipment in it and a snooker table and the lounge has Sky television. The whole house is very well decorated. There is a maintenance book in which staff enter any repairs needing attention and details are faxed to the home’s Head Office weekly. A Maintenance worker visits weekly and completes the necessary work and also maintains the garden. Domestic tasks are undertaken by the residents and the night and day staff and all parts of the home were clean and in good order. Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 Page 15 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): Standards 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the home’s sound recruitment policy and by a group of well trained staff. EVIDENCE: The service users spoken with praised the care staff in the home and said they were always accessible and approachable. Staff training is made a priority and a training overview was seen and showed that mandatory staff training was up to date. Staff had recently completed Fire Safety training and all staff have had training in Adult Protection and Whistle Blowing. All Team Leaders are “First Aiders” and all staff have completed basic First Aid training. All new staff have two weeks of Induction training and this takes place at the Head Office. Staff are encouraged to undertake NVQ training and numbers of staff with this qualification will be checked at the next visit. Residents spoken with felt that there were always adequate staff numbers on duty and shift times overlap to give time for meaningful “hand over” sessions. One recruitment file was examined and evidence of all appropriate checks were in place. There were up to date staff photographs on files and appropriate references in place. It was recommended, however, that the application form Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 Page 16 be reviewed as it contained inadequate space for an applicant to record their work history. Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 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. Procedures in the home ensure that residents are able to have input to the running of the home and are protected by safe practices and good management. EVIDENCE: The Manager was not on duty during the inspection but staff in the home were fully aware of policies and procedures and were clearly involved with how the home was run and felt all the staff worked as a team. The staff spoken with felt supported by the management and levels of staff supervision were very high and some formal supervision records were seen documented. The home will follow the Quality Assurance procedures established from Head Office, although the home has not been open long enough for many of these systems to have been implemented yet. However regular service user meetings take place and minutes of these are recorded. Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 Page 18 All appropriate Health and Safety checks were being recorded and water temperatures for the whole building are documented weekly. Fire safety checks and drills take place regularly and fire risk assessments have been actioned. Windows are fitted with restrictors and fire doors are fitted with Door Guards. Risk Assessments have been completed for all chemical substances. Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 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 x 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 x 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 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 Page 20 N/A 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 Fellowes Way (49) DS0000065469.V318097.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Hertfordshire Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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. 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