Inspection on 26/03/07 for Fountain View

This inspection was carried out on 26th 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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fountain View 04/10/05

Fountain View 05/05/05

Fountain View 26/01/05

Fountain View 20/07/04

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 Fountain View Upham Street Upham Hampshire SO32 1JD Lead Inspector Christine Walsh Unannounced Inspection 26th March 2007 13:00 Fountain View DS0000055841.V329079.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 Fountain View DS0000055841.V329079.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. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Fountain View Address Upham Street Upham Hampshire SO32 1JD 01489 860112 01489 860965 fountainview@truecare.co.uk 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) Truecare Group Limited Ms Sandra Corton Care Home 6 Category(ies) of Learning disability (6), Mental disorder, registration, with number excluding learning disability or dementia (6) of places Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users in the categories MD and LD may be admitted between 18-55 years. Service users may only be accommodated in category MD if they are also accommodated by reason of LD. 4th October 2005 Date of last inspection Brief Description of the Service: Fountain View is a care home providing personal care and support for up to 6 male residents who have complex learning disabilities and mental health needs. The home is located in the village of Upham, close to local amenities. The house is a two storey detached property with car parking for several vehicles and stands in a one acre garden. Residents are provided with single bedroom accommodation, one of which has en- suite facilities. Fountain view is part of the Truecare Group centrally managed by C.H.O. I.C.E. Ltd. Fees range from It has been requested on four occasions that the home provide the Commission for Social Care Inspection its range of fee, this was requested on the pre inspection questionnaire, at the time of the site visit and twice by phone. The commission must receive this information without delay. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This site visit formed part of the key inspection process and was carried over two split days by Mrs C Walsh, regulatory inspector. As part of the process of obtaining information we spoke to manager and deputy manager, residents and staff. In addition a NVQ assessor (National Vocational Qualification) and the services training manager were met with. On the second day of the visit a quality audit (regulation 26) was observed taking place. A tour of the home took place with the assistances of the residents who were happy to allow us to view their bedrooms rooms. What the service does well: The home does very well in all areas of its care and support, developing a person centred approach to do this and by recognising the residents as individuals with individual needs and rights and encouraging them to take control over their lives as far as feasibly possible. This was demonstrated through the quality of the assessment and transition process, resident’s personal plans, risk assessments, resident’s involvement in developing their plans and their reviews and interactions between residents and staff. The residents are encouraged to make decisions about their daily and future needs and are offered opportunities to develop everyday life skills, experiences and new challenges. One resident said: “I like living at Fountain View because I feel safe here” The manager and her staff do very well to ensure the residents are supported in all areas of the physical and mental health care needs. The home has good links with a number of health care professionals including primary and specialist health care teams. In the main the home provides a safe environment for the residents, where risk assessments are undertaken, residents are reminded of potential risks when undertaking daily activities and where staff undertake abuse awareness training and have checks undertaken on them before commencing employment in the home. Fountain view is a large house, situated off a country lane in Upham, a small village in Hampshire. It benefits from large grounds, country views and a Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 6 family size swimming pool. The home can accommodate up to 6 residents who have their own bedrooms and easy access to sufficient numbers of bathrooms and toilet facilities. The home is tastefully decorated, comfortable and clean and tidy throughout. The manager does well to appoint staff with good skills and values to undertake their roles and responsibilities. The staff undergo a robust recruitment procedure including an interview and providing all necessary checks before commencing work in the home. The staff receive a comprehensive induction and training package and are encouraged to further their skills and knowledge by undertaking a national vocational award (NVQ) and staff receive regular support and supervision to ensure they are meeting their own personal goals and objectives and those of the residents. In the main the home protects the residents form environmental hazards by ensuring all staff receive up to date training in health and safety procedures including fire safety and that all serviceable utilities are regularly serviced and fire fighting equipment and appliances meet the Fire safety regulations and standards. What has improved since the last inspection? Following the last visit to the home two requirements were made, the manager had to replace the flooring in the lounge dining room and implement a quality system that seeks the views of the residents and others. Both these requirements have been met or are in the process of being met. The flooring in the lounge, dining room has been replaced since the last visit but it is in need of replacement again. It has been agreed by the company that the home can purchase a specific hardwearing floor covering. The manager and staff have improved, and plan to continue to improve the communication systems in the home to support residents to express their views and make choices. An annual development plan identifies the need to improve in this area of quality monitoring and how they are going to go about it. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 7 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. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 8 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 Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 9 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home does well to undertake a thorough assessment process to ensure it can meet prospective residents needs. EVIDENCE: As part of the inspection process two residents personal records were viewed and both the manager and deputy manager were met with. The home is currently running with a vacancy following the discharge of a resident whose needs the home feel they could not longer support. The manager said the decision was made after every avenue of support had been exhausted and an extensive review process had taken place. This demonstrates the home takes seriously the needs of the individual resident and others living and working in the home. The manager described the homes assessment process, which is thorough and includes obtaining an assessment from the placing authority, meeting the prospective residents and their next of kin (Where appropriate), assessing their specific health and welfare needs and their compatibility with existing residents. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 10 The residents are given an opportunity to visit the home prior to transition which is carried out at their pace. A resident said: “I made a visit to the home before I moved in and thought it was very nice”. Another resident said: “My mum was given information about the home and we looked around together” Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 11 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. The residents have a personal plan that reflects their assessed and changing needs, and personal goals. The home is proactive in supporting residents to make choices and decisions about their daily lives. The residents are supported to maintain an independent lifestyle within the risk management framework, which in the main protects the residents from potential risk of harm. EVIDENCE: As part of the inspection process two resident’s personal plans and other relevant documents were viewed and the residents, the manager and two staff were met with. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 12 The manager discussed the homes philosophy regarding the residents’ individual rights, the importance of empowerment, how the home identifies and supports each resident’s individual strengths and needs and how this is fed back to staff through the use of descriptive and specific care plans, daily records, daily handovers and meetings. Interactions between the residents and staff, and how the residents’ personal plans have been written demonstrates the home is working towards a person centred approach and respects the diverse needs of the residents. There was evidence of personal plans being reviewed monthly with the resident and their keyworker, and overseen by the manager; changes to their strengths and needs are clearly recorded and agreed with the resident where possible. This demonstrates that there is a proactive approach to meeting the residents needs and requests. A resident said: “I look at my plans with my keyworker” A resident said that he was aware of his personal plan and where it was kept. The manager said the residents can have access to their plans when they wish. The resident’s plans are very detailed and specific, make reference to the specific standard and for each care plan and a risk assessment supports the care plan, this is seen as very good practice and provides a very good guidance tool for staff, however the plans are not written in an accessible format or person centred for the residents. The manager is advised to consider empowering the residents further by making personal plans more accessible for the resident. Residents are encouraged to make choices and decisions about their daily lives and the introduction of a person centred approach will assist both residents and staff to jointly plan their future dreams and aspirations. The home is working towards improving its communication systems to assist residents who have limited communication and comprehension skills to make decisions and choices. A number of good examples were already available such as picture menus; picture rota’s, Makaton symbols. A number of residents communicate through specific signals and behaviours to express their needs and wishes, staff receive comprehensive training in communication and managing challenging behaviours. A resident commented: “I make decisions about where I would like to go in the day”. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 13 Where restrictions are placed on residents that impinge on the resident’s rights the home, where possible, seeks the agreement of the resident. The manager said restrictions are only placed on residents if there is a concern that they are at risk to themselves or others. A number of examples of these were seen and the manager was able to provide evidence that restrictions are only put in place once they have been agreed with other people involved in the support and care of the resident such as health care professionals. Risk management plans and behaviour intervention plans clearly detail the potential risk, how to minimise the risk and the staff’s roles and responsibilities in protecting and ensuring the safety of the resident. The staff who were spoken to were very clear when asked what their responsibilities are and said as keyworkers they are very much involved in the development and review of the residents personal plans, risk assessments and ensuring the residents needs, wishes and personal goals are supported and achieved within a safe environment. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 14 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): 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. Fountain View is an active and lively home where the manager and staff are aware of the rights of the residents and encourage them to take an active role in their local community, take part in appropriate age and peer social and leisure activities, maintain and develop relationships with others and eat healthily. EVIDENCE: As part of the inspection process comment cards received from residents were viewed, and three residents, the manager and two members of staff were spoken to. On the first day of the visit there was three residents present in the home during the day whilst other residents were attending day services and other activites outside of the home. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 15 It was noted by reading personal plans and seeing accessible notices around the home that the residents are supported to take part in daily household chores such as cleaning the house, cleaning their own rooms and meal preparation. The deputy manager said in house and leisure activities are planned around the resident’s weekly activities and in agreement with the resident. A resident said that we could view his room, he said; “I like my room and I like keeping it clean and tidy”. Both residents said they felt they had plenty of things to do and to occupy them, one said how much he enjoyed horse riding, playing golf and another said: “The staff take me out and they also play games with me” The home has its own heated swimming pool, which the residents can use in the warmer months of the year. The staff spoke enthusiastically about the pool and the fun they have supporting the residents to use it. Through viewing residents personal plans and speaking with some of them, the manager and staff, it was evident that the residents are supported to continue to maintain important relationships with family and friends. The manager demonstrated through discussion that the ethos of the home is led by the rights of the residents using a person centred approach, their rights are promoted through consultation, advice and informed choices. This was observed at the time of the visit. The home supports residents who at times challenge the staff’s understanding and who have the potential to harm themselves and others. It was noted and referred to earlier that specific actions taken by the home such as to daily search a residents room or lock the main gates to the entrance of the home can appear to impinge on the residents rights. The manager and staff were able to demonstrate that restrictions are made jointly with other professionals and where possible the agreement of the residents to protect them and others. On day one an external national vocational qualification assessor (NVQ) was visiting the home. She said that Fountain View was one of the nicer homes she visited and that staff always demonstrate respect and understand the importance of supporting the residents to make decisions and choices and have a say in what goes on in their life. She also said she had seen many improvements in the delivery of care and support in the last year. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 16 All residents are encouraged to eat healthily, to help menu plan, with aid of pictorial communication prompts and make choices, an alternative it provided if they do not wish to have something on the menu. Residents said the meals were very good and they could choose what they wanted to eat. Another with limited communication demonstrated through behaviours and gestures that he was thoroughly enjoying a lunchtime snack. The manager said if they were required to they would support residents who require special diets, seeking the support of health care professionals if necessary and provide training for staff. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 17 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 supports residents in the way that they wish with their personal care. Positive relationships with health care providers ensure residents physical and emotional health care needs are met. The home has safe systems in place to support residents with their medication. EVIDENCE: As part of the inspection process two residents personal plans were viewed, the manager staff and residents were spoken with the homes procedures for the safekeeping of medications were viewed. Personal plans clearly explain how residents wish to be supported with their personal, health care and psychological needs. The plans are written clearly and precisely allowing staff at a quick glance to know how to address the residents and support them with their daily needs. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 18 A resident informed the inspector that he liked the staff and found them helpful when he needed their help. Another resident said: “They help me do things”. Each residents’ personal plan records in specific detail appointments attended with various health care professionals, the outcomes and actions required by staff. These include appointments with the GP, dentist, psychologist, and specialist community nurse (CPN’s/DN’s) and chiropodists this allows for a consistency of care. A resident said: “If I don’t feel well I will see the doctor or nurse”. The manager spoke highly of the support received from the specialist health care team, especially at times when residents experience acute stages of illness. The home has safe systems in place for the administration of medication. The home uses a nomad system that is prepared by a local chemist. The manager has a very good audit trail for receiving, administering and returning medications, these were seen to be in good order and there was no over stocking of medications. Where it has been possible the manager has obtained signed consent from the resident in respect of them taking their medication. This also demonstrates that the home is considering the rights of the residents. Staff are trained to administer medications but do not support residents with their medication until the manager deems them competent and they feel comfortable doing so. The home supports a number of residents who can express themselves sometimes inappropriately through their behaviours, showing signs of agitation and aggression. The home has very good intervention strategies for calming the individual residents, however as a last result the home will use an “As required” (PRN) medication. Clear plans are in place detailing what steps the staff take before administering medication and this is done in joint consultation with a senior member of staff or manager and the behaviours written up in detail for monitoring purposes and for reviews. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 19 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. The home does well to listen to the views of the residents and in the main protects them from potential risk of harm. EVIDENCE: As part of the inspection process the manager, two residents and staff were spoken with, and the homes complaints procedure, staff training records and comment cards received from residents were viewed. The manager provides an open and inclusive environment where residents feel comfortable to approach the manager and staff to air any concerns they may have, except for some residents who find difficulty in expressing their concerns other than through their behaviours, which may not always appear appropriate. The manager is aware of the importance of the staff understanding resident’s individual communication styles and to ensure all types of communication and behaviours are met appropriately. The home has a clear and specific complaints procedure, which details what and whom they can speak to if they are unhappy including the Commission for Social Care Inspection, although the current complaints procedure is not in an accessible format for all, especially those with cognitive and sensory disabilities. The manager is aware of this and plans to develop a pictorial aid. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 20 The manager said the home holds regular meetings where residents have an opportunity to express their views, ideas and concerns. When asked do you know who to speak to if you are not happy? A resident said: “I will speak to a member of staff or the manager”. Another resident stated in a comment card: “I know what forms to ask for” The home has access to all appropriate policies and procedures on protection of vulnerable adults and provides training for staff. Training in abuse commences at the time of induction and includes the principles and core values of care. This is further covered when staff undertake a national vocational qualification (NVQ). The staff who were spoken to were clear on what constitutes abuse and what they would do if they witnessed inappropriate behaviours. This demonstrates the home takes seriously the need to protect the residents from potential risk of harm. The home supports residents who at times will demonstrate behaviours that challenge the understanding of the staff and others around them, at times these behaviours require staff to intervene to protect the resident from harming themselves and others. The home has developed with the support of health care professionals individual and specific intervention plans, these provide guidance for staff. The manager and the services training facilitator for managing challenging behaviour said staff are trained to use passive responses and only use physical restraint when every other avenue to calm the resident has been exhausted. Written in bold on each intervention plan clearly reminds staff that physical interventions should always be the least restrictive and for the shortest period of time. The staff spoken to said they receive training in challenging behaviour, which is person specific where appropriate. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 21 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, 25,27 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents live in a homely, comfortable and welcoming environment for the residents to live, although some areas of the home are in need of redecoration. The residents’ bedrooms are clean and personalised to reflect their personalities, lifestyles and needs. The home is kept clean and tidy throughout. EVIDENCE: As part of the inspection process a tour of the home was undertaken, and with the permission of the residents their bedrooms were viewed. Fountain view is a large house, situated off a country lane in Upham, a small village in Hampshire. It benefits from large grounds, country views and a family size swimming pool. The home can accommodate up to 6 residents who Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 22 have their own bedrooms and easy access to sufficient numbers of bathrooms and toilet facilities. The home is tastefully decorated, comfortable and clean and tidy throughout, although there are areas if the home that require redecorating and replacement of carpets, especially in the lounge and dinging room area. The services training facilitator who was visiting the home to undertake a quality audit identified the hallway and the floor covering in the lounge as requiring attention also. Following previous visits to the home the manager has been required to replace the carpets in the lounge and dining room. This was done but still requires further replacement. The manager said that alternative flooring was on order. This was identified as a need in the manager’s annual quality audit and development plan, including new furniture and furnishings. The manager spoke of the great fun the residents get from using the house pool and the grounds in the summer months. The pool is currently undergoing checks and the manager has to complete a comprehensive risk assessment and place staff on specific training before resident can start to use the pool. This was also brought up and discussed at length during the quality-monitoring visit. The home is advised to re look at its current accessibility, the ramp to the front door and back entrance is not flush with the threshold which could potentially place residents with limited mobility and staff at risk of tripping, falling and injuring backs. Each resident has a room of their own that is tastefully decorated, comfortably furnished and personalised to reflect their personality, hobbies and interests. A resident said: “I really like spending time in my room and listening to my favourite music”. The home has sufficient bathrooms that are within easy access of the resident’s bedrooms; a ground floor bathroom has an en suit facility. This bathroom was noted to be in need of some refurbishment and decoration, the manager said the resident has the opportunity to have the bathroom fully refurbished with new bathing facilities, but she is reluctant to give the go ahead for a full refurbishment as this would cause unnecessary upset and agitation for the resident. The manager must make the necessary arrangements to have the bathroom redecorated and fitted with new taps and new flooring. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 23 The home was clean and tidy through out; a resident said he enjoyed keeping his room clean and tidy and showed pride in doing this. A member of staff said the residents are encouraged to clean their rooms and help around the house. The home has good procedures in place to prevent the spread of infection. Staff have access to disposable gloves and aprons and infection control training. Training records viewed and the staff spoken with demonstrated that staff have received training and that they appeared to know the importance of good hygiene, the prevention of cross contamination and spread of infection. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 24 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. The residents are supported by competent and qualified staff, who receive regular, updated and specific training to meet their individual. The home does well to support and protect the residents by using robust recruitment policies and procedures EVIDENCE: As part of the inspection process training and recruitment records were viewed and the manager and staff were spoken with. The manager ensures her staff receive appropriate training. This has enabled the staff to be equipped with the right skills and understanding to carry out their roles and responsibilities. Over 60 of the staff have a national vocational qualification (NVQ) and the staff are supported to complete the Learning Disability Award Framework (LDAF), a leaning disability specific induction programme. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 25 At the time of the an external NVQ assessor was met with, who said the manager was very good at encouraging and supporting her staff to undertake an NVQ and the majority of staff she has assessed have done very well. A member of staff said: “I can’t fault the training, it is very good and specific to what we do”. Staff spoken with said they underwent a thorough recruitment process that included completing an application form, attending an interview, providing two references and identification. The manager said staff do not commence work until a Protection of Vulnerable Adults (POVA) has been received, staff then start a corporate induction programme and are shadowed in the home until their Criminal Bureau Record check (CRB) has been returned. Recruitment records are held with the company’s human resource department, the Commission for Social Care Inspection (CSCI) has agreed this and the manager holds good records to demonstrate checks have been made for her staff. The level of training received in the home is of a good standard, staff receive regular mandatory training such as fire safety, food hygiene, health and safety and infection control, and training specific to the needs of the residents such as medication awareness, person centred planning, challenging behaviour and diabetes. A training manager and facilitator spoke at length of the services managing challenging behaviour training, how this training is delivered, resident specific and how it is regularly reviewed and updated. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 26 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. The service user benefit from a well managed home, by a manager who is experienced and qualified to run the home. Residents, relatives and others are supported and encouraged to express their views. The manager and staff in the main protect the health, safety and welfare of the residents. EVIDENCE: As part of the inspection process residents comment cards were viewed and the manager, staff and residents were spoken to. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 27 The second day of the visit was I spent mainly with the registered manager who demonstrated through discussion and the systems that she has in place to be a competent and appropriately qualified manager to manage the home. A resident said: “Sandra is very nice, she helps me” A member if staff said: “Sandra is a good leader, she is a good listener and is available when you need her”. A requirement was made following the last visit to undertake a quality audit of the service, which was to include resident’s views this has been met. The home has developed some communication aids to assist this process and residents are encouraged to take part in meetings, including staff meetings. All staff have recently completed a quality questionnaire and regularly attend team meetings. A development plan is in place with clear objects of how they must be met. On the second day of the visit the training manager visited the home to undertake an unannounced quality audit. The audit was comprehensive and covered all aspects of management of the home, including residents, staff and environment and health and safety. The audit was undertaken with the manager who demonstrated professionalism and honesty. The audit covered a number of areas identified through the inspection process adding evidence to the above outcomes for the residents and areas requiring further viewing such as health and safety. The home supports residents with their finances and keeps clear records of income, expenditure and balances. The records of three residents were viewed and showed the home carries out good accounting including obtaining receipts. Where residents are able they are encouraged to manage the expenditure of their own money. Staff receive regular support and supervisions and a senior member of staff told me that he had attended a course of supervisory and appraisal management and now takes on the responsibility of supervising care staff. All areas of health and safety including fire safety, training of staff and maintence was covered comprehensively during the quality monitoring visit. One area of concern identified at the time of the visit was the maintenance of the swimming pool and the new legislation in place that requires training for staff including life saving. As mentioned in the Environment standard 24, the manager must ensure the access and exits to the home are safe for both residents and staff to prevent potential risk of injury. Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 28 Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 29 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 X 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 2 25 3 26 X 27 3 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 3 3 X LIFESTYLES Standard No Score 11 X 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 3 X X 3 X Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 30 Are there any outstanding requirements from the last inspection? No 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. 1. Standard YA24 Regulation 23 Requirement The home must redecorate and make good the downstairs hallway and entrance area. The home must redecorate and replace fittings to the en suit downstairs bathroom. The home must improve the accessibility and exit of the main entrances to the home to ensure the safety of residents and staff. Timescale for action 31/07/07 2. YA27 23 30/06/07 3. YA42YA24 23 30/06/07 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 Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 31 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 Fountain View DS0000055841.V329079.R01.S.doc Version 5.2 Page 32 - 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. 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