Inspection on 04/10/05 for Fountain View

This inspection was carried out on 4th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Fountain View 26/03/07

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 Mr Roy Bega Unannounced Inspection 4th October 2005 09:30 Fountain View DS0000055841.V255555.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 Fountain View DS0000055841.V255555.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. Fountain View DS0000055841.V255555.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Fountain View Address Upham Street Upham Hampshire SO32 1JD 01489 860112 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.V255555.R01.S.doc Version 5.0 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. 5th May 2005 Date of last inspection Brief Description of the Service: Fountain view is part of the Truecare Group centrally managed by C.H.O. I.C.E. Ltd. Fountain View is a care home providing personal care and accommodation for up to 6 male residents who have complex learning disabilies and mental health issues. 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 DS0000055841.V255555.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report summarises the assessment of the extent to which the National Minimum Standards for Care Homes for adults 18-65 were being met at the time of the inspection Standards not inspected on this occasion will be assessed during future visits. This visit took place on 4 October between the hours of 9-30 a.m. and 1-30 p.m., a total of four hours. Opportunity was taken to look around the home view records, observe the working environment and speak with residents and staff. The Commission for Social care Inspection (CSCI) has received written confirmation that the requirement from the previous three inspections with regards to external repairs and redecoration is to be carried out in the near future. Two requirements and one recommendation were raised as a result of this inspection. Ms S Corton is the registered manager and was available throughout the visit. What the service does well: What has improved since the last inspection? Training within the home has increased. Thirteen members of staff are completing the National Vocational Qualification in care in level 2, 3 or 4. The home has developed a business plan linked with the “Investing in People” scheme. Capital funding has been released to provide new furniture. Fountain View DS0000055841.V255555.R01.S.doc Version 5.0 Page 6 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. Fountain View DS0000055841.V255555.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 Fountain View DS0000055841.V255555.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): 1 and 5. Prospective residents and their representatives are provided with information they need about the home. EVIDENCE: A copy of the registered persons statement of purpose setting out the aims, objectives and philosophy of the home, its services and facilities and terms and conditions was seen. Copies of residents’ terms and conditions of residence on admission to the home were seen. They contained the required information. Copies are kept on residents’ files. The inspector was informed that when necessary, the content of the above documents is gone through with prospective residents and their representative in the language suitable for the persons’ needs and level of understanding. The possibility of making the documents available in a format suitable to residents was discussed. Fountain View DS0000055841.V255555.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): EVIDENCE: None of the standards in this section were assessed on this occasion. Fountain View DS0000055841.V255555.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): EVIDENCE: None of the standards in this section were assessed on this occasion. Fountain View DS0000055841.V255555.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 21. Residents and their representatives are assured that ageing, illness and death will be handled with sensitivity and respect. EVIDENCE: The home has an appropriate policy and procedure to assure residents that at the time of illness and death, they and their family will be treated with care, sensitivity and respect. Discussions with staff indicated that this standard would likely be met. A residents’ plan, which had been discussed with a representative identifying personal needs and wishes, was seen. Fountain View DS0000055841.V255555.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the standards in this section were assessed on this occasion. Fountain View DS0000055841.V255555.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, and 28. External of the home is not well maintained. Residents, rooms promote their independence and shared space meets registration requirements. EVIDENCE: The inspector noted the following maintenance requirements remain outstanding • External paintwork to the window frames is flaking and in places wood is rotten. • Roof tiles are missing. • Masonry around the porch of the original front entrance has fallen away. The Commission for Social Care Inspectorate (CSCI) have received past written assurance that the above said work has been authorised. In a telephone conversation on the afternoon on the day of this inspection (4th October) the company’s chief executive informed the inspector that contractors should have commenced work. CSCI received further confirmation via electronic mail from the company’s chief executive on 6 October that the work will be carried out. Fountain View DS0000055841.V255555.R01.S.doc Version 5.0 Page 14 The company’s maintenance engineer was on site constructing a temporary external covered area for residents to use as a “smoking room”. Residents are accommodated in single bedrooms. On this occasion a sample of 2 residents rooms were inspected. Bedrooms have required floor space, suitable furniture and fittings to meet individual needs and lifestyles. It was noted that residents have personalised their rooms with their own possessions. Communal space is as at the time of registration. Ms Corton informed the inspector that pending senior management approval, it is planned to increase communal space by providing a sensory room. The Commission for Social Care Inspection would view this additional facility positively. The additional facility of a sensory room could assist in meeting residents’ needs and improve their quality of life by providing positive therapy and a place of calm. It was noted that the lounge/dining room carpet fitted subsequent to the previous inspection has become badly stained. Staff informed the inspector that it has been cleaned but its colour does not help. At the time of the inspection residents chose to remain indoors or make use of the large garden. Fountain View DS0000055841.V255555.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34 and 36. In general staff have the competencies and qualities required to meet residents’ complex needs. The registered person generally operates a thorough recruitment procedure. The staff team is sufficient in numbers and well supervised to support residents assessed needs. EVIDENCE: The inspector had the opportunity to speak with and observe staff on duty. In general they portrayed knowledge of specific residents disabilities with an appreciation of and ability to balance particular and complex needs of individuals and the group. Observations and discussions indicated that the majority of staff on duty had a clear understanding of their roles, limitations and responsibilities. One member of staff told the inspector that this was their first job working with adults who have a learning disability and that they were having lessons twice a week to improve written and spoken English. It was notable that this member of staff had difficulty in understanding questions put to them by the inspector in relation to matters of providing care. For residents who have complex needs and limited communication skills, some knowledge of the client group would be beneficial and the ability of good clear verbal and written English essential. Fountain View DS0000055841.V255555.R01.S.doc Version 5.0 Page 16 Ms Corton informed the inspector that she was not involved in the interviewing of the most recently appointed overseas employees. She also informed the inspector that new staff are required to successfully complete a structured three-month induction/probationary period, which includes the Learning Disability Framework before being fully appointed. In a telephone conversation on the afternoon on the day of this inspection (4th October) the company’s chief executive informed the inspector that he would request the personnel officer to look into the suitability of the mentioned member of staff in line with company procedures. The above was confirmed via electronic mail on 6 October. Records for the most recently appointed staff were seen which included the required information. Three residents require one to one staffing. Information discussions and the available rota indicated that during waking hours five care staff are on duty and two awake staff cover nights. Ms Corton’s position is specifically managerial Monday to Friday. This level of staffing is as previously agreed to meet current residents needs. Ms Corton informed the inspector that it is proposed to employ two additional full time care staff to enhance residents’ daily activities. This is viewed as a positive move forward. Discussions and the timetable seen indicated that staff receive recorded supervision meetings every eight weeks with their manager/senior in addition to regular daily contact. The inspector was informed that staff annual appraisals are in the process of being completed. Fountain View DS0000055841.V255555.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 43. Effective quality assurance and quality monitoring systems are not in place. Residents’ benefit from competent and accountable management of the service. EVIDENCE: As part of the quality monitoring system, the company operates a policy whereby managers complete an annual audit of other units within the company. This is viewed as a positive method in self-monitoring. Ms Corton however, informed the inspector that there are not any procedures in place to seek the views of relatives, friends, advocates, service purchasers or professionals on how the home is achieving its said aims/goals for residents. It is of great importance considering resident’s complex needs and limited communication skills. The overall management of the service (within or external to the home) ensures the effectiveness, financial viability and accountability of the home. Fountain View DS0000055841.V255555.R01.S.doc Version 5.0 Page 18 Truecare Group Limited centrally manages accounting and financial procedures/systems. The manager maintains transactions within the home with regards to residents’ personal allowances, food, recreation activities etc. There is a business and financial plan fro the home, which was seen. A current employers liability insurance certificate was prominently displayed. Lines of accountability within the home and with external management are clearly understood by staff. Fountain View DS0000055841.V255555.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 3 X X X 3 Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 3 3 3 3 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 X 3 2 X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fountain View Score X X X 3 Standard No 37 38 39 40 41 42 43 Score X X 2 X X X 3 DS0000055841.V255555.R01.S.doc Version 5.0 Page 20 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. 1 Standard YA30 Regulation 23 (2 d) Requirement It was noted that the lounge/dining room carpet fitted subsequent to the previous inspection has become badly stained. This is required to be cleaned/replaced by the stipulated timescale. A system is required to be developed where the views of other persons involved in the lives of residents are sought as part of the home’s quality assurance monitoring procedures. An action plan detailing how/when this is to be met is required by the stipulated timescale. Timescale for action 15/11/05 2 YA39 24 (3) 15/11/05 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 28 Good Practice Recommendations The additional facility of a sensory room could assist in meeting residents’ needs and improve their quality of life DS0000055841.V255555.R01.S.doc Version 5.0 Page 21 Fountain View by providing positive therapy and a place of calm. Fountain View DS0000055841.V255555.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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