Inspection on 28/07/05 for Fullwood House Limited

This inspection was carried out on 28th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Fullwood House Limited 14/08/07

Fullwood House Limited 06/06/06

Fullwood House Limited 31/01/06

Fullwood House Limited 07/03/05

Fullwood House Limited 19/05/04

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

CARE HOME ADULTS 18-65 Fullwood House 65/67 Lord Haddon Road Ilkeston Derbyshire DE7 8AU Lead Inspector Brian Marks Unannounced 28 July 2005 9.00am 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 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 Stationary 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. Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Fullwood House Address 65/67 Lord Haddon Road Ilkeston Derbyshire DE7 8AU 0115 9323469 0115 9179752 fullwood.house@ntlworld.com Fullwood House Limited, Philip Nigel Weston (RI) Mary Murray Barrett PC Care Home only 10 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Category(ies) of 10 places - MD Mental Disorder registration, with number of places Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None stated Date of last inspection Brief Description of the Service: The home was opened by the current provider in January 2004, following the building being extensively refurbished and modernised. The Home is situated close to the centre of Ilkeston town centre. It provides accommodation for 10 Adults who have long-term mental health problems, requiring support and rehabilitation. The Home aims to move Service Users on to more independent housing in the long term. All bedrooms offer single person accommodation, with ensuite facilities. There is also extensive communal space that allows for large or small group interaction and activities. Links have been made with local services and professionals to assist with the rehabilitation and therapeutic process. Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit that took place at the home over a morning. Additionally, time was spent in preparation for the visit, looking at previous reports and other documents. At the home, apart from examining documents, care files and records, time was spent looking around the building and speaking to 6 of the residents who were at home, and to the manager and staff. The inspector spent a specific amount of the inspection concentrating on the care arrangements for the 3 residents, including the 2 most newly arrived, to test out many of the Standards. What the service does well: Fullwood House offers its residents domestic style living in a community setting and aims to help people overcome previous difficulties by giving them encouragement to look at their lives positively and to make progress to a more independent life. The home has made links with local services and facilities that help people who have poor mental health, and has also helped residents to use local ‘ordinary’ facilities in the same way as everyone else. The staff group work flexibly to help the people who live at the home and activities take place both inside and outside the home with each individual’s needs in mind. Following a detailed assessment of the type of problems people have had, the staff provide care and support in a structured and planned way and the documentation they use makes sure this is given consistently and safely. The residents spoken to reported that staff had time to talk with them privately and that they also had time with outside professionals as well, who worked alongside the staff group. The home had been converted to make a well arranged environment and is comfortable and modern looking and suits the choice of the residents; furniture, fittings and decoration are to a high standard. The residents spoken to commented favourably about the other comforts of the home such as the food, leisure activities and an annual holiday with staff support. Residents spoken to expressed high levels of satisfaction with the home’s service – ‘It’s relaxed, you can have a laugh and a joke’ ‘I’ve had a weight lifted off my shoulders since I came here’. Staffing levels are set above the minimum standard and they receive good levels of support from both their colleagues and the home’s managers. They are committed to the work and residents at the home and relationships were described as positive – ‘Staff are very freindly’..’They care for me’. General management and administration were well organised and the staff spoken to said that it was a good place to work where everyone helps everyone else. Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 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. Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 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 standard(s) 2 and 4 Because information is obtained at an early stage, the residents are cared for in a planned and consistent way as soon as they move into the home. Information is provided by a number of people, and prospective residents are able to try out the home before move in. EVIDENCE: The care records of the two most recently admitted residents were examined in detail and these contained a number of documents including a detailed ‘rehabilitation risk assessment’ which contained details of the important areas of the person’s life and ways in which they could be helped. These were made as part of the admission and matching activity that occurred before they came to the home, and were provided by all the people involved with the person, and completed by a member of staff at the home. Where the person was part of the statutory mental health system, an additional assessment document was provided to meet the requirements of the law. The residents spoken to described how they had been able to visit the home and to meet other residents and staff, before deciding to move to the home; one had had an overnight stay and had been able to experience the standards of care at the home directly. Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 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 standard(s) 6, 7 and 9 Detailed individual plans have been developed at the home so that support can be given consistently, and the welfare and safety of residents maintained. Residents are actively encouraged to make decisions about their lives and are supported to develop opportunities that may help move on to more independent ways of living. EVIDENCE: The care records examined indicated that residents have an individual care plan, put together from the assessments that had taken place. This included aspects of personal and health care activity, and indicated that support is offered safely and consistently. Although the care plans of the new residents indicated a system for them to be looked at monthly and revised, if necessary, the records of an established resident did not contain any evidence of this occurring. This would make sure that support was being given in ways that were based on up-to-date information. The manager reported that this resident was subject to a legally required review outside the home, usually with a psychiatrist, and that those meetings had taken place regularly. The residents themselves were involved in preparing the care plans but not all had indicated this with their signature. Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 Page 10 The residents spoken to felt that the style of the home was flexible and relaxed, and that they had all chosen the home for themselves. The ability to decide on their own lifestyle was also confirmed, although they all said that staff were around to help when they were needed – ‘They do as much for you as possible’. They all made favourable comparisons with life at other establishments and previous experiences of independent living – ‘The don’t treat you like children here’ ‘I can go out when I want and I have a key to my room. The kitchen isn’t locked and I can make a drink when I want one’. As described above detailed assessments of the areas of concern in the resident’s life were the basis of the written care plan, and these were clear, comprehensive and, as staff reported, easy to follow. They allowed support and supervision to be given in consistent and safe ways. Because of past problems they have experienced, some residents allow staff to place limits on some of the things they do. This is agreed for reasons of long-term safety and welfare and is planned for before they come to the home and written into their care plan. Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 12, 13, 14, 15 and 16 The residents are encouraged to take part in a number of activities, both inside and outside the home, and have an extensive social network. This allows them to become more independent and to lead more satisfying lives. EVIDENCE: All residents have been encouraged to participate fully with activities inside and outside the home, with varied success depending on individual inclination and motivation. Activities and services that the home has made contact with range from ‘drop-in’ and structured day centres, the local college to a local church. The most recently admitted resident was continuing to attend a centre in Derby and travelled there independently by taxi. Within the home staff arrange more informal activities such as yoga, craft activities, bingo and oneto-one time involving both formal and informal discussions. There is a computer available for resident use and 1 has done so irregularly. Residents also make use of the facilities within the town centre, in small groups or on their own. The local pub and high street shops are visited regularly and others go out for walks in the park or with staff on specific Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 Page 12 shopping trips elsewhere such as the ‘car boot sale’. Within the home most had their own televisions to watch in their bedrooms and one resident spoken to was a very keen reader. All residents spoken to gave a clear impression that they themselves decided how to spend their time and were given help by staff if they needed it. Those with family contacts had been encouraged to keep them and 1 resident described how he had regularly visited his mother in Derby since he had lived at the home. The routines they followed were their own and they all felt that their privacy as individuals was respected and that they also had to respect the requirements of the other residents. ‘I can stop people coming into my room if I want to’ ‘I like living in a group but sometimes it gets on top of me and I go out for a walk’ ‘It’s a home from home, there are boundaries not rules’. Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 Page 13 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 standard(s) 18 and 19 The people living at the home have low physical care needs and they are encouraged to care for themselves as much as possible. They have all had regular access to health care specialists who help them with maintaining a stable level of mental health. EVIDENCE: None of the residents have high physical care needs but the care records indicated that some needed occasional prompts to maintain standards, particularly if their emotional condition was lowered. Generally self-care skills are high, although those that require medication have opted for this to be managed by the home’s manager. For some, self-medication is a particular long-term aim as part of progress to more independence. Records examined indicated that the residents receive good support from local health services, both for physical needs and specifically for people who have mental health problems. Most see a psychiatrist at the local clinic and community nurses are regular visitors; other health care professionals, such as a Speech and Language Therapist had been involved for specific assessments and treatments. One resident spoken to talked about the physical health problems he had recently experienced, and about his visit to the local community hospital. The home is supported by the outside professionals to actively help people with their emotional and mental health problems in a Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 Page 14 variety of ways. Staff help people to achieve progress by physical interventions with medication, systems of managing poor behaviour and by helping them experience a positive lifestyle within a setting that is noninstitutional and ‘ordinary’. Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 Page 15 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 standard(s) These standards were not specifically assessed at this inspection, other than to establish that a requirement from the last regarding service user’s money (Standard 23.6) had been completed. EVIDENCE: Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 Page 16 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 standard(s) 24, 26 and 30 The home is equipped, furnished and maintained to a good standard and offers homely and spacious facilities for residents to enjoy. This is both a valued and valuing environment in which to live and work. EVIDENCE: The home is 2 converted buildings with gardens to the front and rear, situated on a residential side road, adjacent to the town centre of Ilkeston. As the home opened in early 2004, after a complete refurbishment, there has been no need for redecoration and the home remains in good condition, well equipped and furnished in a modern style. The overall impression of the building is of one that gives good levels of space and comfort to the residents and receives regular attention to maintenance. The residents spoken to stated that they enjoyed their own rooms and that they were large enough and furnished to their liking; one did comment on the lack of a reading light, which he found inconvenient. Standards of cleanliness and hygiene are high and the residents were all well dressed in clean and appropriate clothing. Replacement equipment had recently been bought for the laundry room, which was used by residents accompanied by staff. Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) None of these standards was specifically looked during this inspection. EVIDENCE: Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37 The home is well managed with administration systems that support the care provided and allow it to be given consistently. EVIDENCE: The manager is currently completing a Registered Managers training course at National Vocational Qualification (NVQ) level 4, as is required by the law, and has continued her professional development by attending training arranged at the home. Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 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 3 x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 2 x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Fullwood House Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 2 x 2 x x x x C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 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. 1. Standard 6 Regulation 15 Requirement Residents must indicate their involvement in the development of their care plan by signing the completed document. All care plans mus include a photograph of the resident. All care plans must be reviewed and evaluated at least 6 monthly. Furniture and fittings in residents bedrooms must be supplied to meet individual needs. In particular the provison of reading lights msut be made where requested. The manager must complete a Registered Managers course (NVQ 4) by the due date. The Registered Provider must develop an annual plan for the Home indicating aims and objectives for 2005. (Set at last inspection). Timescale for action 31.08.05 2. 3. 4. 6 6 26 17 Schedule 3 15 16 31.10.05 31.10.05 31.08.05 5. 6. 37 39 9 24 31.12.05 31.08.05 (Set at last inspection) Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 Page 21 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 22 Good Practice Recommendations The Complaints Procedure should point out to both the Service User and their relatives that neither would not be victimised as a result of making a complaint. Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection South Point Cardinal Square Nottingham Road Derby DE1 3QT 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 Fullwood House C52-C02 S49691 Fullwood House V241274 280705 Stage 4.doc Version 1.40 Page 23 - 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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