Inspection on 16/05/06 for Godfrey Olson House

This inspection was carried out on 16th May 2006.

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 no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Godfrey Olson House 12/07/07

Godfrey Olson House 06/02/06

Godfrey Olson House 01/07/05

Godfrey Olson House 16/12/04

Godfrey Olson House 20/05/04

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

CARE HOME ADULTS 18-65 Godfrey Olson House Yonge Close Eastleigh Hampshire SO50 9ST Lead Inspector Gina Pickering Unannounced Inspection 16th May 2006 10:30 Godfrey Olson House DS0000012171.V296093.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 Godfrey Olson House DS0000012171.V296093.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. Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Godfrey Olson House Address Yonge Close Eastleigh Hampshire SO50 9ST 023 8062 9610 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) SCOPE Spandita Woodman Care Home 6 Category(ies) of Physical disability (6) registration, with number of places Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th February 2006 Brief Description of the Service: Godfrey Olsen house is a small care home set in a large apartment building on the outskirts of Eastleigh. The home provides personal support and accommodation for six younger adults with physical disabilities and is owned by SCOPE. The building is owned by Swaythling housing association. The home comprises of four separate ground floor flats. There is also a small communal garden and allocated parking spaces including disabled parking are available. Annual fees for residency and care at the home are in the region of £35,000. Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process involved a review of recent information obtained from the home, information from service users questionnaires and two field work visits. The first visit was on 16th May 2006. A second visit was made on 24th May 2006 to meet with the manager who had been on leave at the first visit. During the visits to the home care and staff records were examined, discussions were had with five service users, four members of staff and the manager, and the home was toured. What the service does well: What has improved since the last inspection? Records are now available evidencing that all appropriate pre – employment checks have been undertaken for newly appointed staff. A procedure for reviewing service users care plans monthly has been implemented. Records of complaints investigations are now kept in the relevant service users confidential files. Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 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. Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 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 Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality outcome in this area is good. This judgement has been made using available evidence including a visit to the service. Service users move into the home knowing that their physical, social and emotional needs will be met. EVIDENCE: Two users say they can remember the assessment process prior to them moving into the home. One service user said there were interviews, visits and close involvement of the care manager prior to the decision being made by the service user that this was the right place for her to live. Pre admission assessments are kept in the service users files and contain details of their personal, social and health needs and how these can be met at the home. Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 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): 6, 7 & 9 Quality outcome in this area is good. This judgement has been made using available evidence including a visit to the service. The care planning system at the home is good. Each service user has a care plan that has been developed with their input allowing them to influence the care and support they receive by the service. Service users are encouraged to lead independent life styles; risk assessments are included in the care planning process to reduce risks associated with independent living. EVIDENCE: Each service user is aware of their care plan and say they are involved in the development of the plan. Service users know who their key worker is and state that they like their key workers. Care plans are reviewed monthly and amended accordingly. Discussion with service users evidence they can make choices regarding all aspects of daily living, rising and retiring times, which carer assists and supports them, their activities and social interests, and the furnishing of their flats. Regular residents meeting chaired by a service user allow them to influence the running of the home. Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 10 Service users are encouraged to lead an independent lifestyle within a risk assessment framework. Their care plans include risk assessments and the action to be taken to minimise risks with an outcome for them being as independent as possible. Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 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 the following standard(s): 12, 13, 15, 16 & 17 Quality outcome in this area is good. This judgement has been made using available evidence including a visit to the service. Routines in the home are planned around service users needs and wishes. Maintaining independence and enabling service users to make their own decisions is an important part of the management of the home. Service users are able to develop educationally and socially. The management of the home creates an environment where service users are able to retain contacts with relatives. Dietary needs are well catered for. EVIDENCE: One service user has several voluntary jobs, working in local schools and secretarial jobs. Other service users attend a local college. Two of the service users spoke with enthusiasm about the courses they take part in and showed some of their work to the inspector. They state they get to college independently in their electric wheelchairs or using taxi services. Service users confirm they can have visitors at any time. Service users religious needs are met, with those that wish to attending local churches. Service users state that contact with their family is encouraged; some regularly stay at parents over the weekends. One service user goes on holidays with a friend; others go on Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 12 holidays with the support of other organisations. Daily routines are flexible, set around the needs and wishes of the individual service users. Service users are encouraged to be involved in housekeeping. All have a key to their own flat, but say they chose not to lock their bedrooms or flats. Staff members were observed knocking on the doors of flats and bedrooms before entering. Service users plan their meals and shopping lists with their own key worker. Some service users prepare their own meals, others are assisted to prepare meals and for others the care staff prepare the meals in the service users own kitchens. Records of dietary intake are kept in the service users diaries indicating that the have a varied and healthy diet. One service user said that he enjoyed being asked by another service user to join him for a meal. Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 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 the following standard(s): 18, 19 & 20 Quality outcome in this area is good. This judgement has been made using available evidence including a visit to the service. The routines of the home are planned round the service users needs. Service users are confident their health care and personnel care needs will be met in a manner in which they prefer. Medications are managed in a manner that supports the well being of the service users. EVIDENCE: Service users say they have choice of daily routines and who supports them with their personal care needs; this was observed during the fieldwork. All service users are registered with a local GP. Physiotherapy involvement for the service users is evident in the home. One service user told the inspector how his walking is improving with the support of the physiotherapist. One service user administers her own medications; a risk assessment is in place for this practice, which includes the GP’s involvement. The other service users choose for staff to administer their medications. The administration of medications is performed in a manner meeting the relevant guidelines. Daily records in service users care dairies indicate any variants to their normal daily routines and their well-being and any action taken in response to these variants. Records are kept in these diaries of the service users dietary intake. Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality outcome in this area is adequate. This judgement has been made using available evidence including a visit to the service. The service has a complaints procedure that meets the national minimum standards and regulations, however staff seem unclear about this process. But service users are confident that complaints will be dealt with effectively. Staff do not have clear knowledge about procedures for the protection of vulnerable adults; this could result in service users not being effectively protected form effects of abuse. EVIDENCE: Each service user has a copy of the complaints procedure. Service users say they know who to express concerns or complaints to and say these are dealt with effectively. Staff were unable to locate the log book for recording complaints received. Two staff members said any complaints received are written in the daily events book that acts as a communication book for all staff. The manager will then initiate the complaints procedure on receiving the details of the complaint. The manager clarified that completed complaint investigations are kept locked in service users confidential files. She states that it is the policy of SCOPE that only the manager has the key to this filing cabinet. The paperwork for initiating the complaints procedure is available to all staff to fill if a complaint is received, but staff spoken to were unaware of where this paperwork is. The manager is aware that staff are unclear about the process for dealing with complaints and had organised a training event for them. The trainer had unfortunately cancelled this. Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 15 Adult protection policies are in place, but staff have had no recent formal training. In discussion some staff are unclear as to the procedures that must be initiated when there is an alleged incident of abuse. The manager said she had been trying to arrange training for staff members about the protection of vulnerable adults and had now handed the responsibility for arranging this training to her line manager. Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 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 the following standard(s): 24 & 30 Quality outcome in this area is good. This judgement has been made using available evidence including a visit to the service. Service users live in a home that is well maintained, and provides the aids and equipment to meet their care needs. The home is decorated to the wishes of the service users providing a homely environment. The home is kept clean and good hygiene reduces the risk of cross infection. EVIDENCE: All service users living at the home are wheelchair dependant. The home has been adapted to meet needs of wheel chair users with wide corridors and door openings, over head tracking hoists, low surface kitchen areas. The flats and bedrooms are decorated in manner the service users like. One flat recently has had the lounge and bathroom decorated; service users said they had chosen the bright cheerful colours. Individual bedrooms are decorated and furnished to meet individual tastes and interests i.e. motorbikes, football teams. The home was clean, tidy and free from any offensive odours on both visits. Care staff with the assistance of the service users are responsible for the cleanliness and tidiness of the home. Routines are in place for the cleaning of the home. Service users said the home is kept clean and tidy. The home has a Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 17 laundry that has suitable washing and drying facilities; care staff are responsible for laundering at the home. A procedure is in place for reporting maintenance problems to Swaythling Housing Association. No maintenance issues were apparent during the visits to the home. Both staff and service users said that maintenance issues are dealt with promptly. Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality outcome in this area is adequate. This judgement has been made using available evidence including a visit to the service. Training needs have been identified and a programme of training is being put in place to equip staff with the skills to meet the needs of those living at the home. Service users have confidence in the staff that support them. Recruitments procedures are robust protecting the welfare of the service users. Service users are involved in the recruitment process. The appropriate use of agency staff ensure staffing levels are sufficient to support residents in the manner they prefer at the home. EVIDENCE: Discussion with staff evidenced they have a good understanding of the needs of the people living at the home. Training records indicate that some staff have not received recent training about topics such as moving and handling and the protection of vulnerable adults. Staff said training is now being put in place. One member of staff discussed his induction training that is equipping him with the skills and knowledge to meet the needs of those living at the home. This induction programme meets the skills for care guidelines. Service users said they feel safe and well supported by staff that know how to care and Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 19 support them. A key worker system is in place. Service users say that the like their key workers. Service users indicated in conversation and questionnaires there have been some staff shortages but that this had not affected their well-being. Regular agency staff with the appropriate skills had been employed by the home. Staff said there are enough staff in the home to meet the service users needs. But they did discuss ‘key worker days’. Due to staffing levels the opportunity for service users to have a day out with their key worker has not been available. Service users did not identify this as an issue to the inspector. It is recommended that service users thoughts about the ‘key worker days’ be obtained. If this is something they would like to be re established the home will need to act accordingly. Staff recruitment records were looked at and discussed with the manager. Two satisfactory references, CRB and POVA clearance are obtained prior to a person commencing employment at the home. Records are kept of interviews on the staff members file. One resident discussed his involvement in the recruitment procedure being part of the interview panel. Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 20 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): 37, 39 & 42 Quality outcome in this area is good. This judgement has been made using available evidence including a visit to the service. The manager has the experience to mange the home effectively. Service users views and wishes are an integral part of the running and development of the service. Generally health and safety requirements are met; the home is aware of health and safety training shortfalls and has an action plan to put the training in place. EVIDENCE: The manager, Spandita Woodman, was registered by the commission as manager in February 2006. However she is leaving her post in June and whilst waiting for a new manager to be appointed, the home will be managed by the senior carer with the support of a senior manager at SCOPE. Since her appointment the manager said she had introduced more detailed recordings of the service users wellbeing, identified training needs for staff members, organised a training programme and had concentrated and providing formal supervision for staff members. Staff members said that the manager had put Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 21 training in place. Service users say they like the manager and are able to approach her with any concerns. One service user expressed his sadness that she was leaving the home. Service users meetings are held. Two residents said that these can be useful with service users finding out about what is happening in the home and it is a forum for them to raise any issues. One service users, who chairs the meetings, told how service users wishes can influence the running of the home. One example is that service users were concerned about the security of the windows in the home; window locks were installed as a response to their concern. Staff say the running of the home is totally influenced by the wishes of the service users. Regular audits of the home by the use of regulation 26 reports are carried out and a plan of action developed accordingly. The inspector looked at the latest report. This set out the management procedures being put in place whilst there was no appointed manager, and the person responsible for organising training about moving and handling and the protection of vulnerable adults. Each service users file contains comprehensive risk assessments that relate to the environment in and around the building. A procedure is in place for recording accidents to service users and staff. Service certificates demonstrate equipment and services are maintained at recommended intervals. Training in health and safety areas has not been adequately monitored in the past, resulting in many staff have not had moving and handling training in the past three years. The manager has identifies this as a need and training is being planned. Fire safety records evidence that recommended fire safety checks are completed as well as staff being instructed in fire safety. Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 22 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 2 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 23 no 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 YA22 Regulation 18 Requirement Timescale for action 31/07/06 2 YA23 13(6) 3 YA42 13(5), & 18(1c) The registered provider must ensure that all staff receive training about the complaints procedure. The registered provider must 31/07/06 ensure that all staff have training about the protection of vulnerable adults. The registered person must 31/07/06 ensure that all staff receive training about moving and handling. 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 YA32 Good Practice Recommendations The registered provider should obtain the service users thoughts about the lack of ‘key worker days’. The registered provider should act accordingly to the views and wishes of the service users about this subject. Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 24 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. Extracts may not be used or reproduced without the express permission of CSCI Godfrey Olson House DS0000012171.V296093.R01.S.doc Version 5.2 Page 25 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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