Inspection on 06/02/06 for Godfrey Olson House

This inspection was carried out on 6th February 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 16/05/06

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 Olsen House Yonge Close Eastleigh Hampshire SO50 9ST Lead Inspector Anita Tengnah Unannounced Inspection 6th February 2006 10:00 Godfrey Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 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 Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 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 Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Godfrey Olsen 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 Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st July 2005 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. Godfrey Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced inspection was undertaken over one day on the 6th of February 2006. Two of the six service users were present at the time of the inspection. Other service users were attending college, one was working and one was attending a hospital appointment. The inspection process included examining care and staff records and discussions with staff and two service users and a visitor. The core values of privacy, choice and autonomy were maintained. It was evident from the interactions observed that service users and staff have developed good relationship and support was given in a respectful manner. What the service does well: What has improved since the last inspection? What they could do better: The home has a complaint procedure in place, however service users had raised a number of issues and no records of their complaints were available. A complaint log could not be found on the day of the inspection. Godfrey Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 Page 6 One service user who was distressed and very unhappy says that he had raised issues with management. There were no records to demonstrate whether these were being investigated and how these issues would be resolved. There were no records of mandatory training in health and safety, fire safety and basic food hygiene for some staff to ensure the welfare of the service users is protected. Staff confirmed that only newly recruited staff had undertaken recent manual handling training. The provider must ensure that there is a robust recruitment procedure in place, as staff records indicated that not all the appropriate pre- employment checks had been undertaken for newly employed staff. 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 Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 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 Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not inspected on this occasion. Godfrey Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 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 The home has satisfactory care plans in place reflecting needs and personal goals and ensuring that the care needs of the service users are met. EVIDENCE: Each service user had an individual care plan, which set out how their assessed needs should be met. The care plans set out the personal goals of service users and how they should be met. There was evidence that service users are involved in the formulation of their care plans. Some of the care plans had been reviewed however it was unclear which care plans had been reviewed. This was discussed with the staff and will be addressed. The home has a key worker system in place and service users were aware who their key worker was. Comments included “My key worker is very good and she helps me”. “Another said “She is my friend and helps me with what I want”. Risk assessments were available for two of the service users records seen and included action that should be taken to minimise the identified risks. Godfrey Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 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): 12,13,16,17 The personal and social needs of the service users are well managed. The service users’ are supported to engage in leisure activities to their satisfaction. The dietary needs of service users are well catered for with a balanced and varied selection of food available. Service users are empowered and make choices regarding their meals. EVIDENCE: Service users took part in a wide range of activities through the local college including communication skills, road traffic and music and movement. One service user who was spoken with was looking forward to going out shopping with his support worker and then out with his mother for the afternoon. He told the inspector that he enjoyed the wheelchair dancing that he attended on a weekly basis with two other service users. Another service user worked at an infant school and travelled independently. Godfrey Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 Page 11 The home has an open visiting policy. Service users are supported in maintaining links with their family and the local community. Service users spoken with confirmed that they are supported and there were no restrictions in receiving visitors. Each flat has an intercom system that allows visitors direct access to the service users. A service user said that he attended church with his mother every Sunday and then home for the day. Another service user spends the weekend at his parents regularly. Service users have the autonomy in preparing their own meals with the support of staff as required. Two service users said that they chose what they ate and enjoyed shopping. A daily record of all meals taken was maintained. Service users reported that the cooking facilities were adequate to meet their needs. Godfrey Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 The personal support is well managed and ensures that the service users have choice, privacy and control over their daily living. The personal and health needs of service users are well met with evidence of access to a wide range of services. EVIDENCE: Service user confirmed that they have flexibility with regards to the activities of daily living. There was no restriction to time of getting up or going to bed. It was evident that staff had developed and maintained a good relationship with the service users. Aids and equipment were in place in order to help service users maintain their independence. Service users confirmed that they had a key worker to ensure continuity and offered consistent support. Comments included “my key worker is wonderful and helps me with my problems”. Records indicated that service users were supported to attend a range of health services including, GP, dentist, optician, and the local NHS trust. One service user attended hospital that day for the fitting of new shoes. Staff reported that service users accessed the doctor’s surgery in the community. Godfrey Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 The process for dealing with complaints is poor and does not meet with the service user’s expectations. The information on how to deal with reports of abuse should be further developed to inform practice, as this was inadequate. EVIDENCE: The home has a complaint procedure and a copy of this was found in the service users’ personal plan. One service user was very unhappy and distressed about some issues at the home. He has complained to management and says, ”nothing has been done”. There were no records of this complaint although staff were aware of his complaint. Staff were not aware of, and could not locate the complaint log. Due to the absence of a clear system of complaint recording it was difficult to determine whether complaints are investigated/ responded or any action taken and outcome. The home has the company’s adult protection procedure in place. The procedure directed staff to follow local guidance in dealing with all allegation of abuse. However there was no local guidance available. Some staff have undertaken training in the prevention of abuse and said that they would report to the manager. A whistle blowing procedure was available. The provider must ensure that a complaint log is maintained and staff updated on procedures for recording complaints and reporting all allegation of abuse to ensure the welfare and safety of the service users. Godfrey Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 Accommodation is provided in a warm and homely environment and appropriate to meet the needs of the service users. EVIDENCE: The home was homely bright and in good decorative order. Service users’ bedrooms were highly personalised and adaptations were in place to meet the assessed needs of the service users. Service users spoke proudly of their rooms with comments such as “This is all mine”. “I like it here” There is a planned programme of refurbishment in place. There is level access for wheelchair users and easy access to the local amenities and good transport links that service users use regularly. Furnishing was of good quality, clean and appropriate to the needs of the service users. Godfrey Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 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): 32,33,34. The staff have a good understanding of the service users’ needs. The number and staff skill mix was good and ensures continuity of care and meeting the needs of the service users. The recruitment procedure was inadequate safeguard the welfare of the service users. EVIDENCE: The home has a number of staff that have worked there for a long time and it was evident that good relationships and trusts have been established. Staff were observed to offer support in a respectful manner and comments from service users included “My key worker is very good and helps me”.” My key worker is wonderful”. Three staff spoken to demonstrated good understanding of the service users’ needs. Staff reported that they had received an update in access and support for the disabled. The home has an ongoing NVQ programme in place and staff spoken with confirmed this. The home has a good induction programme and the records of two newly employed staff showed that they had started their induction and reviews of these are undertaken to support the staff. The home had recently recruited some staff and the staff reported that they now have a full complement of staff. Record showed that there are two key workers on each shift between 07:30 and 21:30. There is a waking-night staff Godfrey Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 Page 16 on night duty and the home has an on call system whereby staff can be called out at night in emergency. Service users said that staff are available usually their key workers to support them in attending college and accessing other activities in the community. The home has a recruitment procedure in place that showed that staff completed an application form and the manager interviews all applicants. POVA first checks were available in records seen. There was inadequate evidence of checks undertaken, as some staff records did not contain two references, one staff record did not have any reference. The provider is required to ensure that all necessary checks are completed prior to employment to ensure the safety of the service users. Staff records must be maintained as per Schedule 2. Godfrey Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 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): 42 Record of servicing of equipment was satisfactory. However the lack of mandatory training/ updates can be to the detriment of the service users. EVIDENCE: The home has in place an ongoing servicing programme for equipments including fire equipment, hoists and assisted baths. Record of weekly fire alarm testing was available and the last fire drill was recorded as October 2005. The record of two newly recruited staff showed that they had undertaken updates in manual handling. However records seen and discussion with some staff showed that staff had not undertaken mandatory health and safety training, fire safety and basic food hygiene training since 2004. The staff assisted the service users with the preparation with their meals and training/ updates must include basic food hygiene. The provider must ensure that all staff have mandatory training/ updates in order to ensure the welfare of the service users. Godfrey Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 Page 18 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 X 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 3 ENVIRONMENT Standard No Score 24 4 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 3 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 X X X X X X X 2 X Godfrey Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 Page 19 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 Requirement Timescale for action 15/03/06 2 YA34 3 YA42 17(2) The provider must ensure that a Schedule 4 log of all complaints is maintained to include details of investigation, action taken and outcome. 19 The provider must ensure that Schedule 2 all necessary checks are undertaken prior to employment and staff records are maintained as Schedule 2. 13(5)23(4) The provider must ensure that (d) 16(2) all staff have training /updates in mandatory health and safety for the welfare of the service users. 15/03/06 15/03/06 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 Godfrey Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 Page 20 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 Olsen House DS0000012171.V281489.R01.S.doc Version 5.1 Page 21 - 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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