Inspection on 24/04/07 for Hall Park Drive (67)

This inspection was carried out on 24th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hall Park Drive (67) 22/11/05

Hall Park Drive (67) 02/11/04

Hall Park Drive (67) 15/04/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Hall Park Drive (67) 67 Hall Park Drive Lytham St Annes Lancashire FY8 4QZ Lead Inspector Mrs Felicity Lacey Unannounced Inspection 24 April and 1st May 2007 02:00p th Hall Park Drive (67) DS0000010067.V330531.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 Hall Park Drive (67) DS0000010067.V330531.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. Hall Park Drive (67) DS0000010067.V330531.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hall Park Drive (67) Address 67 Hall Park Drive Lytham St Annes Lancashire FY8 4QZ 01253 737917 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) Fylde Community Link Mrs Kay Bishop Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Hall Park Drive (67) DS0000010067.V330531.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd November 2005 Brief Description of the Service: 67 Hall Park Drive is a small care home for adults with learning disabilities, registered for six people. The well-established voluntary organisation, Fylde Community Link Ltd is the registered provider. The home is a large detached bungalow with well-maintained garden areas, including a secluded rear garden. The main living area consists of a large open plan lounge/dining room. Bedrooms are all single and are decorated and furnished to a high standard and according to individuals needs and preferences. The home has specialist bathing facilities suitable for people with mobility difficulties. The staff team support individuals in all aspects of daily living and personal care, according to their assessed needs and as identified via the care planning process. People living at the home are supported and encouraged to maintain and develop their independence and take part in all aspects of community living. The staff team are supported by an experienced and established team of managers and an organisation, which has developed a variety of community based services for adults with learning disabilities in the Lytham St Annes area. Hall Park Drive (67) DS0000010067.V330531.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection included a visit to the service, which took place unannounced. The manager of the service completed a Pre Inspection Questionnaire. Comment cards were received from two service users, two relatives and a health care professional. During the visit five service users were at home who have specific communication needs and therefore discussion with individuals was limited. There were four staff members on duty. Case records and documents relating to the support provided at the service were looked at. The manager and staff were spoken with. A tour of the premises took place. Through out this report the people who use this service are referred to as service users, which is their preferred term. What the service does well: The service users at Hall Park drive are very settled and benefit from support from a staff team who are committed to person centred ways of working. Service users are helped and encouraged to be involved in the planning of their own support, this makes sure that they are involved in decision making. The staff have a well developed understanding of the individual communication methods of each service user. Some service users are able to clearly communicate and are fully involved in the planning of the support they require. The staff have worked in partnership with local health services to make sure that the health needs of all service users are understood and appropriate treatment arranged. Service users are supported in attending appointments and hospital when required. There are excellent systems in place to make sure that health care needs are met. The service users are able to enjoy a range of activities which are suited to their individual preferences and needs. Service users are active in the local community. Some service users are supported in involvement in local churches and groups. All service users have the opportunity to go on holiday. Service users are supported in maintaining their relationships with family and friends. Fylde Community Link has worked hard to ensure that key documents are presented in ways that are easy to understand. Picture and photographs are used to help make information easier to understand. The service benefits from excellent staffing levels, which ensures that all service users are able to lead full and active lives. The company provides excellent training opportunities. Fylde Community Link is active in the local partnership board, and works with other organisations to build up expertise, share ideas and to continually develop its services. Hall Park Drive (67) DS0000010067.V330531.R01.S.doc Version 5.2 Page 6 The manager of the home is seen as supportive and active in making sure that the service users receive an excellent service. Staff feel supported in their roles. Comments received regarding Hall Park Drive included: ‘Offers a service which is respectful of culture, beliefs, with attention paid to respect and dignity and well being’ ‘All the care staff are very caring… I am very glad I was offered a place for (my relative) at Hall Park. There are always plenty of staff.’ ‘The care and love given by all members of staff here are excellent.’ 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. The summary of this inspection report can be made available in other formats on request. Hall Park Drive (67) DS0000010067.V330531.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 Hall Park Drive (67) DS0000010067.V330531.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. There is a process of gradual introduction to the service for prospective service users, supported by multi disciplinary assessments; this ensures that the service is able to meet the support needs of the service user. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Introductions to the service are reflective of an individuals support needs and are paced accordingly. One service user commented ‘Straight away I knew it was for me. Then I met all clients and staff’. Service users who completed questionnaires indicated that they received enough information about the home before moving in. Information is presented using pictures and photographs, for example the contract is written in this easily understood format. This ensures that service users are aware of what they can expect of the staff and organisation when coming to live at Hall Park. Hall Park Drive (67) DS0000010067.V330531.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is excellent. The service users are involved in the planning of the support they receive this ensures that needs are understood and preferences respected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each service user has a plan that sets out their support needs and their preferences for how this support is provided. Service users are supported by a Care Co-ordinator who ensures that all important information is recorded and who supports the service user in the planning of their care. The service users have information relating to the role of the Care Co-ordinator, this demonstrates a commitment by Fylde Community Link to ensuring that service users are fully informed and involved in the person centred planning process. The company is in the process of ensuring that all staff receive training in Person Centred Planning and that each service user has a Person Centred Plan in place. Hall Park Drive (67) DS0000010067.V330531.R01.S.doc Version 5.2 Page 10 Some care plans are written in the first person, this ensures that the individuality of the service user is emphasised through out the plan. The plan has a number of sections, for example, What I Enjoy, What I don’t Enjoy, My Life Now, Money Stuff. Where possible and meaningful service users are involved in the planning process. All plans are regularly updated. The minutes of review meetings are produced in large type and include pictures, making them more easily understood and meaningful for service users. Care plans are supported by risk management strategies. These are regularly reviewed. The staff are mindful of the need to balance risks to health and safety with the need to respect and promote independence. Advocacy services have been used at Hall Park, this is a way of ensuring the service users are supported in decision making. Staff have a good understanding of the communication methods used by all service users. There has been regular training looking at ways to promote and build on the communication methods used by service users. Some service users have communication passports, or have particular ways of communicating which are understood and respected by staff members. Picture boards have been developed to assist some service users. The local speech therapist provides excellent support and advise. All staff have the opportunity to undertake training in inclusive communication. Hall Park Drive (67) DS0000010067.V330531.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent. Service users are supported in the lifestyle they choose and have good links with the local community which helps ensure that people lead fulfilling lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff are committed to ensuring that service users are able to be active in the local community and follow the lifestyles of their own choosing. The life experience and choices of service users are appreciated and understood, for example some service users actively seek out the company of others and other service users choose to spend time enjoying their own company. Service users are able to be part of the church of their own choice. Two service users regularly attend local churches and are involved in community groups. The daily occupations of service users are varied and reflective of personal preferences. Some service users are over retirement age and prefer a gentle pace of life, others are involved in activities in the local community. One service user attends a day centre. The staff are active in ensuring that all service users enjoy individual support. There are a range of leisure activities Hall Park Drive (67) DS0000010067.V330531.R01.S.doc Version 5.2 Page 12 that service users enjoy, such as swimming, trips to local cafes and places of interest. The service has ensured that service users who have limited mobility have the right equipment to allow them to part take in daily activities. The company has a vehicle which is accessible for wheel chair users and this ensures that all service users have access to outings. Relationships with friends and family are promoted. Staff recently supported a service user through a very difficult time when a family member died. Service users have opportunies to be involved in community groups, for example one service user regularly attends a ‘Faith and Light’ meeting. Service users make good use of community facilities and shops and have built social networks. The daily routines of the house are reflective of individual preferences. Service users are able to get up and go to bed when they choose, and in line with their commitments. There is a high level of informal contact between staff and service users. The service aims to provide a homely atmosphere in which each person feels respected and valued, this was evident in the communication and exchanges observed between service users and staff. The nutritional needs of service users are understood. Any diets which are required because of medical needs are provided. Meals are prepared by staff and are reflective of service users likes and dislikes. Service users often enjoy meals out and about. Hall Park Drive (67) DS0000010067.V330531.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, 21 Quality in this outcome area is excellent. Service users are supported in their health care in a way in which ensures that they receive necessary treatment in line with their individual preferences, and this promotes their well being. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All service users have a comprehensive health care plan, this ensures that health care needs are consistently met. The staff provide excellent support for service users when attending hospital and health appointments. Some service users have complex health needs and the staff work in partnership with local health services to enable service users to lead an active life whilst managing their health conditions. Specialist services are involved at Hall Park Drive when required. The district nursing team have close links with the service. The staff are committed to working in partnership with local health professionals for the benefit of service users, and this has been shown in care and support given to service users who experience serious health difficulties, and who have benefited from being able to receive treatment in familiar surroundings. Staff have worked closely with Hall Park Drive (67) DS0000010067.V330531.R01.S.doc Version 5.2 Page 14 the community matron to implement ‘End of Life Care’ which respects and reflects the wishes and preferences of the individual. Medication procedures have been improved since the last inspection. All medication is clearly marked and recorded. All staff undertake training before becoming responsible for administration of medication. There is a ‘buddy’ system which ensures that all medication is double checked before it is administered. Hall Park Drive (67) DS0000010067.V330531.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is good. Good practices and policies are in place to enable concerns to be raised and responded to. Staff receive training and understand the importance of safeguarding procedures, in this way the welfare of service users is promoted. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There have been no recorded complaints since the last inspection of Hall Park Drive. The company has a complaints procedure which is clear. Comment cards indicated that people knew how to raise a concern, and service users who completed comment cards identified who they would go to if they were not happy. The company has a safeguarding procedure, in line with No Secrets guidance. Staff receive training during their induction, foundation and National Vocational Qualification training that highlights the importance of safeguarding service users from all forms of abuse. Hall Park Drive (67) DS0000010067.V330531.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good. The people at Hall Park Avenue live in a house which is clean and well maintained, which provides a pleasant place to live. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The house is maintained to a satisfactory level. The house provides a pleasant place to live. There is a lounge and dining room, a large kitchen and a pleasant enclosed garden. The accommodation is on the ground floor and is fully accessible. Some rooms have their own access to the back garden. Redecoration is ongoing at the house. Since the last inspection a wet room has been provided this is well used by service users and promotes independence and easy access. Service users bedrooms are personalised and reflect their own personalities and lifestyles. The house was clean. There are laundry facilities, and some service users assist in household chores. Infection control procedures are in place. Hall Park Drive (67) DS0000010067.V330531.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 Quality in this outcome area is excellent. Staff are competent and receive regular training, this enables staff to offer support to service users which is reflect of good practice and inclusive ways of working. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The levels and competence of staff at the service ensure that people are well supported and are able to live fulfilling and active lives. At the time of the site visit there were 4 members of staff who were supporting service users in a range of activities. Staff confirmed that they are supported in their roles and are clear of their responsibilities. New staff are assigned a mentor and this person is named in the staff welcome pack, this provides a useful link for new staff. The staff of the home have access to regular training opportunities. Currently over 70 of staff employed have achieved a National Vocational Qualification at level 2 or above, this exceeds the recommended ratio and means that service users benefit from the support of qualified and competent staff. The company has an excellent training and development programme. Staff confirmed that they have access to a wide range of in house and external Hall Park Drive (67) DS0000010067.V330531.R01.S.doc Version 5.2 Page 18 training opportunities. There are good links with other companies which support people with learning disabilities, and this allows the sharing of good practice and the development of join ventures. Staffing levels are in line with the support needs of the people living at Hall Park drive. The records seen document the range of ways in which staff support service users and account for the way in which staff time is used. Staff are committed to working in inclusive ways and support some service users with complex health and mobility needs, however these are not treated as a barrier or seen as restrictive, the staff recognise the importance of ensuring all service user have equal access to opportunities, for example going on holiday and attending social events. The company has robust recruitment procedures. Staff files showed that application forms were completed and all necessary checks carried out. All staff undergo a probation period of a year and have regular reviews during this time. Hall Park Drive (67) DS0000010067.V330531.R01.S.doc Version 5.2 Page 19 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 42 Quality in this outcome area is excellent. The service is managed in an open and inclusive way this means that service users benefit from a well run service to which they regularly contribute their views. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The comments received and surveys completed indicated that the manager was regarded as approachable and supportive. She is experienced and is a well established manager. The staff spoken with confirmed that they receive regular supervision and attend regular staff meetings. Fylde Community Link is committed to service user involvement in all aspects of the service, and this includes quality monitoring and using the views of people who use the service to help inform further developments and improvement. The responsible individual completes a monthly report which Hall Park Drive (67) DS0000010067.V330531.R01.S.doc Version 5.2 Page 20 provides an overview of developments and events at the service. There is an annual development plan for the service, and service users are involved in developing this. All service users have the opportunity to be included in a monthly quality group meeting which involves service users from all parts of Fylde Community Link and is chaired by service users. The pre inspection questionnaire confirmed that all health and safety checks are up to date. All staff are required to undertake mandatory training in health and safety topics, including fire safety, moving and handling and first aid. All accidents are recorded and are stored on individual case records, the manager monitors the accidents recorded to identify any remedial action that may be needed. Hall Park Drive (67) DS0000010067.V330531.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 4 33 4 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 3 3 4 4 X X 3 X Hall Park Drive (67) DS0000010067.V330531.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action 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 Hall Park Drive (67) DS0000010067.V330531.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hall Park Drive (67) DS0000010067.V330531.R01.S.doc Version 5.2 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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