Inspection on 22/08/07 for Harborough Road

This inspection was carried out on 22nd August 2007.

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

The inspector 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

Harborough Road 18/10/06

Harborough Road 03/11/05

Harborough Road 28/06/05

Harborough Road 21/10/04

Harborough Road 07/04/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Harborough Road 1a Harborough Road Rushden Northants NN10 0LT Lead Inspector Irene Miller Unannounced Inspection 22nd August 2007 08:30a Harborough Road DS0000012796.V341009.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 Harborough Road DS0000012796.V341009.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. Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Harborough Road Address 1a Harborough Road Rushden Northants NN10 0LT 01933 413163 F/P 01933 413163 judithphillips@mencap.org -email AQAA 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) Royal Mencap Society Mrs Sheila Nichol Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th October 2006 Brief Description of the Service: Number 1a Harborough Road is part of the Royal Mencap Society and is a care home providing personal care and accommodation for up to four adults with a learning disability. The care home is situated in the residential area of Rushden. The accommodation is over two floors, with access to the first floor via a stairwell. All bedrooms are single, one of which being located on the ground floor; bathroom and toilet facilities are located on both the ground and first floor. There are limited car parking facilities to the front of the property, and a courtyard garden is located to the rear of the garden. Information as to the facilities and services offered is available to prospective service users upon request; and are available in both written and symbol format. Commission of Social Care Inspection Reports are located in the office. The current weekly fee is £313.00 with additional costs for chiropody and hairdressing services to meet the individual needs of the people who live at the home. Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is based upon outcomes for people using the services and their views of the service provided. This visit was unannounced and focused on the ‘key standards’ under the National Minimum Standards and the Care Standards Act 2000 for homes providing care for younger adults (18-65) The care of three people living at the home was looked at in depth this involved looking through written information available on their care, such as their individual care plans (a care plan sets out how the home aims to meet a residents healthcare, personal, social and emotional needs). Sample checks were carried out on the homes policies and procedures, staff recruitment records, and the homes medication and quality assurance systems. Health and safety records on the general maintenance and upkeep of the facility were viewed, and general observations on the environment were made. Time was spent prior to the visit reviewing information about the facility such as the previous inspection report and the homes service history, (the service history details all contact with the home including notifications of events reported by the home, telephone calls, letters, and details of any complaints and concerns received). The registered managers position is currently vacant and interim arrangements are in place to oversee the management of the home, the temporary manager Angela Wilding was available at the home throughout the whole of the inspection visit. What the service does well: The staff are very experienced in reading body language and know the individual service users very well, staff were seen to effectively communicate with service users who have limited verbal communication. The care plans are very detailed giving specific step by step instructions on how to read the non verbal cues and on the service users preferred methods of communication. Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 6 Service users are enabled to lead full social lives, individual and social activities take place such as, swimming, trips to pubs, clubs, clothes and food shopping, and keeping in touch with friends and families and annual holidays. There is good support from the healthcare professionals who are involved in the residents care. The home was clean and homely and had equipment available to meet resident’s individual and communal needs there is specialist equipment available such as a ceiling and portable hoist, specialist seating, beds and bathing equipment. The home has its own transport to enable residents to have access with the local and wider community. The staff recruitment and selection procedures are robust and there is a commitment to staff training and development. The temporary manager has the skills knowledge and experience to effectively manage the home, leading by example she ensures that staff are supported in meeting the needs of the residents. What has improved since the last inspection? What they could do better: Within the staff training file there was many gaps on the staff attendance register for the fire and safeguarding adults training sessions. The person providing the training needs to ensure that all staff sign the register to evidence that they have attended these training sessions and to ensure that records of staff training are up to date. Records of weekly fire tests need to be accurate. Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 7 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. Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 8 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 Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 9 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): Standard 2 Quality in this outcome area is good. People using the service can be confident that their needs and aspirations are fully understood by the home, and that the home can deliver the service it has undertaken to provide. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was information available within all three of the care plans viewed that demonstrated that full needs assessments had been carried out for the individuals living at the home, that identified the capabilities of the people living at the home. The assessments had formed the basis of the care and support required by the individuals, to lead as independent a life as possible. There was terms and conditions of occupancy available within the care plans. Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 10 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): Standards 6,7 & 9 Quality in this outcome area is good. People using the service are supported and enabled to take control of their lives within their individual capacities. This judgement has been made using available evidence including a visit to this service. EVIDENCE: All of the service users living at the home had very limited verbal communication skills, and from observations made of staff and service user interactions and discussions with staff it was demonstrated that the staff were very perceptive in assessing the non verbal communication used by each of the service users to enable and support them in expressing their emotional and physical well being. The care plans evidenced that a holistic person centred approach was taken in the care planning processes, the care plans were individualised and contained specific detail of the individual communication methods adopted by each of the Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 11 service users, such as tone of voice, eye contact and behaviour which indicates joy, satisfaction or unhappiness. Within all the care plans viewed there was risk assessments in place that identified the specific risks surrounding each service user, which balanced the service users rights to take risks and to lead as independent a lifestyle as possible. There were risk assessments in place for when carrying out personal care, going on outings, personal safety, and risks surrounding the service users participation in carrying out leisure activities and general household chores. Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 12 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): Standards 12,13,15,16 & 17 Quality in this outcome area is good. People using the service are supported and enabled to live ordinary and meaningful lifestyles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has its own transport and on the morning of the visit all of the service users were getting ready to go on an outing to the shops and visit a local country park with the two staff on duty. In discussion with the staff it was confirmed that the service users go on outings on an almost daily basis, daily records also supported this. In addition each attends day care provision on a part time basis. There were records of staff supporting service users to carry out small household tasks, assist with the weekly shopping, and to participate in leisure activities in keeping with individual hobbies and interests. Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 13 For one service user support was available to enable them to practice religious observance, such as reading the bible and prayer, and to enable them to attend church and to keep in contact with friendships made during a pilgrimage to Lourdes. A small group of volunteers assist with outings and in supporting service users to attend church on a regular basis. Opportunities were available for service users to go on holidays and the staff confirmed that each of the service users were due to go on a holiday to an activity and leisure facility at Derby in October 07. Friends and families were encouraged to be involved with the care of the service users and there were records of contact made to keep in touch to ensure that they were fully informed of events in the lives of their friend and relative. To enable the service users to participate in meal planning the home uses picture cards for service users to indicate their preferred meals, and in discussion with the staff and from written information available within the individual care plans, it was confirmed that service users preferences are respected and that service users can choose where to eat their meals, whether at the kitchen table, within the lounge or their personal bedrooms. Within the individual care plans there was detailed instructions for staff to follow for service users who have swallowing difficulties, and on how to support service users who have difficulty with eating their meals independently. Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 14 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): Standards 18,19 & 20 Quality in this outcome area is good. The personal support provided at the service is flexible and responsive to the changing needs of the people using the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The care plans contained records of the support provided by various healthcare professionals, such as the learning disability team, community nurse, general practitioner and psychiatric support. There were records of when service users had received treatment from the chiropodist, optician and dentists. In discussion with the staff it was demonstrated that they were fully aware of the individualised personal and healthcare support required by each of the service users, and there was detailed instruction for staff to follow to ensure that service users had consistency of care to relieve anxiety and promote well being. The medication stock and administration records of the three service users were viewed and were found to be in good order, and there was records of Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 15 monitoring visits made by the dispensing pharmacist on the medication held within the home. Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 16 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): Standards 22 & 23 Quality in this outcome area is good. People using the service and their representatives can be assured that any concerns they may have about the care or services provided at the home will be listened to and acted upon, and that they are protected from abuse. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There was a written complaints procedure in place, which was also available within a pictorial format more appropriate to the service users needs. Since the last inspection visit, one complaint about the service had been forwarded to The Commission for Social Care Inspection, it was agreed that the complaint be forwarded to the provider and social services to investigate under their own complaints and safeguarding procedures. The Commission for Social care Inspection are satisfied that the provider and social services conducted a full investigation into the complaint. Records of staff training evidenced that staff had undertaken training on safeguarding adults and in discussion with staff they demonstrated a full awareness of ensuring that the service users are enabled to have their rights promoted and protected at all times. Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 17 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): Standards 24 & 30 Quality in this outcome area is good. People using the service are provided with a home that is clean, homely and appropriate for their lifestyles. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home was clean warm and pleasantly decorated, the communal areas include a large dining kitchen and a small lounge, which has access to the rear courtyard and garden area, in addition the ground floor provides one bedroom and bathroom facility, to the first floor there are three additional bedrooms a bathroom and separate toilet. The bedrooms of the three service users were viewed, and were found to be clean and tidy containing items that personalised the rooms, such as pictures, photographs, ornaments, TV, DVD, video and music systems. One of the service users who enjoys a cold beer had a small fridge available Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 18 Specialist moving and handling equipment was available within bedrooms and bathrooms. To the rear of the property is a courtyard garden, which provides a seating area and is surrounded by mature shrubs and plants. Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 19 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): Standards 32,34,35 & 36 Quality in this outcome area is good. People using the service are supported by staff that are aware of their individual needs and competent to carry out the tasks required of them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Records of staff training evidenced that staff are provided with induction and foundation training, there was records of mandatory training having been provided such as medication administration, safeguarding adults, people handling, food hygiene, first aid, fire awareness, health and safety. In addition there was records of training having been provided to meet the needs of service users diagnosed with epilepsy. The staff are supported in achieving a National Vocational Qualification (NVQ) levels 2 and 3 in care and also a vocational qualification in caring for people with a learning disability, the Learning Disability Award Framework (LDAF) qualification. Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 20 On the day of the visit there was two staff on duty to meet the needs of the three service users living at the home, in discussions with the temporary manager it was confirmed that one member of waking night staff supports service users at night. The recruitment files of two staff were viewed and both contained evidence that pre-employment checks had been carried out and that clearance had been obtained through the Criminal Record Bureau (CRB) and two written references had been obtained prior to the staff taking up employment at the home. The home has been without a permanent registered manager for a period of seven months, during which time a temporary manager from within the organisation has supported the staff, there was records available of staff having received one to one supervision. In discussion with the staff they said that they were well supported by the temporary manager to continue to carry out their duties under the interim arrangements. Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 21 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): Standards 37,38,39 & 42 Quality in this outcome area is good. In the absence of a permanent registered manager being in post, the interim management arrangements have been effective in ensuring that a good quality service continues to be provided for the people living at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There has not been a registered manager in post for the past seven months and in discussion with the temporary manager it was established that interviews were to be held on 24th August 2007 with the aim of recruiting a manager for the home. Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 22 Staff spoken with said that they were very well supported by the temporary manager who attends the home in person two days per week, the staff expressed that they felt supported by the fact that they could contact the temporary manager at any time, that she was open, supportive and approachable. The Royal Mencap Society endeavours to seek the views of the service users, however formal methods of seeking the views of the service users living at the home would not be appropriate due to their complex communication needs. The staff were observed to be very aware of each of the individual service users methods of communication and much of the feedback is provided through non verbal communication and body language. The temporary manager had sought some literature on how the home can further develop their quality assurance systems and enable service users to have their say, through the use of resources that key into the visual, auditory and tactile senses, this should be given some consideration in order to ensure that every avenue is explored. There was evidence that monthly unannounced visits had taken place at the home by a representative from within the Royal Mencap Society, the purpose of the visits to quality audit the care that is being provided and this is achieved through speaking with the staff on duty, and where possible with the service users, observation of care practices and of the upkeep and maintenance of the home. Records of the building upkeep and maintenance of equipment were seen to be place, however care needs to be taken that dates are recorded accurately, as there were some errors within the weekly fire test log, the details of the errors were explained to the temporary manager during the visit. Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 23 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 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 4 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 2 3 X X 3 X Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 24 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 Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Text phone: 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 Harborough Road DS0000012796.V341009.R01.S.doc Version 5.2 Page 26 - 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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