This inspection was carried out on 1st November 2005.
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.
CARE HOME ADULTS 18-65
Harestock Hostel Upton Grey Close Winchester Hampshire SO22 6NE Lead Inspector
Liz Palmer Unannounced Inspection 1st November 2005 10:15 Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 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 Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 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. Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Harestock Hostel Address Upton Grey Close Winchester Hampshire SO22 6NE 01962 886361 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) bernie.kern@hants.gov.uk Hampshire County Council Mrs Bernadette Marie Kern Care Home 15 Category(ies) of Learning disability (15) registration, with number of places Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 27th June 2005 Brief Description of the Service: Harestock Hostel is a residential service in Upton Grey Close, Winchester for people with a learning disability managed by the local authority. The home is comprised of three purpose built houses accommodating fifteen service users. Two of the houses provide long-term placements and one is used for respite and assessment. Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the second inspection of the year 2005/2006. Any key standards not assessed on this occasion were looked at during the previous inspection, therefore this report should be read alongside the report dated 27th June 2005. During the inspection three staff members were interviewed and three service users were spoken to. The registered manager was present and assisted with the inspection. All outstanding requirements have been met which gave a great sense of achievement to the registered manager who has worked hard to achieve this. No requirements were made as a result of this inspection, only one recommendation. What the service does well: What has improved since the last inspection?
All outstanding requirements have been met. This includes a suitable service user guide being produced. A contract has also been produced but these have not been given to residents yet. The home manager has produced a format for recording care plan reviews. This will ensure that care plans are kept under regular review as required at the last inspection. Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 Page 6 New furniture has been bought for two of the units, making them even more comfortable and homely. A new vacuum cleaner has been bought which is making cleaning much easier. 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. Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 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 Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 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): 1, 2 and 5 The new statement of purpose and service user guide provides residents with enough information to make an informed choice about the home. Procedures are in place to ensure suitable assessments are undertaken prior to admission. EVIDENCE: The registered manager has produced a suitable statement of purpose and service user guide. They are produced in a format accessible to the client group for whom they are intended. New contracts have also been drawn up but have not been distributed and signed by residents. Prospective residents are fully assessed before being offered a place in the home. The most recent resident had a care manager’s assessment and evidence of several visits were on their file. Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 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): 9 The procedures for risk assessments enables residents to take risks within a supported framework. EVIDENCE: Risk assessments were discussed with staff and residents. Staff were aware of the home’s policy on risk assessment and felt that the tools were useful and provided residents with enough opportunity to take risks and be independent. Residents gave examples of the sorts of things they are supported to do, for example making a cup of tea and catching the bus. Risk assessments were seen for independent travel, self-medicating and attending appointments independently. Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 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): None of these standards were assessed. EVIDENCE: Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 Page 11 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): 19 Arrangements are in place to ensure residents physical and emotional needs are met. EVIDENCE: During the inspection one resident was putting together a photograph album of their activities. The photographs included before and after a hair cut and some weight loss. Their key worker explained how the home was working with the service user to take responsibility for her health and well-being. Not just the physical advantages of eating well and exercising but the emotional benefits of feeling good about yourself and having self esteem. Residents are supported to access general practitioners and other medical and health specialists. Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 Page 12 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): 23 Policies, procedures and training protect residents from abuse. EVIDENCE: Staff spoken to were aware of the Hampshire adult protection policy. They had received training in this area and were happy with their responsibilities within the home’s policies. Residents spoken to said they felt safe and would talk to staff if they were worried about anything. Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 Page 13 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): None of these standards were assessed. EVIDENCE: Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 Page 14 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 and 35 Training and supervision of staff is appropriate to meet the needs of residents. The recruitment procedure protects residents. All records must be available for inspection. EVIDENCE: Training records showed that all staff receive mandatory training, for example, first aid, food hygiene, manual handling and fire safety. Staff also receive training to support them with any added responsibilities, for example, a named person is responsible person centred planning, another is nominated for first aid and extended courses are provided in these cases. Staff spoke highly of the training provided and had attended courses on adult protection, challenging behaviour and an access to social work course. Staff also have the opportunity to do National Vocational Qualifications (NVQs). 2 Staff are currently working towards NVQ level 3 and 3 staff currently have level 3. 1 Staff member has completed the Learning Disability Award and another is working towards it. 1 staff member holds an NVQ assessers award D32 and D33. The home’s recruitment procedures are suitable to protect residents. The registered manager is aware of the procedure and her responsibility within that. Seven staff files were inspected, of these five had all the necessary paperwork, for example, an application form, two suitable references and a
Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 Page 15 criminal record check. Two of the files only had one reference available. In one case it was a new member of staff and the manager could recall seeing both references. It is possible the second reference was still at the area office. In the second case the member of staff has been employed for twelve years and again the reference may be at the area office. The registered manager is aware that these records should be available for inspection and has given assurance that they will be in future. Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 Page 16 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 and 42 The home is well run and procedures and policies uphold the health and safety of residents. EVIDENCE: The registered manager is qualified and competent to do her job. She has a diploma in social work, the NVQ 4 in management and the registered managers award. The home is well run and staff spoken to spoke highly of the support they receive from the management and their colleagues. The training provided protects the health and safety of residents who said they felt safe in the home and knew what to do in the event of a fire or other emergency. Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 Page 17 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 x x 3 Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X 3 X Standard No 24 25 26 27 28 29 30
STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 2 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Harestock Hostel Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000040578.V262686.R02.S.doc Version 5.0 Page 18 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. 1 Refer to Standard YA34 Good Practice Recommendations All staff records should be available for inspection. Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 Page 19 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 Harestock Hostel DS0000040578.V262686.R02.S.doc Version 5.0 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
