Inspection on 12/07/07 for Hazelwood House

This inspection was carried out on 12th July 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

Hazelwood House 14/11/06

Hazelwood House 27/06/06

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Hazelwood House 22 Newbarn Road East Cowes Isle Of Wight PO32 6AY Lead Inspector Neil Kingman Key Unannounced Inspection 12 July 2007 13:50 Hazelwood House DS0000065137.V340977.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 Hazelwood House DS0000065137.V340977.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. Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Hazelwood House Address 22 Newbarn Road East Cowes Isle Of Wight PO32 6AY 01983 280039 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) The Regard Partnership Limited Mrs Joanne Lorraine Parry Care Home 11 Category(ies) of Learning disability (11) registration, with number of places Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14 November 2006 Brief Description of the Service: Hazelwood House is a registered home providing care support and accommodation for up to 11 adults of both sexes with learning disabilities. The home is a detached period property situated in East Cowes near to the Osborne estate where there are good public transport links to Newport, Ryde and the mainland. People who use the service lead full and active lives and all are engaged variously in occupational, educational, social and recreational activities. The home offers single room accommodation arranged over three floors with the most able people occupying rooms on the upper floors. Rooms have been decorated to residents’ individual tastes. There is one self-contained flat on the second floor, which helps promote a more independent lifestyle for one person. Communal areas comprise a lounge and dining room. Outside there is an enclosed garden mainly laid to lawn with seating and equipment for residents’ use. It is accessible for a wheelchair user via a ramp. A large car park provides off road parking at the front of the home. Mrs Joanne Parry manages the home on behalf of the Regard Partnership who purchased the property in December 2005. Weekly fees currently range between £418.17 and £1158.20 per week dependant on individuals’ assessed needs for additional 1-1 support. Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the results of an evaluation of the quality of the service provided by Hazelwood House and brings together accumulated evidence of activity in the home since the last key inspection on 14 November 2006. Part of the process has been to consult with people who use the service; including a Social Services Care Manager, a GP and a Community Learning Disabilities Nurse who regularly visit the home. There were three responses to the visitors/relatives survey and six from people who live in the home, completed with support from their key workers. Included in the inspection was an unannounced site visit to the home by an inspector on 12 July 2007. The registered manager Mrs Parry was available on the day. At the visit we had an opportunity to tour the building, speak with staff on duty and meet all eleven people who use the service. We also looked at a selection of records. Prior to the site visit the manager sent to the Commission a range of information about the service including an Annual Quality Assurance Assessment (referred to as the ‘assessment’ during the report), which has been used with other information to inform the various judgements made about the service. What the service does well: This and the last two inspections of Hazelwood House have judged it to be an improving service. People who live in the home lead active lives. Staff provide the support they need to follow their interests and maintain contact with family and friends. The home works well with external professionals to ensure peoples’ health needs are appropriately managed. Special mention was made of interagency liaison in the care professionals’ survey. Most people have lived at the home for many years and have very personalised private accommodation (bedrooms). The home has an ongoing programme of redecoration and replacement of fixtures and fittings as necessary. Staff receive ongoing mandatory and service specific training to ensure they are able to understand and meet peoples’ needs. A comment in one of the health professionals survey responses was: “Excellent delivery of care to a diverse group of service users. Responsive to individuals’ changing needs and proactive in ensuring needs are met.” Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 6 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. Hazelwood House DS0000065137.V340977.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 Hazelwood House DS0000065137.V340977.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 – People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager ensures that the care support needs of the people who use the service will be met by undertaking a proper assessment prior to them moving into the home. EVIDENCE: Pre-admission assessment Hazelwood House provides long-term care and support for up to eleven adults with learning disabilities. At the last inspection this standard was judged to have been met. The manager confirmed that there had been no new admissions to the home since January 2005. It is therefore the case that the home has not had to implement its pre-admission assessment process for over two years. However, it was noted that each person who uses the service has a needs assessment on his or her file. The manager showed a good understanding of the importance of a preadmission assessment in the process of choosing the right home, which includes contact with care managers and introductory visits by the prospective resident to establish compatibility with existing residents, and to judge whether the home would be suitable. Hazelwood House DS0000065137.V340977.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 and 9 - People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: Personal plans – The home operates a key worker system with key support workers having additional responsibilities for identified people. Each person has a personal plan, which reflects their individual needs, aspirations and goals. It was noted that information in personal plans is very ‘person centred’ and includes: • • • • • Pen portrait of the individual Needs assessment and support required Plan of care/support Person centred ‘life plan’ Details of key worker meetings DS0000065137.V340977.R01.S.doc Version 5.2 Page 10 Hazelwood House • • • • Risk assessments Monthly residents’ meetings Health action plan Leisure, hobbies, activities, spiritual needs In discussions the manager explained that a good deal of work had been carried out to develop the personal plans in a person centred format; researching best practice and evaluating the results with one of the more able residents who had been fully involved in the process. The person was able to confirm this himself. Staff spoken with felt personal plans were a good source of information and were used as working documents. They confirmed that monthly key worker meetings take place with residents to discuss various issues including personal plans, life goals and ambitions. The manager stated that a full care plan review, with or without the care manager occurs every six months. Decision making Information in Personal Plans and discussions with staff on duty provided evidence of staff respecting peoples’ rights to make their own decisions. One care support worker spoken with had just returned from a trip to a place of interest on the other side of the island that the resident had chosen himself to visit. Another was looking forward to progressing to a more independent lifestyle and described the support provided by the home to enable it to happen. Residents’ meetings have brought up suggestions and comments about activities, concerns, menus and the general running of the home. On the day of the site visit the home was a hive of activity with people coming and going; one was helping staff to prepare the evening meal, another made tea for several people including the inspector, while others returned at various times from day services. Communication between residents and staff was good and interactions were good humoured. The manager confirmed, and records showed that people are supported to manage their financial affairs in different ways according to their individual skills and circumstances. While two of the eleven residents have family to support them, independent advocacy had been requested by the Regard Partnership to carry out an assessment of another six. One benefit of the advocate’s visit had been the introduction of a newsletter. The other three residents are assessed as being capable of self-advocacy. We looked at the system in place for managing residents’ finances. Each person has their own bank account and is given support to be as independent as possible in this respect. The arrangements were fully explored and judged Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 11 to be appropriate. In a dip sample of records entries were found to be accurate, monies balanced and receipts were kept of incidental purchases. Risk taking – During the site visit it was noted that specific risk assessments were in place on residents’ personal plans, with clear guidance for staff on how risks are to be managed. All areas of risk are rated and in cases where challenging behaviours are an issue detailed action plans have been developed to manage specific situations. The home’s assessment identified what they do well in this area: All service users are involved in their monthly keyworker and house meetings, as well as putting together a house newsletter which they would like to do every 6 months. Personal Plans are also completed every year to ask specific questions regarding their life at hazelwood House and the evidence collated from this information is used to assess future needs. This is done by the manager, service users, keyworker etc. All parents/advocates are individually invited by the service user to attend their yearly home/work reviews. The service users also enjoy inviting their family and friends to any parties they are holding during the year. The home will also request family, friends, professionals etc to fill out a comments card for our homes quality assurance. Hazelwood House DS0000065137.V340977.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): 12, 13, 15, 16 and 17 - People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make choices about their lifestyle, and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. EVIDENCE: Education and occupation – During the site visit we had an opportunity to meet with and talk to most of the people who live at the home and view a sample of records relevant to peoples’ daily life and social activities. In conversations with staff who are key workers it was clear that a good deal of support is provided for individuals to make choices that enhance their independence. Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 13 All but one of the residents attend various day services throughout the week and one has made a conscious decision not to do so. One spends time at a garden nursery on the Island and together with skills acquired through living in the self-contained flat is hoping eventually to move on to a more independent placement. At the day centres they are involved in a range of activities, mainly craft based that also help with independent life skills. Community links, social inclusion and relationshipsIt was clear from our observations and from information in personal plans that people enjoy going out from the home. A weekly programme of activities ensures their lives are varied and interesting. Staff treat residents as individuals and as well as planned weekly activities staff also organise ad hoc ones such as trips to pubs, bowling and places of interest. Several went with staff on holiday to Spain in May and others will be going to Butlins later in the year. Each person has a diary in which his or her views/responses to the activities are recorded. All residents have regular contact with their families the majority of whom visit the home. One person is assessed as capable of visiting family on the mainland; travelling alone on the ferry and being picked up the other side. The home makes visitors welcome and residents are able to receive them in the communal areas, or the privacy of their rooms. Daily routines – All those who live in the home have at least one day at home each week when they are supported to undertake their domestic activities such as cleaning their bedrooms and doing laundry. Some help care support staff to complete the weekly shop for the home and two in particular help key workers to prepare and cook the evening meal. People are encouraged to undertake domestic tasks but can opt out if they choose to do so. The subject of helping with daily routines is brought up and debated at the residents’ house meetings, which are chaired by one of the group and considered by all to be very productive. Meals – The manager explained that the residents plan the menu for meals a week ahead. Those seen during the site visit showed food to be varied and nutritious with vegetables and fruit always available. We had an opportunity during the site visit to observe the evening meal arrangements. Everyone ate together in the dining room and staff were available for support as required. The mealtime appeared to be a social occasion and the atmosphere was good humoured. Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 14 Staff take turn to prepare the meals and the care support worker who had prepared the evening meal with one of the residents confirmed that this arrangement works well and adds to the domestic feel of it being peoples’ home. The home’s assessment described what they do well in this area: All service users at hazelwood house are fully involved with the running of their home with support from their staff team. This involves: choosing their weekly menu plan, weekend leisure activities, monthly house meetings, 6 monthly newsletter, yearly personal plan, individual person centred plan/care plan, all service users attend day service or 1-1 in-house support. All service users are involved in their monthly key worker and adult meetings, weekly menu plans, washing up rota, leisure activities, care plans etc that involves their lives at Hazelwood House. These minutes are then discussed at Staff Meetings. In terms of Equality and Diversity the home’s assessment identified their response as: Hazelwood House has a policy to establish beliefs and support will be given to anyone wanting to attend a church of their choic. All staff will continue to ensure that all service users have the same rights, and as far as possible, the same responsibilities as other members of the community, regardless of race, gender identity, disability, sex etc. Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 15 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 and 20 - People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Personal support – At the time of the inspection there were eleven people resident at Hazelwood House and all but one are mobile. People’s individual plans clearly record their personal and healthcare needs and detail how they will be delivered. Staff use a person centred approach to deliver care and support and meet people’s changing needs, e.g., a person with some mobility difficulties has an en-suite room on the ground floor and a very active, independent person has a self-contained flat on the second floor. Several people are largely self-caring, being able to mange their own personal hygiene, with encouragement and support in some cases. They confirmed in discussions that they could go to bed and get up when they want. Also, they could remain in their room if they want, and choose their own clothes, hairstyles and makeup to reflect their individual personalities. The manager Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 16 and staff knocked on doors, and waited for a response before entering. Staff addressed people by their preferred names. Healthcare – Personal plans showed that peoples’ health care needs are regularly addressed. They receive checks from the GP, dentist, optician and specialist health care professionals, either at the surgery or in their own rooms depending on the circumstances. All health care needs are identified in peoples’ Health Action Plans. The manager confirmed that people have a choice of GP from a number of GPs at the East Cowes health clinic. The manager confirmed that the home enjoys a good liaison with the Community Psychiatric Nursing team. All visits to health clinics for ‘well person’ checks are planned between the resident and their key worker. While there is a mix of male and female residents currently the home has an all female staff group. The manager said that she would prefer to have a better gender mix in the staff group, and has done in the past. However, it does not pose a problem with people at present. Some comments in the health care professionals survey about what the home does well include: “Actively seek training to meet health needs.” “Person centred approach.” “Interagency working.” “Identifying unmet needs and seeking advice and support.” “Privacy and dignity respected.” “Excellent delivery of care to a diverse group of service users. Responsive to individuals’ changing needs and proactive in ensuring needs are met.” Medication We looked at the home’s arrangements for residents’ medication with the manager. Records showed that medication is administered by staff who have received the B/Tech training in medicines administration and deemed competent by the manager. The home uses a monitored dosage (blister pack) system for medicines that can be stored in this way. At the time of the site visit medication for people was securely held, and records relating to its safekeeping and administration were found to be in good order. The manager said that residents’ assessed needs are such that those in receipt of medicines would not be safe to self-administer, therefore the home takes that responsibility. Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 17 At the last inspection a requirement was made for the manager and key workers to ensure that there are guidelines for all service users to say when PRN (as and when required) medication may be required. It was noted at this site visit that the requirement had been met and PRN protocols were in place. Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 18 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 and 23 - People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse. EVIDENCE: Complaints There had been no complaints about this service since the last inspection visit. The home’s complaints procedure is detailed in the service user’s guide with the information available in pictorial format in the home’s brochure. Discussions with the people who live at the home indicated that they would tell a member of staff or the manager if they had any complaints. Most attend external day services, college or sheltered work placements and would be able to discuss any concerns or complaints with people outside the home. Observations of their interactions with staff showed that they would be able to discuss any concerns or make complaints with the staff or their key workers Safeguarding adults Information provided as part of the home’s assessment indicated that policies, procedures and codes of practice are in place in the area of safeguarding adults and the prevention of abuse. Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 19 The home follows the Isle of Wight Adult Protection Policy Guidance. A quick reference policy was seen on the office wall as to the actions staff should take should they suspect that an incident of adult abuse might have occurred. Staff spoken with confirmed that they had received training in safeguarding adults and were very clear about the importance of reporting issues of concern without delay. Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 20 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 and 30 - People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home’s premises are suitable for its stated purpose. They are comfortable, safe and well maintained. On the day of the site visit the home was clean, hygienic and free from unpleasant odours. EVIDENCE: Premises – The building is a detached period house in a quiet residential area of East Cowes and offers the residents a safe and comfortable home. The building is suitable for people who are independently mobile. There was evidence that the home has addressed the environmental requirements identified at the last inspection: • Portable Appliance Tests (PAT) have been completed. Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 21 • • Thermostatic valves have been fitted to baths and ongoing records show that they operate correctly. Non-slip flooring has been fitted in both bathrooms. During the site visit we toured the building with the manager and later individual residents invited us to view their rooms. It was noted that rooms were generally spacious; reasonably well decorated and equipped, and individually personalised. Four bedrooms have been decorated since the last inspection. In discussions with the residents it was clear that they liked their rooms; one in particular took time to show us the advantages that the self-contained flat had to offer. They all said they had choices with regard to furniture, decorations and electrical equipment. While there are no en-suite facilities in ten of the eleven rooms each has a wash hand basin and there are bath/shower rooms and WCs close by. One person with physical disabilities has their own en-suite shower. The home has a good-sized lounge, comfortable and homely, with adequate seating, and a very large flat screen TV. There is a kitchen and separate dining room. The premises are bright, airy and comfortable. The home’s assessment identified what they do well in this area: All service users are fully involved with any changes/decoration to their home, this also includes their bedrooms which are all decorated to their individual tastes. Cleanliness During the site visit all areas were noted to be clean, tidy and free from unpleasant odours. There is a laundry room, which is accessed via the kitchen and Mrs Parry confirmed that soiled articles are always placed in appropriate bags to prevent the risk of cross infection; gloves and aprons are worn and the laundry is not used at times when food is prepared, cooked or eaten. Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 22 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): 32, 34 and 35 - People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained, skilled and are deployed in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. EVIDENCE: Staff recruitment The manager confirmed that two new care support workers had been recruited since this standard was last assessed. Individual staff recruitment files were available for inspection and showed that the home’s recruitment procedure includes an application form, a contract of employment, a health questionnaire, proof of identification, two written references and police and Protection of Vulnerable Adults (POVA) checks on all staff. We looked at the recruitment records of the two newly recruited staff and found them to be in good order. Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 23 Staff training, development and competencies The Regard Partnership has its own training department who provide training at the home. At the site visit there was an opportunity to look at the staff training plan, which had been updated this year. The home also has a monthby-month training plan where training dates are scheduled. Records demonstrate that the full range of mandatory training is provided together with additional service specific training such as: • • • • • Autism including challenging behaviour Person Centred Planning Epilepsy Medicines management Safeguarding adults The manager described and produced evidence of the induction programme care support workers undertake when joining the home. The current programme follows the Common Induction Standards recommended by ‘Skills for Care’. Additionally, it is expected that all staff will have completed Learning Disability Award Framework (LDAF) training by the end of August this year. The manager confirmed and records showed that nine of the thirteen care support workers have achieved the NVQ at level 2 or above and two are currently working towards the qualification. This gives a ratio of 69 of the staff group trained. Care support workers spoken with said that the home provides a very good staff training package, which equips them well for the work they do. This was reflected in the responses to the care professionals’ survey where a comment was made that the home, “Actively seeks training to meet health needs.” Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 24 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, 39 and 42 - People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: Management – The registered manager Mrs Jo Parry has been in post for about four years and is fully qualified, having achieved the NVQ at level 4 in care and the Registered Managers Award (RMA). She states that she keeps up to date with regular mandatory and service specific training, and adopts a ‘hands-on’ approach to the running of the home, working alongside care support workers where appropriate. Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 25 All staff spoken with regarded the home as being well run, with regular staff meetings and formal supervision. They confirmed that the morale of staff was good and the manager was approachable and supportive. Quality assurance – The manager gave examples and we saw records of the home’s approach to quality assurance, which include: • • • • • • • • Regular residents house meetings where issues are recorded and addressed. Yearly care reviews involving the social services care manager, the key worker, the resident and a relative. Day service reviews. Regular statutory visits by the proprietor to monitor the conduct of the home. Regular staff meetings and formal supervision sessions. Written satisfaction surveys sent to families, friends and health care professionals. Island Mobility and Care Learning Centre assessments. A five star rating in food hygiene awarded in July 2006. Health and safety The home’s pre-inspection information signed by the manager confirmed that policies and procedures were in place to ensure safe working practices in the home. A sample of records was viewed including health and safety risk assessments, fire alarm tests, public liability insurance, and electrical certificates, all of which were in good order. Staff training records showed, and staff confirmed that statutory training is scheduled and updated in manual handling, first aid, fire training, infection control and food hygiene. Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 26 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 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 x 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x 3 x x 3 x Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 27 Are there any outstanding requirements from the last inspection? No 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 Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Hazelwood House DS0000065137.V340977.R01.S.doc Version 5.2 Page 29 - 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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