Inspection on 19/07/05 for Heywood Sumner House

This inspection was carried out on 19th July 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.

Other inspections for this house

Heywood Sumner House 13/01/09

Heywood Sumner House 12/02/08

Heywood Sumner House 31/10/06

Heywood Sumner House 16/01/06

Heywood Sumner House 26/07/04

Heywood Sumner House 03/03/04

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

CARE HOME ADULTS 18-65 Heywood Sumner House Cuckoo Hill, South Gorley, Fordingbridge Hampshire Lead Inspector Roy Bega Unannounced 19/7/05 09:30am 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 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 Stationary 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. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Heywood Sumner House Address Cuckoo Hill, South Gorley, Fordingbridge, Hampshire, SP6 2PP Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01425 652350 Truecare Group Limited (Pending) CRH 12 Category(ies) of LD- Learning Disability: 12 registration, with number MD- Mental Disorder: 12 of places Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1- Service users may only be accommodated in category MD if they are also accommodated by reason of LD. 2- There is a dispensation to accommodate two named service users in the MD category. Date of last inspection 1/2/05 Brief Description of the Service: Heywood Sumner House is part of the Truecare Group managed by C.H.O.I.C.E. Ltd. The home is located in the rural village of West Gorley between the market towns of Fordingbridge and Ringwood and provides accommodation for up to 12 residents who have a learning disability. It is a detached property with car parking for several vehicles to the front of the building and well-maintained and accessible gardens to the side. Accomodation comprises of single bedrroms located on both the ground and first floor. There is a lounge with a dining area on the ground floor, together with various other facilities including an activities/games room. Mrs J Harris (formally a registered manager of another residential unit within Truecare) application for registered manager is pending. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report summarises the assessment of the extent to which the National Minimum Standards for Care Homes for adults 18-65 were being met at the time of the inspection. Standards not inspected on this occasion will be assessed during future visits. This inspection took place over one day, a total of five and a quarter hours between 9-45 a.m. and 3 p.m. Opportunity was taken to look around the home, view records and talk with, residents an staff. Four requirements were raised resulting from this inspection. What the service does well: What has improved since the last inspection? What they could do better: From records seen, discussions and observations it was noted that one resident now requires specialist equipment to meet his changed daily physical needs to assist with bathing. The current call alarm system used by staff in emergency situations does not have the function of enabling to distinguish where they are located. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 Page 6 A washing machine with a sluicing facility is required for the purpose of managing foul laundry. Advice needs to be obtained from the Environmental Health Department as to whether the freezers require replacing and their location is acceptable. 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. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 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 standard(s) 2, 3, and 4. Prospective residents needs and aspirations are fully assessed prior to admission. They are provided with opportunities to make an informed choice as to whether Heywood Sumner House is able to meet them before deciding to move in. EVIDENCE: The organisation has a comprehensive admission policy in place which includes full assessment of needs, aspirations and planned introductory visits. Discussions and a sample of three residents files records indicated that appropriately competent persons, residents and their representatives were involved in the assessment process. Observations, discussions and available training records indicated that staff have the skills and experience to deliver care effectively. Staff were observed to inform residents what aspects of care they were going to do before carrying it out. Staff were also observed to be courteous, respectful, ensuring residents dignity and privacy at all times. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 Page 9 Information and discussions indicated that prospective residents are invited to visit and “test drive” the home before deciding whether the home will meet their needs and aspirations. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9 and 10. Residents are fully involved in making informed choices and decisions about their lives (including risks) to fulfil their aspirations. Together with assessed needs this is reflected in personal care plans. Information about residents is handled appropriately and confidences kept. EVIDENCE: A sample of 2 comprehensive personal centred care plans were seen which included the following information Residents aspirations and how they are to be achieved. Social interests/hobbies Social skills and “steps” how to be achieved. Community access and “steps” how to be achieved. Educational aspirations. Behaviour management and how to be achieved. Development of relationships. Monthly health checks. Daily time table. Daily report log. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 Page 11 It was acknowledged that the care plans are to be presented in formats appropriate to individual residents level of understanding in order to be completely personal. Discussions indicated that staff and residents/representatives are fully involved in the care planning process and reviews. The inspector was informed that after completing appropriate training the assistant manager has become responsible for communication needs. A sample of recently adopted pictorial guidelines aimed at assisting residents to keep their rooms clean and tidy were seen. Discussions indicated that these guidelines are being effective in their application. It was noted during the visit that residents with their “worker” were encouraged to participate in domestic duties. Minutes of resident meetings were available. Risk assessments form an integral part of the care plans covering activities participated. Information about residents is handled appropriately and confidences kept. The home has a policy on confidentiality. Staff spoken with portrayed a good awareness and understanding with regards to the importance of this issue. Residents’ files are kept securely. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13, 14, 15, 16 and 17. Residents’ rights are respected and responsibilities recognised in their daily lives. They are also provided with opportunities of personal development and participation in chosen activities including the community which demonstrates their rights are respected. EVIDENCE: See also the previous section, Individual needs and Choices, Standards 6 –10. A sample of 2 residents’ daily activity programmes were seen. Activities are linked to individual care plans and include - personal care, social skills, community access, local pub, college courses, cookery, art, drama, I.T., literacy, numeracy, gardening, day services, sporting interests and visits to places of interest/leisure. During this visit said activities programmes were seen to take place. Residents went to the company’s day services and were supported in community access. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 Page 13 Residents readily informed the inspector of what they choose and like to do and how staff are very helpful. It was noted that one resident who has a particular interest in motor vehicles (especially fast moving) had experienced a high speed ride around a racing circuit. Discussions and records indicated that where applicable, residents are encouraged to maintain links with family and friends. Links are also maintained with friends living in other homes within the organisation. Past holidays have included, Minorca, Jersey, Derbyshire and various holiday camps. The inspector was informed that a couple of holidays for 2005 have taken place and others are being planned. Staff were observed to be supportive towards residents throughout the visit. The inspector had the opportunity to dine with residents and staff for lunch. It was noted that personal likes were respected. Discussions indicated that residents are fully involved in choosing the menus and where verbal communication is difficult, pictorial methods are used to obtain information. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20. Residents health/medical care needs are met and they receive personal support in an appropriate manner. EVIDENCE: See also the previous sections, Individual needs and Choices, Standards 6 –10. and Lifestyle, Standards 11 – 17. The staff team comprise of both male and female carers. Observation and discussions indicated staff provide sensitive and flexible personal support to maximise residents’ privacy, dignity, independence and control over their lives. Care plans seen and discussions indicated that residents’ health care needs are assessed, and appropriate procedures put in place to ensure they are met. All residents have been assessed as being incapable of managing their own medication. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 Page 15 The home’s medication policy and procedure was seen. Records of medication administered were well maintained and up to date. Evidence was seen that staff who administer medication have received appropriate training. The possibility of moving the medication cabinet into the office to improve safety and staff and resident access was discussed. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23. There is a clear and effective complaints procedure which includes the stages and times-scales for the process. Comprehensive procedures are in place to ensure residents are protected from abuse neglect and self-harm. EVIDENCE: See also the previous sections, Individual needs and Choices, Standards 6 –10. and Lifestyle, Standards 11 – 17. Residents spoken with had an understanding of what to do if they had any concerns. Individual forms are used to record complaints. The Commission has not received any complaints in respect of the home in the preceding year. The home has an adult protection policy and procedure in place of which staff spoken with had a good understanding. Evidence was seen that staff have received adult protection training. Records with regards to the management of residents’ finances were seen and assessed to be maintained as required. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 29 and 30. Residents live in a homely environment which is well maintained. Specialist equipment requires to be installed to meet the changing needs of a resident. At the time of the visit the home was clean and hygienic. Laundry equipment requires upgrading to manage foul laundry. EVIDENCE: The inspector had the opportunity to walk around the communal areas which were well maintained. Furniture and fittings are of good quality and are domestic, unobtrusive and ordinary as is compatible with fulfilling their purpose. New floor covering has been laid in the lounge subsequent to the previous inspection. At the time of the inspection new carpets were in the process of being fitted throughout the remainder of communal areas including stairs and hallways. The inspector was informed that new floor covering is also to be laid in the kitchen and laundry. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 Page 18 It was noted that new lounge and bedroom furniture has been provided subsequent to the previous inspection. The inspector was informed that work is about to start on refurbishing all bathrooms’. Records seen, discussions and observations indicated that one resident now requires specialist equipment in meeting his daily physical needs with bathing. This requires to be addressed. The inspector was informed that an occupational therapist has visited to assess the resident’s needs. The current call alarm system used by staff in emergency situations does not have the function of enabling to distinguish where they are located. The inspector was informed that quotations are being obtained for a more appropriate system. The home was clean, hygienic and free from offensive odours. Records seen and discussions indicated that there are residents who have become incontinent. A washing machine with a sluicing facility is required to launder foul laundry. Advice will need to be sought from your local Environmental Health Department. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 and 35. Residents are supported to meet their individual and joint needs and aspirations by appropriately trained staff. EVIDENCE: Observations and discussions indicated that staff on duty have the competencies and qualities required to meet residents’ needs. They portrayed knowledge of individual residents disabilities, needs and aspirations. Observation and discussions with residents indicated that they view staff as being approachable. Staff training records indicated the following 12 staff have completed the National Vocational Qualification (NVQ) level 2 in care. • 6 staff are currently completing the NVQ level 2 in care. • 3 staff have completed NVQ level 3 in care. • 1 is currently completing NVQ level 4 in care. • Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 Page 20 The training programme for 2005 was seen which included – Infection control, Management of violence. First aid. Managing depression. Adult protection. Autism awareness. Makaton. The home is to be commended with regards to the attitude and implementation of staff training. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 41 and 42. Residents live in a home that is well run with an open management approach and well maintained records. The health, safety and welfare of residents are positively promoted within the home. EVIDENCE: During the visit, the inspector had the opportunity to speak with 3 staff and 4 residents. It was evidenced through these discussions and observations that good working relationships exist between the staff group and residents and staff. From observation and discussions it was also possible to assess that the management approach of the home creates an open, positive and inclusive environment. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 Page 22 The atmosphere was relaxed indicating an environment where residents’ abilities and aspirations are being promoted. Records seen were well maintained, up to date and kept secure. Staff training in Fire Safety, First Aid, Food Hygiene and Infection Control is up to date. Staff have received appropriate training with regards to Care of Substances Hazardous to Health. Hazardous substances are kept in a locked cupboard to promote the welfare and safety of residents. The home has up to date maintenance certificates for the boiler, fire equipment etc. Accidents/incidents that affect the wellbeing of residents that occur within the home and whilst on activities are well documented. The Commission of Social Care Inspectorate have been fully informed of such incidents. Fire drills and required fire safety precautions are carried out and recorded. Advice needs to be obtained from the Environmental Health Department as to whether the food freezers require replacing and that their current location is acceptable. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 4 3 4 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x 2 2 Standard No 11 12 13 14 15 16 17 4 4 3 3 3 3 x Standard No 31 32 33 34 35 36 Score 4 4 x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Heywood Sumner House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 2 x H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 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. 1. Standard 29 Regulation 13 (5) Requirement Specialist equipment to meet the changed pysical needs of the identified resident is to be provided. The current call alarm system used by staff in an emergency is not effective. It does not have the function of enabling to distinguish where they are located. A washine machine with a sluicing facility is required to launder foul laundry. Advice needs to be obtained from the Environmental Health Department with regards to the condition and location of food freezers. Timescale for action 10/09/05 2. 30 23 (2 c) 10/09/05 3. 30 23 (2 k) 10/09/05 4. 42 23 (2 k) 10/09/05 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. Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 Page 25 Refer to Standard Good Practice Recommendations Commission for Social Care Inspection 4th Floor- Overline House Blechynden Terrace Southampton Hampshire 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 Heywood Sumner House H54 S55844 Heywood Sumner House V238349 190705.doc Version 1.40 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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