Inspection on 20/02/06 for High Hurlands Community Homes

This inspection was carried out on 20th February 2006.

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

High Hurlands Community Homes 22/02/07

High Hurlands Community Homes 22/08/05

High Hurlands Community Homes 10/02/05

High Hurlands Community Homes 17/09/04

High Hurlands Community Homes 09/03/04

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Dalewood Respite Care

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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 High Hurlands Community Homes High Hurlands Estate Gentles Lane Nr Passfield Liphook Hampshire GU30 7RY Lead Inspector John Vaughan Unannounced Inspection 20th February 2006 09:30 High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 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 High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 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. High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service High Hurlands Community Homes Address High Hurlands Estate Gentles Lane Nr Passfield Liphook Hampshire GU30 7RY 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) High Hurlands Partnership Miss Fiona Carter Care Home 15 Category(ies) of Learning disability (15), Physical disability (10) registration, with number of places High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. 7. All service users must be at least 18 years of age. All service users admitted to the home must have a Learning Disability. A maximum of 2 service users with a Physical Disability may be admitted to Bramley Bungalow. A maximum of 2 service users with a Physical Disability may be admitted to Coxes Cottage. A maximum of 2 service users with a Physical Disability may be admitted to Gentles Cottage. A maximum of 2 service users with a Physical Disability may be admitted to Lambourne Lodge. A maximum of 2 service users with a Physical Disability may be admitted to Panda Cottage. 22nd August 2005 Date of last inspection Brief Description of the Service: High Hurlands Community Homes are five three-bedroom bungalows providing a service for fifteen younger adults with a Learning Disability some of who may have associated physical disabilities. Three service users are accommodated in each of the small homes. Staffing is provided twenty-four hours a day. Service users are encouraged to maintain their independence and rules are kept to a minimum. Visitors are welcome and service users families are encouraged to play an active part in their relatives life. The home has well-established links with local General Practitioners and nursing team to support and enhance the service provided. The homes were developed and are managed by the High Hurlands partnership and are well established in the local community. The grounds extend to over 70 acres and a day service facility is provided on site. The home is situated in a rural part of the Hampshire country side and transport facilities are provided for service users to access local facilities in the nearest village of Liphook and larger towns in the area. High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four hours and involved the partners, manager, service users and staff at home on the day. The inspector spoke to and spent time with service users, watching how they were being supported by staff members The inspector went into four out of the five bungalows during this visit and he met the service users and staff. Records held in the home were also looked at and these included the service user’s care plans. What the service does well: 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. High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 Page 6 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 High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 Page 7 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): 2 The practice of the home demonstrates that service users needs and wishes are assessed and documented. EVIDENCE: There have been no new admissions to the home since the last visit to the service. The inspector examined a sample of three service user’s plans during the inspection and spoke to staff members about the needs of individual service users. Each person has a detailed care plan which documents the needs and abilities of the service user. The inspector also noted the involvement of care managers and other professionals in the assessment and support of service users. High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 Page 8 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): 6 and 7 A comprehensive care planning process demonstrated that the home is identifying and responding to service user’s needs. The practices within the home encourage service users to participate in making choices. EVIDENCE: The inspector examined three service users plans during the visit to the service. This confirmed that detailed information on service users needs is recorded with clear instruction on how staff should respond to meet these needs. One plan has guidance for staff on how to support a service user with behaviour that challenges. The guidance indicated that the service user goes to a small toilet to calm down. The inspector discussed this with the staff, manager and partners to establish what action is being taken to review this plan. High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 Page 9 The inspector was told that the home is working with the community learning disability team to develop guidelines for supporting this individual and the period of observation had been extended. The manager reported that this issue has been discussed and all agree that it is not the most appropriate place for the service user to go. The home is working on effective alternative strategies to support this individual and additional staff support has been provided for this person to maintain access community activities. The inspector spent time sitting with service users and staff members and he observed positive and natural interaction of staff when providing support to service users to make choices about their activities. Care plans seen contained information on promoting and encouraging service users to make choices about their everyday lives. Each person has a document in their plan that gives information on service users hopes and dreams and what is important to them. High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 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): 16 and 17 The practices in the home demonstrate that service users are treated with dignity and respect. Service users benefit from a well balanced diet that reflects their likes and dislikes. EVIDENCE: During the visit the inspector observed staff members working with service users and met with three staff members to talk about how they support individuals with their daily lives. Staff confirmed that they undertake training in supporting service users to maintain their privacy and dignity. The inspector was told that one training session helps staff obtain an insight into the feelings and experiences of service users. The inspector saw positive interaction between staff members and service users as they carried out activities together. Staff maintained the privacy and High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 Page 11 dignity of each person when supporting individuals with personal care and care plans reflected the individual needs and wishes of service users. The inspector spoke to staff and read food diaries to confirm that a varied and balanced diet is offered to service users in each of the bungalows. The community homes manager reported that they keep these diaries under review to ensure meals are varied and healthy. Each service user file seen by the inspector had details of the person’s likes and dislikes and staff members demonstrated an awareness of the preferences of individuals. High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 Page 12 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): These standards were not assessed at this visit. EVIDENCE: High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 Page 13 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 Service users are protected by clear policies and procedures to report and respond to allegations and suspicions of abuse. EVIDENCE: The home has a policy on the protection of vulnerable adults and a copy of the Hampshire Protection of Vulnerable Adults Policy is also in place. Staff members have training on protecting service users as part of their induction into the home. The monies held for service users are within one account. This account is not used for the running of the home. The inspector discussed the management of this account with the bookkeeper and one of the partners at a recent visit to the nursing home. At this visit the inspector saw clear and comprehensive records maintained to demonstrate how this money is received and spent. Receipts for transactions are obtained and an individual balance sheet is kept for each person. The inspector was told that interest is divided between all service users based on their individual balances. High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 Page 14 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): These standards were not assessed at this visit. EVIDENCE: High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 Page 15 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 and 34 Service users are supported by staff who are obtaining appropriate qualifications. The practices of the home when recruiting new staff members protect service users. EVIDENCE: The inspector confirmed that an ongoing programme is in place for staff to obtain a National Vocational Award (NVQ). The information provided by the partners indicated that community home staff are undertaking this award at present. The inspector examined one staff file for the only new staff to have started since the last visit and this confirmed that thorough recruitment checks are completed for staff before they take up their employment. The record contained an appropriate application form, two written references and proof of identity in the form of a passport and birth certificate. High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 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, 39 and 42 Service users are supported by a well-managed service. The service can demonstrate that an established system is in place to develop the service with views from service users and their families included in this process. The home can demonstrate that the health and safety of service users is protected. EVIDENCE: The manager, who is also one of the partners, has completed the Registered Manager’s Award (RMA). The homes also have a day-to-day manager who informed the inspector that they would start their NVQ RMA in September. Staff made positive comments about the support they receive. Staff said that the service is well organised and they are given a lot of training and information to carry out their job. High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 Page 17 The complexity of service users needs means that it is difficult to speak to service users about their views on the service they receive. Staff have been identified as key-workers who raise issues on behalf of the individual and the home keeps in contact with families and care managers to obtain their views. The inspector looked at records, which confirmed that questionnaires are completed. The feedback from service user’s families, care managers and staff members was positive in these documents. The registered manager provided the inspector with a copy of the results of the last survey and said that they were now responding to individuals about the outcomes of this process. Regulation 26 visits are undertaken and a report is sent to the commission each month. The inspector was told that fire training continues to be provided by an external trainer. A fire safety audit is scheduled for March 2006 and the fire fighting equipment was serviced in October 2005. Each of the small bungalows has wired smoke detectors and emergency lighting systems and these are tested weekly and monthly. The inspector confirmed that the lifting equipment, heating and electrical systems are also serviced and inspected regularly. High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 Page 18 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 X 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X 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 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X 3 X X 3 X High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 Page 19 N/A 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 High Hurlands Community Homes DS0000012095.V272284.R01.S.doc Version 5.1 Page 20 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. 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