Inspection on 22/08/05 for High Hurlands Community Homes

This inspection was carried out on 22nd August 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

High Hurlands Community Homes 22/02/07

High Hurlands Community Homes 20/02/06

High Hurlands Community Homes 10/02/05

High Hurlands Community Homes 17/09/04

High Hurlands Community Homes 09/03/04

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 High Hurlands Community Homes Gentles Lane Near Passfield Liphook Hampshire GU30 7RY Lead Inspector John Vaughan Unannounced 22 August 2005, 11:30 nd 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. High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service High Hurlands Community Homes Address Gentles Lane, Near Passfield, Liphook, Hampshire GU30 7RY 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) High Hurlands Partnership Miss Fiona Carter Care Home 15 Category(ies) of Learning Disability (15) registration, with number Physical Disability (10) of places High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 All service users must be at least 18 years of age. 2 All service users admitted to the home must have a Learning Disability. 3 A maximum of 2 service users with a Physical Disability may be admitted to Bramley Bungalow. 4 A maximum of 2 service users with a Physical Disability may be admited to Coxes Cottage. 5 A maximum of 2 service users with a Physical Disability may be admitted to Gentles Cottage. 6 A maximum of 2 service users with a Physical Disability may be admitted to Lambourne Lodge. 7 A maximum of 2 service users with a Physical Disability may be admitted to Panda Cottage. Date of last inspection 10/02/2005 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 relative’s life. The home has well-established links with local General Practitioners and nursing team to support and enhance the service provided. The home 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 provide for service users to access local facilities in the nearest village of Liphook and larger towns in the area. High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over four and a half hours and involved the 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 helped by staff. The inspector also spoke to a number of staff about their job and their training experiences. The inspector went into four out of the five bungalows during this visit were 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 and information on activities. What the service does well: What has improved since the last inspection? What they could do better: The manager was asked to look at some support guidelines for a service user to make sure the instructions are clear for staff. The inspector has not asked the manager to change or improve on anything else following this visit. High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 6 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 H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.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 High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.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) N/A These standards were not assessed at this visit. EVIDENCE: High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 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 standard(s) 6 and 9 A well developed and comprehensive care planning process demonstrated that the home is identifying and responding to service user’s needs. EVIDENCE: The inspector sampled four service users plans during the visit. Each of these plans has individual detailed care plans for a wide range of areas. Instructions to staff are clear and these are kept under regular review. Information on how to support the service users with personal care, health and medical needs, communication, activities, social interaction, sexuality and behaviour are all covered within these plans. An additional document provides a picture of the person, their dreams, likes and dislikes and goals, which have been completed by key-workers and family members. Comprehensive guidelines are in place for moving and handling and physiotherapy sessions, which are supported by photographs. High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 10 The inspector also looked at the intervention strategies for one service user who is challenging the services provided for them. Staff told the inspector that they are monitoring the incidents and maintaining a record. The home is working with the community team to develop strategies to support the individual. The inspector spoke to the registered manager and advised that they review the current information within the care plan to clarify what actions staff take when supporting this person in community settings as the wording of the current guidelines could be misunderstood leading to staff using physical intervention. The manager stated that as the incidents have increased activities, which present a high risk, have been stopped until a suitable support strategy has been agreed. Risk assessments and strategies to minimise these risks are also in place, which include medication, transportation, community access, moving and handling, pressure care and health concerns. These are all kept under review with the care plan. Staff were observed interacting and engaging with service users providing appropriate and sensitive support in activities and personal care. High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 11 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 and 15 Service users benefit from the provision of a well organised activity programme enhanced by contact from families and friends. EVIDENCE: High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 12 The home provides a day service for service users. This is currently closed for summer however activities continue for all service users and an activity plan has been put in place for this period. The inspector saw evidence of regular activities within service users plans. The inspector was told that most service users have been on holiday this year. Local shops, clubs and leisure centres are utilised by service users. Shopping trips, meals out and swimming trips are recorded. On the day of the inspection a group of service users had used the hydrotherapy pool and another group had gone out on a community activity. The home provides transportation to access activities and the local community. Staff told the inspector that service user had attended a wide rage of activities during the recent months and diary entries confirmed trips such as walks, archery sessions at an activity centre, lunch out in a pub, and gardening sessions. From examining the records the inspector confirmed that service users have regular contact from their families. Contact details are on file and care plans provide guidance on how to maintain contact and encourage interaction from service users. Two service users had recently attended weddings in their families and information seen by the inspector confirmed that they had been out to buy presents and new clothes for the occasions. High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 13 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 The home provides support for service users to access health Care professionals to meet their needs. Personal support is given in a way that respects the privacy and dignity of the individual. EVIDENCE: The inspector saw evidence on file that each person’s medical and health needs are responded to appropriately. Each person is registered with a general practitioner and physiotherapy support is also provided to the home. The home has clear statements on the rights of service users including privacy and dignity. Service users are supported receive treatments and to meet visitors in private. Routines are flexible and there are no set times for going to bed or getting up in the morning. The inspector examined the homes arrangements for the administration of medication and found them to be satisfactory. Records are in place for the administration and disposal of medication. Recent medication errors were recorded and reported to the inspector, incidents were responded to promptly and the manager has arranged for the staff involved to undergo retraining. High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 14 Staff members working on each bungalow confirmed that they have had medication training and supervision of their administration practice. The service users plans also contain instructions on using ‘when required’ medication. High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 15 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 Procedures are in place demonstrating that the views and concerns of service users, their families and representatives are recorded and responded to. EVIDENCE: The home has a clear complaints procedure. The inspector was able to confirm that there have been no complaints since the last inspection. The complexity of the needs of service users living in these homes mean that it would be difficult to communicate concerns. Communication plans are in place with the service users plan to indicate how each person would communicate when unhappy of distressed and what staff should do when this happens. Staff receive training in abuse and how to report concerns. High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 16 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, 26 and 30 Service users benefit from a comfortable, well maintained, safe and accessible home. EVIDENCE: High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 17 The inspector visited four out of the five bungalows during this visit. The service users and staff of Panda were out all day. The homes are set within extensive grounds providing a great variety of outdoor spaces for service users. The homes have access to a day service facility with rooms for activities such as pottery and physiotherapy. There is also a hydrotherapy pool. Each of the bungalows were found to be clean and tidy and free from unpleasant smells. The homes are accessible and appear suitable for the needs of the service users. The inspector observed service users within their own home and they looked comfortable and relaxed. The home has suitable range of furniture, which is of good quality and in sufficient quantity to meet the needs of service users. While touring the homes the inspector had the opportunity to see some of the bedrooms and these were all different in décor and layout reflecting the interests and needs of the individual. The inspector noted that the carpets in the lounge on Lambourne and a bedroom in Coxes are stained and are in need of cleaning or replacement. Staff said this would be carried out and they have the carpets cleaned professionally when required. High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 18 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) 35 and 36 Service users can be confident that they are supported by a welltrained and supervised team of staff. EVIDENCE: The inspector spoke to five staff during his visit. Each person confirmed that they have had a full induction to the home. This included training in Moving and handling, health and safety, administration of medication, food hygiene and abuse. Fire safety updates were carried out last week. Other training has included using vehicles and equipment, epilepsy and understanding service user’s needs. During a previous inspection the inspector has spent time with one of the senior staff responsible for training and seen a well-organised programme of induction and ongoing training for staff. Staff said that they worked with more experienced staff to get to know the service users and the expectations of their roles. High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 19 Some staff are undertaking training in medication tomorrow and they told the inspector that they could only witness medication being given at present until they are fully trained. A staff member told the inspector that they have also attended a college to develop their spoken English and that this is supported and encouraged by the home. Staff commented positively on the level of support and contact with senior staff and management of the home. They confirmed that they have regular supervision, which is linked to the homes appraisal system. High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 20 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) N/A These standards were not assessed at this visit. EVIDENCE: High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 21 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 x x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x 3 x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x x x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 High Hurlands Community Homes Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x x x H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 22 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 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 Good Practice Recommendations High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Hampshire Area 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 High Hurlands Community Homes H54 S12095 High Hurlands Community Homes V238867 220805 Stage 4.doc Version 1.40 Page 24 - 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!