Inspection on 31/07/07 for High Mount

This inspection was carried out on 31st July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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

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10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 High Mount 13/14 High Mount Donnington TF2 3NL Lead Inspector Mike Moloney Key Unannounced Inspection 31st July 2007 08:45 High Mount DS0000070139.V347451.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 High Mount DS0000070139.V347451.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. High Mount DS0000070139.V347451.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service High Mount Address 13/14 High Mount Donnington TF2 3NL 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) 01952 417713 Accord Housing Association Ltd Mr Philip John Gould Care Home 8 Category(ies) of Learning disability (8) registration, with number of places High Mount DS0000070139.V347451.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide personal care (excluding nursing) and accommodation for service users of both sexes whose primary care needs on admission to the home are within the following categories: Learning Disability (LD) 8 The maximum number of service users to be accommodated is 8. 2. Date of last inspection Brief Description of the Service: 13 and 14 High Mount are registered with the Commission for Social Care Inspection as one care home providing residential services for a maximum of eight adults with a learning disability. The accommodation that makes up the registration consists of two detached bungalows effectively next door to each other. One of the service users living at the home is over 65 years of age and the registration category reflects this. The home is owned by Shropshire Primary Care Trust and leased to Accord Housing Association who run the service. The home aims to promote valued lifestyles for each individual and empower them so they are as independent as possible. The fees are paid by the Primary Care Trust on a block contract basis. High Mount DS0000070139.V347451.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A range of evidence was used to make judgements about this service. This includes: information from the provider, records kept in the home, medication records, discussions with the staff team, tour of the premises, registration inspection reports and talking with as well as observing the care experienced by people using the service 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. The summary of this inspection report can be made available in other formats on request. High Mount DS0000070139.V347451.R01.S.doc Version 5.2 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 Mount DS0000070139.V347451.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): There have been no new service users admitted to the home for some time and the deputy manager does not expect any in the near future. Therefore it was not possible to assess the home’s admission procedures. EVIDENCE: There have been no admissions to the home. High Mount DS0000070139.V347451.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. Individuals are involved in decisions about their lives and play an active role in planning the care and support they receive. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The support plans for two of the service users were looked at and these were found to contain information about how the individual’s needs should be met. The deputy manager stated that these were to be reviewed and redesigned to ensure that the service users needs were more fully detailed. Examples of this partially completed task were seen in the home’s office. Talking with one of the service users is was clear that his needs were known to the staff and that they are taking action to ensure that they are met. Risk assessments were also seen to be in place and the deputy manager confirmed that these were also going to be reviewed in the near future. High Mount DS0000070139.V347451.R01.S.doc Version 5.2 Page 9 Similarly behaviour management plans were also in place for a number of the service users. An action plan formulated by the new provider, that contained both the review of service user needs and the risk assessments, was shown to the inspector. High Mount DS0000070139.V347451.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. People who use services are able to make choices about their life style and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Looking at the records held at the home it was difficult to establish what activities are undertaken by which service user and when as such things were not always recorded and when they were it was in a fragmented manner. The deputy manager and later the manager both explained that a system of daily record keeping was about to be implemented so that it would be easier for them to establish if a service user’s needs were being met. However, by looking at the fragmented records that were there and talking with service users and staff it was possible to establish that the service users are encouraged to undertake a number of different activities. Most of the High Mount DS0000070139.V347451.R01.S.doc Version 5.2 Page 11 service users go to day activities in either specialist activity centres or attend a local college. Looking a diaries and other records as well as talking to the staff showed that evening activities consist of visiting pubs, clubs and restaurants on a regular basis and these were activities that were popular with the service users spoken to. They deputy manager explained and the service users confirmed that each Thursday evening there is a residents meeting at which the menus for the following week are discussed. The menus arising from these meeting were looked at and they did appear to be balanced and varied. The service users spoken to about the food both expressed their approval at what they were given. Each bedroom door was equipped with an appropriate lock and key and it could be seen that a number of the service users had chosen to lock their rooms whilst they were out of the building. The preferred names of the service users were seen in the records and the staff were heard using these during the inspection. One of the service users has their own car but the others are transported by the staff in their cars. The staff files were seen to contain copies of their insurance details showing that they were entitled to carry the service users as passengers. High Mount DS0000070139.V347451.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. 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. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Support plans were seen to contain guidance to staff on how personal care and healthcare should be given. Records seen in both of the files looked at showed the dates, times reasons for and results of healthcare consultations. The administration and storage of medication was looked at with storage consisting of a secure cupboard in each of the buildings. At the time of the inspection no controlled drugs were kept in the home. Appropriate administrative systems were seen to be in place and the records showed that they had been followed. The staff confirmed that they receive training in the safe handling of medication. Health action plans were seen but as yet these had not been fully developed. High Mount DS0000070139.V347451.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. People who use the service are able to express their concerns and have access to a robust, effective complaints procedure, are protected from abuse and have their rights protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager said that the home has received no allegations of abuse or complaints. The home had a copy of the local policies and procedures for the protection of vulnerable adults as well as a copy of their own complaints procedure both being part of the systems that ensures that the service users are listened to and protected from abuse, neglect and self-harm. Although the level of some of the disabilities of the service users means that they are unlikely to be able to access these formal policies, observation of the staff interacting with them and communicating between themselves indicated that they, the staff, would be aware of any dissatisfaction expressed by a service user and it was seen that a whistle blowing policy is available to be used. Small amounts of cash had been kept in the home for the individual service users. The deputy manager explained that she checked the records against the amount of cash being held on a regular basis and that her work was also subject to periodic audits by the provider’s accounts staff. High Mount DS0000070139.V347451.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. The physical design and layout of the home enables people who use the service to live in a safe, well-maintained and comfortable environment, which encourages independence. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is situated in Donnington within easy reach of the local facilities and consists of two bungalows on the same site, one being behind the other. The front bungalow has been extended by building a large conservatory at the rear and by converting the garage into a bedroom. Each bungalow has its own kitchen, lounge area and dining room as well as separate gardens. Both buildings are in good decorative order with carpets that the deputy manager confirmed had been replaced in the recent past. However, the lawns surrounding both buildings needed attention; the deputy manager explained that it was still being established who was responsible for that part of the maintenance programme. High Mount DS0000070139.V347451.R01.S.doc Version 5.2 Page 15 Access to the buildings was good with a new ramp to the front door of the rear building having been installed at the same time that the drive had been resurfaced making parking for visitors and staff more convenient. High Mount DS0000070139.V347451.R01.S.doc Version 5.2 Page 16 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, 35 and 36 Quality in this outcome area is good. Staff in the home are trained, skilled and in sufficient numbers to support the people who use the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Throughout the inspection staff were seen to be interacting with the service users in a sensitive, caring and professional manner. Looking at the rota and talking to the staff established that there are enough staff on duty to meet the needs of the service users. The deputy manager explained, by showing examples in the rota, that more staff are made available should the need arise for such things as outings. The home currently has two vacancies with one of those having been filled and the applicant waiting for all of the pre-employment checks such as references and a Criminal Records Bureau check to be completed. Looking at the staff files confirmed that this was standard practice for new employees so that the management can establish whether or not they are fit to work with vulnerable people. High Mount DS0000070139.V347451.R01.S.doc Version 5.2 Page 17 Looking at the records and talking to the staff established that the managers and individual staff meet on a regular basis to discuss issues of practice and any change in care needs in a confidential manner. Looking at the staff training records and talking with the staff confirmed that there are training opportunities for all of the staff ranging from the mandatory safety training to such things as NVQs in Care of which more than 50 of the staff have at least NVQ2. Appropriate induction and foundation training is also available to staff who are new to the care industry. High Mount DS0000070139.V347451.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area is good. The management and administration of the home is based on openness and respect and has effective quality assurance systems. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The current manager of the home is newly appointed to the position and is in the process of applying for registration with the Commission for Social Care Inspection. Arrangements have been made for senior members of staff from the service providers to visit the home each month to carry out spot checks on various aspects of how the needs of the service users are met. Copies of the reports carried out so far and the names of those who would be carrying those in the future were seen in the office. The records of the regular residents meetings were also seen. High Mount DS0000070139.V347451.R01.S.doc Version 5.2 Page 19 A variety of policies and procedures were seen showing the home’s commitment to equal opportunities for service users and staff. A variety of records that showed that the safety of the environment in which the service users live is monitored were looked at and found to be up to date. These included records of the monitoring of fridge and freezer temperatures, hot water temperatures and the portable appliance test records. However, the checks relating to the fire alarms were not up to date. The fire alarms were tested during the inspection and found to be working. The home was also seen to have secure storage for hazardous materials as well as risk assessments that outlined their safe use. As stated elsewhere in this report the staff team receive appropriate safety training in infection control, the safe handling of medicines, first aid, food hygiene, manual handling and fire prevention. High Mount DS0000070139.V347451.R01.S.doc Version 5.2 Page 20 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 x 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 3 36 3 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 High Mount DS0000070139.V347451.R01.S.doc Version 5.2 Page 21 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. 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 Mount DS0000070139.V347451.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Shrewsbury Local Office 1st Floor, Chapter House South Abbey Lawn Abbey Foregate SHREWSBURY SY2 5DE 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 High Mount DS0000070139.V347451.R01.S.doc Version 5.2 Page 23 - 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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