Inspection on 01/08/05 for Highbury

This inspection was carried out on 1st 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

Highbury 01/10/08

Highbury 10/10/06

Highbury 03/01/06

Highbury 20/09/04

Highbury 13/04/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Highbury 114 Irchester Road Rushden Northants NN10 9XQ Lead Inspector Sarah Jenkins Unannounced 1 August 2005 @ 07:30 a.m. st 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. Highbury C51 C08 S12809 Highbury V236065 010805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Highbury Address 114 Irchester Road Rushden Northants NN10 9XQ 01933 395511 01933 395511 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) Mrs Marie Mather-Franks Mrs Marie Mather-Franks Care Home Only 8 Category(ies) of Learning Disability (LD) 8 registration, with number of places Highbury C51 C08 S12809 Highbury V236065 010805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 20.09.04 Brief Description of the Service: Highbury is a purpose built home for up to eight young adults with a learning disability. It is situated within the area of Rushden and has good access to local facilities and amenities.Highbury is one of three homes in the Rushden area owned by Mrs Mather-Franks. The service users from all three homes meet as part of their work placements and some social activity is organised between the homes. Highbury C51 C08 S12809 Highbury V236065 010805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provision that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting 2 service users and tracking the care they receive through meeting with the service users, a review of their records, discussions with the care staff and observation of care practices. The Inspector visited during the early morning period to observe practices by staff and to meet with service users. Service users have Learning Difficulties and thereby communication for some is difficult. Establishing Service Users choices and informed decisions is dependant to some extent upon the consistency of staff, service users relationships with staff, and the quality of communication. Feedback obtained from Service Users in this report was mainly through observations of their relationships with staff, and also through interpretations of their general levels of happiness with their routines. The Inspector spent an hour and a half preparing for the inspection and just over three hours in the home. The Inspector met with a visiting relative and a speech therapist, both of whom call in at the home on a regular basis and were very positive about the service offered by the home. Six comment cards were received from relatives and visitors and these all gave positive feedback. What the service does well: The staff at the home maintain good communication with Service Users relatives and friends thereby enhancing consistency and quality of life for Service Users. Service Users individual needs are recognized and met. Service Users bedrooms are well decorated, furnished and maintained, in a manner that is the personal preference of individual Service Users. Highbury C51 C08 S12809 Highbury V236065 010805 Stage 4.doc Version 1.40 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Highbury C51 C08 S12809 Highbury V236065 010805 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 Highbury C51 C08 S12809 Highbury V236065 010805 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) None This area was not reviewed at this inspection. EVIDENCE: Highbury C51 C08 S12809 Highbury V236065 010805 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 Care plans are properly detailed. They should be reviewed more frequently. EVIDENCE: There is full detail on Service Users care needs but this is not always organized in the most accessible way. Service Users have long-term care needs but more effort should be made to ensure recorded needs are reviewed more regularly. The Inspector observed that staff have a good understanding of Service Users individual needs and that positive communicative relationships had been developed. The atmosphere in the home during this early morning visit was calm; Service Users appeared content in the company of each other and of the staff. Highbury C51 C08 S12809 Highbury V236065 010805 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 14 and 17 Service Users lifestyles are conducive to their happiness and wellbeing. EVIDENCE: Service Users lead active lifestyles and were seen to be content when they left for their work placements. Service Users who were not attending work placements on the day of the inspection were offered alternative activities of their choice. Service Users lead active lifestyles within the local community, and weekend activities are offered on a regular basis. The home is close to various community facilities and the home has a minibus to enable transport locally. Service Users were seen to be enjoying their breakfast and were offered choices of cereals and spreads. The kitchen area was well stocked and hygienically kept. Records showed Service Users needs and preferences in relation to their diets. Highbury C51 C08 S12809 Highbury V236065 010805 Stage 4.doc Version 1.40 Page 11 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) 19 and 20 Service Users healthcare needs are properly monitored and responded to. EVIDENCE: Records showed a prompt and effective response to Service Users healthcare needs, and demonstrate that staff, as advocates for Service Users, will properly pursue matters with the Health service where necessary. Medication was well managed and professionally administered by a trained member of staff. A visiting speech therapist informed the inspector that she has regular involvement with several Service Users at the home and finds the staff at the home to be responsive to Service Users needs. The Inspector observed that staff were encouraging communication and using sign language Users as needed. Highbury C51 C08 S12809 Highbury V236065 010805 Stage 4.doc Version 1.40 Page 12 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) none This area was not reviewed on this occasion. EVIDENCE: Highbury C51 C08 S12809 Highbury V236065 010805 Stage 4.doc Version 1.40 Page 13 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 and 30 The environment of the home and garden is very pleasant and conducive to a friendly, family atmosphere. EVIDENCE: The Inspector sampled all areas of the home and found it to be well maintained, decorated and furnished. The garden area was well maintained and equipped with garden furniture and a barbeque. Service Users bedrooms were personalized according to their needs and interests. The home was very clean and there was evidence of a commitment to safe and hygienic practices in the notices to staff and the equipment available. Highbury C51 C08 S12809 Highbury V236065 010805 Stage 4.doc Version 1.40 Page 14 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 The home was properly staffed with caring competent staff. EVIDENCE: There were three staff on duty including the Registered Manager and the Deputy at the time of the Inspectors arrival. Another member of staff arrived at approximately 9.am when one of the staff members left to drive Service Users to their work placements. Staff on duty were appropriately trained and experienced for the roles that they undertook. The Registered Manager discussed with the Inspector her plans for the ongoing training of staff, including her intention to undertake a course to enable her to deliver training to staff on the Protection of Vulnerable Adults. Staff have regular formal supervision from the Registered Manager or the Deputy. Highbury C51 C08 S12809 Highbury V236065 010805 Stage 4.doc Version 1.40 Page 15 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 and 39 There are minor management shortfalls in relation to records. EVIDENCE: The home is generally well managed by the Registered Manager with competent assistance from her Deputy. Records need to be fully reviewed to ensure good organization; fully up to date information; and regular review of care plans to meet the Standards. The Registered Manager is aware of the need to develop more user friendly information and formats, as communication is difficult for some Service Users, and she informed the Inspector that she had started the process. Service Users expressed general contentment with the home and were seen to be confident in staff. Highbury C51 C08 S12809 Highbury V236065 010805 Stage 4.doc Version 1.40 Page 16 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 x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 x x 3 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 Highbury Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 2 x x x x C51 C08 S12809 Highbury V236065 010805 Stage 4.doc Version 1.40 Page 17 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 Regulation None 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. 2. 3. Refer to Standard 6 6 39 Good Practice Recommendations Service Users care plans should be fully reviewed at least once every six months Service Users records should be better organized to promote access, and to encourage staff to use them more consistently. Feedback from Service users should be encouraged through the development of user friendly formats and communication aids. Highbury C51 C08 S12809 Highbury V236065 010805 Stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection Northamptonshire Area Office Newland House, First Floor Campbell Square Northants, NN10 9XQ 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 Highbury C51 C08 S12809 Highbury V236065 010805 Stage 4.doc Version 1.40 Page 19 - 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. 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