Inspection on 03/01/06 for Highbury

This inspection was carried out on 3rd January 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

Highbury 01/10/08

Highbury 10/10/06

Highbury 01/08/05

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 Ms Sarah Jenkins Unannounced Inspection 3rd January 2006 09.00 Highbury DS0000012809.V267537.R01.S.doc Version 5.0 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 Highbury DS0000012809.V267537.R01.S.doc Version 5.0 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. Highbury DS0000012809.V267537.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Highbury Address 114 Irchester Road Rushden Northants NN10 9XQ 01933 395511 01933 395511 m.mather.franks@ntlworld.com 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) Mrs Marie Jeanette Judith Mather-Franks Mrs Marie Jeanette Judith Mather-Franks Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Highbury DS0000012809.V267537.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The total number of service users must not exceed 8 All service users have a Learning Disability Date of last inspection 1st August 2005 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 DS0000012809.V267537.R01.S.doc Version 5.0 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 morning 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 half an hour preparing for the inspection and an hour and a half in the home. No comment cards or questionnaire were due or available at this inspection. What the service does well: What has improved since the last inspection? Highbury DS0000012809.V267537.R01.S.doc Version 5.0 Page 6 A large downstairs room, previously used for storage, is being converted to an activities area. The staff at the home continue to work on providing information to Service Users in user friendly formats to enhance their involvement in the running of the home. The staff development programme is ongoing and staff are undertaking relevant training. Records are better organized enabling easy access to relevant information. 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 DS0000012809.V267537.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Highbury DS0000012809.V267537.R01.S.doc Version 5.0 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 the following standard(s): 2 The process for admitting Service Users is professional and enables informed choice. EVIDENCE: There have been no new admissions to the home for some time, and there were no vacancies at the time of the inspection. The Inspector discussed the admissions process with the Registered Owner/Manager who described a professional process that enabled informed choice and flexibility according to individual needs. Highbury DS0000012809.V267537.R01.S.doc Version 5.0 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 the following standard(s): 7, 9 Service Users wishes are, where not directly expressed, observed and responded to through their reactions to events. EVIDENCE: Regular reviews are held and there was evidence that Service Users changing needs are scrutinized and the care plans appropriately adapted. There was evidence from a Service Users contribution to her review that she continues after several years residence to be very content with the service and the way in which staff assist her. Risk management was evidenced in the records and Service Users are enabled to take reasonable risks within their chosen lifestyles. Staff expressed confidence that the care delivery at the home was in Service Users best interests. Service Users were observed to have developed positive relationships with staff and were responsive to gentle guidance. Those who spoke with the Inspector expressed general content with the home and the staff. Highbury DS0000012809.V267537.R01.S.doc Version 5.0 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): 14,15,16, 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 which they were seen to become involved in. Relatives are encouraged and enabled to continue to make an important contribution to the lives of the Service Users and were invited to a Christmas holiday musical evening recently. Service Users lead active lives within the community and are encouraged to develop friendships through mixing with other Service Users at the owners other two homes, the day centres, and local clubs. Observations of Service Users interactions with staff showed that Service Users are encouraged to understand their rights and responsibilities and are enabled to exercise choice in relation to these. Highbury DS0000012809.V267537.R01.S.doc Version 5.0 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 the following standard(s): 18,19 Service Users healthcare needs are properly monitored and responded to. EVIDENCE: Records and discussion with staff show that Service Users healthcare needs are monitored and issues raised appropriately with healthcare professionals. Health Screening opportunities are made available. Service Users psychological, emotional, and physical needs are identified on their care plans and review notes. Service Users were observed to be calm and content with the mornings routines. This was their first morning back to work after the Christmas holiday break and all seemed satisfied with their routines and activities. Staff and Service Users informed the Inspector that they had thoroughly enjoyed the holiday activities. Highbury DS0000012809.V267537.R01.S.doc Version 5.0 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 the following standard(s): 22,23 Service Users are protected through the overview of the Registered Owner and current training being implemented. EVIDENCE: The home has a complaints log but there are no entries therein. Staff are committed to providing a caring service and are currently undertaking training regarding the Protection of Vulnerable Adults. Staff have very good relationships with Service Users but must be alert to the hidden messages in banter, as an observation was made by the inspector which could be interpreted as bad practice. This concern was shared with the Registered Owner as an area for staff training. Highbury DS0000012809.V267537.R01.S.doc Version 5.0 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 the following standard(s): 24 The environment of the home and garden is very pleasant and conducive to a friendly, family atmosphere. EVIDENCE: Areas of the home were sampled and found to be clean, well maintained and decorated. Service Users bedrooms were personalized according to their needs and interests. Highbury DS0000012809.V267537.R01.S.doc Version 5.0 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 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 The home was properly staffed with caring competent staff. EVIDENCE: At the time of the inspectors visit there were the Registered Owner/Manager and two other staff on duty. Two additional staff arrived later to help support the day activities and the preparation of the new downstairs area for activities. There is a staff training matrix and the Registered Owner/Manager informed the Inspector that all staff are currently undertaking training and updates on their training. Highbury DS0000012809.V267537.R01.S.doc Version 5.0 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 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): 42 Health and Safety issues are properly overviewed. EVIDENCE: In discussion with the Registered Owner/Manager the Inspector was informed of her regular overview of Health and Safety matters within the home, and the involvement of the relevant professionals. No Health and Safety shortfalls were identified during the sampling of different areas of the home. The Registered Owner/Manager has taken appropriate advice from the fire officer about the use of the downstairs area for Service Users activities. Highbury DS0000012809.V267537.R01.S.doc Version 5.0 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 3 x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x 3 x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x 3 x x x x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Highbury Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x DS0000012809.V267537.R01.S.doc Version 5.0 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. x Standard x Regulation x None Requirement Timescale for action 03/01/06 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 YA23 Good Practice Recommendations Staff should continue their training to ensure that they remain up to date and embrace professionalism at all times. Highbury DS0000012809.V267537.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 DS0000012809.V267537.R01.S.doc Version 5.0 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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