Inspection on 07/02/06 for Highbury House

This inspection was carried out on 7th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 House 11/09/07

Highbury House 12/10/06

Highbury House 19/05/05

Highbury House 20/10/04

Highbury House 04/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Highbury House 207 Outland Road Peverell Plymouth Devon PL2 3PF Lead Inspector Kim Fowler Unannounced Inspection 11:45 7 February 2006 th Highbury House DS0000003519.V279504.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 House DS0000003519.V279504.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 House DS0000003519.V279504.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Highbury House Address 207 Outland Road Peverell Plymouth Devon PL2 3PF 01752 753710 01752 796299 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) Plymouth Society for Mentally Handicapped Children & Adults Mr Ian Philip Oliver Care Home 9 Category(ies) of Learning disability (9) registration, with number of places Highbury House DS0000003519.V279504.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Age 18-65 Three named Service User over the age of 65 Service Users with a Learning Disability some of whom may also have a Physical Disability. 19th May 2005 Date of last inspection Brief Description of the Service: Highbury House is a care home providing personal care and accommodation for nine people with learning disabilities. It is owned by the Plymouth Highbury Trust, which is a voluntary sector organisation, and affiliated to the Royal Mencap Society. This home is located in the residential area of Peverell, close to shops, pubs, the post office and other amenities. The home was opened in 2000 and is situated on the 1st floor of a building on the site of the Plymouth Mencap Society, where there is also another care home and a day centre owned and managed by the Society. There are stairs and a shaft lift available. The ground floor of the building is used by the Local Authority to provide a day service for adults with learning disabilities and there is a separate entrance. All the home’s bedrooms are single and none of them have en suite facilities. There are separate lounge and dining rooms and the home has a call bell system throughout. The home has an attractive patio and garden accessible to all the service users, shared with the other facilities on the site. The home is staffed 24 hours a day; there are 2 care staff sleeping in at night. Highbury House DS0000003519.V279504.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 1 hours and 30 min. and was an unannounced inspection. A partial tour of the premises took place and 5 the service users, 2 staff members and the Registered Manager were spoken with during this inspection. 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. Highbury House DS0000003519.V279504.R01.S.doc Version 5.0 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 Highbury House DS0000003519.V279504.R01.S.doc Version 5.0 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): EVIDENCE: None of these standards were inspected on this occasion. Highbury House DS0000003519.V279504.R01.S.doc Version 5.0 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): 7 All service users are encouraged to make decisions about their own lives. EVIDENCE: One service user confirmed that the staff and their designated key worker help them to make decisions about their own lives. This included planning trips and holidays. Highbury House DS0000003519.V279504.R01.S.doc Version 5.0 Page 9 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): 13/14/15/17 Service users can be confident that they will be offered choice at mealtimes. EVIDENCE: Several of the service users spoken with during this inspection confirmed that they go out to the local shops and pub. Some trips are arranged at weekends and staff spoken with said that some weekends extra staff are on duty to assist with outings. Two of the service users confirmed that they go to different leisure activities including a local club, visit the town centre and have been out for lunch in café. Service users informed the inspector that they have family members who visit the home but that they also have planned trips and stays with their own family. Evidence was seen of photos in one service users bedroom of them with their family at a recent event. One service user stated that they have a choice of food and if the main meal is not to their liking then an alternative is always on offer. Highbury House DS0000003519.V279504.R01.S.doc Version 5.0 Page 10 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 can be assured that their health care needs are monitored. EVIDENCE: One service user spoken with stated that they need a lot of support when their personal support is carried out and that staff assist them and all personal support is carried out in private. Another service user said that they have an illness that requires assistance and monitoring and that the staff in the home is excellent at providing this assistance. One service user said they had received input from the physiotherapist and had also seen the District Nurse when they had had an accident. Highbury House DS0000003519.V279504.R01.S.doc Version 5.0 Page 11 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 The service users in this home are confident that their concerns will be listened to and acted upon. EVIDENCE: All service users spoken with agreed that any concerns they raised would be listened to and acted upon. One service user stated that they had their own key worker and that they often have a one to one session with them and would be happy to raise any concerns with them or any of the remaining staff and management who were all approachable. One of the staff spoken with had not completed their Adult Protection training and another staff member had not had any training for a number of years. Highbury House DS0000003519.V279504.R01.S.doc Version 5.0 Page 12 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): 25 The home continues to provide bedrooms to met the needs of the service users who occupy them. EVIDENCE: One service user showed the inspector their bedroom during this inspection and it was evident that room suited this service user who stated that though the room was small for a wheelchair user, they were happy with their room and had no wish to move. Highbury House DS0000003519.V279504.R01.S.doc Version 5.0 Page 13 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): 32/33/34/35/36 Staff is support to have regular updated training to meet the needs of the service users in the home. EVIDENCE: The staff members spoken with during this inspection had either completed their NVQ training or were about to start theirs. Staff confirmed that the home had sufficient staff on duty to meet the needs of the service users in the home and presently extra staff was on duty at weekends to assist with outings and trips. One staff member who had been employed for less than a year confirmed that they received an interview and that references were taken up and they’d had a completed CRB and POVA First check carried out before commencing work. They had also had several shadowing shifts with regular staff during their induction programme. The staff was able to provide verbal evidence that they had completed Fire Safety Training, Manual Handling, Health and Safety and some LDAF training. None of the staff spoken with had had recent Adult Protection training. All staff confirmed that they had regular supervision about once a month. Highbury House DS0000003519.V279504.R01.S.doc Version 5.0 Page 14 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): 38 The Registered Manager of this home has the respect and support of the staff and the service users. EVIDENCE: Both the service users who were available on the day of the inspection and the staff spoken with felt that the management of the home was approachable and had an open door policy. Highbury House DS0000003519.V279504.R01.S.doc Version 5.0 Page 15 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 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 3 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X 3 X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Highbury House Score 4 3 X X Standard No 37 38 39 40 41 42 43 Score X 4 X X X X X DS0000003519.V279504.R01.S.doc Version 5.0 Page 16 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. 1 Refer to Standard YA23 Good Practice Recommendations The staff in the home should have their Adult Protection training. Highbury House DS0000003519.V279504.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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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