Inspection on 25/06/07 for Highfield

This inspection was carried out on 25th June 2007.

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

Highfield 04/07/06

Highfield 20/10/05

Highfield 05/07/05

Highfield 14/03/05

Highfield 19/10/04

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 Highfield 50 Abington Avenue Northampton Northants NN1 4PA Lead Inspector Martin Hefferman Key Unannounced Inspection 25th June 2007 10:50 Highfield DS0000012810.V339891.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 Highfield DS0000012810.V339891.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. Highfield DS0000012810.V339891.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highfield Address 50 Abington Avenue Northampton Northants NN1 4PA 01604 632614 01604 632614 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) www.mentauruk.com Mentaur Limited Lisa Joanne Galloway Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Highfield DS0000012810.V339891.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. To include two current named service users who have Sensory Impairments in additional to their Learning Difficulties It is a condition of this registration that the home is authorised to care for the named service user who has a mental health diagnosis in addition to a Learning Disability The home will limit its services to the following service user categories: No person falling within the category Learning Disabilities (LD) can be admitted where there are already six persons of category LD already in the home. The total number of service users in the home must not exceed six (6) 4. Date of last inspection 4th July 2006 Brief Description of the Service: Highfield is registered to provide care for up to six adults with learning disabilities. The home has conditions of registration, which enable it to care for named service users who have an additional sensory disability or mental health diagnosis. Service users live in a large terraced property, which offers single accommodation located on three floors. They have access to a kitchen, a dining room, a small lounge and a well-maintained garden. The home is situated close to Northampton town centre. It is convenient for local facilities including shops and leisure provision with good public transport links. The home is owned by Mentaur Ltd, who also own two other homes and a day centre in Northampton. At the time of the inspection, fees ranged from approximately £650 to £750 per week. Information about the services provided by the home has been given to service users. Highfield DS0000012810.V339891.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. A visit to the home took place on 25th June 2007, lasting approximately five hours. The main method of inspection used on that day was ‘case tracking’ which involved selecting two service users and tracking the care they receive through review of their records, discussion with them & care staff and observation of care practices. Four service users were spoken to during the course of the visit. The inspection also took account of all information received since the date of the last visit, including the owner’s self-assessment. No comment cards had been received at the time of writing this report. What the service does well: What has improved since the last inspection? What they could do better: No requirements or recommendations have been made on this occasion. Highfield DS0000012810.V339891.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Highfield DS0000012810.V339891.R01.S.doc Version 5.2 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 Highfield DS0000012810.V339891.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1&2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have access to the information they require to make a decision about where to live. Assessment practices are effective ensuring that the needs of any prospective service users are identified and can be met. EVIDENCE: Information about the home has been updated since the date of the last inspection. A number of pictures have been added to make the guide easier to read. The registered manager agreed to amend some details relating to the Commission. One of the people who were chosen for the purposes of case tracking has moved to the home since the last inspection. A copy of a care management assessment was available. The home had also completed its own assessment of her needs. Highfield DS0000012810.V339891.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff members have access to the information they require to meet service users’ needs. EVIDENCE: Individual plans were available for the people who were chosen for the purposes of case tracking. The plans that were inspected were clear and comprehensive, emphasising people’s strengths as well as their needs. Service users have signed their plans to indicate that they are in agreement. Staff members reference the parts of the plan that have been addressed when writing entries in the daily records. This is seen as good practice. Records indicate that individual plans are kept under review. Service users’ files are well-organised allowing easy access to relevant information. Service users stated that they are able to make decisions about their lives with staff providing assistance when required. On the day of the visit, one person chose not to attend day services preferring to stay at home and undertake Highfield DS0000012810.V339891.R01.S.doc Version 5.2 Page 10 activities with staff. Service users were able to make full use of communal areas and their rooms. A weekly meeting is held at which service users have an opportunity to suggest activities, decide on menus and raise any concerns. Service users are encouraged to undertake tasks themselves wherever possible. Staff members are supporting one of the people who were chosen for the purposes of case tracking to learn the skills required for independent living. These issues are documented in her individual plan. Risk assessments have also been completed detailing the measures to be taken to minimise any risks that have been identified. Highfield DS0000012810.V339891.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users enjoy a varied and active lifestyle. EVIDENCE: Service users attend a range of daytime activities including supported work placements and a day service run by the registered provider. Two people who were at home on the day of the visit went for a walk with a member of staff, returning in time for lunch. Service users stated that they enjoy going to the pub, shops and the cinema. One person reported that he had recently been to Centre Parcs for a weekend break. He showed the inspector pictures of the activities he had undertaken. Service users are in regular contact with their families and friends, wherever possible. One of the people who were chosen for the purposes of case tracking received a visitor on the day of the inspection. Records indicate that a relative had also visited her at the weekend. Service users stated that they are able to Highfield DS0000012810.V339891.R01.S.doc Version 5.2 Page 12 determine their daily routines, deciding for example when to get up and go to bed. A number of them indicated that they have a key to their rooms. Service users stated that they enjoy the meals that are provided. They are involved in planning the menu at a weekly meeting. The registered manager stated that the home has organised a number of themed nights since the date of the last inspection, with service users choosing foods from different countries. Past events have included Mexican and African evenings. Preparations were underway for a Polish night to be held later that week. The home has also obtained a series of pictorial recipe cards to assist service users in choosing alternative meals. Highfield DS0000012810.V339891.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users’ personal & healthcare needs are met. EVIDENCE: Service users indicated that they are happy with the support they receive from staff members. Individual plans detail the personal care each person requires. They also set out details of any healthcare needs that have been identified and of any action that is felt to be necessary as a result. Records indicate that staff members are monitoring the blood sugar levels of a service user who has diabetes. A record has also been kept of any healthcare appointments attended by service users. None of the people who live at the home manage their medication. Records of the medicines received into the home and administered to service users met relevant requirements. A contract pharmacy inspected medication arrangements at the home during March 2007. The registered manager stated that advice received at the time of that visit would be acted upon in the future if the need arose. Staff members have received medication training. Highfield DS0000012810.V339891.R01.S.doc Version 5.2 Page 14 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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected by the home’s arrangements for handling complaints and responding to allegations of abuse. EVIDENCE: Copies of the complaints procedure are displayed in a number of places around the home. Service users stated that they would speak to the manager or staff if they had any concerns. A weekly meeting provides an opportunity for service users to raise any issues. Records indicate that the home has received two complaints since the date of the last inspection. A service user indicated that she was satisfied with the response she had received when she raised concerns. The home has policies and procedures on the protection of vulnerable adults and whistle blowing. Staff members have received training on Safeguarding Adults. One of the people who were chosen for the purposes of case tracking stated that the different types of abuse that could occur had been discussed during a service user meeting. Highfield DS0000012810.V339891.R01.S.doc Version 5.2 Page 15 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a comfortable and safe environment. EVIDENCE: The areas of the home that were inspected were decorated and furnished to a satisfactory standard. The garden to the rear of the home is well maintained, providing a pleasant area in which service users can relax. Service users stated that they are happy with the environment in which they live. One of the people who were chosen for the purposes of case tracking stated that she had chosen the colours for her room and helped to redecorate it. She reported that she had purchased a number of items for her room including a computer, a playstation, a TV & a stereo. Highfield DS0000012810.V339891.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements for the recruitment and training of staff ensure that service users are protected and their needs are met. EVIDENCE: Staff records indicate that appropriate pre-employment checks have been carried out. New members of staff complete an in-house induction programme before undertaking induction training to the standards set by Skills for Care. Information completed by the home prior to the inspection indicates that four of the nine members of staff have obtained National Vocational Qualification level 2 or above and that two members of staff were working towards a similar award. The home has a trained physiotherapist, a psychologist & two teachers amongst its staff team. In addition, two members of staff – including the manager – have completed an NVQ level 3 ‘train the trainer’ course. Records indicate that staff members have received training on a range of issues relevant to their work. Highfield DS0000012810.V339891.R01.S.doc Version 5.2 Page 17 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 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed. EVIDENCE: The manager is in the process of completing the Registered Managers’ Award. Since the date of the last inspection, she has completed a NVQ level 3 ‘train the trainer’ course. She stated that she continues to attend training on issues such as the Mental Capacity Act, which she then cascades to staff members. The Responsible Individual (a representative of the company) completes Regulation 26 reports (visits by the registered provider). The registered manager stated that the company had recently completed a thorough audit of the service, which included a survey of the views of service users and staff. She reported that the results would be fed back to the home. Highfield DS0000012810.V339891.R01.S.doc Version 5.2 Page 18 Staff members have received training on a number of safe working practices. Records indicate that regular tests of electrical equipment, central heating & fire safety systems have taken place. Highfield DS0000012810.V339891.R01.S.doc Version 5.2 Page 19 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 3 2 3 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 X 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 3 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 Highfield DS0000012810.V339891.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? No 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 Highfield DS0000012810.V339891.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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. 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