Inspection on 04/07/06 for Highfield

This inspection was carried out on 4th July 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

Highfield 25/06/07

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 4DA Lead Inspector Martin Hefferman Unannounced Inspection 4th July 2006 11:20 Highfield DS0000012810.V302454.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.V302454.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.V302454.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highfield Address 50 Abington Avenue Northampton Northants NN1 4DA 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.V302454.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 20th October 2005 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 two service users who have additional sensory disabilities and one with an additional 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 £634.65 to £934.49. Information about the services provided by the home has been given to service users. Highfield DS0000012810.V302454.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 4th July 2006, 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, the care staff and observation of care practices. One of the service users who were chosen for the purposes of case tracking declined to speak to the inspector. Two 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. 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 Highfield DS0000012810.V302454.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. Highfield DS0000012810.V302454.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.V302454.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Assessment procedures appear to be effective, ensuring that the needs of any prospective service users are identified and appropriate placements made. EVIDENCE: The outcome for standard 2 could not be fully assessed on this occasion. No one has moved into the home since January 2004. The registered manager described the process she intends to follow with regard to the assessment of a prospective service user. This should ensure that an appropriate placement is made. She reported that existing service users would be fully involved in the process. Highfield DS0000012810.V302454.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 at least once during a 12 month period. 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 need to meet service users’ needs. EVIDENCE: Service users’ needs are set out in their individual plans. One of the plans was inspected in detail. It emphasised the service user’s strengths as well as her needs. The service user had signed her plan to indicate that she was 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. Service users’ files are well-organised allowing easy access to relevant information. The registered manager stated that work is being undertaken to increase service users’ independence. She reported that one service user had recently submitted a list of areas that she would like included in her individual plan to enable her to work towards supported living. Another service user stated that she uses the kitchen to prepare her own drinks. Risk assessments have been completed for service users, which detail the measures to be taken to minimise any risks that have been identified. Highfield DS0000012810.V302454.R01.S.doc Version 5.2 Page 10 Service users were encouraged to make decisions during the course of the visit, choosing for example whether to attend day services following a medical appointment and whether to accompany staff members on trips out. It was also evident that service users were able to make full use of communal areas and their bedrooms. A weekly meeting is held at which service users have an opportunity to suggest activities, decide on menus and raise any concerns. Highfield DS0000012810.V302454.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements relating to the various aspects of service users’ lifestyles are well managed. EVIDENCE: Service users attend a range of daytime activities including local colleges, supported work placements and a day service run by the registered provider. Each service user has an individual timetable detailing their weekly activities. The two service users who were spoken to stated that they enjoy going to the pub, bowling and swimming. Records indicate that service users are in regular contact with their families and friends, wherever possible. A service user stated that she is able to determine her daily routine, deciding for example when to get up and go to bed. She reported that she has a key to her room. Service users stated that they enjoy the meals that are provided. They are involved in planning the menu at a weekly meeting. Records indicate that an alternative meal is provided when required. Highfield DS0000012810.V302454.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 at least once during a 12 month period. 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. Arrangements for managing service users’ personal & healthcare needs are well managed. EVIDENCE: A service user indicated that she is happy with the support she receives 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. A record is kept of any healthcare appointments attended by service users. None of the service users manage their medication. Records are kept of the medicines received into the home, administered to service users and returned for disposal. A contract pharmacy inspected medication arrangements at the home during March 2006. The registered manager stated that advice received at that time had been acted upon. A number of staff members attended accredited medication training on the day of the visit. Highfield DS0000012810.V302454.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 at least once during a 12 month period. 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 handing complaints and responding to allegations of abuse. EVIDENCE: Each service user has been given a copy of the home’s complaints procedure. A service user stated that she would speak to staff if she had any concerns. A weekly meeting provides an opportunity for service users to raise any issues. The registered manager stated that one complaint had been received since the date of the last inspection. This related to an issue between two members of Mentaur staff. The home has policies and procedures on the protection of vulnerable adults and whistle blowing. A member of staff indicated that she is aware of the action to be taken in the event of an allegation or suspicion of abuse. Staff members have recently received refresher training on the Protection of Vulnerable Adults. Highfield DS0000012810.V302454.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 at least once during a 12 month period. 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. A service user indicated that she is happy with the environment in which she lives. Rooms reflect service users’ individual interests and personal tastes. A vibrating pillow and a flashing light have been fitted in one of the rooms to alert the occupant – who is deaf – in the event of a fire. Since the date of the last inspection, the laundry floor and walls have been repainted to help prevent the spread of infection. The registered manager stated that consideration had been given to moving the laundry facilities from the basement but that this had proved to be impossible. Highfield DS0000012810.V302454.R01.S.doc Version 5.2 Page 15 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): 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 are well managed. EVIDENCE: There appeared to be a positive relationship between the service users and staff who were present at the time of the visit. One service user stated that she liked the staff. The records relating to two members of staff indicated that appropriate preemployment checks had been carried out. The registered manager agreed to clarify an issue with regard to the date a Criminal Records Bureau disclosure had been received. All members of staff have completed in-house induction training. The registered manager stated that she would look into the possibility of accessing Learning Disability Award Framework accredited induction training for new members of staff. Records indicate that two of the eight members of care staff have completed National Vocational Qualification level 3. Two members of staff have started NVQ level 2. In addition, one member of staff is in the process of completing a degree in social work and a second, a NVQ level 3 ‘train the trainer’ course. Highfield DS0000012810.V302454.R01.S.doc Version 5.2 Page 16 Records indicate that staff members have received training on a range of issues relevant to their work. A staff member demonstrated a positive attitude towards training and spoke enthusiastically about the benefits of the courses she had attended. Highfield DS0000012810.V302454.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 at least once during a 12 month period. 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 and a NVQ level 3 ‘train the trainer’ course. Records indicate that she continues to attend training on a range of issues to update her knowledge and skills. 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 survey of the views of service users and staff. She reported that the results would be fed back to the home (a recommendation from the last inspection). A service user from the home attends a regular forum meeting, which brings together representatives from Mentaur homes and the company director to discuss any issues and future plans. Highfield DS0000012810.V302454.R01.S.doc Version 5.2 Page 18 Staff members have received training on a number of safe working practices. Records indicate that fire tests & drills have taken place at the required frequency. Highfield DS0000012810.V302454.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 X 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 4 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 Highfield DS0000012810.V302454.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.V302454.R01.S.doc Version 5.2 Page 21 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 Highfield DS0000012810.V302454.R01.S.doc Version 5.2 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!