Inspection on 20/02/07 for Highfield House

This inspection was carried out on 20th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 House 08/11/07

Highfield House 15/12/05

Highfield House 06/06/05

Highfield House 20/01/05

Highfield House 20/07/04

Highfield House 10/02/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Highfield House 118 Church Road Bishopstoke Hampshire SO50 6DQ Lead Inspector Marilyn Lewis Unannounced Inspection 20th February 2007 09:30 Highfield House DS0000037583.V325857.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 House DS0000037583.V325857.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 House DS0000037583.V325857.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Highfield House Address 118 Church Road Bishopstoke Hampshire SO50 6DQ 023 8062 0177 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) Hampshire County Council Mrs Tina Fagan Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Highfield House DS0000037583.V325857.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th December 2005 Brief Description of the Service: Highfield House is a short break respite service for adults with learning disabilities who live in the Eastleigh and Romsey District. The home is situated in the village of Bishopstoke within easy reach of Eastleigh town centre where there is a range of shopping and leisure facilities available. Highfield House is owned and run by Hampshire County Council. Major refurbishment is taking place at the home to provide five single bedrooms, one of which is allocated for emergency placements. Two of the bedrooms are on the ground floor. One of the ground floor bedrooms is being equipped to provide accommodation for service users who have a with learning disability and may also have additional physical disabilities. Service users will also have access to the lounge, dining room and kitchen and the landscaped gardens. The aim of the service is to enable service users to have an opportunity to acquire new skills in a safe environment and access community facilities with the support they need. Fees for the home were not available at the time of this report. Highfield House DS0000037583.V325857.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on the 20th February 2007. The home had recently reopened following major refurbishment that included an extension for a large kitchen dining area. The home is not yet receiving resident service users, as some areas of the home still require attention. However young adults with learning disabilities were visiting the home on a daily basis as part of an outreach programme. The service users attended day centres or were supported by the staff of the home to participate in leisure activities in the local community. The refurbishment has provided an additional bedroom on the ground floor that has been fitted with specialist equipment including overhead hoists in the bedroom and en-suite bathroom. The registered manager said that this would allow service users with learning disabilities and physical disabilities to be accommodated. Previously the home had provided accommodation for service users with learning disabilities only. The home has applied to the commission for a variation to their registration and this is currently being processed. It was not possible to fully assess the outcomes for service users for many of the standards, as the home is not yet accepting resident service users. These will be assessed during a future inspection. On this visit the inspector toured the home and met with three support workers, the deputy manager and the registered manager. Records were seen for staff recruitment. What the service does well: Staff are recruited following the home’s robust recruitment procedures which includes obtaining two written references and completing Criminal Records Bureau (CRB) and Protection of Vulnerable Adults (POVA) checks before staff commence work at the home to protect the safety of service users. The home looked clean and bright, with rooms spacious. Service users are accommodated in single rooms and have access to the lounge, dining room and kitchen. The garden has been landscaped and provides a pleasant leisure area with patio and barbecue. Highfield House DS0000037583.V325857.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Highfield House DS0000037583.V325857.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 House DS0000037583.V325857.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 and 5 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home has developed a Statement of Purpose and Service User Guide that gives clear information about what life at the home will be like when service users are accommodated. EVIDENCE: These standards were not fully assessed on this visit as there were no service users being accommodated. However the registered manager has produced a new Statement of Purpose and Service User Guide to be used as new service users are assessed and admitted to the home on a gradual basis. The statement of purpose states that the service users will be given the opportunity to influence how the unit will operate. The documents give clear information about the property, staff qualifications, staffing levels at present and when the home is fully operational. Terms and conditions for residency are included in the documents and the services covered by the charge are listed together with services that are not covered such as toiletries, entrance fees for activities away from the home, pay phone costs and public transport. The registered manager said that the service user guide will be provided with diagrams to assist future service users understanding of the document. Highfield House DS0000037583.V325857.R01.S.doc Version 5.2 Page 9 Highfield House DS0000037583.V325857.R01.S.doc Version 5.2 Page 10 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): Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was not possible to assess these standards as there were no service users being accommodated. Highfield House DS0000037583.V325857.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): Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was not possible to assess these standards as there were no service users being accommodated. Highfield House DS0000037583.V325857.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was not possible to assess these standards as there were no service users being accommodated. Highfield House DS0000037583.V325857.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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is (excellent, good, adequate or poor) This judgement has been made using available evidence including a visit to this service. EVIDENCE: It was not possible to fully assess these standards as no service users were being accommodated. Highfield House DS0000037583.V325857.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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 28 and 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered manager working to ensure the home will provide a clean, safe, comfortable and homely environment that will meet the needs of future residents. However as there were no service users being accommodated we do not know if the accommodation will meet the needs of future residents. EVIDENCE: The home is a large detached property situated in a residential area of Bishopstoke. Major refurbishment and building work has taken place at the home to provide additional accommodation for a fifth service user and a large kitchen/dining area. The home has a lounge, kitchen, dining area and five bedrooms for service users. One bedroom has en-suite facilities and the others have a wash hand basin provided in the room. A bathroom on the ground floor has an assisted Highfield House DS0000037583.V325857.R01.S.doc Version 5.2 Page 15 bath and there is also a bathroom on the first floor. A separate toilet is provided on the ground floor. One room on the ground floor is fitted with overhead hoists to allow staff to use specialist equipment to support service users with physical disabilities. Rooms looked clean and spacious. During the tour of the home it was noted that some areas were not yet completely finished and ready to accommodate residents. In the room that has been provided for a fifth resident there is a cupboard over the alcove where at present a hand basin is fitted. When one of the doors of the cupboard is opened it knocks against the overhead hoist rail. This door needs to be secured so that it does not cause damage to the hoist. The registered manager said that the hand basin was to be removed, as there was no need for it due to the provision of the en-suite shower, toilet and hand basin. A fire extinguisher fitted on one wall of the room was also to be moved. The home does not yet have a call alarm system fitted. This would be of benefit, particularly for the resident accommodated in the room suitable for some one with physical disabilities, as it is quite a distance from the lounge and dining area, the hub of the home. The registered manager said that she would arrange for a call alarm system to be provided. In the kitchen a ceramic hob has been fitted that lies flat with the worktops and staff voiced concern that this might be a risk to residents who could put their hand on it accidentally. A suitable cover has been identified and the registered manager is in the process of purchasing it. Until then the power to the hob will be disconnected when not in use. The washing machine and dishwasher were due to be fitted later in the day of the visit. The registered manager had voiced concerns that some residents may be able to leave the home without notice putting them at risk as the home is on a fairly busy road. Key swipe cards were being purchased that would allow staff and some residents, assessed as safe to leave the home alone, entry and exit of the home. The cellar of the home was flooded at the time of the visit. The registered manager said that this was being investigated. Some items of substances hazardous to health such as cleaning fluids were stored in the corridor. The registered manager said that these had only just been delivered and would be stored securely straight away. Staff were currently using a storeroom that was allocated for wheelchairs and specialist equipment and were not sure where the items such as cleaning fluids were to be stored when the equipment had been provided. Highfield House DS0000037583.V325857.R01.S.doc Version 5.2 Page 16 The top floor of the home was being used as office space and there was also an office off the lounge. A sleep over room for staff was provided on the first floor. The gardens of the home had been landscaped during the refurbishment and provided a pleasant area for residents. Highfield House DS0000037583.V325857.R01.S.doc Version 5.2 Page 17 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): 34 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents’ safety will be protected by the home’s robust recruitment procedures. EVIDENCE: Records seen for three staff members indicated that all information required was obtained before staff commenced work at the home including two written references. Criminal Records Bureau (CRB) and Protection of Vulnerable Adult (POVA) checks had been completed to ensure the staff were suitable to work with vulnerable adults. The registered manager said that she was in the process of auditing all staff training needs. It was not possible to fully assess the other key standards and outcomes for service users as there were no service users being accommodated at the time of the visit. Highfield House DS0000037583.V325857.R01.S.doc Version 5.2 Page 18 Highfield House DS0000037583.V325857.R01.S.doc Version 5.2 Page 19 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 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The registered manager has the qualifications and experience to run the home well. EVIDENCE: It was not possible to full assess the other key standards and the outcomes for service users as there were no service users being accommodated at the time of the visit. The registered manager has been the manager of the home for eighteen months and has worked in the care sector for twenty years. Tina Fagan has Highfield House DS0000037583.V325857.R01.S.doc Version 5.2 Page 20 obtained a National Vocational Qualification (NVQ) level 4 in management and is currently studying for the Registered Managers Award. Highfield House DS0000037583.V325857.R01.S.doc Version 5.2 Page 21 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 2 2 x 3 x 4 x 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 2 25 x 26 x 27 2 28 2 29 x 30 2 STAFFING Standard No Score 31 x 32 x 33 x 34 2 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x 2 x x x x x x Highfield House DS0000037583.V325857.R01.S.doc Version 5.2 Page 22 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. Refer to Standard Good Practice Recommendations Highfield House DS0000037583.V325857.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. Extracts may not be used or reproduced without the express permission of CSCI Highfield House DS0000037583.V325857.R01.S.doc Version 5.2 Page 24 - 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!