CARE HOME ADULTS 18-65
Highfields 53 Park View Kettering Northants NN16 9RJ Lead Inspector
Chris Wroe Unannounced Inspection 25th October 2006 10:30 Highfields DS0000012811.V316811.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 Highfields DS0000012811.V316811.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. Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Highfields Address 53 Park View Kettering Northants NN16 9RJ 01536 517751 01536 414924 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) Miss June Ringrose Miss June Ringrose Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (1) of places Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 26th October 2005 Brief Description of the Service: Highfields is a care home for six adults who have learning difficulties. It is a large family house overlooking a small park in Kettering. The owner/manager, June Ringrose, does not plan for anyone else to move into the home, because the people who live there live as a family together. The people who live in the home can use the lounge and dining areas and the kitchen. Their bedrooms are on the ground floor and first floor of the house. The owner lives in the home also. The home is quite close to the town centre and to local park and woodland areas. The current fees are between $469.00 and £605.00 per week. Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This key inspection included a visit to the service. The inspector visited the home on 25th October 2006. The visit started at 10.30am and lasted for two and a quarter hours. One resident was at home during the inspection. The inspector spoke with the resident, who was happy living in the home and showed their bedroom. June Ringrose helped with the inspection visit. The main method of inspection used was ‘case tracking’. This means looking at the care given to residents in different ways. The ways this was done are: • talking to the residents • talking to staff • watching how residents are given support • looking at written records. All the key standards were checked during this inspection. The information below is based only on those aspects checked in this inspection. Only six residents live in the home, so a lot of individual detail has been kept out of the report, to make sure it is kept confidential. What the service does well:
The home provides an excellent standard of care in all areas: The people who live in the home live as a family. The staff make sure they keep finding out what people who live in the home need. Staff have ongoing training to make sure they can give people the care and support they need. There are care plans for each person who lives in the home. Care plans tell about what is important for each person. Staff know what each person who lives in the home needs, and about the things they like and don’t like. People who live in the home can choose things that they want to do. There are risk assessments in the home for each person. Risk assessments tell about how people who live in the home can be helped to do the things they want to do and be kept safe. People who live in the home can do different things they want to do People who live in the home can see their family and friends when they want to.
Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 6 Everyone who lives in the home can choose what they would like to eat. Care staff cook meals for people who live in the home. Staff help people who live in the home to look after themselves. Everyone has a GP nearby who they can see if they feel poorly. Medicines are kept safely in the home. People who live in the home are able to make choices about how they want to live their daily lives. The home is clean and comfortable. People who live in the home have their own things in their bedrooms. Staff make sure that checks are carried out in the home, to make sure equipment is safe. The laundry area is clean, with enough washing machines and dryers to make sure all the laundry is done. Checks have been done to make sure staff are people who can be trusted. Staff are given a lot of training to show them how to do their job well. Training, which staff have had, includes safe handling of medicines, food hygiene, and training in care and support. The owner/manager makes sure there are always enough members of staff in the home to give good care to residents. The owner/manager lives in the home. She continues to make sure that people who live in the home are well supported. The owner/manager also does training to make sure that she learns the things she needs to know. There are different ways that people who live in the home can say what they think about the home There are policies in the home, which tell staff about how to work safely. Staff do checks to make sure that equipment in the home is safe. What has improved since the last inspection? The work being done to re-furbish and re-decorate the laundry room has been finished. The home has new fitted kitchen units. Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 7 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. Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 8 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 Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 9 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): 2 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents continue to benefit from having their needs assessed and met in the home. EVIDENCE: There have been no new assessments of someone’s needs, because there have been no new people coming to live in the home. The people who live in the home live as a family. The staff make sure they keep finding out what people who live in the home need. Staff have ongoing training to make sure they can give people the care and support they need. Highfields DS0000012811.V316811.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): 6, 7, 9 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents benefit from staff meeting their individual needs and choices in the home. EVIDENCE: There are care plans for each person who lives in the home. Care plans tell about what is important for each person. Staff know what each person who lives in the home needs, and about the things they like and don’t like. People who live in the home can choose things that they want to do. There are risk assessments in the home for each person. Risk assessments tell about how people who live in the home can be helped to do the things they want to do and be kept safe.
Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 11 Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 12 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, 15, 16, 17 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents benefit from a good lifestyle, which meets their individual wishes. EVIDENCE: People who live in the home can do different things they want to do. Some people go to day centres, and some people do courses to learn different skills. People help out with chores in the home if they want to, like drying up and keeping their bedroom tidy. People who live in the home can see their family and friends when they want to. People who live in the home can also go and see their relatives and friends at their own homes. There are social activities arranged. Parties are held at the home from time to time, and friends are invited. People who live in the home go on holiday together as a family at least once a year.
Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 13 There are menus in the home, which show the different foods that are cooked. Everyone who lives in the home can choose what they would like to eat. Care staff cook meals for people who live in the home. Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 14 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 excellent This judgement has been made using available evidence including a visit to this service. Residents benefit from good attention to health and personal care. EVIDENCE: Staff help people who live in the home to look after themselves. Everyone has a GP nearby who they can see if they feel poorly. Staff also help people who live in the home to have support from other people, like physiotherapists, if they need any help. Medicines are kept safely in the home. Staff have had training to show them how to give out medicine. Records are kept to show what medicines have been given to people. All records were well kept. People who live in the home are able to make choices about how they want to live their daily lives. The inspector saw during the visit to the home, that one person was offered choices about what they would like to do.
Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 15 Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 16 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 excellent This judgement has been made using available evidence including a visit to this service. Residents are kept safe in the home by good procedures and staff awareness. EVIDENCE: There is information in the home, which tells people how they can make a complaint if they are not happy about something. Staff know they need to keep people who live in the home safe from harm. Staff understand what each person living in the home needs to make them feel safe. Staff help people in the home to get on well together and to stay safe. People who live in the home have their own bank accounts. If staff support people and help them to buy things, receipts are kept. Staff make records about money that is spent to make sure everyone’s money is looked after. Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 17 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, 26, 30 Quality in this outcome area is excellent This judgement has been made using available evidence including a visit to this service. Residents benefit from a good living environment. EVIDENCE: The home is clean and comfortable. People who live in the home have their own things in their bedrooms. Staff make sure that checks are carried out in the home, to make sure equipment is safe. Professional people, like the fire service and environmental health department carry out checks as well. The laundry area is clean, with enough washing machines and dryers to make sure all the laundry is done. Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 18 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 excellent This judgement has been made using available evidence including a visit to this service. Residents benefit from good levels of staffing and having supportive welltrained staff. EVIDENCE: The staff in the home have mostly worked there for a while and so they know people who live in the home well. Checks have been done to make sure staff are people who can be trusted. Staff are given a lot of training to show them how to do their job well. Training, which staff have had, includes safe handling of medicines, food hygiene, and training in care and support. The numbers of staff in the home depends on how many people are at home, and what the needs of people living in the home are. The owner/manager makes sure there are always enough members of staff in the home to give good care to residents.
Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 19 One member of staff said that she felt very supported in her work, and that she like working in the home because the standard of care in the home is very high. Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 20 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 excellent This judgement has been made using available evidence including a visit to this service. Residents benefit from good management of the home. EVIDENCE: The owner/manager lives in the home. She is fully involved in the care of people who live in the home. She continues to make sure that people who live in the home are well supported. The owner/manager also does training to make sure that she learns the things she needs to know. There are different ways that people who live in the home can say what they think about the home. Staff talk to people who live in the home about different things, such as about the things they like and don’t like, and what they would like to do. Staff have meetings to talk about working in the home
Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 21 and give their ideas. The owner/manager gives questionnaires to relatives and other people who are involved with the home, to find what they think about the home as well. There are policies in the home, which tell staff about how to work safely. Staff do checks to make sure that equipment in the home is safe. Staff have training to help them to work safely – like food hygiene training, so they know how to cook safely. Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 22 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 4 33 X 34 4 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 4 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 4 X 4 X 4 X X 4 X Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 23 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 Highfields DS0000012811.V316811.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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
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