CARE HOME ADULTS 18-65
Highfields 53 Park View Kettering Northants NN16 9RJ Lead Inspector
Chris Wroe Unannounced Inspection 26th October 2005 10:00 Highfields DS0000012811.V252995.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Highfields DS0000012811.V252995.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Highfields DS0000012811.V252995.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Highfields Address 53 Park View Kettering Northants NN16 9RJ 01536 517751 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.V252995.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 08/07/05 Brief Description of the Service: Highfields provides personal care and support for six adults with learning difficulties. It is a large Victorian family house overlooking a small park, on the outskirts of Kettering. The owner, June Ringrose, does not plan for anyone else to move into the home, because the current residents live as a family together. Residents have use of lounge and dining areas and access to the kitchen. Bedrooms are on the ground floor and first floor. The owner lives in the home also. There is good access from the home to the town centre and to local park and woodland areas. Highfields DS0000012811.V252995.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced – staff did not know the inspector was coming. The inspection was on 26th October 2005, starting at 10.00am and lasting for two hours and twenty minutes. Five residents were out of the home at work and day centres. The inspector spoke with one resident who was at home, who said they liked living in the home and told the inspector about things which were important to them. The main way the inspection was done was using ‘case tracking’. This means choosing two residents who live in the home and looking at the care they get. This is done by checking records, talking to residents and to care staff, looking round the home and watching how staff look after residents. At the last inspection, most of the key standards were checked. At this inspection, the inspector checked the remaining key standards, to make sure good care was continuing. June Ringrose, the owner and manager of the home, was at the home during the inspection. What the service does well:
This is based on aspects checked during this inspection. The home has very good care plans and written information about residents, which shows how much staff know about what residents like and dislike and how they choose to live their daily lives. Residents are given choice about what they want to do, and staff spend time with residents. There are good systems in place for giving out medicines to residents. There is clear information about why residents need their medicines and what the important health issues are for each resident. Residents’ money is looked after properly, with safeguards in place. Each resident has their own bank account. The home is kept clean and hygienic. There is a separate laundry and drying area. Staff receive good training, which helps them to do their job well. One member of staff said the training she had had was very good, and that this home was ‘the best I have ever worked at’.
Highfields DS0000012811.V252995.R01.S.doc Version 5.0 Page 6 Residents and their relatives have the chance to have their say about how the home is run. Staff are able to give their ideas in staff meetings. There are policies and procedures to tell staff about how to work safely, and to keep residents safe. Fire safety checks are carried out regularly, and other safety checks. Staff have training in safety aspects, such as first aid. 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. Highfields DS0000012811.V252995.R01.S.doc Version 5.0 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 Highfields DS0000012811.V252995.R01.S.doc Version 5.0 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): All key standards under this section were checked at the last inspection. EVIDENCE: Highfields DS0000012811.V252995.R01.S.doc Version 5.0 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): All key standards under this section were checked at the last inspection. EVIDENCE: Highfields DS0000012811.V252995.R01.S.doc Version 5.0 Page 10 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): 16 Residents enjoy a good lifestyle in the home EVIDENCE: Care plans give very good information about what is important for each resident about how they like to live their daily lives. This includes information about what they like and dislike. Staff give residents choices in their daily lives. Residents are able to go where they want to in shared parts of the home and garden, and to go out when they want to. Highfields DS0000012811.V252995.R01.S.doc Version 5.0 Page 11 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): 20 Residents get good healthcare support. EVIDENCE: Medication systems are good. Records are well kept. Medicine stocks are safely stored. There are policies, which explain clearly what staff need to do to give out medicines safely. There is also information in care plans about what is important for each person about their own medicines and health care, which is very good. Members of staff have had training to help them to handle medicines properly and safely. One resident said they felt well looked after by staff. Highfields DS0000012811.V252995.R01.S.doc Version 5.0 Page 12 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): 23 Residents are safeguarded from financial abuse. EVIDENCE: All key standards under this section were checked at the last inspection, but at this inspection finances were looked at. There are good arrangements in place to make sure residents’ money is looked after properly. Each resident has their own bank account. Receipts and accounts are kept of monies spent. Highfields DS0000012811.V252995.R01.S.doc Version 5.0 Page 13 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): 30 Residents enjoy a good living environment. EVIDENCE: There is a separate laundry, where washing and drying of clothes is done. All areas of the home, which were seen, were clean. There are policies, which tell staff about how to make sure the home is kept clean and hygienic. Highfields DS0000012811.V252995.R01.S.doc Version 5.0 Page 14 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): 35 Residents benefit from well trained staff. EVIDENCE: Staff have done a lot of training to help them to do their job. The manager makes sure that staff are up to date with required qualifications, which is very good. Training that staff have had includes safe handling of medicines, food hygiene, National Vocational Qualifications and Learning Disability Award Framework training. One member of staff said the training she had had was very good, and that this home was ‘the best I have ever worked at’. Highfields DS0000012811.V252995.R01.S.doc Version 5.0 Page 15 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): 39, 42 The home is well managed, in ways, which keep residents safe and make sure they have a voice. EVIDENCE: Residents and relatives can have their say about how the home is run in questionnaires, as well as talking with staff and the manager. Comments cards, which have been received by the Commission for Social Care Inspection from residents and relatives, have given good views about the home. There are meetings for staff to give their ideas also, but because the home is small, this can be done day to day also. There are good records in the home about health and safety tests, such as fire safety, and checks of water temperatures. There are policies, which tell staff about how to work safely, to make sure residents are kept safe. Staff have had training to make sure they know what to do if residents need help, such as First aid training. Highfields DS0000012811.V252995.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30
STAFFING Score X X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 4 17 Standard No 31 32 33 34 35 36 Score X X X X 4 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Highfields Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X X 3 DS0000012811.V252995.R01.S.doc Version 5.0 Page 17 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.V252995.R01.S.doc Version 5.0 Page 18 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
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