Inspection on 08/07/05 for Highfields

This inspection was carried out on 8th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Highfields 25/10/06

Highfields 26/10/05

Highfields 11/10/04

Highfields 13/07/04

Highfields 18/03/04

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 Highfields 53 Park View Kettering Northants NN16 9RJ Lead Inspector Patrick Toner Unannounced 8 July 2005 07:30 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 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 Stationary 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 D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Highfields Address 53 Park View Kettering Northants NN16 9RJ 01536 517751 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs June Ringrose Mrs June Ringrose Care Home Only (CRH) 6 Category(ies) of Learning Disability (LD) 6 registration, with number Learning DIsability - over 65 (LD(E)) 1 of places Highfields D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 11/10/04 Brief Description of the Service: Highfields provides personal care and support for six adults with learning disabilities in a large Victorian family house overlooking a small park on the outskirts of Kettering town centre. Miss Ringrose is not planning to admit any new service users in the future. The service user accommodation is on the ground and first floor, and the owner Miss J Ringrose resides in self contained accommodation on the second floor. All of the service users currently attend a variety of supported employment, college and day care away from the Home. Highfields D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection began at 08 00 and lasted approximately 2 hours. During the inspection discussions were held with all residents however three residents in particular contributed to the inspection process. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting two service users and tracking the care they receive through review of a selection of records, discussion with them, the care staff and observation of care practices. What the service does well: What has improved since the last inspection? The home now offers greater choice to residents in relation to establishing their individual routines, outings and menu planning. Residents benefit from more a dedicated one-to-one time with staff for example each resident spend a whole day in each week with a dedicated member of staff engaged in activities of their choice. Highfields D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 Page 6 The manager stressed that relationships with families were good but also had 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 D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Highfields D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 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 standard(s) 2 The home carries out a full assessment process prior to any admission. EVIDENCE: To a large extent these standards are not applicable to the current operation of the home the last resident was admitted for 11 years ago and the home has no intention of taking any new referrals. Highfields D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 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 standard(s) 6, 7, and 9 The home ensures residents changing needs are fully assessed. EVIDENCE: One resident in particular would qualify as semi retired his Care Plans showed that all aspects of the ageing process and his changing needs have been taken into account. All residents have received a full individual needs assessment, which is subject to review and involves the residents, their carers and family members where appropriate. The living arrangements for all residents have been fully risk assessed including any particular dangers regarding use of public transport or being out of the home un escorted. Highfields D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 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 standard(s) 12,13,15 and 17 The home encourages and supports healthy living/lifestyles for all residents. EVIDENCE: The home has identified the need for blood tests/health professional input for a resident and having organised this is awaiting results. All residents enjoy good peer relationships within the home and have developed positive networks of friends outside of the home. In discussions residents were keen to recount the number of friends they had and the number of activities they were involved in as part of their daily living. Residents access a wide range of community activities and social groups in the local area, this is of the resident’s own choice with the home providing appropriate support. The home promotes external advocacy for residents and has developed good relationships with all parents/families based on openness and good communication, this was confirmed by residents and staff in discussions. Highfields D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 Page 11 Highfields D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 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 standard(s) 18 and 19 The home provides a good standard of personal and health care support for all residents. EVIDENCE: The home pays close attention to the individual support needs/health screening of each resident. Particular attention has been given to the one resident who is now quite old in relation to the remainder of the group. All residents receive regular reviews in relation to their physical, emotional and general health care needs, the manager and staff confirmed that reviews are always well attended and residents are encouraged to prepare and voice their opinions. Highfields D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 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 standard(s) 22 and 23 The home has an effective complaints and adult protection policy. EVIDENCE: The standards were covered in detail during the last inspection, in discussions with the manager of is clear the home continues to protect the interests of all that residents. Staff were aware are of the adult protection procedures and the residents confirmed they understood how to make a complaint. Highfields D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 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 standard(s) 24 The home provides a comfortable and safe environment with a high standard of décor. EVIDENCE: The home is decorated throughout to a high standard, there is an exceptionally large and well-appointed garden to the rear of the home, which has been developed with the assistance of residents over a number of years. It was clear from discussions with residents that they valued the lifestyle available to them. Where residents share bedrooms, there was strong evidence of individualisation and opportunities to display their possessions and personal interests/collections. Highfields D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standard were not assessed during this inspection visit. EVIDENCE: The standards were covered in detail during the last inspection visit however from discussions with the staff on duty and the numbers of staff available to support residents it was clear the home continues to provide appropriate staffing. The staff seen were experienced and enthusiastic about their role, they clearly identified strongly with the residents and were able to provide support and guidance. Highfields D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 43 The manager is confident and totally committed to the welfare of residents. EVIDENCE: The standard was covered in detail during the last inspection visit, however during the inspection it became clear the home continues to benefit from the consistent approach of the manager who lives on site. It is clear the manager who is also the owner of the home is fully committed to the welfare and fulfilment of all residents. There are professional relationships between the manager and the staff and residents, this was confirmed in discussions with staff and residents during the visit. Highfields D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 Page 17 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 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x x x x x Standard No 11 12 13 14 15 16 17 x 4 4 x 3 x 3 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Highfields Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x 4 D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 Page 18 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. 1. 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. 1. Refer to Standard Good Practice Recommendations Highfields D C51 C08 S12811 Highfields V236001 080705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Northamptonshire Area Office Newland House, First Floor Campbell Square Northants, 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. 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