Inspection on 22/11/05 for Homeside

This inspection was carried out on 22nd November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Homeside 04/09/07

Homeside 22/11/06

Homeside 29/04/05

Homeside 04/10/04

Homeside 15/07/04

Homeside 03/09/02

Similar services:

Pemdale

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

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

CARE HOME ADULTS 18-65 Homeside 6 Great North Road Welwyn Hertfordshire AL6 OPL Lead Inspector Jeffrey Orange Unannounced Inspection 22nd November 2005 10:25 Homeside DS0000019434.V267208.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 Homeside DS0000019434.V267208.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. Homeside DS0000019434.V267208.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Homeside Address 6 Great North Road Welwyn Hertfordshire AL6 OPL 01438 716442 01727 842904 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) Candour Care Services (Homeside Limited) Miss Angela Weston Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (4) of places Homeside DS0000019434.V267208.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th April 2005 Brief Description of the Service: Homeside is registered to provide care and accommodation for up to four adults with a learning disability, of whom up to four may be over the age of 65 years.The home is owned and operated by Candour Care Services and consists of a detached bungalow, situated in the Oaklands area of Welwyn.There is a garden and parking area to the front and a large rear garden which can be accessed by service users with appropriate supervision.The home is conveniently situated for local facilities, with public transport available in nearby villages and the shopping and leisure provision of Welwyn Garden City can be accessed using the homes own minibus. Homeside DS0000019434.V267208.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three and a half hours and provided an opportunity to meet staff and residents and to check key records. Where key standards were fully assessed during the inspection carried out on the 29th April this year they have not necessarily been assessed again on this occasion. Reference should therefore be made to the report of the previous inspection for full details. This was a very positive inspection, that was able to confirm that a high standard of care is still being provided for the home’s residents, each of whom has very complex and challenging needs. A particularly impressive feature was the person centred, individual approach to the provision of care, with each member of management and staff spoken to having a comprehensive and detailed knowledge of each resident, their care needs and how these are to be met. The environment of the home is now showing quite extensive need for redecoration and refurbishment, plans are understood to be in hand for this to be carried out before April 2006.There are also some requirements or recommendations made in respect of medication administration and recruitment although in general the standard of record keeping is good. What the service does well: What has improved since the last inspection? What they could do better: The environment now requires action to address the issues that have been identified. Recruitment files need some attention to ensure that they contain all the information required for the protection of residents. Homeside DS0000019434.V267208.R01.S.doc Version 5.0 Page 6 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. Homeside DS0000019434.V267208.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 Homeside DS0000019434.V267208.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): These standards were fully assessed during the inspection of the 29th April 2005, please refer to the report of that inspection for details. EVIDENCE: Homeside DS0000019434.V267208.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): 8,10 Homeside operates a key worker system, which enables carers to develop a particularly good insight into the care needs and preferences of particular residents. The staff team encourage the resident’s to express their feelings appropriately, and to assist in this process they have built up close links with the families of residents where this is possible and also with a range of associated health and social care professionals. EVIDENCE: Records of training seen include the development of communication skills and strategies appropriate to the service user group. All staff spoken to had a thorough knowledge of the individual residents, their needs and preferences and how these are detected and communicated. The storage of records is suitable and provides for satisfactory confidentiality. Homeside DS0000019434.V267208.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): 12,14,16,17 The activities organisers have been able to continue to develop the provision of structured activities, backed up by an activities care plan. Staff appear genuinely committed to developing new opportunities for the residents, subject to risk assessment and taking into account the significant support required by the residents if they are to access community facilities. Menus are drawn up in the light of professional advice from dieticians and provide choices in accordance with the known and assessed preferences of residents. The funding of holidays by the placing authority remains problematical and means the home has to seek alternative sources of funds to enable the residents to have a break away from the home, when this funding cannot be secured, such breaks have not taken place. EVIDENCE: Menus were seen as were details of the involvement of dieticians within the care plan documentation. Activities were discussed with one of the activities organisers and individual activities care plans were seen. Homeside DS0000019434.V267208.R01.S.doc Version 5.0 Page 11 During the inspection three residents went for a trip out in the mini-bus. Longer trips, for example to Luton airport and Manchester have taken place and this programme is being developed. One service user was assisted to have a three-day trip to Wales when funding was secured from his family. Where funding could not be put in place for some other residents, potential trips could not take place. Homeside DS0000019434.V267208.R01.S.doc Version 5.0 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): 20 Medication practice was observed and records checked. With some minor adjustments recommended, the standard found was satisfactory. EVIDENCE: Medication records were, in general well maintained, with totals of those medications checked agreeing with the records. It is recommended that the interval between the administration of medication and its recording should be reduced in order to reduce the risk of error. Homeside DS0000019434.V267208.R01.S.doc Version 5.0 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): These standards were fully assessed during the inspection of the 29th April 2005, please refer to the report of that inspection for details. EVIDENCE: Homeside DS0000019434.V267208.R01.S.doc Version 5.0 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, 26,27 The complex needs and challenging behaviour of the resident’s has considerable implications for the environment of the home in terms of furnishing and fittings. Many areas of the home now require substantial redecoration and refurbishment and this has been recognised by the proprietor, who has put in place a major programme to achieve this by April 2006. Wherever possible, residents will be appropriately involved in decisions about this work. EVIDENCE: The decorative state of lounges, hall and the home’s bathroom is now poor in parts. Substantial improvement, including to the provision of additional bathroom and toilet facilities are in hand and were discussed in detail during this inspection. Homeside DS0000019434.V267208.R01.S.doc Version 5.0 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): 34,36 On this occasion, both the frequency of supervision and also the records associated with staff recruitment failed to fully meet the requirements of these standards. EVIDENCE: Supervision records and staff spoken to indicate that formal supervision is not taking place as regularly or frequently as required. Recruitment files seen did not all contain recent photographs or health declarations. Homeside DS0000019434.V267208.R01.S.doc Version 5.0 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 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): 40, 43 Candour Care Services have a comprehensive and thorough range of policies and procedures in place in order to promote practices to protect the best interests of service users. The service appears to be managed in a competent and accountable way in respect of financial resources and viability. EVIDENCE: Policies and procedures were seen to be in place during this inspection and are available to staff appropriately, for example those relating to medication are prominently displayed with the medication records. The plans in respect of the environment referred to above, involve a considerable additional financial commitment on the part of Candour Care Services. Homeside DS0000019434.V267208.R01.S.doc Version 5.0 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 X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X 3 X 3 Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X 3 2 X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 2 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X 2 X 2 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Homeside Score X X 2 X Standard No 37 38 39 40 41 42 43 Score X X X 3 X X 3 DS0000019434.V267208.R01.S.doc Version 5.0 Page 18 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. 1 Standard YA27YA24 Regulation 23 Requirement The work planned to both bring the decorative order of the home up to standard and also to enhance the provision of toilet facilities must be completed within the timescale indicated. A health declaration, completed by the member of staff together with a recent photograph must be obtained in respect of each member of staff. The frequency and regularity of supervision for staff must be fully in line with the National Minimum Standards (Care Homes for Adults 18-65). Timescale for action 01/06/06 2 YA34 19 22/11/05 3 YA36 18 22/11/05 Homeside DS0000019434.V267208.R01.S.doc Version 5.0 Page 19 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 YA14 Good Practice Recommendations The home should continue their attempt to identify the necessary funds to enable residents, if they choose, to have the opportunity for a holiday outside of the home during 2006. The interval between the administration and recording of the administration of medication should be as little as practically possible. At least one reference should be, wherever possible, from a previous employer or a person known to the applicant other than as a friend or relative. 2 3 YA20 YA34 Homeside DS0000019434.V267208.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Hertfordshire Area Office Mercury House 1 Broadwater Road Welwyn Garden City Hertfordshire AL7 3BQ 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 Homeside DS0000019434.V267208.R01.S.doc Version 5.0 Page 21 - 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. 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