Inspection on 22/11/06 for Homeside

This inspection was carried out on 22nd November 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Homeside 04/09/07

Homeside 22/11/05

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 0PL Lead Inspector Hazel Wynn Key Unannounced Inspection 22nd November 2006 10:00 Homeside DS0000019434.V321936.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 Homeside DS0000019434.V321936.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. Homeside DS0000019434.V321936.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Homeside Address 6 Great North Road Welwyn Hertfordshire AL6 0PL 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) Mr Rosario Fernandes Care Home 4 Category(ies) of Learning disability (4), Learning disability over registration, with number 65 years of age (4) of places Homeside DS0000019434.V321936.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd September 2002 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 Oakland’s 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. The fees for this service are £1,933.02 there is no range of fees. Homeside DS0000019434.V321936.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on the afternoon/evening of 22nd November 2006. The inspector observed staff interaction with service users, which was with a warm approach, competent and professional. The records of the home were well maintained. The inspector met with both the registered manager (who is one of the directors of the company and became the registered manager earlier this year). What the service does well: What has improved since the last inspection? What they could do better: A requirement has been brought forward for the further increase of formal supervision to be managed consistently throughout the team. Homeside DS0000019434.V321936.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Homeside DS0000019434.V321936.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 Homeside DS0000019434.V321936.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): Standards 2 and 4. A comprehensive initial assessment of proposed service users’ needs and aspirations is completed prior to offering a placement with the home and prospective service users visit and ‘test-drive’ the home before they move in on a more permanent basis. The quality in this outcome group is good; this judgement has been made using all available evidence including a visit to the service. EVIDENCE: Copies of the initial assessment were seen on the 4 service users files sampled as part of this inspection. On one file was the assessment in process of a new service user. The record showed that the assessor had visited the service user at his current placement and had met with the current placement manager to discuss current assessed needs and history. The service user had been offered 4 days overnight stays and following these 4 days, he had accepted a one months trial period at the home; the assessment was still in process during this visit as the months trial was still in process and this forms part of the initial assessment process. Homeside DS0000019434.V321936.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. Service users representatives (as is very appropriate with this group of service users) are very involved in their care planning and so are aware of their individual assessed and changing needs and goals, as recorded in their personal care plans. Service users are supported to make their own decisions about their lives and to take risks as part of an independent lifestyle. The quality in this outcome group is good; this judgement has been made using all available evidence including a visit to the service. EVIDENCE: The service users have representatives (both family members and professionals who are involved in their lives) to ensure that their assessed needs, changing needs and personal goals are reflected in their individual care plans; evidence of this was seen on individual service users files and care plan review meetings had taken place 26th October 2006. Homeside DS0000019434.V321936.R01.S.doc Version 5.2 Page 10 In observing staff at work with service users evidence was gained of how the service users are enabled to make decisions and the records show that decisions made with them involve all other significant people in their lives who act in the service users’ best interests. Individual service users’ risk assessments were on file and provided evidence that they are enabled to take risks as part of an independent lifestyle. Homeside DS0000019434.V321936.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): 12, 13, 15, 16 and 17. The service users enjoy age, peer and culturally appropriate activities and enjoy access to the community using local facilities and resources. Relationships with family and friends and personal relationships are supported. The home has procedures in place to ensure that the service uses’ rights and responsibilities are recognised and respected. A healthy diet is enjoyed in an acceptable setting and at flexible times. The quality in this outcome group is good; this judgement has been made using all available evidence including a visit to the service. EVIDENCE: The service users’ care plans and accompany records showed that the service users take part in a variety of activities ranging from visits to chain restaurants in the area, long walks and park visits, visits to pubs, making progress with the use of public transport, domestic and cookery skills sessions, as well as some specialist sessions to benefit the service users who have very profound Homeside DS0000019434.V321936.R01.S.doc Version 5.2 Page 12 and complex needs. The deputy explained that some activities enjoyed by others in the same age, peer and cultural group would not yet be suitable for the group of people residing at the home and who need extra support to enjoy their meaningful activities. The service users do enjoy their trips to resources in the local community. The home’s previous manager is now the home’s activities co-ordinator and the registered manager explained that she has an in depth understanding of the service users needs and preferences. The records seen at this visit showed that the service users are supported to maintain their relationships with relatives and those who are important to them. Policies and procedures are in place together with staff training to ensure that service users rights are respected and responsibilities recognised in the daily lives and the community care planning approach adds further safeguards in this area. The evening meal was served and enjoyed during this visit and looked very tasty and nourishing. There is a varied and healthy menu and service users are supported to choose what they enjoy eat. The dining area is set out with several small tables to suit the needs of the service users needs and comfort and the mealtime arrangements are compatible with the service users preferences. Homeside DS0000019434.V321936.R01.S.doc Version 5.2 Page 13 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 and 20. Personal support is appropriately provided to service users and their physical and emotional health needs are met Medication is appropriately managed and the home has a policy and procedure in place, which is adhered to. The quality in this outcome group is good; this judgement has been made using all available evidence including a visit to the service. EVIDENCE: The four care plans seen during this visit provided evidence that there is clear guidance to providing support in a manner preferred by the individual service user with regard to personal support needs. The records also showed that health, physical and emotional needs are met. The care planning approach is used to support both the service users and staff. There is an excellent sensory room and a one to one session was in process in the sensory room, to support a service user to relax, during this visit and evidence was seen that aromatherapy is used to the benefit of the service users. Homeside DS0000019434.V321936.R01.S.doc Version 5.2 Page 14 A recommendation was made during the inspection visit of the 22nd November 2005 that medication administration recording must be done as immediately as possible after the administration has occurred; updates in medication training have taken place and the procedure has been tightened as explained by the deputy during this visit. The inspector had arrived shortly after medication had been administered and the medication records were examined and had been signed appropriately. Medication policy and procedures together with staff training records were in place at the home. The medication was being appropriately stored and tidily kept. The inspector was able to easily reconcile medication, which was noted as dated on opening where appropriate. Homeside DS0000019434.V321936.R01.S.doc Version 5.2 Page 15 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 and 23. The service users representatives can be confident that service usrers views are listened to and will have an affect. Safeguards are in place to protect service users from abuse. The quality in this outcome group is good; this judgement has been made using all available evidence including a visit to the service. EVIDENCE: The service uses are able to make their views known to the staff who know them well and their representative (family or care manager) can feel confident that the home progresses in line with what makes the service users comfortable and satisfied, changes are made in accordance with expression as noted on care plans and guidance for staff. The registered manager is in negotiation for extra funding for service users leisure and a verbal agreement has been reached; this is one example of how service users views are respected. Policies and procedures, guidance and staff training were all in place and evidenced during this visit with regard to abuse awareness. The robust recruitment practices, evidenced from the records were part of the evidence gained. The record showed there had been no complaints since the last inspection. Homeside DS0000019434.V321936.R01.S.doc Version 5.2 Page 16 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 and 30. The home is very comfortable with attractive safe gardens and safely maintained; the home was clean pleasant and fresh. The quality in this outcome group is excellent; this judgement has been made using all available evidence including a visit to the service. EVIDENCE: During a tour of the building during this visit, the inspector noted how clean and fresh the communal areas and personal rooms were. The kitchen was immaculately maintained. The home was comfortably furnished throughout and was domestic is style. Fire safety checks are maintained weekly and the record showed the weekly check had been carried out 19th November 2006. The fire safety system engineer had carried out his check on the 10th November 2006 and the portable appliance checks had been done on the 7th July 2006. Other safety procedure records, which had been maintained, included the water temperature checks and fridge/freezer checks. Homeside DS0000019434.V321936.R01.S.doc Version 5.2 Page 17 The gardens are beautifully maintained, very well equipped and they provide a safe outdoor facility. The sensory room is extremely well designed and provides an excellent resource for the service users. Homeside DS0000019434.V321936.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 and 36. The staff are competent and qualifies for their role. The recruitment procedure is robust with policy and procedure of the home adhered to. Staff training is maintained at the home. Supervision frequency needs to be increased. The quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were three staff on duty and the rota evidenced that adequate staffing levels are consistently maintained. The staff were observed to be confident, competent, professional and with a warm approach to addressing service users needs. A one to one session was taking place in the sensory room, to the benefit of a service user who needed this relaxation and support time. The recruitment record of the one new member of staff recruited since the last inspection was seen during this inspection and contained evidence the robust recruitment procedures; including enhanced Criminal records Bureau checks, references and health declaration (the member of staff has authorised asylum and character references had to be obtained together with a letter from the home office) the registered manager/director explained that the member of staff has been closely supervised during his probationary period and there Homeside DS0000019434.V321936.R01.S.doc Version 5.2 Page 19 have been no issues. The staff training records were very good with updates in place of all mandatory training and a good list of needs based training. Formal supervision was less frequent than the guideline, of at least six times per year, and this needs to be increased. Homeside DS0000019434.V321936.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 and 42 The home is well run by the registered manager. The views of the service user are important to the registered manager and their needs and preferences influence how the home is run and developed. Safeguards are in place to promote and protect the health, safety and welfare of the service users and staff. The quality in this outcome group is good. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The evidence gained during this inspection and highlighted throughout this report shows that the home is well run and satisfies the service users point of view on how the home should be run to their greatest benefit. In the environment section, complaints and protection section, staffing section and Personal Health section of this report there is ample evidence reported of Homeside DS0000019434.V321936.R01.S.doc Version 5.2 Page 21 how the home is managed in the safeguarding of the health, safety and welfare of service users and staff. A requirement has been brought forward for an increase of formal supervision to at least 6 times per year. Homeside DS0000019434.V321936.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 4 3 X 4 3 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 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Homeside DS0000019434.V321936.R01.S.doc Version 5.2 Page 23 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. 4. Standard YA36 Regulation 18 Requirement 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 30/12/06 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 Homeside DS0000019434.V321936.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hertfordshire Area Team CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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 Homeside DS0000019434.V321936.R01.S.doc Version 5.2 Page 25 - 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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