Inspection on 11/03/07 for Homestead

This inspection was carried out on 11th March 2007.

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 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

Homestead 15/03/09

Homestead 03/02/06

Homestead 25/10/05

Homestead 24/08/04

Homestead 16/04/04

Homestead 19/01/04

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 Homestead 7 Bedford Road Yardley Hastings Northants NN7 1HJ Lead Inspector Debbie WIlliams Key Unannounced Inspection 11 March 2007 10:00 Homestead DS0000012823.V329256.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 Homestead DS0000012823.V329256.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. Homestead DS0000012823.V329256.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Homestead Address 7 Bedford Road Yardley Hastings Northants NN7 1HJ 01604 696782 SEE BELOW postmaster@oakfieldjm.force9.co.uk 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) Oakfield (Easton Maudit) Limited Vacant Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Homestead DS0000012823.V329256.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd February 2006 Brief Description of the Service: Providing single bedroom accommodation for up to four residents aged between 18 and 65 years, Homestead is located in a small village near to Northampton and Wellingborough and offers personal care to four people with learning disabilities. Residents have the use of a people carrier vehicle making easy access to colleges, local community facilities and the day service provision at the sister home Oakfield in Easton Maudit. At the time of this inspection the weekly fee was £947. Homestead DS0000012823.V329256.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for residents and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved tracking the care of the 4 service users living at the home, by looking at care records, discussion with the service users, the care staff, and observation of care practices. Information from the provider’s pre inspection questionnaire and comment cards received from residents and from one relative were also used. All comment cards received were positive about the service. Good outcomes were achieved in the majority of areas with excellent being achieved in one area. Residents spoken with were happy with the service provided. The Inspection was undertaken at the weekend. There was opportunity to meet all the residents, and two staff on duty. What the service does well: What has improved since the last inspection? Since the last inspection staffing levels have been increased so that there are two staff members on duty for the majority of daytime hours, this enables residents to choose whether or not to participate in activities outside of the home during leisure time or to spend time in their own company. Homestead DS0000012823.V329256.R01.S.doc Version 5.2 Page 6 Quality assurance questionnaires are now being sent out to residents, staff and relatives. 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. Homestead DS0000012823.V329256.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 Homestead DS0000012823.V329256.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): Standard 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have had their needs assessed and can be assured that their needs can be met. EVIDENCE: Some of the residents care records such as initial assessments and contracts are kept at Oakfield. The acting manager said that a contract is agreed between the home and the residents as well as the placing authority contract, this was recommended at the last key inspection. Personal care checklists and risk assessments were in place regarding all activities residents partake in. There has not been a new admission to the home since 2001. The acting manager said that residents are referred to the home via social services and that it was very likely that new any future new admissions would be from Oakfield (sister home) following a period of rehabilitation. All new residents would have their needs assessed prior to their admission. Homestead DS0000012823.V329256.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): Standards 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents have their individual needs met and are able to make choices and decisions about their lives. EVIDENCE: Each resident has an individual care plan. Care plans are regularly reviewed (at least every 21 weeks) and residents are involved in this. Records were seen describing instances where residents were enabled to make decisions about their lives. Records of financial transactions regarding resident’s personal money were not kept at the home but were stored and maintained at Oakfield. Information provided with the pre inspection questionnaire confirmed that residents were in receipt of their full personal allowance and could dispose of it as they wished. Risk assessments were in place and these were comprehensive, it was evident that residents were not prevented from taking responsible risks and were participating in activities such as swimming and horse riding. The weekly menu and shopping list are planned with resident’s involvement; residents are also able to participate in the weekly shopping trip. Homestead DS0000012823.V329256.R01.S.doc Version 5.2 Page 10 Homestead DS0000012823.V329256.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): Standards 12,13,14,15,16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. . Residents are enabled to make choices about their lifestyle and are given opportunities to continue their education and to engage in appropriate leisure activities. EVIDENCE: Residents were attending college courses and day centres. One resident was working towards a qualification in horticulture and small animals, the skills gained on this course can be utilised at the sister home that has animals which residents help to care for. The deputy manager said that the local community are involved in fund raising projects for the home. Residents sometimes go to the local pub. At the time of this inspection there were no specific cultural or religious needs identified. There was a wide range of leisure activities available to residents. As well as activities attended at Oakfield day centre residents also attended the Gateway club, went to the cinema, bowling and to the theatre. Riding and swimming were also available to some residents. During this inspection residents went out for their lunch. Since the last inspection staffing Homestead DS0000012823.V329256.R01.S.doc Version 5.2 Page 12 levels have been increased so that two staff members are on duty during day time hours, this enables residents to have more choice as to which activities they choose to participate in. The deputy manager said that all the residents maintain links with their family and friends and that two residents regularly go and stay with their families. Residents spoken with felt they could make individual choices. Residents were involved in housekeeping tasks within the home. Menu records supplied indicated that a wholesome, varied and nutritious menu was provided. Residents were involved in menu planning and shopping. Residents spoken with said they were satisfied with the meals provided. Homestead DS0000012823.V329256.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): Standards 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s personal and healthcare needs are met. EVIDENCE: The level of personal support required is detailed within care plans. Residents spoken with felt they received the right amount of help from staff. The deputy manager said that residents had access to specialist support services via their GP’s. Evidence was seen within care records of residents accessing healthcare services. Only one resident was prescribed regular medication at the time of this inspection. Medication records and storage areas were inspected and found to be in good order. All staff attend a one day course in medication administration and further in house training and supervision is also provided. Homestead DS0000012823.V329256.R01.S.doc Version 5.2 Page 14 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): Standards 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Policies and procedures in place promote protection for residents. EVIDENCE: Residents spoken with felt they could speak with staff about any concerns they may have. Residents comment cards also indicated that this was the case. Staff spoken with had received protection of vulnerable adults training and there was more training planned to take place. Staff have also received challenging behaviour training. Homestead DS0000012823.V329256.R01.S.doc Version 5.2 Page 15 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): Standards 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable and homely environment, which suits their lifestyle. EVIDENCE: The lounge and kitchen areas were very homely and domestic in character; fixtures and fitting seemed of a high quality and were attractive. Resident’s bedrooms were personalised and contained all required fixtures and fittings and furniture. The bathroom on the first floor was in need of redecoration on order to bring it up to the same standard as the rest of the home. The deputy manager said that this work was planned in. Also work was planned to improve the front garden. All areas of the home appeared extremely clean. Residents spoken with said they liked their rooms and some comment cards also indicated this. Homestead DS0000012823.V329256.R01.S.doc Version 5.2 Page 16 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): Standards 32,34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment and training policies and practices support the best interests of residents. EVIDENCE: Staff records were not available for inspection as they are not stored at the home. However, information provided with the pre inspection questionnaire confirmed that all staff are subject to Criminal Record Bureau and Protection of Vulnerable Adult list checks. The deputy manager also confirmed that two references are obtained for every staff member. The majority of staff are undertaking a National Vocational Qualification in care. All staff receive induction training and continuing training and development. Training provided includes -: challenging behaviour, medication, first aid, dementia, fire, moving and handling, health and safety and infection control, Homestead DS0000012823.V329256.R01.S.doc Version 5.2 Page 17 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): Standards 37,39 and 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service is well run and promotes the best interests of residents. EVIDENCE: At the time of this inspection the Registered Managers post was vacant but the providers were actively recruiting for this post, the home was being managed by the deputy manager. Customer satisfaction questionnaires are sent out annually to staff, residents and parents. Annual risk assessments are carried out. Appropriate health and safety training is provided to staff. Information provided in the pre inspection questionnaire confirmed that all relevant health and safety checks and maintenance work had been carried out. Homestead DS0000012823.V329256.R01.S.doc Version 5.2 Page 18 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 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 3 36 x 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 4 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 Homestead DS0000012823.V329256.R01.S.doc Version 5.2 Page 19 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. 1. Refer to Standard YA24 Good Practice Recommendations The bathroom on the first floor should be refurbished to bring it up to the same standard of décor as the rest of the home. Homestead DS0000012823.V329256.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Homestead DS0000012823.V329256.R01.S.doc Version 5.2 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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