Inspection on 26/01/06 for Hope House

This inspection was carried out on 26th January 2006.

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

Hope House 09/03/09

Hope House 07/03/07

Hope House 03/08/05

Hope House 24/01/05

Hope House 09/06/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Hope House No 1 Hope House Wainwright Way, Grange Farm Kesgrave Ipswich Suffolk IP5 2XG Lead Inspector Joe Staines Unannounced Inspection 26th January 2006 10:00 Hope House DS0000028573.V281955.R01.S.doc Version 5.1 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 Hope House DS0000028573.V281955.R01.S.doc Version 5.1 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. Hope House DS0000028573.V281955.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hope House Address 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) No 1 Hope House Wainwright Way, Grange Farm Kesgrave Ipswich Suffolk IP5 2XG 01473 612198 01473 611782 Rethink Disability Ltd Mrs Judith Carol Williams Care Home 4 Category(ies) of Learning disability (4), Physical disability (4) registration, with number of places Hope House DS0000028573.V281955.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home only accomodates young people who have both a learning disability and a physical disability. The home only accomodates young people in the following age range 16-25 years. 3rd August 2005 Date of last inspection Brief Description of the Service: Hope House is a registered care home for younger adults, first registered in March 2002. It provides residential care for four young people with profound / multiple physical and learning disabilities. The property is owned by Orbit Housing Association who retain responsibility for repairs, maintenance, and upkeep of the premises. Hope House is a purpose-built ground floor unit of accommodation, situated at the end of a cul-de-sac in Kesgrave, Ipswich, close to shops, services, and facilities. The home has its own minibus for transport purposes, and there are local bus services within walking distance of the home. Each service user is provided with a private well equipped single bedroom. Ensuite facilities are shared between two service users of the same gender. The home has been designed, furnished and equipped for young people with physical disabilities, based on specialist advice. There is ceiling tracking, hoisting equipment, and bathroom and toilet facilities designed to meet the needs of people with disabilities. Hope House is small, accessible, and homely in appearance. The communal areas are open plan, and based in the centre of the building. There is a Snoozelum, and Ball Pool. A small conservatory leads directly from the communal living area into the garden. Service users also make good use of their personal bedroom areas, particularly when they need time to relax, unwind, and have quieter time. Hope House DS0000028573.V281955.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was the second inspection undertaken in the inspection year 2005/6. The inspection focussed on those key standards, not assessed at the announced inspection of August 2005, those relating to standards assessed as not fully met previously, and some relating to issues identified during the course of this visit to the home. The registered manager of the service, Judith Williams, was present throughout the inspection and facilitated the assessment of standards through the identification and production of evidence relevant to the assessment. The inspector examined care plans and related documents in respect of 3 of the 4 residents. Staff files were examined, along with a number of relevant policy documents and guidelines for staff. The residents, who all have profound disabilities and unable to express their views verbally were not present at the time of the visit. A survey of views of the parents of residents was undertaken as part f the announced inspection in August 2005. The parent of one resident was present during the inspection and provided useful feedback to the inspector. The parent concerned clearly stated that they thought the home was “wonderful”, and had no complaints. What the service does well: The evidence, obtained at this inspection, confirmed that the home had a good working relationship with the parents of the residents. Relatives are involved in regular meetings and contact with those involved with the overall package of care. Feedback from a parent was positive about the way the home communicated with them and cared for their relative. Daily records showed regular monitoring of the needs and progress of residents’ health, with appropriate actions being taken when required. The home had an individual comprehensive care plan system, covering a wide range of needs, and identifying how those needs would be met. They include clear instructions for supporting service users in all aspects of their lives and including their preferences, and choices, where these had been expressed, or were known. Hope House DS0000028573.V281955.R01.S.doc Version 5.1 Page 6 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. Hope House DS0000028573.V281955.R01.S.doc Version 5.1 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 Hope House DS0000028573.V281955.R01.S.doc Version 5.1 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): None of the above standards were assessed at this inspection EVIDENCE: Hope House DS0000028573.V281955.R01.S.doc Version 5.1 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): 7 Residents, and their representatives, can be confident that the home supports service users to make their own decisions where possible, and use their skills to ascertain, and represent those views wherever possible. EVIDENCE: The parent of a resident interviewed, clearly stated that they felt the home understood the needs and wishes of their relative through body language, and responded appropriately. There was evidence of instances where the home had agreed a procedure requiring physical intervention, however this had been discussed with relevant professionals and family members. An example was seen of a recorded proposal, made by the home, for changes to a resident’s direct payments activity programme, which had been based on the staff teams perceptions of the residents responses to the current programme of activities. Procedures were also seen, guiding staff as to a particular resident’s perceptions, and the link to promoting independence. Hope House DS0000028573.V281955.R01.S.doc Version 5.1 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): 15 Residents, and their representatives, can be confident that the home supports service users to maintain appropriate personal, family and sexual relationships. EVIDENCE: The feedback from the parent of a service user confirmed that the home facilitates visits from family members in a flexible manner. The parent also stated that the home offered regular meetings where parents could contribute their views about the package of care provided to their relative. The manager reported that the home plans to arrange future activities for one resident, to enable them to maintain contact with people they currently attend certain activities with at school. Hope House DS0000028573.V281955.R01.S.doc Version 5.1 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): 19 & 20 Residents, and their representatives, can be confident that the home meet the healthcare needs of service users, including the provision of medication within a safe framework. EVIDENCE: The inspector examined individual residents records relating to healthcare. The records contained evidence of regular visits to health professionals. Because of the profound nature of the disabilities experienced by residents, the frequency of contact with doctors, dentists and opticians were greater than the minimum level of one per year, identified in the National Minimum Standards. There was evidence in the daily records of the home responding quickly and appropriately when their monitoring of one particular resident’s health indicated cause for concern. The feedback from the parent of a relative included the statement that “staff always ring if anything out of the ordinary occurs regarding health”. The records seen by the inspector also included a written plan regarding the physiotherapy needs of one service user. The manager confirmed that all tasks undertaken by health care professionals in the home occur in the privacy of residents’ own rooms. Medication records were accurately recorded, including additional information on the reverse of the administration record, indicating if the dosage was variable, what amount was given. Hope House DS0000028573.V281955.R01.S.doc Version 5.1 Page 12 Hope House DS0000028573.V281955.R01.S.doc Version 5.1 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): 22 Residents, and their representatives, can be confident that the home has an appropriate system for facilitating, and responding to complaints. EVIDENCE: The parent who spoke to the inspector confirmed that they felt confident that they could and would approach the senior members of management if they had any issues regarding the home. The inspector saw the home’s complaints procedure, which was clearly marked, and stored in the main entrance of the home, clearly accessible to all visitors and residents. Parents had a high profile of interest and involvement at Hope House, and there were regular meetings with parents who advocated on behalf of service users. Hope House DS0000028573.V281955.R01.S.doc Version 5.1 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): 30 Residents, and their representatives, can be confident that the procedures and facilities in place ensure that the home is kept clean and hygienic at all times. EVIDENCE: The home’s infection control policy was seen to contain guidance for staff around the safe handling and disposal of clinical waste, dealing with spillages and the need to use the (provided) protective equipment such as gloves and aprons. The laundry is sited away from the residential area, and contained washing machines with suitable temperature levels and sluice facilities. Contaminated waste was transferred in special red laundry bags. Training records confirmed that a specialist infection control nurse had provided training within the last 12 months. The home was clean and fresh on the day of the inspection, with no unpleasant odours, or signs of poor maintenance. Hope House DS0000028573.V281955.R01.S.doc Version 5.1 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): 32 34 & 35 Residents, and their representatives, can be confident that the staff team at Hope House are competent, well trained, and have to go through a robust recruitment process before starting work at the home. EVIDENCE: The recruitment records in respect of the last 2 members of staff recruited to the home were examined, and found to contain evidence of all the required checks taking place before they commenced employment. The home has made good progress with getting staff NVQ trained. Since the last inspection, 6 more members of staff have commenced NVQ training. 4 at level II, and 2 at level III. The home has also produced a new induction training portfolio for new staff, based in the common induction standards introduced by the national training organisation (skills for care). Hope House DS0000028573.V281955.R01.S.doc Version 5.1 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): 39 Residents, and their representatives, can be confident that the home ascertains and responds to the expressed views of those using the service. EVIDENCE: Due to the profound nature of the disabilities of residents, written quality assurance forms are not used. However, the home has a system of regular “Joint Action Committee” meetings, attended by parents, keyworkers, and representatives from professional bodies involved with service users. There was evidence, in the form of meeting minutes, which demonstrated that the home advocated for service users if they noticed any negative impact in relation to, for example, the residents direct payments activity programme. Hope House DS0000028573.V281955.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 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 X ENVIRONMENT Standard No Score 24 X 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 X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 4 3 X X X 3 X X X X Hope House DS0000028573.V281955.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? No 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 Hope House DS0000028573.V281955.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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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