Inspection on 19/12/05 for Houghton Regis Community Care Scheme

This inspection was carried out on 19th December 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Houghton Regis Community Care... 04/05/07

Houghton Regis Community Care... 06/09/05

Houghton Regis Community Care... 21/01/05

Houghton Regis Community Care... 13/07/04

Houghton Regis Community Care... 16/03/04

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 Houghton Regis Community Care Scheme Roman Court Houghton Regis Bedfordshire LU5 5UB Lead Inspector Sally Snelson Unannounced Inspection 19th December 2005 09:50 Houghton Regis Community Care Scheme DS0000017675.V267367.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 Houghton Regis Community Care Scheme DS0000017675.V267367.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. Houghton Regis Community Care Scheme DS0000017675.V267367.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Houghton Regis Community Care Scheme Address Roman Court Houghton Regis Bedfordshire LU5 5UB 01582 861186 01582 861444 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) SCOPE Mrs Christine Why Care Home 16 Category(ies) of Learning disability (16), Physical disability (16) registration, with number of places Houghton Regis Community Care Scheme DS0000017675.V267367.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. Severe Learning and physical disabilities Date of last inspection 6th September 2005 Brief Description of the Service: Houghton Regis SCOPE project was established in 1992 to accommodate 16 service users under the age of 65 years with physical and learning disabilities. At the time of the inspection the service users ranged between 30 and 59 years of age. The home is made up of four ground floor flats that are part of a small housing association development in the centre of Houghton Regis. Each of the flats has four bedrooms, a lounge, a dining room, a kitchen and fully equipped bathing facilities. The flats have access to two small outdoor areas. The two mini-buses belonging to the home have parking spaces but parking for staff and visitors is very restricted. Houghton Regis Community Care Scheme DS0000017675.V267367.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection of the Houghton Regis SCOPE project was unannounced and took place on 19th December 2005. The manager, Christine Why, was present throughout the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for service users and their views of the services provided. The process considers the home’s capacity to meet regulatory requirements and minimum standards of practice. This inspection was the second of the year and focused on the three core standards not assessed as part of the last inspection and the progress made towards meeting the environmental requirement made at the last inspection. Because of the nature of the standards that needed to be assessed at this inspection the inspector spoke to service users and staff but did not ‘track’ an individual service users care. It is recommended that this report be read in conjunction with the report of the inspection carried out in June 2005 for a complete overview. What the service does well: The service provides person centred care in a homely environment. Service users are encouraged to make decisions about the care they receive and the social activities they join in with. All of the service users had very limited if any communication skills but all were consulted about their care. Staff used a variety of communication methods including the use of drama therapists to ensure that service users were content with the care they received. The skill mix of the team provides a variety of skills to met the diverse needs of the service users accommodated. Houghton Regis Community Care Scheme DS0000017675.V267367.R01.S.doc Version 5.0 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. Houghton Regis Community Care Scheme DS0000017675.V267367.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 Houghton Regis Community Care Scheme DS0000017675.V267367.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): EVIDENCE: These standards were not assessed as part of this inspection. Houghton Regis Community Care Scheme DS0000017675.V267367.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): EVIDENCE: These standards were not inspected as part of this inspection. Houghton Regis Community Care Scheme DS0000017675.V267367.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): 14,15. Service users were helped by staff to make friendships and join in community activities. EVIDENCE: The inspection took place the week before Christmas and it was noted that all the flats were decorated with Christmas lights, trees and cards. One service user indicated to the inspector that she was responsible for turning off the Christmas lights at night, another made it clear that she had helped with the decorating of the flat. Each of the flats made it’s own arrangements for activities over the Christmas period. Service users could invite friends from the other flats, or from the community, to some of the events. The manager expected all of the service users to remain at the home for the Christmas period. The inspector met with service users who had been shopping, had been to a carol sing-a-long at the Royal Albert Hall in London, were planning to go to the candlelit carol service at the local Church or a pantomime. Houghton Regis Community Care Scheme DS0000017675.V267367.R01.S.doc Version 5.0 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): 20 The arrangements for the administration of medications were satisfactory ensuring that service users were given the correct medication. EVIDENCE: None of the service users were able to administer their own medication. Assessment of documents showed that appropriate records had been maintained in relation to the receipt and administration of medicines. The manager stated that she audited the medication records at the end of every month and investigated any gaps or problems. It was noted that where variable doses were prescribed the staff indicated the exact dose given. Each of the flats stored their medication in a locked cupboard in the kitchen. Staff must maintain records of the temperature in the cupboard to ensure that, particular when cooking, the temperature does not rise above 25 degrees Celsius and compromise the efficacy of the medication. The manager reported that any unused medications were disposed of in the correct manner. Houghton Regis Community Care Scheme DS0000017675.V267367.R01.S.doc Version 5.0 Page 12 The manager was looking for training that would update staff on the giving of immunisation and vaccination. Staff would then be qualified once again to administer the annual ‘flu vaccinations on behalf of the local GP surgery. Houghton Regis Community Care Scheme DS0000017675.V267367.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): EVIDENCE: These standards were not inspected at this inspection Houghton Regis Community Care Scheme DS0000017675.V267367.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): 27,28 Staff ensured that the environment was kept clean and tidy and free from any offensive odours. Problems with the environment were out of the control of the staff at the home, as the premises were owned by a housing association. EVIDENCE: The last inspection report identified the need for the kitchen in flat 4 to be refurbished as soon as possible. The manager confirmed that the housing association had sent a maintenance person to look at the kitchen. This person had agreed that there was a need for the kitchen to be replaced and had requested a quote. The quote had been higher than the housing association first thought so the manger was told the refurbishment would have to wait until the new budget in April. This same flat had recently suffered a flood; possibly due to the floor sinking. This had resulted in damage to all the communal carpets, which would be replaced as soon as the repair to the floor had dried out. The carpet replacement in this flat had been financed by an insurance claim following the flood damage. Houghton Regis Community Care Scheme DS0000017675.V267367.R01.S.doc Version 5.0 Page 15 There was a hole in the shower room floor in flat 7. This hole was a health and safety risk to service users and staff using the shower. Following the inspection the inspector wrote to the housing association asking for their plan of action for the necessary repairs. Houghton Regis Community Care Scheme DS0000017675.V267367.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not inspected at this inspection. Houghton Regis Community Care Scheme DS0000017675.V267367.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38,42 The registered manager had a good relationship with staff and service users that resulted in a pleasant atmosphere throughout the four flats. EVIDENCE: Throughout the inspection it was apparent that the manager had a good relationship with staff and service users. Staff reported that the manager was approachable and operated an open door policy. They also commented that she offered a good level of support when required. The maintenance man completed all the required testing of systems and equipment. On the day of the inspection the maintenance man had returned from a weeks annual leave and he was familiarising himself with changes that had occurred in that time. The home had good policies and procedures in place in relation to safe working practices. Houghton Regis Community Care Scheme DS0000017675.V267367.R01.S.doc Version 5.0 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 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 X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X 2 2 X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 4 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X 4 X X X 3 X Houghton Regis Community Care Scheme DS0000017675.V267367.R01.S.doc Version 5.0 Page 19 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 YA28 Regulation 23(2)(b) Requirement The kitchen in flat 4 must be refurbished. Original date of 01.01.06 had not arrived at the time of the inspection. However it was obvious this date would not met so extended to The hole in the floor of the shower in 7 must be repaired. Timescale for action 01/04/06 2 YA27 23 01/02/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2. Refer to Standard YA28 YA30 Good Practice Recommendations Consideration should be given to replacing the carpets in the flats that have not had the carpets replaced recently. Consideration should be given to the positioning of laundry facilities. Houghton Regis Community Care Scheme DS0000017675.V267367.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Bedfordshire & Luton Area Office Clifton House 4a Goldington Road Bedford MK40 3NF 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 Houghton Regis Community Care Scheme DS0000017675.V267367.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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