Inspection on 07/12/05 for Housemartins

This inspection was carried out on 7th December 2005.

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

Housemartins 03/05/07

Housemartins 03/08/06

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Housemartins Housemartins Colebrook Lane Cullompton Devon EX15 1PB Lead Inspector Belinda Heginworth Unannounced Inspection 7th December 2005 08.45 Housemartins DS0000063698.V267972.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 Housemartins DS0000063698.V267972.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. Housemartins DS0000063698.V267972.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Housemartins Address Housemartins Colebrook Lane Cullompton Devon EX15 1PB 01884 35443 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) Jason Stuart Collins Mrs Anne Morey Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Housemartins DS0000063698.V267972.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. A person meeting the criteria for registration as a manager under the Care Standards Act 2000, as described in Standard 37 of the National Minimum Standards for Care Homes for Adults (18-65) and Regulation 9 of the Care Home Regulations 2001, must be appointed at all times. N/A Date of last inspection Brief Description of the Service: The home provides support and personal care for 5 people with a learning disability. The home is owned by Mr Jason Collins who also owns Forge House, another home for people with a learning disability, in Cullompton. Housemartins is a detached two-storey property on the edge of the town of Cullompton, which is within walking distance. There are five single bedrooms with a bathroom on both floors. On the first floor there is a kitchen with a dining area and a lounge. To the front of the property there is an enclosed garden. At the rear of the property there is a larger back garden, which includes a vegetable plot. There is a patio area with garden furniture. Housemartins DS0000063698.V267972.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection to take place since the new provider has taken over the home and the new manager has been appointed. The staff and residents remain the same therefore the last inspection report was used to provide information as the majority of issues were relevant. This unannounced inspection took place over 2 hours with the manager being present throughout. Some residents have limited communication skills and were therefore unable to fully contribute to the inspection process. Time was spent with all residents and observations were made. Two residents were consulted and their views on the home discussed. The inspector looked around parts of the building and some records were inspected. One staff was consulted briefly. What the service does well: What has improved since the last inspection? The majority of care plans and risk assessments have improved to provide better information to staff and therefore be more effective at meeting and monitoring residents’ needs safely. The information also ensure residents are encouraged toward gaining independent living skills. Housemartins DS0000063698.V267972.R01.S.doc Version 5.0 Page 6 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. Housemartins DS0000063698.V267972.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 Housemartins DS0000063698.V267972.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): 2 Resident’s benefit from good admission and assessment practices, which ensure that the home is able to meet their needs. EVIDENCE: The majority of the residents have been living at the home for a number of years. The home has an assessment procedure for potential residents. This includes completing a detailed assessment of a resident’s needs to ensure the home is able to meet the needs. Care management assessment would also be obtained. A plan of care would then be formulated from the information in the assessment. Housemartins DS0000063698.V267972.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): 6&9 Care planning and risk assessments provide staff with the information they require to meet residents’ needs safely. EVIDENCE: Some residents discussed how staff respected their choices on day-to-day issues. They knew about their care plans and attended reviews. Staff are very caring and protective of residents. The team try to encourage some residents towards independent living. This was confirmed by some residents. However, during the last inspection it was found that the care plans did not always reflect this. The new manager is in the process of reviewing the care plans and has started to ensure this information is provided. Other residents have limited communication skills and have a limited understanding of care plans and are therefore unable to fully contribute to their formulation or reviews. Care plans provide accessible information and guidance about assessed needs and set individual goals. Relatives, other professionals and the staff team advocate on behalf of the residents and work hard to identify any changes in Housemartins DS0000063698.V267972.R01.S.doc Version 5.0 Page 10 assessed needs. Staff demonstrated an excellent knowledge and understanding of the plans. During the last inspection it was highlighted that risk assessments needed to have additional information that ensured that risks were reduced without discouraging independent living. The risk assessments should also include information relating to any goals that residents are working towards. The majority of this work has been completed. Housemartins DS0000063698.V267972.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 15 & 17 Residents are supported to maintain relationships with relatives and friends. Resident’s benefit from a varied and healthy diet. EVIDENCE: Some residents said that staff support them in keeping in contact with their families, through the telephone, letters and visits home. Residents said they were looking forward to visiting their families for Christmas. Residents said they enjoyed the food at the home and enjoyed helping to prepare and cook the meals occasionally. Drinks and snacks are available at all times. The home does not provide menus, staff and residents said that dinner for each evening is discussed and agreed each morning. A record is kept of foods provided. The manager intends to ensure the foods eaten are also recorded. The manager said the record of foods provided is monitored to ensure a healthy and varied diet is provided. Housemartins DS0000063698.V267972.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): 18 & 19 Residents health and emotional needs are well met. EVIDENCE: Residents said they were happy with how staff supported them with personal care. Staff had a good knowledge of how residents preferred to receive personal care. Care plans provide staff with information on personal care and how much support is necessary. There were good records of residents’ health care needs and how they are monitored. Residents said they are supported to attend medical appointments. Housemartins DS0000063698.V267972.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): 22 & 23 Residents benefit from a complaints procedure suitable to their communication needs. Residents are protected from potential abuse. EVIDENCE: Some residents said they would talk to staff if they were unhappy about anything. Some residents also attend a group called “people first”. This is run by people with a learning disability. They support other people with a learning disability to speak up for themselves. The home has a complaints procedure in a number of formats, including an audiotape. This ensures that residents’ communication needs are considered and helps residents to understand how to raise concerns or complaints. The manager has introduced residents’ meetings and intends to remind residents about the complaints policy during these meetings. All staff have received training in the protection of vulnerable adults. Staff knew what to do if they suspected abuse. The manager intends to up date staff on abuse awareness policies at meetings and individual supervision sessions. Residents’ finances are managed well. Residents said they had their own bank accounts where benefits are paid and a standing order is set up to pay their contribution towards the home’s fees. All financial records were accurate. Housemartins DS0000063698.V267972.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 & 30 Residents benefit from a clean and homely environment. EVIDENCE: The accommodation is homely, domestic in style, bright and cheerful. On the day of the inspection the home was clean. Residents said they take turns at cleaning parts of the home. New sofas have recently been purchased making the lounge more comfortable for residents. Housemartins DS0000063698.V267972.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): 32, 33, 34 & 35 Residents are supported by a competent staff team with recruitment practices that protect them. Improvements are needed to the staff numbers provided in the evening. This would provide residents with the opportunity for ad hoc activities to take place. Residents benefit from a well-trained team of staff, which helps to ensure their needs are met. EVIDENCE: Residents said they felt the two staff provided per day was enough to meet their needs. Residents said that staff support them to attend all activities including activities in the evening. However, it was highlighted during the last inspection that the home’s shift system did not take into account the social needs of residents in the evening. This remains the same. Staff continue to work 12.5 hour day shift patterns that end at 8.30pm when the night carers come on duty. While the staff team prefer this arrangement it prevents ad hoc evening activities. The rota is therefore not completed according to the needs or wishes of residents. The manager intends to review the shift patterns early next year. Recruitment practices protect residents’ welfare. Housemartins DS0000063698.V267972.R01.S.doc Version 5.0 Page 16 Resident’s benefit from a well-trained team of staff. Training is wide and varied and helps to ensure residents’ needs are met. Training ranges from health & safety training, such as fire safety, manual handling, food & hygiene and first aid, to epilepsy, autism, total communication, managing “challenging behaviours” and many more. Housemartins DS0000063698.V267972.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): 37, 39 & 42 Resident’s benefit from a well run and safe home. The home regularly reviews its performance through a good programme of self-assessment. Some improvements are needed in this area. EVIDENCE: The home is run effectively and efficiently. The home has quality assurance standards that include staff training and supervision, and other checks carried out in the home to ensure that good quality care is delivered. The manager intends to develop this further by seeking the views of residents wherever possible, relatives and outside professionals on how well the home is run and how well the home meets the needs of the residents. The manager also intends to produce a plan of what should be done and when to ensure that all staff are aware of the time scales to reach. Residents’ care plan reviews and team meetings are included in the quality review system. Housemartins DS0000063698.V267972.R01.S.doc Version 5.0 Page 18 The fire logbook was up to-date with records of relevant staff training to ensure that the health and welfare of residents are protected. The manager, prior to the last inspection filled in a questionnaire. This provides the CSCI with information and confirms that appropriate policies and procedures are in place. These policies ensure that residents’ safety and welfare is protected. Housemartins DS0000063698.V267972.R01.S.doc Version 5.0 Page 19 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 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 2 3 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Housemartins Score 3 3 X X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X X 3 X DS0000063698.V267972.R01.S.doc Version 5.0 Page 20 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 2 Refer to Standard YA33 YA39 Good Practice Recommendations The registered person should review staffing shifts to ensure the home is able to meet residents’ assessed needs at all times of the day. The manager should develop the homes quality assurance systems to ensure the home is working towards continous improvements. The quality assurance plan should ensure that all staff members are aware of what the home is working towards. Housemartins DS0000063698.V267972.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Exeter Suites 1 & 7 Renslade House Bonhay Road Exeter EX4 3AY 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 Housemartins DS0000063698.V267972.R01.S.doc Version 5.0 Page 22 - 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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