Inspection on 29/09/05 for Innova House Care Home

This inspection was carried out on 29th September 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Innova House Care Home 18/09/06

Innova House Care Home 18/01/06

Innova House Care Home 09/02/05

Innova House Care Home 20/07/04

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

CARE HOME ADULTS 18-65 Innova House Care Home Forest Avenue Forest Road Mansfield Nottinghamshire NG18 4BX Lead Inspector Stephen Benson Unannounced Inspection 29th September 2005 09:30 Innova House Care Home DS0000008702.V253571.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 Innova House Care Home DS0000008702.V253571.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. Innova House Care Home DS0000008702.V253571.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Innova House Care Home Address Forest Avenue Forest Road Mansfield Nottinghamshire NG18 4BX 01623 626252 01623 650099 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) Dr Sudaram Rai Dr Chandran, Dr M Cheedella Mr Paul Blaker Care Home 15 Category(ies) of Physical disability (15) registration, with number of places Innova House Care Home DS0000008702.V253571.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. All residents will be in need of care and accommodation as a result of brain injury 09/02/05 Date of last inspection Brief Description of the Service: Innova House is a care home registered to provide personal care and accommodation for up to 15 younger adults who fall within the categories MH and PD with have an acquired brain injury. Since the last in section some bedrooms and the ground floor lounge have been refurbished. The home accommodates people for short or long term care, respite care or emergency admissions and can provide day care. This number is likely to be reduced as part of the ongoing improvement of the accommodation. The home is located on the outskirts of Mansfield town centre close to shops, pubs, the post office and other amenities. The home was opened in August 2000 and consists of a converted and extended domestic dwelling. All of the home’s bedrooms are single, and 6 of the bedrooms have en-suite facilities. Bedrooms are located on 2 floors and there is a passenger lift. The home has a small paved garden and use of a nearby allotment. There is ample car parking available. Innova House Care Home DS0000008702.V253571.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was the first of two unannounced inspections to be carried out between April 2005 and March 2006. The inspection lasted for 5 hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the manager, care staff on duty and care practices were observed. No visitors were seen during the inspection. What the service does well: What has improved since the last inspection? What they could do better: There are a number of residents who enjoy going swimming but this is difficult to organise due to the level of support required. One resident said that she had not been swimming for about a year. Innova House Care Home DS0000008702.V253571.R01.S.doc Version 5.0 Page 6 Staff are aware of some practical difficulties faced by residents who wish to hold personal relationships and should seek advice from funding authorities how this may be done. There is a complaints procedure where residents can record any complaints they have. Residents have made a number of complaints through this procedure most of which have been satisfactorily dealt with, however there were two complaints seen that had not been resolved concerning broken windows and no bedroom curtains. The home has previously achieved Investors in People status but has not kept up the level of quality assurance and monitoring they had at that time and the manager intends to improve this by having more frequent meetings and introducing resident surveys. Residents said that they feel listened to. Residents and staff spoken with said that they have not taken part in a fire drill an d one should be organised. 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. Innova House Care Home DS0000008702.V253571.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 Innova House Care Home DS0000008702.V253571.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, 4 and 5 New residents are assessed before coming to the home and the admission process is varied to take in to account individuals particular circumstances. EVIDENCE: When a referral is received for a new resident the manager will gather all available information including any assessment carried out by relevant professionals. Once this is received the manager and another team member visit the applicant in their current setting using the home’s own assessment. If it is felt that it is a suitable referral a visit to the home is arranged and ideally a planned introduction to the home is put into place, including an overnight stay, however in practice this is not always possible as a number of people referred have been given notice to leave in their current placement and they are in need of somewhere to live and the home has to respond to this need. Residents are issued with a copy of the terms and conditions between themselves and the home. No recently admitted residents were present to discuss the admission process with, but one resident who was case tracked had an assessment in her care plan and had visited the home prior to moving in. Innova House Care Home DS0000008702.V253571.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): None EVIDENCE: Innova House Care Home DS0000008702.V253571.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): 12, 13 and 15 Efforts are made to provide residents with fulfilling education and training opportunities and where difficulties arise these are pursued. Residents are involved within the local community, but ways of increasing opportunities to go swimming would be appreciated. Residents maintain personal and family relationships. EVIDENCE: There was a group of residents waiting for transport to take them to a local day centre. One resident said he preferred to walk to the centre and does so accompanied by a member of staff. Another resident was being taken to college, but 2 other residents have had their college places withdrawn due funding being stopped. Both residents said they were very upset by this as they enjoyed going to college. The manager explained this had occurred with little notice and a meeting has been arranged shortly to look at what possibilities are available for them. Another resident had been placed on a course well below his ability so was unable to continue and a meeting has been arranged to look at alternatives available The manager is also looking to expand the range of education and training available to residents, including making use of evening classes. Residents enjoy working on the home’s Innova House Care Home DS0000008702.V253571.R01.S.doc Version 5.0 Page 11 allotment and a rehab kitchen is nearing completion where residents will be able to prepare and cook food and do some of their washing. Residents enjoy going to the local town centre and having lunch at a local pub. One resident said he likes to buy a paper and go to the pub for his lunch. A number of residents enjoy going swimming but this proves to be a difficult activity to organise due to the support some of the residents need. One resident said she hadn’t been swimming for about a year. Residents said they enjoy going biking, going to the cinema and playing pool. Friends and family can visit the home whenever they choose, those that live some distance away phone to let staff know they are coming so the resident doesn’t go out. Other residents are supported to go to visit their relatives and one said that he catches a bus with a member of staff to go to see his mother. Some residents have built social circles through local groups and clubs they attend. One resident said she regularly goes out for a meal with her boyfriend and the manager described some practical difficulties they face in developing their relationship and is looking for support with this. Innova House Care Home DS0000008702.V253571.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): None EVIDENCE: Innova House Care Home DS0000008702.V253571.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 and 23 The home has a complaints procedure that is accessible for residents, but has not responded as promptly as would be expected to some complaints. Prompt an d correct action was taken when an incident of abuse was identified. EVIDENCE: The home has a complaints book, which had a number of entries in raised by residents. This is a positive use of the complaints system, but 2 issues, one of no curtains been in a resident’s bedroom and another of having a boarded window have not yet been resolved and these should be responded to promptly. All staff have received adult protection training and residents said that they are well treated by staff. There has been one recent adult protection investigation concerning financial abuse of a resident, which resulted in a member of staff being prosecuted and receiving a custodial sentence. The abuse was identified and pursued by the manager who correctly followed the adult protection procedures. As a result of this instance changes have been made to how residents fiancés are managed. The resident said that appropriate support had been given. Innova House Care Home DS0000008702.V253571.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): 30 Residents contribute to keeping the home clean and tidy. EVIDENCE: Residents are supported to clean their own rooms; one resident said that he can change his own bed with some help and another said he vacuum and dusts on Saturdays. Night staff clean the communal areas. The laundry is not accessible to residents and there is not an appropriate iron or ironing board they can use. A washing machine is included in the rehab kitchen that is near completion and the manager said a suitable iron and ironing board for residents use will be provided. The home was fresh, clean and tidy at the time of inspection and residents said that it was always like that. Innova House Care Home DS0000008702.V253571.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): 34 and 35 The recruitment procedures are rigorously adhered to and residents have an opportunity to be a part of selecting who is to provide them with care and support. Staff are provided with the training they require to carry out their duties. EVIDENCE: New staff are recruited through completing an application form, attending interview, taking up references and carrying out health and criminal record checks. In some cases staff have commenced work before the return of the criminal records bureau check, and in these cases clearance has been received from Protection of Vulnerable Adults register (POVA). Residents said they have been involved in interviewing new staff and the manager confirmed that residents are included in the recruitment process. The home has a comprehensive training programme, which includes all mandatory training, and all staff are registered on NVQ level 2, 3 or 4. There is also a detailed induction programme, which involves residents. The manager said that all staff will have completed foundation and induction training by the end of next month. Residents have also participated in staff training and in some cases have gained certificates in such areas as basic food hygiene. Staff said that they have plenty of training opportunities and have the training they need to do their jobs. Innova House Care Home DS0000008702.V253571.R01.S.doc Version 5.0 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 and 42 More emphasis is needed on quality assurance and monitoring systems. Practices are in placed to promote and protect staff, which would be enhanced with a fire drill. EVIDENCE: The home has been accredited with Investors in People status. Both staff and residents meetings are held but residents, staff and the manager said that these have not been as regular recently and need to happen more frequently. Residents said that staff, including the manager, listen to what they have to say but the manager felt that areas of quality assurance and monitoring systems need to be picked up on. All the required safety checks and tests are carried out at the correct frequency, but staff and residents said they had not taken part in a fire drill. Innova House Care Home DS0000008702.V253571.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X 3 3 Standard No 22 23 Score 2 3 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 X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X 4 4 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Innova House Care Home Score X X X x Standard No 37 38 39 40 41 42 43 Score X X 2 X X 2 X DS0000008702.V253571.R01.S.doc Version 5.0 Page 18 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. 1 Standard YA22 Regulation 22 Requirement Ensure that complaints are dealt with promptly and resolve the outstanding complaints concerning broken windows and missing curtains Introduce systems for quality assurance and monitoring purposes Undertake a fire drill Timescale for action 01/10/05 2 3 YA39 YA42 24 23 01/01/06 01/10/05 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 13 15 Good Practice Recommendations Provide more frequent opportunities for residents to go swimming Seek advice from the funding authority for assistance in helping residents develop personal relationships Innova House Care Home DS0000008702.V253571.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Innova House Care Home DS0000008702.V253571.R01.S.doc Version 5.0 Page 20 - 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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