Inspection on 14/07/05 for Isaac Robinson Court

This inspection was carried out on 14th July 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 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

Isaac Robinson Court 03/05/07

Isaac Robinson Court 15/12/05

Isaac Robinson Court 03/03/05

Isaac Robinson Court 05/10/04

Isaac Robinson Court 22/03/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Isaac Robinson Court Arcon Drive Anlaby Road Kingston upon Hull HU4 6AD Lead Inspector George Skinn Unannounced 14 July 2005 9:30 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 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 Stationary 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. Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Isaac Robinson Court Address Arcon Drive Anlaby Road Kingston upon Hull Hu4 6AD 01482 351959 01482 355652 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Humberside Independent Care Association Mr Simon Jeremy Smith Care Home 40 Category(ies) of LD Learning Disability (40) registration, with number LD(E) Learning Disability - over 65 (40) of places Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. That registration is approved with the condition that Mr Smith completes the registered managers award. Date of last inspection 08/02/05 Brief Description of the Service: Isaac Robinson Court provides personal care and accommodation for a maximum of 40 younger adults with a learning disability. The home provides both long term and respite care. It is owned By Humberside Independent Care Association Ltd (HICA) which is a not for profit organisation.Isaac Robinson Court is located to the west of Hull City Centre. It is set in the local community, with neighbourhood facilities close at hand. The home consists of 5 bungalows and 2 flats arranged around a central facility. Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection which took 5 hours. The home was measured against the national minimum standards for younger adults. The building was inspected and some records were inspected and resident were spoken with. What the service does well: 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 Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 Page 6 contacting your local CSCI office. Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 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 standard(s) 2 Residents’ are assessed prior to moving into the home and know their needs and aspirations will be met. EVIDENCE: Residents are only admitted to the home having undergone an assessment by either the Local Authority or senior staff from the home. Thus ensuring that the home can met their needs. In addition to the pre admission assessment the home undertakes a further assessment of strengths and needs once the resident has arrived. It is on the basis of both these assessments that the residents plan of care is formalised. Evidence seen indicated that the residents’ are involved in this process. Risk assessments are produced for restrictions on choice, freedom, service or facilities Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 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 standard(s) 6 & 9 Resident changing needs are well managed. Taking risk is seen as part of the residents’ choice in how they wish to live their lives. EVIDENCE: From discussion with residents it is clear that they are provided with information, assistance and support to make decisions about their lives and this was documented in care plans. Residents gave examples of being able to make real choices in their daily activities and there was evidence that they attended their own reviews. This has now been taken a stage further as the home have adopted a ‘Person Centred Planning’ approach where by the residents organise their reviews and have full control over who is invited. Where others make decisions on behalf of the residents, staff are able to demonstrate why these decisions have been made and explain to the resident the reasons. Limitations on choice are only made in the residents’ best interests. Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 Page 10 Where possible residents are encouraged to maintain their own finances, others finances are handled by relatives. The key worker system and residents meetings enabled residents to be involved in wider decision making. Details of advocacy services are included in the ‘Service User Guide’. Residents are enabled to take responsible risks as part of an independent lifestyle. Risk assessments are in place and on occasions are signed by them as confirmation that they are aware of the need to minimize risk. Residents’ representatives signed all risk assessments. Action is taken to minimize identified risks without limiting residents preferred choices. The home has a missing persons procedure. Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 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 standard(s) 13 & 17 Residents’ are part of the local community and are enabled to take advantage of local facilities. Residents are offered a balanced and healthy diet and enjoy their meals. EVIDENCE: Residents are part of the local community; this is achieved by involving the residents in local activities and by the pure nature of the home’s location. Local shops, pubs and places of worship are visited. The inspector was informed that all residents are on the electoral register. Local taxis are used for transport to social clubs, outings etc. The home provides residents with a varied, appealing, wholesome and nutritious diet and as a result has obtained the Heartbeat Award. The staff that are responsible for serving the meals know residents likes and dislikes. Residents spoke positively about the quality of the meals making Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 Page 12 comments, which included “the food is always nice”, and “I can always sit with my friends” Residents are offered a choice at each mealtime; the menu indicates that cooked alternatives are available at teatime. The manager is currently reviewing the menus as to content and making them more user friendly by including symbols. Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 & 23 Residents felt their views are listened to valued and acted on. The resident are protected from abuse. EVIDENCE: Resident knew who to approach if they had any complaints or concerns and they were sure these would be taken seriously and acted upon. A complaints procedure is available which encourages residents and relatives to express their dissatisfaction without fear of repercussion. This procedure includes contact details for CSCI. Complaints are seen as an opportunity to improve the service as a whole or more specifically for an individual. Residents are protected from abuse with robust procedures in place for responding to any suspicion. All staff receive formal training on abuse and the protection of vulnerable adults. The employee handbook also outlines details of the homes’ POVA policy. Whistle blowing is incorporated in the communications policy and in POVA training. Policies and procedures were in place regarding handling of aggression and the use of control and restraint is not permitted. The home has a detailed system for the management of residents’ finances, which protects residents from financial abuse. The homes policies and procedures preclude staff from involvement in the making of wills or receiving gifts. Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 Residents live in a home which is comfortable, safe and free from offensive odours. EVIDENCE: Residents live in a homely and comfortable environment. The home is split into five bungalows, two of these being for respite care, the occupancy of each bungalow varies between 6 and eight residents. The bungalows are tastefully decorated in cheerful colours and are free from offensive odours. Bedroom and communal space is adequate for the needs of each resident. The home is located centrally within easy access of local amenities. All accommodation apart from two flat-lets are situated on the ground floor, therefore wheelchair access is possible to the majority of the building. All furnishings and fittings are of a good quality. The home has a rolling maintenance program. The home consults with the Environmental Health Department and Local Fire Service. Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34 Residents’ are protected by, and included the recruitment process for new staff. EVIDENCE: The organisation has a detailed recruitment procedure. As part of this inspection three random staff files were seen. From these files it was evident that two references were sought. CRB checks are undertaken along with a health assessment. A copy of the General Social Care Code of Conduct is made available to staff. All staff are provided with written terms and conditions within 8 weeks of employment and copies of these are retained at headquarters. The organisations policy and procedures regarding the recruitment of volunteers outlines a thorough process, which includes the obtaining of references and a CRB check, the home does not currently have any volunteers. Evidence seen indicated that a copy of passport and birth certificate is obtained as part of the recruitment process and these documents had been seen for CRB purposes Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 Page 17 Residents are involved in the recruitment process; this usually takes the form of a cup of coffee and chat with the applicants, residents views are sought after this. Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 Residents are consulted on a regular basis and their views have meaningful impact on the running of the home. EVIDENCE: The home has a quality assurance system in place, which seeks the views of all stakeholders. The quality audit tool focuses on areas such as the environment, complaints, individual care etc. The company produces an annual development plan, which looks at the organisation as a whole as well as each individual home. Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 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 4 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x x 3 x x x 3 Standard No 31 32 33 34 35 36 Score x x x 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Isaac Robinson Court Score x x x x Standard No 37 38 39 40 41 42 43 Score x x 4 x x x x J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 Page 20 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 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 Good Practice Recommendations Isaac Robinson Court J54_s918_Isaac Robinson Court_v228754_140705_Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF 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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