Inspection on 06/07/05 for Mullion

This inspection was carried out on 6th July 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

Mullion 05/12/08

Mullion 06/12/06

Mullion 20/12/05

Mullion 25/01/05

Mullion 20/09/04

Mullion 15/03/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Pinta

Kestrel House, St Anne`s Opportunity Centre,

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

CARE HOME ADULTS 18-65 Mullion 230 Portsmouth Road Horndean Hampshire PO8 9SY Lead Inspector Tracey Box Unannounced 06.07.05 9:30am 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. Mullion H54 S11679 Mullion V236936.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Mullion Address 230 Portsmouth Road, Horndean. Hampshire, PO8 9SY 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) 023 9259 6820 Community Integrated Care Mr S Brockway CRH 3 Category(ies) of LD - 3 registration, with number of places Mullion H54 S11679 Mullion V236936.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Service users in the LD category may only be admitted between the ages of 30 and 45 years Date of last inspection 25.01.05 Brief Description of the Service: Mullion is a registered care home, providing personal support and accommodation for three young adults with a learning disabilities. Mullion is a bungalow set back from the main road just outside Horndean. Mullion bungalow is owned by Knighstone housing association. Stephen Brockway is Mullion`s registered manager, Community Integrated Care are the service providers. Mullion comprises of three single bedrooms, a communial lounge, dining room and kitchen, a laundry and an enclosed garden. Mullion H54 S11679 Mullion V236936.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over four hours. The inspector was supported during the inspection by Stephen, the registered manager and one other member of staff. Two out of the three service users were at the home, one service users was attending their day placement. At the time of the inspection one service user appeared agitated, causing conflict between two of the service users. Staff supported the service users well, in line with individuals care plans and risk assessments. The inspectors presence was an obvious cause, consequently the inspector found it difficult to spend time with the service users, as they did not want to cause any further unnecessary distress. The people living at Mullion prefer to be referred to as Service users, therefore will be referred to as this throughout the report. The inspector witnessed good interacting between service users and staff who were participating in activities that they requested. The manager showed the inspector the layout within the home. The inspector looked at records and asked staff for their views and opinions. What the service does well: What has improved since the last inspection? The home has benefited from well trained staff who integrate well with the service users and a manager who works closely with service users and staff. The home is benefiting from internal refurbishment, new carpets have been laid in the lounge, hallway, one bedroom and study, the bathroom has been updated with bright colours and stencils and a new floor has been laid. The Mullion H54 S11679 Mullion V236936.doc Version 1.40 Page 6 dining room has a new laminated floor and dining room furniture and the kitchen has been refurbished. 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. Mullion H54 S11679 Mullion V236936.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 Mullion H54 S11679 Mullion V236936.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) EVIDENCE: This standard was not assessed on this occasion. Mullion H54 S11679 Mullion V236936.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) 9 Comprehensive risk assessments are in place to enable service users to take risks as part of an independent lifestyle. EVIDENCE: The kitchen door is kept locked, this has been agreed with Service users, staff supervision is required if a service user wishes to enter the kitchen. Risk assessments and behaviour management agreements are in place to ensure the health and safety of all service users and staff. The inspector witnessed the reasons for these risk assessments. The inspector witnessed that risk assessments have been reviewed on a monthly basis or sooner should the need arise, this demonstrates good practice. Mullion H54 S11679 Mullion V236936.doc Version 1.40 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 standard(s) 15,16 Links with the local community are good, and contact with family, friends and representatives are encouraged. Practices in the home demonstrate that the home promotes individual choices and encourages residents to have control over their lives. EVIDENCE: The home has its own vehicle, which encourages and develops social and educational opportunities. Service users are encouraged, in line with their care plan and risk assessments, to participate in social activities, both within the home and the community. Records of activities are recorded in the individuals care plan and daily records, staff also confirmed this practice. The inspector witnessed the visitors book which detailed family and friends visits to the home. Staff reported there are no restrictions on visiting, unless stated in an individuals care plan. Families / representatives, including Options day service and social workers are invited by the home to attend care planning meeting, the inspector saw Mullion H54 S11679 Mullion V236936.doc Version 1.40 Page 11 minutes from a recent meeting, all present signed their name to show presence. A copy of Service users rights and responsibilities are held in the service users guide, Mullion’s statement of purpose, and in each individual service users contract. The inspector witnessed positive interaction between service users and staff, this was also stated on one relatives feedback comment card received by the inspector. Mullion H54 S11679 Mullion V236936.doc Version 1.40 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 standard(s) 19 The health needs of service users are well met with evidence of good multi disciplinary working taking place on a regular basis. EVIDENCE: Daily records comment on individuals daily activities, physical and emotional health and behaviour, records of visits to outside agencies, such as doctor, dentist, optician are kept on the individuals file, this enables the home to monitor and track the information recorded. Each service user has an “essential life plan” which includes information that the service user finds essential, important, details on routines / rituals, enjoys, dislikes, details on preferences for communication, physical and emotional health needs and training needs, these plans are reviewed every six months and the service user invites the people they want, which may include family, advocate, social worker and day centre representative. The responsible individual visits the home on a monthly basis to ensure all needs of service users are met, records of these un announced visits were viewed by the inspector, the manager gives feedback to the staff at staff meetings. Mullion H54 S11679 Mullion V236936.doc Version 1.40 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 standard(s) 22 Service users views are listened to and acted on. EVIDENCE: The inspector spoke with the manager and staff, who confirmed the way they ensure service users views are listened to is to communicate in the style and pace appropriate to the individual, spend one to one time with service users, arrange regular essential life planning meetings, form positive relationships with families, friends and outside agencies. The inspector witnessed one service user make a choice for their lunch, staff arranged the options in front of the service user and prompted the service user to look in the kitchen cupboards and fridge, the service user pointed to their choice. The manager confirmed similar practice enables service users to make other choices, for example, what clothes to wear, the redecoration/ refurbishment of areas within the home and where to go on holiday. The home has a clear complaints procedure, which is held in each service users guide and statement of purpose. The inspector received two relatives / visitors comment cars which stated they had not made a complaint, and that they were aware of the complaints procedure. Throughout the inspection, staff listened to the service user, and responded appropriately to meet the individuals needs. Mullion H54 S11679 Mullion V236936.doc Version 1.40 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 standard(s) 30 The home is clean, pleasant and hygienic. EVIDENCE: The inspector witnessed the homes procedures to ensure hygiene is maintained, staff use protective clothing whilst completing their duties of personal care, cleaning and supporting at mealtimes. Staff said they receive training on infection control. The inspector saw a staff training plan which confirmed this, certificates identified all staff had received infection control training and food hygiene. The inspector witnessed good food hygiene practices whilst staff prepared food in the kitchen. Staff have received training, and follow the homes comprehensive policy on infection control. The home provides the service users with an attractive and homely place to live. The garden is well maintained and service users enjoy using it, to walk around, sit in or look at from inside the home. The back gate is padlocked, as risk assessed to minimise risk. Mullion H54 S11679 Mullion V236936.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Appropriately trained staff ensure individual and joint needs of service users are met. EVIDENCE: The inspector witnessed the homes induction/foundation pack that was being completed by a new member of staff, and the certificates received for all mandatory training. Staff confirmed learning disability training was included in the “principles of care” induction training, they had also recently attended epilepsy training, and will be commencing their National Vocational qualification level 2 in September this year. One staff member said “ I feel I have adequate training in order for me to carry out my job, I can just ask if I want training, I don’t have to wait until a meeting or my supervision.” The inspector viewed a staff training plan which enables the manager to monitor staff training needs, which is discussed at staff supervision. Staff explained “we as a team work well together, during staff meetings we talk openly and share ideas and support one another, this helps us meet the needs of all service users.” One member of staff said “I feel we have adequate staff on duty to meet the needs of the service users, especially now we have two new staff.” The manager confirmed staffing levels are adequate. Mullion H54 S11679 Mullion V236936.doc Version 1.40 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 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 The systems for service users consultation are good, with a variety of evidence that indicates service users views underpin all self monitoring, review and development by the home. EVIDENCE: The inspector saw minutes taken from service users essential life plan meetings which indicate a service users views, and shows actions of how the home will achieve this, with outside agencies where appropriate. The inspector received two relative/ visitor comment cards, which indicated that the home keeps relatives informed of matters affecting their relative / friend. The manager completes pre assessment questionnaires ( which gives up dated information to the inspector about the home) he uses this as an auditing tool. The home circulates a service users/next of kin survey, and the responsible individual completes monthly visits to the home, in which service users are consulted. The home operates a “keyworker” system, so each service user has a designated member of staff, staff said “ I often spend one to one time with Mullion H54 S11679 Mullion V236936.doc Version 1.40 Page 17 the resident I am keyworker to, we may spend time doing an activity, this promotes a relaxed atmosphere where a service user feels able to communicate their wishes.” The inspector saw written daily records which showed this practice, records were also found in the service users essential life plan, where goals and actions were set of a service user wishing to achieve a task within the home. The manager confirmed quality issues are discussed on a one to one basis at staff supervision and within staff meetings. Mullion H54 S11679 Mullion V236936.doc Version 1.40 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 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 Standard No 11 12 13 14 15 16 17 x x x x 3 3 x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Mullion Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x H54 S11679 Mullion V236936.doc Version 1.40 Page 19 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 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 Mullion H54 S11679 Mullion V236936.doc Version 1.40 Page 20 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton SO30 2FD 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 Mullion H54 S11679 Mullion V236936.doc Version 1.40 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. 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!