Inspection on 17/08/06 for National Autistic Society

This inspection was carried out on 17th August 2006.

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

National Autistic Society 08/02/06

National Autistic Society 06/07/05

National Autistic Society 08/12/04

National Autistic Society 14/04/04

National Autistic Society 18/12/03

National Autistic Society 19/08/03

National Autistic Society 02/09/02

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

CARE HOME ADULTS 18-65 National Autistic Society 19 Camden Road Leicester Leicestershire LE3 2GF Lead Inspector Mr Steve Hunnybun Unannounced Inspection 17th August 2006 13:00 National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 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 National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 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. National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service National Autistic Society Address 19 Camden Road Leicester Leicestershire LE3 2GF 0116 2630991 0116 2630992 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) Vanessahalfacre@nas.org.uk National Autistic Society Mr Robert Houghton Care Home 12 Category(ies) of Learning disability (12) registration, with number of places National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No one under the age of 16 years may be accommodated in the home. Date of last inspection 8th February 2006 Brief Description of the Service: Camden Road residential home provide cares for up to twelve people aged sixteen years and over that have an autistic spectrum disorder. The home is made up of two separate buildings (19A & 19B) providing care almost independently of each other. Bedrooms are situated on the ground and first floors. All of the rooms are single. Four rooms have full en-suite and four have hand basins. There are lounges and dining areas in each building. The two separate gardens are well tended and reflect the different interests of the residents. The home has also hired a nearby allotment to enable staff and residents to grow their own produce. Residents’ charges are around £1800 per week with varying charges being made for activities, magazines and a contribution to holidays. National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The primary method of inspection used was ‘case tracking’ which involved selecting two residents and tracking the care they receive through review of their records, discussions with care staff and observations of care practices. Both residents were out for the majority of the inspection. On their return one retired to her room and indicated that she did not wish to see the inspector. The other does not communicate verbally but was observed interacting positively with staff. A plan was made prior to the visit in which available information from the previous inspection report and service history was summarised. The inspection was positive indicating excellent outcomes for residents. No requirements or recommendations were made. What the service does well: What has improved since the last inspection? What they could do better: No requirements or recommendations were made at this inspection. National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 Page 6 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. National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 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 National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The personalised needs assessment ensures that prospective residents’ diverse needs are identified and planned for before they move into the home. EVIDENCE: Both files tracked contained comprehensive and personalised assessment documents. During the induction process the registered manager completes an initial assessment considering issues of compatibility with existing residents. One residents’ induction was discussed with staff. His identified key worker visited him and took photos of the home. His parents visited the home prior to admission. Due to his needs it was felt that it would be traumatic for him if he were to have several short visits to the home so he moved in very quickly. It was clear from discussion with staff that the process is adapted to suit the needs of the home individual. National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 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): 6,7,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents have comprehensive care plans that focus on the individual and useful risk assessments. These enable them to make choices, take risks and for their needs to be met. EVIDENCE: Files tracked contained very detailed and comprehensive care plans providing individual information about residents’ needs. A summary in the form of a pen picture was provided to enable relief staff to quickly familiarise themselves with residents’ needs. Residents’ preferred methods of communication are described in a document that enables staff to support residents in making choices. Staff were observed using sign language to communicate with residents. Extensive and comprehensive risk assessments ensure that staff can support residents to minimise the effects of their disability and to maintain their independence. National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 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): 12,13,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The promotion of residents’ rights, provision of activities within the local community, contact with families and the quality of the food all contribute to a positive lifestyle. EVIDENCE: Residents all have an individual activity programme. On the day of the inspection a group of residents went to the home’s allotment while another went to use the society’s resource centre. Activities can be flexible; one resident chose not to join an activity on the day of the inspection. In discussion with staff it was clear that activities are designed to meet the specific needs of residents. This was also evident from files tracked. Activities offered included cooking, computers, gardening and sensory room. Residents are also offered a range of recreational activities including swimming, trampoline, seaside trips and holidays. Residents are enabled to use local facilities such as pubs and the allotment. Files contained a wealth of information regarding contact with families and friends. Staff stated that the National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 Page 11 residents tracked have regular positive contact with significant family members. Residents preferred term of address is recorded and used and they are able to join in household chores if they wish. One resident in the home cleans her room. Files contained comprehensive information regarding residents’ dietary needs. The advice of a dietitian has been sought for one resident. Menu lists indicated a nutritious, varied diet. National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 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): 18,19,20 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ personal and healthcare needs are met and they are protected by medication policies. EVIDENCE: The case files of both residents contained comprehensive information regarding their personal and healthcare needs. Each resident has a document called an ‘OK health check’ setting out their needs in an accessible form. Appointments are recorded along with any advice or outcomes. Staff were observed preparing medication and it was checked and signed for appropriately. Medication records were examined and the medication cupboard was checked. Medication was stored, administered and recorded appropriately. National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected from abuse and their concerns and complaints are listened to and acted upon. EVIDENCE: The home has robust complaints and protection procedures including the MultiAgency Vulnerable Adult Protection document No Secrets. Residents are enabled to express their concerns using appropriate communication methods such as sign language. Staff receive training regarding adult protection that is regularly updated. National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The property is homely, comfortable, safe and clean. EVIDENCE: The inspector toured the building and saw the bedroom of one of the residents living in the home. The bedroom was pleasantly decorated and homely. The room had been personalised with pictures and belongings. The décor of the communal parts of the house reflects the needs of the residents. An ongoing maintenance programme is in place to ensure the property remains in good repair. It has been acknowledged that the property is generally unsuitable for the current resident group; the society is actively seeking alternative accommodation. National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 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): 32,34,35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ needs are met and they are protected by the recruitment and retention of a well-trained, experienced staff team. EVIDENCE: The home has a comprehensive staff development programme. Documentation provided to the inspector indicated that staff are trained in a wide range of topics to enable them to meet residents’ needs and keep them safe. The majority of staff have either completed or are working on NVQ awards. It was not possible to view staff files as they are kept at the society’s regional office. The senior member of staff on duty stated that new recruits do not commence work until satisfactory references and criminal record checks have been received. During the inspection staff were observed interacting positively with residents when supporting them. National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 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): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well managed, residents’ views are sought regarding the running of the home and their health and safety are protected. EVIDENCE: The registered manager was not present on the day of the inspection. Records of his qualifications and training indicate that he has the knowledge and experience to manage the home. Residents’ views regarding the home are sought through observation of behaviour and the use of appropriate communication tools. Records regarding health and safety including the fire log were up to date and accurate. The names of all residents involved in fire drills are recorded as recommended at the last inspection. National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 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 Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 3 X 3 X 3 X X 3 X National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 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. 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. Refer to Standard Good Practice Recommendations National Autistic Society DS0000001819.V306943.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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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