Inspection on 14/07/05 for National Autistic Society, 4 Heath Rise

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 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, 4... 08/08/07

National Autistic Society, 4... 28/11/06

National Autistic Society, 4... 30/11/05

National Autistic Society, 4... 07/12/04

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

CARE HOME ADULTS 18-65 National Autistic Society 4 Heath Rise 4 Heath Rise Wellingborough Northants NN8 5QN Lead Inspector Sarah Jenkins Unannounced 14 July 2005 @ 07:30 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. National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 140705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service National Autistic Society 4 Heath Rise Address 4 Heath Rise Wellignborough Northants NN8 5QN 01933 676786 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) The National Autistic Society Mrs Patricia Dent Care Home Only 4 Category(ies) of Learning Disability (LD) 4 registration, with number of places National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 140705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. All service users admitted to the home must be diagnosed with an Autistic Spectrum Disorder. 2. That the age range of service users is from 18 years to 40 years of age. Date of last inspection 19/04/05 Brief Description of the Service: 4 Heath Rise is a large modern house in a residential area on the outskirts of Wellingborough; it is run by The National Autistic Society. Although the home has only been opened since last year, three of four current service users were known and cared for by the organization prior to this and resided in other small homes run by the society, which are now closed. 4 Heath Rise is on a quiet road but close to a main road with a regular bus service to the town centre. National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 140705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The focus of inspections undertaken by the Commission for Social Care Inspection (CSCI) is upon outcomes for Service Users and their views of the service provided. This process considers the home’s capacity to meet regulatory requirements, minimum standards of practice; and focuses on aspects of service provisions that need further development. The primary method of inspection used was ‘case tracking’ which involved selecting 2 service users and tracking the care they receive through meeting with the service users, a review of their records, discussions with the care staff and observation of care practices. The Inspector visited during the morning over two hours and forty five minutes from 7.20a.m, to observe practices by staff and to meet with service users. Service users have Learning Difficulties and thereby communication for some is difficult. Establishing Service Users choices and informed decisions is dependant to some extent upon the consistency of staff, service users relationships with staff, and the quality of communication. Feedback obtained from Service Users in this report was in part through observations of their relationships with staff, and also through interpretations of their general levels of happiness with their routines. The Inspector spent an hour prior to the inspection reviewing the previous history of the home including past inspection reports. The Inspector was not in receipt of any recent comment cards or Pre inspection questionnaire. These will be reviewed upon receipt and included in the next inspection. What the service does well: The home provides an atmosphere that is very friendly relaxed and homely, similar to a normal family atmosphere. The staff at 4 Heath Rise are properly focussed on the individuality of Service Users and promote their rights to live fulfilling lives as part of the local community. The staff are committed to providing a professional service and staff feel well supported by the management team in doing this. Staff met at the time of the inspection demonstrated warm and caring attitudes and the delivery of care in a quietly calm and effective manner National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 140705 Stage 4.doc Version 1.40 Page 6 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 contacting your local CSCI office. National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 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 National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 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) 1 and 2 Service Users needs are properly assessed prior to admission and they are enabled to make an informed choice about the home. EVIDENCE: A Service User who has been admitted since the last inspection has been given the Service Users Guide in a user-friendly form and has been able to fill in the individual details therein. This Service Users file showed a depth of relevant preadmission information gathered on their history, needs and choices. Staff had added to this information as further detail became evident. National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 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 and 7 Service Users are fully involved in their care plans which indicate the goals that they would like to achieve. EVIDENCE: Some care plans were signed by Service Users. Service Users confirmed to the inspector their awareness of their progress and development since they came to the home and it was apparent that they were developing in self esteem. Service Users are enabled to take reasonable risks in their lifestyles and are appropriately counselled and guided by staff in relation to this. Service Users chatted to the Inspector about some of the decisions they made about their home and work lives. Goals written on one Service Users care plan was judged to be unrealistic and professional advice had not been sought on this. National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 140705 Stage 4.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) 12, 13 and 16 Service Users lead active, stimulating, and fulfilling lifestyles. EVIDENCE: Service Users were fully involved in the running of the home at the time of the inspection. For example they were undertaking regular everyday chores such as hanging out their washing, preparing and clearing up after their breakfast and tending the garden. All Service Users had a programme of appropriate activities for the day either in work placements or in one to one activities with staff. Service Users spoke happily about their daily activities with the inspector and where communication was less fluent observations were made that demonstrated the Service Users contentment. Staff recognize Service Users rights and support them in achievable goals. National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 140705 Stage 4.doc Version 1.40 Page 11 Service Users access the community facilities regularly and a Service User was observed to be explaining the routes of the local buses to a relief staff member. National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 140705 Stage 4.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) 18 and 19 Service Users personal and support needs are met appropriately. EVIDENCE: Service Users were, where necessary, prompted to achieve the programmes that they had agreed for their early morning routines. Staff were gently assertive in doing this, and Service Users complied readily. Service Users needs were well met and this was observed during the morning. Healthcare records have been improved since the last inspection. Staff showed a good understanding of the Service Users needs, and Service Users indicated that they liked all the staff. National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 140705 Stage 4.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) 23 Service Users are protected from abuse by consistent training of staff and good systems. EVIDENCE: Staff on duty had all received training in Protection of Vulnerable Adults issues as part of their induction course Service Users finances were well managed. National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 140705 Stage 4.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) 24 and 30 The environment is comfortable and homely and suitably situated. Generally the home was found to be safely maintained although there was a breech of COHSS regulations. EVIDENCE: Service Users were enjoying their environment and one Service User had chosen to eat his breakfast in the garden, which he helps to maintain. The home was mainly clean and hygienic throughout, although carpet cleaning in some areas will be needed shortly. A hazardous substance was found unsecured in the laundry area, and the Senior on duty was alerted to this. National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 140705 Stage 4.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) 34, 35 and 36 Service Users are cared for by staff who are caring, and properly equipped through training and experience. EVIDENCE: Staff on duty had up to date knowledge, experience and training to fully meet Service Users needs. Staff were observed to have developed positive relationships with Service Users, and Service Users benefited from these. The recruitment procedure for the home is thorough and conducive to the employment of well motivated staff. A recently recruited staff member informed the inspector that the process had been fully professional and all relevant checks including the Criminal Record Bureau check had been undertaken before employment commenced. Staff have regular supervisions which are recorded on their files. National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 140705 Stage 4.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) 38, 39 and 41 The home is well managed with Service Users welfare and happiness properly prioritized. EVIDENCE: Service Users spoke to the inspector positively about management issues, and felt supported by the Registered Manager and staff. Staff informed the inspector that the Registered Manager is accessible and accommodating. Records, and policies and procedures sampled were full of relevant information, well organized and accessible to staff. National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 140705 Stage 4.doc Version 1.40 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 3 3 x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 3 x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x x 3 x Standard No 31 32 33 34 35 36 Score x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 National Autistic Society 4 Heath Rise Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x 3 3 x 3 x x C51 C08 S61905 NAS 4 Heath Rise V236045 140705 Stage 4.doc Version 1.40 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 24 Regulation 13 Requirement All hazardous substances must be correctly stored at all times. Timescale for action By 23.7.05 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. Refer to Standard 6 Good Practice Recommendations Where a Service Users long term potential is unknown, care must be taken to ensure goals agreed with the Service user are realistic and achievable. National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 140705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Northamptonshire Area Office Newland House, First Floor Campbell Square Northants, NN1 3EB 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 National Autistic Society 4 Heath Rise C51 C08 S61905 NAS 4 Heath Rise V236045 140705 Stage 4.doc Version 1.40 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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