Inspection on 08/02/06 for National Autistic Society

This inspection was carried out on 8th February 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 17/08/06

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 Martin Hefferman Unannounced Inspection 8th February 2006 09:30 National Autistic Society DS0000001819.V280717.R01.S.doc Version 5.1 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.V280717.R01.S.doc Version 5.1 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.V280717.R01.S.doc Version 5.1 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.V280717.R01.S.doc Version 5.1 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 06/07/05 Brief Description of the Service: Camden Road residential home provide cares for up to twelve people aged sixteen years and over who 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 with full en-suite, four bedrooms with hand wash basins and four without. 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. National Autistic Society DS0000001819.V280717.R01.S.doc Version 5.1 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 establishment’s capacity to meet regulatory requirements & minimum standards of practice and focuses on aspects of service provision that need further development. This inspection took place over the course of approximately three hours. 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, discussion with staff and observation of care practices. The inspector was not able to communicate with either of the residents who were chosen for the purposes of case tracking. The local office of the National Autistic Society was visited as part of the inspection in order to view staff records. What the service does well: What has improved since the last inspection? What they could do better: The home met five of the six standards that were inspected on this occasion. It had already taken action to address the one shortfall that was identified – i.e. the ratio of National Vocational Qualification trained staff (Standard 32). A recommendation has been made that the home should adapt the form it uses for fire drills to enable it to record the members of staff who are present. National Autistic Society DS0000001819.V280717.R01.S.doc Version 5.1 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.V280717.R01.S.doc Version 5.1 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.V280717.R01.S.doc Version 5.1 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): Not applicable EVIDENCE: None of the Standards in this section were inspected on this occasion. National Autistic Society DS0000001819.V280717.R01.S.doc Version 5.1 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 Individual plans are clear and comprehensive, providing staff members with the information they need to meet residents’ needs. EVIDENCE: Individual plans were available for the residents who were chosen for the purposes of case tracking. They were clear and comprehensive. The home was reminded that it must demonstrate that individual plans have been kept under review. National Autistic Society DS0000001819.V280717.R01.S.doc Version 5.1 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 Arrangements for daytime activities appear to be well managed. EVIDENCE: Each resident has an individualised activity programme. It was evident on the day of the inspection that the programmes are flexible, with residents determining when they get up & have breakfast and whether or not to participate in activities. Residents have access to day services run from the local office of the National Autistic Society. National Autistic Society DS0000001819.V280717.R01.S.doc Version 5.1 Page 11 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): Not applicable EVIDENCE: None of the Standards in this section were fully inspected on this occasion. It was noted that medication administration records for one of the residents who were chosen for the purposes of case tracking contained two omissions. The home was reminded that it must record the administration of medication at the time it is administered. National Autistic Society DS0000001819.V280717.R01.S.doc Version 5.1 Page 12 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): Not applicable EVIDENCE: None of the Standards in this section were inspected on this occasion. National Autistic Society DS0000001819.V280717.R01.S.doc Version 5.1 Page 13 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 Residents are provided with comfortable surroundings in which to live. EVIDENCE: The parts of the home that were inspected were decorated and furnished to a satisfactory standard. Both houses are subject to constant wear and tear due to the nature of the residents’ needs. Ongoing work is undertaken to repair damage and to improve the environment for residents and staff. For example, a new kitchen, air conditioning and an extractor fan have been fitted since the date of the last inspection. National Autistic Society DS0000001819.V280717.R01.S.doc Version 5.1 Page 14 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 Arrangements for recruiting and training staff appear to be generally well managed. EVIDENCE: Records indicate that five of the thirty-seven members of care staff have obtained National Vocational Qualification level 3. Four members of staff are in the process of completing NVQ 3 and one NVQ 4. Eleven members of staff are due to start NVQ 2 and five NVQ 3 later in the year. Staff records indicate that appropriate pre-employment checks have taken place. National Autistic Society DS0000001819.V280717.R01.S.doc Version 5.1 Page 15 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 Residents appear to benefit from a well run home. EVIDENCE: The registered manager is a qualified nurse for people with learning disabilities. Records indicate that he continues to attend training to update his knowledge and skills. On the day of the inspection, he was attending the first day of a two-day course for registered managers run by the National Autistic Society. The two houses were being managed by their respective team leaders at the time of this visit. The requirements of Standard 42 (Safe Working Practices) were not fully inspected on this occasion. Records did however indicate that fire tests & drills have taken place at the required frequency. It is recommended that the home adapt the form it uses for fire drills to enable it to record the members of staff who are present. National Autistic Society DS0000001819.V280717.R01.S.doc Version 5.1 Page 16 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 X 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 X 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X X X X X X National Autistic Society DS0000001819.V280717.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? N/a 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. 1 Refer to Standard YA42 Good Practice Recommendations It is recommended that the home adapt the form it uses for fire drills to enable it to record the members of staff who are present. National Autistic Society DS0000001819.V280717.R01.S.doc Version 5.1 Page 18 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. Extracts may not be used or reproduced without the express permission of CSCI National Autistic Society DS0000001819.V280717.R01.S.doc Version 5.1 Page 19 - 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. 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