Inspection on 04/10/05 for National Autistic Society, The

This inspection was carried out on 4th October 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

National Autistic Society, The 10/01/06

National Autistic Society, The 28/04/05

National Autistic Society, The 23/11/04

National Autistic Society, The 29/06/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 National Autistic Society, The Prospect House Whalley Road Altham Accrington Lancashire BB5 5EF Lead Inspector Mrs Lynn Mitton Unannounced Inspection 4th October 2005 09:30 National Autistic Society, The DS0000030071.V252450.R01.S.doc Version 5.0 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, The DS0000030071.V252450.R01.S.doc Version 5.0 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, The DS0000030071.V252450.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service National Autistic Society, The Address 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) Prospect House Whalley Road Altham Accrington Lancashire BB5 5EF 01254-384117 01254 888535 National Autistic Society Amanda Jane Ponton Care Home 7 Category(ies) of Learning disability (7) registration, with number of places National Autistic Society, The DS0000030071.V252450.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th April 2005 Brief Description of the Service: Prospect House is registered to provide long term personal and social care for up to 7 adults with a learning disability aged over 18 years. The home is staffed and managed by the National Autistic Society. At the time of the inspection the service user group was all male. The home is part of the Hyndburn National Autistic Society Scheme, which has two other residential care homes and a domiciliary support agency, and is a charitable organisation specialising in caring for those diagnosed with Autistic Specific Disorders. The home is a large detached property situated on a busy main road and adjacent to local amenities. The home had been decorated and furnished to meet the needs of service users, bearing in mind the specific needs of those with Aspergers Syndrome. A range of communal space was available. All service users have their own bedroom, but share bathing facilities. National Autistic Society, The DS0000030071.V252450.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and lasted four hours. There were 6 service users accommodated at this time. A tour of the communal areas of the home took place. Over the course of the inspection three of the staff on duty, plus the registered manager were spoken to, one of the service users also contributed to the inspection process. Documents were read and care practice observed. 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 contacting your local CSCI office. National Autistic Society, The DS0000030071.V252450.R01.S.doc Version 5.0 Page 6 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, The DS0000030071.V252450.R01.S.doc Version 5.0 Page 7 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): EVIDENCE: This standard had been examined and met at the last inspection. There had been no new admissions. National Autistic Society, The DS0000030071.V252450.R01.S.doc Version 5.0 Page 8 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): EVIDENCE: These standards had been examined and met at the last inspection. One service user told the inspector, “I know the areas I need to work on and am trying hard”. Another said, “I make my own meals because I am vegetarian”. One service user said “ sometimes I find the staff give me too much information at once and I can’t take it all in”. Another said, “I get out a lot”. Another said “Its alright here most of the time – things are getting sorted”. He went on to tell the inspector about his part time work placement he was due to attend. This clearly meant a lot to him and he felt valued and that his contribution made a difference. National Autistic Society, The DS0000030071.V252450.R01.S.doc Version 5.0 Page 9 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): YA13, YA16, & YA17 The home was run to make sure the service users enjoyed their life and had regular access to their local community, Individual dietary needs were catered for. Service users were encouraged to participate in shopping, planning and preparation of meals. EVIDENCE: On the day of the inspection, two service users took part in different community based activities. The inspector noted service users accessed community facilities during the day at evenings, weekdays and weekends. Care staff support service users to access these facilities dependent on each persons needs. One service users weekly activity programme was seen. Outstanding from the last inspection, there was still no reference to service users preferred form of address on their care plan. National Autistic Society, The DS0000030071.V252450.R01.S.doc Version 5.0 Page 10 The inspector saw the homes three weekly menu. It had been devised and implemented following a service user questionnaire. Weekend meals were service users own choice. This accommodates service users favourite foods, and also endeavours to balance service users likes and dislikes and ensure a wholesome and nutritious diet. Records were made on each service users daily report of their dietary intake. Most service users were involved in the preparation and cooking of one main meal each week. The inspector was advised that care staff had completed the basic food hygiene course. National Autistic Society, The DS0000030071.V252450.R01.S.doc Version 5.0 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): YA18, YA20 Personal support was offered in accordance with service users wishes and needs. EVIDENCE: The inspector was advised that no service users needed practical support with their personal care, only verbal prompts and reminders. The inspector observed that service users individuality was encouraged and their appearance reflected their personality. Each service user had an allocated key-worker. Outstanding from the last inspection, accredited training for staff regarding the safe administration of medication had not yet taken place. National Autistic Society, The DS0000030071.V252450.R01.S.doc Version 5.0 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): These standards had been examined and met at the last inspection. EVIDENCE: There had been no complaints received since the last inspection. National Autistic Society, The DS0000030071.V252450.R01.S.doc Version 5.0 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): YA24 & YA30 Overall the standard of décor and furnishings provided a comfortable and homely environment for service users. Further work as identified below was needed to improve the standard of the home. EVIDENCE: The inspector conducted an inspection of the communal areas of the home. It was noted that the carpet at the entrance and staircase of the home was in need of attention. The inspector was advised that there were plans in this year’s budget to replace this carpet. The inspector also noted that paper towel dispensers and paper bins were still needed in two of the bathrooms. There were a number of other maintenance issues around the home, for example, missing tiles in the kitchen, holes in walls, heavily stained carpets, a toilet seat missing. These issues were discussed at length with the registered manager, who advised the inspector of possible refurbishment plans for the ground floor. Contract cleaners were due to begin work at Prospect House within the next month. The registered manager advised the inspector that she would contact the maintenance man as soon as possible. The home was clean and odour free. The unkempt state of the garden had been resolved. National Autistic Society, The DS0000030071.V252450.R01.S.doc Version 5.0 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): YA 34 & YA 35 Staff spoken to and observed by the inspector demonstrated a good understanding of the needs of the service users. There were sufficient staff members on duty to meet service users needs. Staff should continue to complete their NVQ training. Other appropriate training was also being undertaken. Staff members were receiving regular management support and development meetings. Not all staff recruitment records, which would ensure service users were safe, were available to the inspector. EVIDENCE: The inspector observed service users being supported by competent staff, and were seen to be treat in a positive and respectful manner. The inspector case tracked two staff member’s files. These mostly contained information, which demonstrated that checks had been taken to ensure that service users were safeguarded. CRB checks however were not available in the home. This was discussed at length with the registered manager. According to the rota, there were three teams of support staff, each team consisting of five staff members. In addition, there were 2 “day staff” working 9.15am until 4.30pm. There was always a nominated senior staff member on duty or on call. National Autistic Society, The DS0000030071.V252450.R01.S.doc Version 5.0 Page 15 Of the 22 support staff, 11 had completed NVQ 3 training; a further 11 were undertaking this training. A training matrix was in place. The last team meeting took place 26/9/2005. Staff spoken to confirmed they had been given the GSCC code of conduct handbook, a job description and terms and conditions of their employment. A training matrix was seen also by the inspector, which demonstrated that support staff were offered regular opportunities to undertake training relevant to their job. LDAF induction and foundation training was mandatory. National Autistic Society, The DS0000030071.V252450.R01.S.doc Version 5.0 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): YA 37, YA 39 & YA42 The home was run to ensure the safety and welfare of service users and staff. General good practice was in place with regard to the safety and welfare of the staff and service users. EVIDENCE: The registered manager has begun her management element of NVQ4 training, and is expecting to complete this by February 2006. Service users meetings did not take place on a formal basis. More often, discussions took place with 2 or 3 service users. These discussions were now recorded, the last record being made in April 2005. Records regarding the prevention of fire, and routine maintenance records of the gas and electrical supplies and appliances were seen. Training for support staff had been taken regarding to ensure the safe working practices. Accident records were seen – these were being kept appropriately. National Autistic Society, The DS0000030071.V252450.R01.S.doc Version 5.0 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 X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 2 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 X 16 2 17 Standard No 31 32 33 34 35 36 Score X X X 2 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 National Autistic Society, The Score 3 X 2 X Standard No 37 38 39 40 41 42 43 Score 2 X 3 X X 3 X DS0000030071.V252450.R01.S.doc Version 5.0 Page 18 Yes 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 2 3 Standard YA16 YA24YA30 YA34 Regulation 12 16 & 23 19, Schedule 2 Requirement Service users preferred form of address must be included in the plan of care. The homes premises must be suitable for its intended purpose, safe and well maintained. The recruitment policy and practices must ensure the service users are protected. Timescale for action 31/03/05 31/03/05 31/03/05 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 2 Refer to Standard YA20 YA37 Good Practice Recommendations Accredited training should be implemented for the administration of medication in accordance with nms 20.10 The registered manager should complete NVQ 4 training. National Autistic Society, The DS0000030071.V252450.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection East Lancashire Area Office 1st Floor, Unit 4 Petre Road Clayton Business Park Accrington BB5 5JB 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, The DS0000030071.V252450.R01.S.doc Version 5.0 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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