Inspection on 26/02/07 for Occupation Road

This inspection was carried out on 26th February 2007.

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

Occupation Road 09/02/06

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Occupation Road Occupation Road Corby Northants NN17 1AG Lead Inspector Rajshree Mistry Key Unannounced Inspection 26th February 2007 9:30 Occupation Road DS0000064167.V329375.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 Occupation Road DS0000064167.V329375.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. Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Occupation Road Address Occupation Road Corby Northants NN17 1AG 01536 403924 01536 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) londonroad@tiscali.co.uk Milbury Care Services Limited Mrs Phyllis Duff Care Home 8 Category(ies) of Learning disability (8), Physical disability (8) registration, with number of places Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. 6. The age range of service users accommodated in the four person flat shall be between the ages 19 to 45 years The age range of service users accommodated in either of the two person flats shall be 45 to 65 years Only service users with a learning disability may be admitted to the home Any person admitted into the home with a physical disability (PD) must also have a primary care need of learning disability (LD) The number of service users must not exceed eight (8) in number To be able to admit the named person of category LD named in variation application number V26629 dated 09.11.05. 9th February 2006 Date of last inspection Brief Description of the Service: The home is situated amongst residential properties in the suburbs of Corby town. The premises are purpose-built, designed to provide residential placements for eight people with a learning disability, the majority of whom also have physical disabilities. There is a very large rear garden and car parking to the front. A mini-bus is provided to support residents to access a range of local community resources. Accommodation is provided across three spacious areas; two self-contained apartments to accommodate two people in each who are more independent and who also mix for some mealtime and social occasions. The accommodation downstairs is for four people, residents that are far more dependent. The staff team works across the home providing support to all eight residents and have specific responsibilities. Information is located in the reception area detailing the range of services offered, which includes the Statement of Purpose and a copy of the Commission for Social Care Inspections, Inspection Reports. The information is available in other formats such as pictorial, signs and symbols. Fees payable are in the region of £1683.00 and are dependent upon an assessment undertaken by Care Management and the Registered Manager. There are additional costs payable for individual activities and purchasing of personal items. Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection process consisted of pre-planning the inspection, which included viewing the previous Inspection Report, reviewing of the pre-inspection questionnaire, and Comment Cards sent to residents, relatives and General Practitioners by the Commission for Social Care Inspection. The unannounced site visit commenced on the 26th February 2007 and lasted 1 day. The focus of the inspection is based upon the outcomes for the residents. The method of inspection was ‘case tracking’. This involved identifying residents with varying levels of care needs and looking at how these are being met by the staff at Occupation Road. Three residents were selected and some discussions were held with all three residents and observations were made of other residents who were not part of the ‘case tracking’ process. The method of case tracking included the review of residents’ individual care records, discussions with staff of various delegated responsibilities within the home and reviewing the records, training records and the minutes of team meetings. The CSCI sent out four Comment Cards to residents, of which 100 were returned. Eight Comment Cards were sent out to relatives/visitors of which 37 were returned. Three Comment Cards were sent out to General Practitioner although none were returned. Of the Comment Cards returned by service users comments received were generally complimentary about the care. (The comment cards for service users were completed with the support of their relatives or the keyworkers). Did you receive enough information about the home before you moved in? “When I came to look around, I wouldn’t leave, I liked it that much!” “The decision to move my son into this home was made by me, his mother, after careful consideration as to what place I though was most suited to his needs. That being most profoundly disabled and unable to make any decisions himself”. Can you do what you want? “I get asked what activities I want to do for the week, i.e. swimming and also what kind of food I like as well” “i.e. in the morning I like to play in the lounge with other service users; i.e. in the afternoon I like to go in my room and have a DVD on and be put on the floor to roll around and feel the carpet on my feet; i.e. I like to go to the ark and walk to the shops and have the wind in my face” Do you know who to speak to if you were unhappy? Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 6 “Any members of staff, my key worker or Phyllis the manager” “If I felt my son wasn’t happy, I know who to speak to” Is the home clean and fresh? “I try to help clean my room sometimes but may refuse!” “l enjoyed cleaning her room once a week and changed my room around!” Do the staff treat you well? “ . . . . . gets on really well with all the staff at Milbury Care!” Do the care staff listen and act on what you say? “I usually ask to watch . . . . . . . . . and the carers put it on for me” “Yes, as . . . . . . can be very aggressive to herself and self harming and all staff will act to . . . . . . . very quickly” to help calm her down!” Comments incorporated within Relatives Comment Cards included: “As regards to Q9 I am sure that I only have to ask if I wanted to see the inspection reports on the home. I am more than happy with how things are working out although I do feel at times they could do with more staff” “Have made complaints but not in writing reason why we have put no for Q7. Communication is not very good, staff and workers for example, if we ask or tell them not to buy things they don’t seem to listen an What the service does well: Occupation Road is a well-managed care home that provides tailored care and daily living choices to the individual residents. A well-trained staff team who appear passionate about their role and focus on the holistic social and care needs of the residents. Staff demonstrated a good awareness of the people they care for, from addressing them by the preferred names, knowing individual daily routines, social, leisure interests and preferences. Residents and/or their relatives are involved and consulted about the care provided. The information in available in written or other formats, using a ‘person centred approach’ to care planning, focusing on the resident. All records relating to the residents, staff and health and safety within the home, are well maintained and kept in good order. Residents’ benefit from having information provided in a variety of formats, signs and symbols to enable them to make choices and decisions. The home is bright, clean and well maintained. The décor creates a homely, relaxed and welcoming atmosphere for residents and visitors. All the bedrooms have ensuite facility, which promotes the resident’s rights, respect and dignity. The home is equipped with specialist equipment to support the residents and staff. Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 7 Visitors are welcome at anytime and can meet with the residents in private. Residents’ have the opportunity and are supported to continue and engage in social and leisure activities in-house and in the community, using the homes own transport. Occupation Road has good links with the local General Practitioner, Community Nurse and other health and social care professionals. 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. The summary of this inspection report can be made available in other formats on request. Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 8 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 Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2 and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information about the given to the prospective residents and their family detailing the services offered, is in a format, which can easily be understood. The admission process it well managed, giving prospective residents the opportunity to visit the home to ensure that care needs can be met. EVIDENCE: Occupation Road has a ‘Statement of Purpose’ which details the range of service it offers which includes information as to whom the service is aimed at, the aims and objectives, the environment, activities and details as to how referrals are made to the home and information on staffing including numbers and training. The complaints procedure is detailed including who should be contacted in case of any concerns. The content is detailed and the format is in easy to read style. The information is also provided in other formats such as pictorial format using pictures and symbols. The visiting relatives of residents told the Inspector they had the opportunity to visit Occupation Road and were given comprehensive information about the services provided. The relatives of the prospective resident were heard talking with the Registered Manager about their relative’s social needs and preferences Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 10 and seeking assurance as to how these would be met and supported by the staff on a regular basis. The assessment of needs carried out by the social worker was part of the referral process. The admission documents viewed for three residents tracked, had detailed assessment of the residents’ care needs, undertaken by the Registered Manager. The admission process is good and involves the prospective resident and their relative or advocate. As part of the assessment, the Registered Manager ensures that the home is able to meet the specific care needs of the resident. The assessment is thorough containing key information as to the residents’ mobility, special or cultural needs, equipment and meals, communication needs and the health care provided by the District Nurses, physiotherapists or speech and language therapists. The relatives of a prospective resident were heard discussing with the Registered Manager specific care and social needs that need to be accommodated. Staff said they are told and given information about new residents before they move to the home. Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8 and 9. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ independence is promoted and are supported to make individual decisions in all aspects of their life that have a direct impact on the quality of care and choice of daily lifestyle. EVIDENCE: The care plans and records of three residents were viewed, of which two lived in the apartments and were more independent whilst the third resident required was far more dependent. Care plans outlined the individual resident’s needs about personal care and support, health care and daily routines and activities. The care plans centred on the individual resident and ‘person centred’, showing decisions made by the resident and shows the key people such as family, advocate, day centre, friend and staff. This is otherwise known as ‘My Pen Picture’. Health care plans and ‘Health Action Plan Booklet’ expresses the views of the resident in relation their preference of treatment and fears and is developed in an appropriate format and included measures to Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 12 reduce risks to the resident and staff. The format is easily understood, supported by pictures and symbols, and written in plain English. This enables staff to provide a holistic approach to care. Risk assessments are in place where an activity, event or the environment may present a risk to a resident the assessment enables staff to support the individual to participate in daily living whilst not restricting their independence or choices. The daily diary of the three residents were viewed, written information confirmed residents day-to-day decisions, for example what they wished to eat, when they wanted to go to bed, meal, receiving visitors, attending an appointment with the Podiatrist and the Gateway Club and the choices of activity which they wished to participate in if any. One resident was observed choosing not to attend the day centre, which was accepted by the support worker and the day centre was notified. The Inspector spoke to the support workers on duty regarding how residents care needs are met and demonstrated a good awareness of the residents. The Registered Manager confirmed that additional funding for staff is provided for some residents and for activities, so that there is one-to-one staffing provided. Staff were observed speaking with residents in the lounge in the upstairs apartment. Residents said staff are around to talk with, help with daily domestic tasks such as cleaning their bedroom or to participate in any other activity. One resident said they help with the preparation of meals and drinks. Relatives said they felt the resident’s specific need and individual choices were respected and staff have consulted them. Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents enjoy, experience and participate in different activities of interests and are supported to maintain their preferred individual daily routines and choice of lifestyle with the support of the staff, if required. EVIDENCE: The care plans of residents included information as to their daytime occupations, which vary for each service user and include attendance at various day centres, swimming clubs, bowling and details of the transport arrangements. Occupation Road has it’s own minibus with disabled access and trained drivers transport residents to their activity in the community. During the course of the site visit, one resident attended a health appointment, supported by the key worker, another residents sang along to the music of ‘Peter Pointer, whilst other residents in the afternoon chose to do arts and Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 14 crafts in the ‘Activity Room’. Staff described how personal goals were set with the more independent resident, such as washing, managing some personal care and help prepare meals and drinks. A programme of weekly activities is in place offering choices for in-house and external events, with consideration as to the level of mobility and verbal communication required to enables staff to support residents appropriately. Several residents enjoy going into the town centre and having coffee at the Salvation Army. Activities include board games, cookery, arts and craft, swimming, meals out and shopping to name a few. The visiting relative spoken with indicated that residents are being supported to access a range of activities and social events. The daily diary for residents read, showed the activities participated by the resident. One resident was seen watching “The King and I”, singing along to the songs and quoting lines of the characters. Later the resident received visitors and met in the privacy of the lounge in the apartment upstairs. All bedroom doors are lockable and residents do have the option of keeping a key for their room. It was noted that residents did close their bedroom doors and that their privacy was respected, in that staff did not enter the bedroom in the resident’s absence in order to clean the bedroom, for example. Residents were observed choosing the lunchtime and evening meals, staff were reading the menus, using pictures and allowing the resident to choose. Residents were seen having soup at lunchtime. Staff were observed assisting and feeding residents that required more assistance, which was relaxed and unhurried. Residents who are able to make their own drinks are encouraged to do so in the kitchenettes. One resident said “I had banana and weetabix with milk this morning”, which was recorded in the care plan as a preferred breakfast and recorded in the daily diary. After lunch and during the change of staffing, residents were seen spending time with staff and other residents, talking, laughing and asking what they would like to eat for tea. Staff were observed replying to residents in a manner understood by the resident. Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents’ health care needs and independence is promoted by receiving timely care and support provided in the preferred way. EVIDENCE: Care plans viewed highlight the ways in which residents require support, with consideration to communication and physical disability and include their preferences for times for getting up, morning routines and breakfast and how they spend the day. Resident expressed how staff made the bedroom, comfortable, with favourite pictures, posters and colour scheme. Occupation Road provides specialist equipment, which enables staff to support residents with their personal care in a sensitive and appropriate manner. Residents identified their key-workers, who demonstrated a good awareness of the individual residents routines and preferences. During the course of the site visit a member of staff supported a resident to attend an appointment and was taken in the home’s minibus. The daily diary had entries made that showed the General Practitioner, Community Nurse or Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 16 other health care visitors saw the resident and detailed the instruction or treatment prescribed. Staff were observed responding to requests made by residents whether it be verbal communication or responding to gestures and sounds made by the resident. Staff were observed talking with residents and making them feel safe and comfortable when they became agitated. Staff said they had received specific training and completed competency with the Community Nurse to administer treatment or medication to a named resident. Records showed designated staff had received training in ‘peg-feed’ for a named resident. The staff training matrix and staff files showed named staff had completed competency in specific health care tasks. The medication is stored in locked cabinets, one on the ground floor and one on the upper floor. Senior Support Workers, Deputy Manager and the Registered Manager are trained to administer medication. Management, receipt, storage and recording of medication is good. Procedures are in place to administer controlled medication that requires two trained staff. Medication for residents tracked were checked against the medication records and found to be correct and up to date. Staff described how residents were able to express they were feeling unwell or needed to emergency visit from the GP. One resident told the Inspector that they receive their medication on time, which was consistent with the records. Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 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 by a robust and accessible complaints procedure and by staff trained in safe guarding adult processes. EVIDENCE: Occupation Road uses a form to record, complaints and concerns. Information is given to residents and their relatives about how to complain at the point of moving into the home. The complaints procedure is available in writing or in signs and symbols, and copies placed in each resident bedroom. The comment cards received from the residents and their relatives confirmed they were aware of the home’s complaints procedure. Residents and visiting relatives said they felt confident to complain to express concerns to any member of staff or management. Staff described the ways in which they would know if a resident was unhappy and how they would go about at helping to resolve the concern. Records viewed showed that Occupation Road had received no complaints since the last inspection and the Commission for Social Care Inspection received no expressions of concerns about the service. There is a ‘Compliments / Complaints’ book kept in the reception area with the visitors signing in book. There were comments made by visiting relatives and Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 18 General Practitioners, all were complimentary and positive about the care, staff and the home; “To congratulate all staff on how well . . . . . is looking and said we are all doing a brilliant job with him” “ . . . . would like to thank all the girls for their dedicated care looking after . . We really appreciated their involvement when he was in hospital . . . .” “He has had a good year in Milbury and we are so happy that we chose this home for him . . . thanks to all of you” Two members of staff demonstrated their awareness of the policies and procedures, which they should follow should they have any concerns as to a resident’s welfare, allegation or suspicion of abuse. The Registered Manager said the original multi-agency safeguarding adults procedure was available to staff and the new revised version has been requested from the local authority and reference is made within the home’s policies and procedures. The Registered Manager said that the family mainly manages resident money. Where small amount of money is held on behalf of the resident, a record of the balance with receipts is kept and requires the signature of the resident (if possible) and at least signatures of two staff. Residents or their relatives (with consent) may look at the financial records at any time. Records viewed showed good arrangements were in place to manage resident’s finances and demonstrated there is a clear procedure for handling money. Staff said they would have no hesitation to report or whistle-blow, poor or bad care practices of a colleague. Members of staff as part of their induction are given a copy of the General Social Care Council (GSCC) codes of practice, which outlines their responsibilities about care practice issues. Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are provided with a warm, safe, clean, comfortable and wellmaintained environment suitable for their needs. EVIDENCE: The premises were a purpose built home to provide accommodation for up to eight people with disabilities, as set out in the statement of purpose. The building is designed to meet the needs of the residents and decorated to a high standard of furnishing and fittings. Entrance and exit doors into the property and from the living area onto the patio and garden are accessible to resident who use a wheelchair. There is an adapted swing in the garden for the use of the residents with a physical disability. The local leisure and community amenities and town centre is close by and residents can be taken out in the home’s minibus. Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 20 Occupation Road has a planned programme of maintenance. Accommodation for more dependent residents is on the ground floor whilst residents that are more independent shared two apartments on the upper floor. The upper floor is accessible by the stairs or the passenger lift at the centre of the home. All the bedrooms have en-suite shower or bath and toilet facilities adapted to meet the resident’s needs. The kitchen and dining room on the ground floor and in each of the apartments are spacious, adjustable height of the cooker and sink to enable residents to help in the preparation of meals. Residents were observed using special cutlery at lunchtime, to help maintain their independence. The lounges were furnished with good complimentary and coordinated furniture and fittings. All the lounges had television, DVD and video players and stereos. The Inspector was invited to view two residents’ bedrooms, one on each floor. The bedrooms were spacious to allow for the use of wheelchairs, fitted with ceiling track hoist, call bell system, low level light switches and sockets. The bedrooms were decorated to a high standard with soft lighting and personalised with pictures and photographs, art, painting and pop idols, reflecting the residents’ interests. One resident said she preferred not to have a key to the bedroom, although all bedrooms have additional lockable facility for keeping personal items. Staff were observed wearing protective clothing when assisting residents with their personal care needs or handling food and later confirmed by residents. Staff were observed knocking on bedroom doors before entering. Residents said staff respected their privacy and dignity, whilst allowing them to do as much for themselves as possible. Staff said that they had received training in infection control, which was consistent with the staff training records. The laundry room is on the ground floor, away from resident’s bedrooms, lounges and kitchen area. Staff were seen returning clean laundry to resident’s bedrooms. Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Sufficient numbers of trained staff are recruited through a robust recruitment process ensuring that residents’ care and social needs are individually, collectively and safely met. EVIDENCE: The staff team are experienced in working with people with learning disability with associated physical disability. The staff team observed and spoken with demonstrated a strong commitment to provide care to people. The number of staff on duty at any one time is between three to four excluding the Registered Manager, dependent upon the number of residents staying at the home, and their needs. The staff rota viewed was consistent with the staff on duty. The Inspector observed the staff handover and staff coming into work looking at the staff communication book and rota to see what area of the home they are allocated to work in, with consideration made to key-working. The Registered Manager said additional staffing is provided to individual residents to enable to social and leisure activities to take place. Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 22 Occupation Road’s recruitment procedure is robust, which is managed by the Registered Manager with support from the Human Resource Team for the group. Four support workers personnel files examined demonstrated, the recruitment procedure had been followed with satisfactory pre-employment checks such as references, protection of vulnerable adults (POVA) first checks and the criminal records bureau (CRB). Occupation Road does not use agency staff. Staff as part of their recruitment and induction process, are given a copy of the General Social Care Council Standards of Conduct and a job description outlining their roles and responsibilities within Occupation Road. The Pre-Inspection Questionnaire submitted by the Registered Manager before the site visit declared that there are twenty-four members of staff employed of which 20 have already attained a National Vocational Qualification (NVQ) in Care, level 2 and above, with a further 60 of staff are completing NVQ level 2 in care, to represent 80 of the staff group. Residents that spoke with Inspector felt that they were understood. The Inspector observed residents using gestures and signs to communicate with the staff to ask questions, have conversation and to express themselves. Staff said they have received training in sign language although have developed different ways of communicating with individual residents. All staff completed the Learning Disability Award Framework – accredited training for staff working with people with learning disability. Staff files and the staff-training matrix viewed showed the range of training completed by staff. These include National Vocational Qualification in care, moving and handling, safe guarding adults training, medication administration, infection control, first aid, COSHHE, catheter care, epilepsy training, delegated training, provided by the Community Nurse, for rectum diazepam, tracheotomy and peg feed, for named residents only. Three members of staff spoken with confirmed that they receive regular oneto-one supervisions, which an opportunity to review issues affecting residents, day-to-day care practices and training. Staff observed paid particular attention when assisting residents to allow them to maintain their independence. The supervision schedules displayed in the office listed the date of the meeting with the supervisor being either the Registered Manager or the Deputy Manager. Residents benefit from an effective team of staff who meet on a regular basis, this ensures that staff have up to date information. Records showed that staff meetings are held on a monthly, for the team as a whole. The Registered Manager holds meetings frequently with the Deputy Manager and the Senior Support Workers, providing an opportunity to discuss the provision for a new resident, issues affecting residents and points relevant to the day-to-day management. The minutes are in place for all staff meetings, detailing the issues discussed and any action requires to be taken and by whom. Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager offers a clear sense of leadership, ensuring service user health; safety and welfare are promoted. Residents and their relatives are provided with opportunities to comment on and affect the service they receive. EVIDENCE: The Registered Manager was approved for this position when the home was opened in August 2005. The Registered Manager has substantial years of experience in care and management, specifically working with people with learning disabilities. Residents and visiting relatives observed and spoken with were confident in the management team, and said they were able to discuss with them any issues affective themselves. The Registered Manager works a Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 24 variety of hours and as a member of the staff team, ensuring residents have regular contact with her. On the day of the site visit to Occupation Road, the staffing and management of the home appeared to be organised. Staff had clear direction, roles and responsibilities in relation to providing care to residents and day-to-day running of the home. Observations made on the day demonstrated the staff are caring, supportive and provide a cheerful atmosphere for the residents. Residents and staff records viewed were kept in good order, comprehensive, up to date, stored securely and was available for the purpose of the inspection visit. Staff were aware of where information, incident and accident record, policies, and procedures are kept. The monthly visits carried out by the Operational Manager from within the Milbury Group, acting on behalf of the Registered Person. The Inspector viewed the recent monthly visit reports, which included speaking with the residents and visitors, viewed records, speaking with staff on duty, viewing the environment and following upon issues identified at the previous visit. This demonstrated that Occupation Road has systems in place to self-monitor and self-regulate the service to ensure it is fit for the residents. The Registered Manager said residents and their relatives are consulted, and evidence of this was seen in the review meeting minutes that looked at needs of the residents. The Inspector observed residents and their visiting relative being consulted there was no other formal records or system of quality assuring the service. This was discussed with the Registered Manager, who accepted the comments made and gave assurance that the system of quality assurance would be formalised and a summary of the finding would be produced and shared with the residents and/or their relatives, to show the performance of the service and outcomes for the residents receiving the care. The Pre Inspection Questionnaire submitted before the CSCI prior to the site visit detailed the regular maintenance of health and safety systems within the home, including fire systems and equipment, central heating systems and emergency call systems. Occupation Road has a planned programme of maintenance. On the day of the site visit the maintenance person was seen repairing reported minor faults at the home. Fire risk assessment and health and safety assessment are carried out for the home. Records detailing fire drills and checks were viewed, and found tests to be carried out on a regular basis, which was confirmed by one resident. All equipment such as profile beds and hoists are service and maintained annually by the supplier. Staff training records viewed showed all staff had received training in health and safety and fire safety. Residents said when fire testing takes place they are told that it is only a test. The record of accidents/incidents were completed and up-to-date, detailing actions taken to avoid a re-occurrence. Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 25 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 3 2 3 3 3 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 3 26 3 27 3 28 3 29 4 30 3 STAFFING Standard No Score 31 3 32 3 33 4 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 3 X 3 X 3 3 3 3 X Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 26 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. Refer to Standard Good Practice Recommendations Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Occupation Road DS0000064167.V329375.R01.S.doc Version 5.2 Page 28 - 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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