Inspection on 26/08/05 for Park Croft

This inspection was carried out on 26th August 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

Park Croft 29/04/08

Park Croft 20/04/07

Park Croft 04/04/05

Park Croft 04/10/04

Park Croft 14/04/04

Park Croft 14/10/03

Park Croft 22/05/03

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

CARE HOME ADULTS 18-65 Park Croft Park Place Winchester Road Wickham, Fareham, Hants PO17 5EZ Lead Inspector Laurie Stride Unannounced 26/08/05 9.00am 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. Park Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Park Croft Address Park Place, Winchester Road, Wickham, Fareham, Hants, PO17 5EZ 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) 01329 833994 United Response CRH 10 Category(ies) of LD registration, with number of places Park Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 04/04/05 Brief Description of the Service: Park Croft is a residential home for ten adults with learning disabilities, situated on the outskirts of Wickham Village near Fareham. The home is located within woodland, off the main road and ten minutes walking distance from the village. The premises include additional buildings that serve as a visitor’s lounge, craft and activity area, and office for the staff. Service users have their own rooms decorated and furnished to their individual preferences. The home encourages service users to be involved in day to day activities and routines, and individual choices are respected. Park Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two annual inspections of the home and was unannounced. The visit lasted three hours and included meeting residents and the new manager, viewing some of the home’s records and observation of working practice. A pre-inspection questionnaire had been completed by the service manager prior to the inspection and a number of comment slips were returned by residents and their relatives / visitors. The inspector looked mainly at the key standards not assessed at the last inspection and therefore this report should be read in conjunction with the previous report. 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. Park Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Park Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 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 standard(s) 2 The arrangements for assessing prospective resident’s needs enable their full participation in the process and in the inspector’s opinion exceed the standard. EVIDENCE: Since the last inspection the home had received a new referral and records had been kept in relation to the admission and assessment process. Evidence was seen of contact and arrangements between the home and the prospective resident, relatives and care manager. A record of visits by the prospective resident and representatives showed that the timing and pace of the process was centred on the person’s needs and choices. A voluntary driver had been arranged to enable relatives to continue visiting during the transition, and continuing and additional support measures were in place. Copies of the care manager’s assessment, existing care plans and risk assessments were on file with the home’s own ongoing assessment records. The new resident had recently moved in and confirmed s/he was settling in and enjoying living at Park Croft. Park Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 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 standard(s) These standards were not assessed on this occasion. Please refer to the previous report. EVIDENCE: Park Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 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 standard(s) 12, 13, 15, 16 and 17. The service is well organised in providing residents with opportunities for continuing education and work, accessing the community, maintaining relationships, taking an active part in daily routines and planning meals. EVIDENCE: The home actively supports residents to continue their education and gain appropriate jobs. Residents regularly attend a variety of colleges, day services and life-skills development activities. An example of a college timetable included practical skills, music and drama, gardening skills, art and craft, communication workshops and sensory cooking. Residents choose college courses and staff discuss their choices with them just prior to the start of term to ensure they still want to attend. One resident had commenced environmental conservation work through a specialist employment agency. A recently admitted resident was continuing to take part in activities engaged in prior to entering the home. Residents have opportunities to take part in the local community in accordance with their assessed needs. The home has two vehicles and residents pay a Park Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 Page 10 small monthly amount from their disability living allowances for the equal shared use of the transport. Information is available about local services and facilities and residents make regular use of pubs and clubs, cinema and theatre, eating out and shopping trips. Staff training includes awareness of the Disability Discrimination Act and rota cover is flexible to support residents in all aspects of their daily lives, including weekends. Residents and staff had been to a local country park for a picnic over the weekend. There were plans for the following week when some residents were going to the Isle-of-Wight and others had chosen a boat trip to France instead. Written care plans were seen at previous inspections to contain information in respect of significant relationships, and residents are actively encouraged to invite friends and family to the home. The home has an ‘open house policy’ regarding visitors and friends and families’ involvement in daily routines and activities is welcomed. There is a small lounge available for residents to meet people or they can use their bedrooms. The home also has a written policy on sexuality and relationships. All those relatives / visitors who returned comment slips stated that they were welcomed in the home at any time and could visit their relative / friend in private. The home has a policy on respecting residents’ privacy. It was observed that staff entering the main building rang the doorbell and waited for a resident to answer the door, the member of staff then asked if it was okay to enter. Residents were observed to have unrestricted access to the communal areas of the home and grounds. Residents are offered a key to their room and receive their mail unopened although staff give assistance if asked. There was an activities list on the kitchen notice board showing a structured week was provided, including college and day services, housework, laundry, shopping, appointments and ‘free choice’ activities. All residents are encouraged to be actively involved in daily activities, and could choose whether or not to take part; for example helping to lay the table and clear away after a meal, or cleaning their bedroom on a particular day of the week. The manager confirmed that food menus were devised with residents and those on display included residents own choices of meals on various days. The home had started to work on a picture book of food and meals to help residents to make choices. Residents have access to the kitchen at any time, and are supported with preparing food and clearing away after meals. Staff spend time at mealtimes socialising with residents informally. The home has a relaxed approach to mealtimes and meals are prepared around individual’s activities and needs. Residents are encouraged to assist with the shopping and to prepare their own lunch boxes for college. The majority of residents who returned comment slips indicated that they liked the food and others confirmed that alternative meals were offered. Park Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 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 standard(s) These standards were not assessed on this occasion. Please refer to the previous report. EVIDENCE: Park Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 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 standard(s) 22 The home has a suitable complaints procedure to ensure that resident’s views are listened to and acted upon. EVIDENCE: A number of policies and procedures are in place to protect and support residents if they want to make a complaint, including a procedure in picture form that is provided to each resident. The corporate policy states that complaints will be dealt with within a specific time-scale of 28 days. The manager keeps a record of any complaints by residents which have been dealt with internally and that demonstrate that the home takes all complaints seriously. The person responsible for service provision regularly checks these records. The manager reported that there had been two complaints in the time since the last inspection. Both complaints had been responded to within the timescale and full records including outcomes had been logged. The majority of residents who returned comment slips indicated that they knew who to complain to if they were unhappy about their care. Park Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 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 standard(s) 30 The provision of effective infection control systems ensures that residents live in a safe and comfortable environment. EVIDENCE: On the day of inspection a good standard of cleanliness was observed throughout those parts of the premises seen. Residents participate in the cleaning of the home. The home had washing machines equipped with suitable hot wash programmes and sluicing equipment was available. The laundry room had an impermeable floor and easy to clean walls. The laundry is situated outside the main building and washing does not have to be taken through areas where food is stored, prepared or eaten. The home has a code of good practice that states that each resident’s washing should be done separately and residents are supported to do their own washing. The manager confirmed that the home complies with the water supply regulations 1999 and has suitable valves in the washing machine pipe work preventing foul water contaminating the mains. Hand washing facilities were in place and gloves and aprons were readily available throughout the home. Also available around the home was information on hygiene and infection control. Fridge/freezer temperatures were monitored and recorded, colourPark Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 Page 14 coded chopping boards were used in the kitchen, and cleaning materials were kept in a locked cupboard when not in use. Staff undertake relevant infection control training and there is a house representative within the team for health and safety matters. Park Croft H54 S12168 Park Croft V237031 260805 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) 33, 35 and 36. Residents are supported by sufficient numbers of trained and supervised staff. EVIDENCE: The home operates set shift patterns providing morning, afternoon / evening, and night cover. A rota was available showing a minimum of three support staff on duty at all times in the morning and afternoon / evening, one awake plus one sleep-in at night. Sometimes staff cover was increased to four during the mornings based around resident’s activities. Residents who had chosen not to take part in a trip out were offered one-to-one support for an activity on another day. Funding for additional support for some residents had been arranged individually. When agency staff are used to cover shifts, the home tries to book the same regular workers in order to provide continuity of care to residents. The manager reported that out of thirteen care staff, one had completed NVQ level 3 in care training, three staff had started work on the qualification and another three were due to start in September 2005. All had current first aid certificates and were trained in the safe handling of residents’ medication. Health and safety training including food hygiene and moving and handling were in place. The manager said that staff had received extensive training regarding the use of a new hoist in order to support a resident who had recently returned from hospital. Park Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 Page 16 Other training included mental health awareness, person centred planning awareness, ‘the way we work’, and prevention from harm. United Response provides a rolling rota of core training for staff and this is regularly updated. A training file is kept containing individual staff members’ records and certificates. Correspondence between the home and head office showed that any missed training was picked up and re-scheduled. New staff take part in a structured induction to Learning Disability Award Framework (LDAF) standard. The manager keeps a file of staff supervision records. Individual supervision for staff takes place approximately every five weeks and includes discussion of staff and personal issues, resident issues, medication, practice, regulatory requirements and other business. Staff appraisals were also underway with staff completing their self-appraisal forms to discuss with the manager. Park Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 Page 17 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) 39 and 42 The home has well organised systems in place to obtain residents and other stakeholders views and promote safe working practices. EVIDENCE: The recently appointed manager has previous experience of both residential care work and supporting people. She is applying for registration, has already completed a number of units toward an NVQ 4 award and therefore plans to ‘fast track’ her Registered Manager Award which commences in January 2006. The United Response area manager sends out resident survey questionnaires and the results are discussed at meetings. There are house meetings for residents every four weeks and minutes are taken. The manager reported that five residents now attended the Southern Inclusion Development (SID) Group. This provides a forum for residents to meet up, share ideas and air their views, discuss issues and plan events. A meeting of the group was scheduled to take place in the grounds at Park Croft at the start of September. A previous meeting in July had been used to look at what had been achieved through the group. Park Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 Page 18 A safe working practice file is kept and includes records of services to hoists and other equipment. An office planner showed the dates of checks on fire alarms, emergency lighting, fire drills and training, company vehicles, and cleaning materials. As mentioned previously, staff receive training in fire safety, food hygiene, first aid, lifting and handling and other relevant subjects. There is a written fire procedure for night staff and home has an accident procedure on display. Park Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 Page 19 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 4 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 3 Standard No 31 32 33 34 35 36 Score x x 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Park Croft Score x x x x Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 Page 20 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 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 Good Practice Recommendations Park Croft H54 S12168 Park Croft V237031 260805 Stage 4.doc Version 1.40 Page 21 Commission for Social Care Inspection 4th Floor, Overline House Blechynden Terrace Southampton, Hants SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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