Inspection on 04/04/05 for Park Croft

This inspection was carried out on 4th April 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 26/08/05

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 Nr Fareham PO17 5EZ Lead Inspector Laurie Stride Unannounced 4th April 2005 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 Version 1.10 Page 3 SERVICE INFORMATION Name of service Park Croft Address Park Place, Winchester Road, Wickham, Nr Fareham, Hampshire, 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 Version 1.10 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 4 October 2004 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 fifteen 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 Version 1.10 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first of two annual inspections of the home and was unannounced. The visit lasted six hours and included a partial tour of the premises, inspection of records, observation of working practice, and speaking with three service users, four members of staff and the manager. The home is currently advertising to recruit a registered manager. What the service does well: What has improved since the last inspection? The home is working to gradually improve the decoration and furnishings so that areas like the lounge and upstairs will look more welcoming and homely. A new specialist bath has been put in downstairs providing service users with an additional bathroom for their use. Park Croft Version 1.10 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Park Croft Version 1.10 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Park Croft Version 1.10 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: Park Croft Version 1.10 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 and 9 There is a clear and consistent support planning system in place to provide staff with the information they need to satisfactorily meet service user’s needs. Staff provide support to enable service users to make informed decisions and to take responsible risks. EVIDENCE: The home uses a Person Centred Approach that enables service users to participate as fully as possible in the planning of their care and support. On the day of the inspection one service user was taking part in a review of her needs to which her relatives and social worker were also invited. Records of regular and thorough reviews during which service users and staff plan what to do in the next month were held in individual files. A summary care plan provides ‘at a glance’ information on service user’s likes, dislikes and preferred methods of communication. Staff were observed helping service users to make choices in relation to daily activities. A number of staff members were spoken to and demonstrated how they supported service users with limited communication skills to make decisions. This included using pictures, giving a suitable number of options and being aware of individual service user’s methods of communication. Park Croft Version 1.10 Page 10 Four service users regularly attended a forum called the Southern Inclusion Development (SID) Group and some had recently attended a two-day inclusion and equality conference. Throughout the inspection staff were seen encouraging service users to participate in daily routines. Summaries of each service user’s participation levels were recorded in their personal files; for example meals, washing up, laundry, shopping, garden and DIY, leisure, social life, college and community. One service user said that he often liked to help with the cleaning. The home has a policy on risk assessment and management, and handbooks regarding health and safety for service users and services. Recorded in personal files were comprehensive risk assessments, a number of which were developed based on the assessment prior to coming into the home. These included actions to be taken to minimize risks. Up-to-date reviews of risk assessments were seen to be in place and ongoing. Park Croft Version 1.10 Page 11 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) EVIDENCE: Park Croft Version 1.10 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 The health and personal support needs of service users are well met with relevant professional consultation on a regular basis. The systems for the administration of medication are good with clear and comprehensive arrangements being in place to ensure service user’s medication needs are met. EVIDENCE: Care plans contain a section relating to individual personal care needs and preferences. Service users are encouraged and supported to maintain their own personal care, for example with washing, bathing and oral hygiene. Written guidelines were also in place for staff giving appropriate assistance if needed. Where possible service users are allocated a keyworker of the same gender to help with their personal and everyday needs. A number of staff member’s spoke about supporting service users with their personal care needs. All demonstrated awareness of the aims of promoting independence, respecting and upholding service user’s privacy and dignity. The organisational standards on healthy living state that service users will be supported to keep healthy and to get equal access to health services. The home has individual health information files that are linked to service users’ Park Croft Version 1.10 Page 13 care plans. Records were seen of the involvement of healthcare specialists including doctors, dentists, and district nurses. A separate medication room is used to provide privacy and security. Separate cabinets contain medicines for internal and external use, and incoming supplies are stored in another locked cabinet. The home operates a Monitored Dosage System of ordering and storing medication, which is checked by the local pharmacist. Service users are supported to administer their own medication if they wish, and this is supported by a risk assessment. The home has a medication policy, and each service user has a list of medication documented in their personal files. Staff sign to say that medication has been administered and service users sign agreements that named staff can give them their medication. Senior staff undertake two checks a day to ensure the medication has been administered correctly. Information on medication is kept so that staff are aware of any health issues and the signs to look for. The inspector looked at a sample of service users’ monitored dosage medication and saw that the correct amount had been given and signed for in the records. All staff undergo medication training. Park Croft Version 1.10 Page 14 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 and 23 The home has a suitable complaints procedure which ensures that service users views are listened to and acted upon. Training, policies and procedures are in place to ensure a proper response to any suspicion or allegation of abuse. EVIDENCE: A number of policies and procedures are in place to protect and support service users if they want to make a complaint, including a procedure in picture form that is provided to each service user. The corporate policy states that complaints will be dealt with within a specific time-scale of 28 days. The Service Manager keeps a record of any complaints by service users 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 Service Manager reported that there had been no complaints in the time since the last inspection. A number of policies and procedures are held on site referring to protecting people from abuse, such as the corporate policy and the Hampshire County Council Adult Protection Procedures. There is also an in-house written procedure that clearly details the immediate steps to be taken in the event of any suspicion or allegation of abuse and what not to do. All staff undertake “Prevention of Harm” training. Staff members were asked about the procedures for responding to abuse and reported that they would listen first then report to the manager without discussing matters with others. Park Croft Version 1.10 Page 15 Individual financial profiles give clear guidance as to the levels of support required by service users when collecting their allowance and relevant risk assessments are in place. The home employs a book-keeper who does checks and records service user’s financial transactions. Where applicable, service user behaviour management plans are recorded that identify possible triggers to challenging behaviour and provide staff with guidelines for diffusing situations. Staff reported that they underwent relevant training and that physical interventions were neither used nor necessary in the home. Park Croft Version 1.10 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24 Improvements were being made to the furnishings and décor within the home in order to maintain a homely, safe and comfortable environment for service users. EVIDENCE: The home is a detached building with gardens accessible to service users. The rooms meet the minimum standard with wash hand basin facilities and decorated to the style and individual character of the service user. A partial tour of the premises was undertaken and the manager spoke of ongoing work and plans to update and refresh the environment. Painting of the bathrooms was in progress and these facilities were to be refitted with new blinds and furnishings. The stairway and upper landing were to be redecorated. Funds had been granted to replace old furniture in the main lounge throughout the year. Service users were asked their views regarding colours and redecoration. A new specialist bath had recently been installed on the ground floor. Service users indicated that they liked living at Park Croft. Park Croft Version 1.10 Page 17 Park Croft Version 1.10 Page 18 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) 31, 33 and 34 Service users are supported by sufficient numbers of staff and who demonstrate a good understanding of their own and others roles and responsibilities. The recruitment practices of the home protect service users. EVIDENCE: Through discussion with staff it was evident that they knew and supported the main aims and values of the home. Individual members of staff spoke about how they perceived their roles and, through listening and observation, were clearly knowledgeable about service users and had developed relationships of trust with them. Staff saw their key working role as, for example, supporting service users to access the community, promoting independence and appropriate behaviour, assisting with personal care, co-ordinating a person’s support, and keeping care plans updated regarding service user’s changing needs and aspirations. All staff had been given information about the General Social Care Council (GSCC) standards of conduct and practice. 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 in the morning, two in the afternoon / evening, and one at night. Staff reported that cover was increased according to service users activities and needs. A photo board in the dining room enabled service users to see who Park Croft Version 1.10 Page 19 was coming on duty each day. The home also employs a book-keeper, a cleaner and a driver/escort and handyman. At the time of the inspection a new member of staff was starting work in a supernumerary capacity, shadowing an experienced staff member and getting to know service users. The new member of staff confirmed that the organisations recruitment procedures were ‘very professional’ and included an interview and informal visits to the home, police checks, taking up references, then starting work within a structured induction to Learning Disability Award Framework (LDAF) standard and health and safety training. Staff recruitment records were seen and these included the completed application form, rehabilitation of offenders declaration, Criminal Records Bureau (CRB) clearance, interview records, medical assessments, identity document checks and two or often more written references for each employee. New workers are also expected to complete vocational training within six months. The Service Manager said that there were plans to do more training for service users in relation to their participation in the recruitment and selection of staff. Park Croft Version 1.10 Page 20 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) 37 and 42 The management of the home ensures that the service fulfils its stated purpose and objectives and meets the needs of the people who live there. Safe working practices used ensure the health and welfare of service users. EVIDENCE: The Commission for Social Care Inspection (CSCI) had been kept informed of matters relating to the ongoing recruitment of a replacement registered manager, following the departure of the previous post holder after more than seventeen years service. A service manager who is also the registered manager of another service was currently supervising the home. The organisation is aware of the regulations in this respect. A deputy manager who also works shifts as part of the staff team supports the service manager. The service manager reported that the post was being re-advertised with a revised person specification. An office planner showed the dates of checks on fire alarms, emergency lighting, fire drills and training, company vehicles, and cleaning materials. Park Croft Version 1.10 Page 21 Control of Substances Hazardous to Health (COSHH) danger symbols were displayed in the kitchen for staff and service user awareness. There was a written fire procedure for night staff. The home had an accident procedure on display also. Staff confirmed that they undertook training in fire safety, food hygiene, first aid, lifting and handling and other relevant courses. 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. Where there is no score against a standard it has not been looked at during this inspection. 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 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Park Croft Score 3 3 3 3 x Standard No 24 25 26 27 28 29 30 STAFFING Version 1.10 Score 3 x x x x x x Page 22 LIFESTYLES Standard No 11 12 13 14 15 16 17 Score x x x x x x x Standard No 31 32 33 34 35 36 Score 3 x 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x Park Croft Version 1.10 Page 23 N/A 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 Version 1.10 Page 24 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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