Inspection on 09/03/06 for Phillips House

This inspection was carried out on 9th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Phillips House 18/11/08

Phillips House 18/12/06

Phillips House 02/08/05

Phillips House 01/02/05

Phillips House 19/08/04

Phillips House 18/02/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Phillips House 5 Jesmond Road Clevedon North Somerset BS21 7SA Lead Inspector Catherine Hill Unannounced Inspection 9th March 2006 4:15 Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Phillips House Address 5 Jesmond Road Clevedon North Somerset BS21 7SA 01275 873447 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) Freeways Trust Limited Ms Nicola Anne Jones Care Home 13 Category(ies) of Learning disability (13) registration, with number of places Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. May accommodate up to 13 persons aged 18 - 65 years with Learning Disabilities. May accommodate one named person over the age of 65 for respite care only. Conditions of Registration will revert to age group 18 - 65 when this person leaves. Mrs Jones should have monthly support from a professional mentor for twelve months following registration in addition to the regular supervisory support she receives from her line manager. 2nd August 2005 Date of last inspection Brief Description of the Service: Phillips House is a community home for people with learning disabilities, and is part of the Freeways Trust. The home is on three floors and is set in a residential area within easy access of the town centre, the sea front and local amenities. Most residents are in their forties or fifties. Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted during the course of the late afternoon and early evening of one-day. It focused on talking with residents about their lives and the kind of support they receive from the home. The inspector also spent some time talking with the manager and sampled some of the homes records, including: • the complaints file • the minutes of residents meetings • Key workers monthly reports • care plans Residents were well informed about what is going on in their home, and have a good deal of say in it. They evidently feel comfortable questioning staff and airing any grumbles. Although the group does not always get on well together, some strong friendships have formed and people are in general very happy living at Phillips House. Each person has a full and varied timetable of social, leisure and vocational activities. Staff make sure that the person who stays at home most days is also given plenty of opportunities to enjoy meaningful activities. Residents needs are thoroughly documented and are being well met, although one significant issue arose where a person had agreed to a restriction of their rights but this had not been properly recorded. The staff group has had to make significant adaptations to its practice to meet the rapidly changing needs of one person, and this has been very well-managed so that it reduces the impact on the rest of the resident group. Complaints are taken seriously, and staff give residents good support to complain. What the service does well: The staff team is very resident-focused, and continuously works to put residents at the centre of the running of the home. There is a good system of recording in place, and this is being well used. Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 6 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. Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not assessed at this inspection. Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6-9 Residents are involved in and consulted on the support they are given, and are able to pursue their own preferred lifestyles to a good extent. EVIDENCE: Person-Centred Plans have been drawn with each resident. Freeways policy on care planning stresses that the individual should be in charge of their own goals, and fully involved in the whole process. There is a picture-supported information sheet on care planning for clients use. The Person-Centred Plans sampled had been written from the residents point of view, and in many cases in their own words. Entries in the complaints file indicated that Freeways Trust is retaining a building society account passbook for safekeeping that the owner wants back. The manager said that this person has actually agreed that this book should be held for safekeeping. However, this was not noted in the care plan or risk assessment. Where an agreement has been reached with an individual resident to restrict their rights in some way, this needs to be very clearly reflected in Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 10 the care plan, and evidence should be included of the persons agreement to this strategy. Person-centred plans are fully reviewed at least twice a year but key workers also do a monthly report. These were very informative and included clear actions to be taken towards helping the person reach their goals. Subsequent reports showed whether the actions listed in the previous report had been carried out and were successful. Residents care records gave an excellent level of detail and really reflected the person, their views and preferences, and the progress they are making. They included notes of their daily preferred routines, such as what they like for breakfast and the order in which they like to get up in the mornings. Residents were able to give the inspector a lot of information about what is happening in the home, and felt that they have been properly involved in any decisions. People knew who was coming on duty, who their key worker was, and what they can expect of their key worker. Residents meetings minutes showed that any new organizational policies are shared with the resident group and explained to them, and that they are then asked for their views and ideas before the policy is made final. Newer policies are being drawn up in very clear, short sentences in large type, supported by appropriate pictures to make them as accessible as possible to residents. The minutes of residents meetings also showed that residents are encouraged to come up with their ideas for activities and that staff will also make suggestions to ensure that people have a good range of ideas to choose from. Residents set much of the agenda for these meetings, and issues such as household rotas and group dynamics are regularly discussed. Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 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 the following standard(s): 11-16 Residents are getting good opportunities to have varied and interesting life experiences. EVIDENCE: Many of the residents the inspector spoke with were able to describe their regular activities in detail. Several people have been doing college courses, and many people attend a day centre. Each person spends regular one-to-one time with their key workers, and some people plan their own activities independent of the home. Several people are going to a large pop concert in Wales this summer, and it is planned to meet up with a couple of peoples relatives while the group is there. Residents were very relaxed with staff, and evidently feel that they are on an equal footing with them. Residents treated this as their home - it was one of the residents who opened the door to the inspector and checked her ID, and another resident invited the inspector to stay for the evening meal. Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 12 Key workers plan activities for the week ahead with the residents in their key groups. Key workers are responsible for helping each person to maintain family contact, and support residents to phone their families or to send cards. Key workers also let families know about any significant events that their relative wants them to be involved in. One person hopes to move onto supported living soon. The staff team has been working closely with other professionals to ensure that he has the skills and support necessary to make this a success. Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18-21 Residents health care needs are being well met. EVIDENCE: A Health Action Plan has been drawn up in respect of one person, and the manager is working with the Action for Health Coordinator from the Community Team for People with Learning Disabilities to draw these up for other people. These plans will show not only how each persons own particular health needs are being met but also how they will be supported to access routine health check services. Care records were well organized, so that it is easy to track different aspects of each persons care. This is particularly true with health care records, and it was clear that the usual health care checks are frequently arranged on each persons behalf. Key workers carry out a monthly room check and health check with each resident as a further way of ensuring safety and well-being. Medications records were up to date, and now include a note of the date and amount of any medicines that are received in the home. Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 14 Staff continue to work closely with external health care professionals regarding the changing needs of one of the residents. This is being managed with sensitivity and consideration for the person s feelings, involving the person in all relevant decisions. Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Concerns are taken seriously, and appropriate action is being taken to protect residents. EVIDENCE: No complaints have been received by CSCI. The homes complaints file includes letters written by staff on residents behalf and signed by the resident where a person wishes to complain in writing but is unable to do so without this support. Complaints included other residents behaviour, the lack of a shower on the top floor, and the fact that Freeways Trust is keeping one persons building society account passbook. (See Individual Needs and Choices.) The residents felt that they can talk to the staff, and that staff listen to them properly. Some residents are unhappy about the behaviour of one person in the group, but felt that staff give them good support to deal with this. Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 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 the following standard(s): 24 & 29 The environment is pleasant and homely, and is well suited to residents needs. EVIDENCE: Most areas of the home have been decorated within the last couple of years, and the back garden has been made more accessible. The overall impression is of a welcoming and pleasant environment, well-suited to the residents needs. Three of the bedrooms are below the minimum size of 10 square metres, and Freeways is currently looking at ways of improving this standard for existing residents. All bedrooms are single, and one has an ensuite toilet. The ground floor shower room is well equipped for less mobile people, and grab rails have been fitted in the first-floor bathroom. The inspector suggested that consideration is given to providing some sort of bath seat for less mobile people to use when they would prefer a bath to a shower. Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not assessed at this inspection. Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: These standards were not assessed at this inspection. Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 3 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 X X X X X X X Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 20 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. 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 YA9 Good Practice Recommendations Phillips House DS0000008111.V277977.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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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