CARE HOME ADULTS 18-65
Polesworth Group - Station Road, 32 32 & 32a Station Road Polesworth Staffordshire B78 1BQ Lead Inspector
Catherine Mundy Unannounced Inspection 22nd December 2005 10:00 Polesworth Group - Station Road, 32 DS0000004283.V274750.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 Polesworth Group - Station Road, 32 DS0000004283.V274750.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. Polesworth Group - Station Road, 32 DS0000004283.V274750.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Polesworth Group - Station Road, 32 Address 32 & 32a Station Road Polesworth Staffordshire B78 1BQ 01827 896939 01827 331840 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) Polesworth Group Homes Limited Ms Susan Black Care Home 8 Category(ies) of Learning disability (8), Physical disability (1) registration, with number of places Polesworth Group - Station Road, 32 DS0000004283.V274750.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. The home is registered for eight (8) service users in the category of Learning Disability, of which one (1) may also have a Physical Disability. 18th July 2005 Date of last inspection Brief Description of the Service: Polesworth Group Homes was established as a limited company in June 1991, with the aim of providing accommodation and support for adults with learning disabilities. 32 Station Road is a care home for eight residents and it is situated in Polesworth near Tamworth. The property is a converted nurses’ home on two floors and is unidentifiable as a care home, blending into surrounding residential properties. The home offers six single and one shared bedrooms. On the ground floor there are three bedrooms, a dining room, a large lounge and a conservatory, the kitchen, a utility room, a staff office and sleeping room, a shower room and toilet. Upstairs there are four bedrooms, a bathroom and a toilet. The premises are well maintained and decorated, the furniture and fittings are of good quality. Externally to the rear there is a garden with a lawn, flowers and shrubs and the patio area. The craft room, which is a resource centre for all service users in Polesworth Group Homes, and the registered managers office, is also situated at the side of the property. The front of the home provides car parking spaces. The home is staffed 24 hours a day and cares for residents with medium to high levels of need. Some residents have high healthcare needs as well as learning disabilities. There is a plan to reduce the number of residents admitted to the home when vacancies occur. Polesworth Group - Station Road, 32 DS0000004283.V274750.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This is the second inspection of this home in the 2005/06 inspection year. The inspection took place on 22nd December 2005 at 10am; this was arranged with the manager on 21st December 2005. Records relating to the residents and the management of the home were examined; the inspection also included a tour of the home and discussions with staff and residents. Observations of the interactions between the residents and staff were also made. The home has provided a pre-inspection questionnaire. Feedback cards have been received from five of the resident’s relatives and all of the residents. The feedback received has been included in the body of this report. This inspection focuses on the core standards that were not assessed at the last inspection. For a full overview of this service this report should be read alongside that written following the last inspection of this home on 18th July 2005. What the service does well:
The home is welcoming, pleasantly decorated and furnished and has a relaxed and happy atmosphere. The residents had decorated the communal areas of the home ready for Christmas. The feedback received from residents and their relatives is extremely complimentary of the service provided. The residents stated that they are happy and enjoy living in the home. Observations made also indicate that the residents feel relaxed and comfortable in the home. Five relatives completed comment cards. Comments made include: ‘We cannot praise too highly the management and staff’, ‘the residents receive five star treatment’, ‘ the standard of care is exceptionally high’, ‘ my relative has excellent care all of the time, I have nothing but praise for the staff’. The residents continue to take part in a broad range of activities that they enjoy. The staff and manager value the contribution made by the residents to the day-to-day running of the home. The opinions and wishes expressed by the residents held equal importance to those expressed by the staff and manager. The residents indicated that they enjoy taking responsibility for chores around the home. The home regularly consults with the residents, their relatives, staff and other professionals involved in the resident’s care regarding the quality of the service that is provided. The feedback received is acted upon. Polesworth Group - Station Road, 32 DS0000004283.V274750.R01.S.doc Version 5.1 Page 6 The staff support the residents in a caring and sensitive way that promotes their dignity. The staff have the necessary knowledge and skill to support the residents and meet their complex needs. 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. Polesworth Group - Station Road, 32 DS0000004283.V274750.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 Polesworth Group - Station Road, 32 DS0000004283.V274750.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: Standard 2 was not assessed on this occasion, as there have been no service users admitted into the home since the last inspection. The home has demonstrated that they have met this standard at previous inspections. The remaining standards within this section have also been met at previous inspections of the home. Polesworth Group - Station Road, 32 DS0000004283.V274750.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): EVIDENCE: Standards 6, 7 and 9 were met, at the last inspection of this home and not inspected on this occasion. Polesworth Group - Station Road, 32 DS0000004283.V274750.R01.S.doc Version 5.1 Page 10 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): 13, 15 and 16 The residents continue to be supported to participate in valued and fulfilling activities that promote their independence and that they enjoy. EVIDENCE: Standards 12, 14 and 17 were met at the last inspection of this home and were not assessed on this occasion. The inspector was invited to have lunch with the residents. The lunch provided was a choice of vegetable soup, carrot and coriander soup or a selection of sandwiches. Dessert was a choice of fruit served with ice cream. The meal provided was attractively presented, taking into account the residents individual support needs and enjoyed by all of the residents. The residents and staff ate their meal together in either the dining room or conservatory. The meal time was relaxed with a jovial atmosphere. Support was provided to individual residents in a sensitive way that promoted their dignity. Polesworth Group - Station Road, 32 DS0000004283.V274750.R01.S.doc Version 5.1 Page 11 Discussions with the residents, staff and examination of records confirmed that the residents continue to be supported to take part in a broad range of activities that they enjoy. This includes activities planned activities in the home and in the community. The residents were looking forward to Christmas time, and on the afternoon of the inspection some of the residents were planning to bake mince pies to take when they visit their families. The residents had also recently been to the pantomime and out for Christmas meals. The residents are actively involved in the day to day running of the home, providing opportunity to promote and maintain their independence. The residents have responsibility for completing some household chores, such as setting the table and washing up after meals. The residents indicated that they enjoy this responsibility. Interactions observed reflected family life, with the residents and staff discussing their day, expressing their wishes and negotiating arrangements for the next few days. The resident’s contribution to these discussions held equal importance to those made by the manager and staff. The home continues to support the residents to maintain contact with family and friends. The residents confirmed that they are able to have visitors to the home. Feedback received from the relatives confirmed that they feel able to visit their relative at any time and are welcomed into the home. A number of residents are looking forward to spending time with their relatives over the Christmas period. Polesworth Group - Station Road, 32 DS0000004283.V274750.R01.S.doc Version 5.1 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 the following standard(s): EVIDENCE: Standards 18, 19 and 20 were met at the last inspection and were not assessed on this occasion, other than to note that the manager has introduced an information sheet which provides details of the medications prescribed for each resident, the reason for their prescription and any side effects that may be experienced. This information is provided to support the staff when they attend medical appointment with the residents. Polesworth Group - Station Road, 32 DS0000004283.V274750.R01.S.doc Version 5.1 Page 13 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): EVIDENCE: Standards 22 and 23 were met at the last inspection and were not assessed on this occasion. Other than to note that, the home has not received any complaints since the last inspection. Feedback received, in comment cards from relatives and in discussions with the residents, is extremely complimentary of the service that is provided. Polesworth Group - Station Road, 32 DS0000004283.V274750.R01.S.doc Version 5.1 Page 14 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 and 30 The standard of the environment is good, providing the residents with an attractive, comfortable, clean and homely place to live. EVIDENCE: The inspection included a tour of the communal areas of the home and some of the resident’s bedrooms. The home continues to be well maintained, is comfortable, clean and homely. The resident’s bedrooms are decorated and furnished to reflect the individual residents personalities. The home was attractively decorated for Christmas. The manager stated that the residents had assisted with this. Requirements made at the last inspection to ensure that cleaning materials are securely stored when not in use and to ensure that the laundry door, being a fire door, remains closed have been addressed. Polesworth Group - Station Road, 32 DS0000004283.V274750.R01.S.doc Version 5.1 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 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): 32 and 35 The residents are supported in a sensitive way by a team of staff who have the necessary training, skill and experience to meet the complex needs of the residents. EVIDENCE: Examination of a sample of staff training records, discussions with staff, at this and the previous inspection of this home and observations during the inspection confirmed that the staff have the necessary knowledge and skill to support the residents and meet their complex needs. Throughout the inspection support was offered to the residents in a caring and sensitive way. Training records confirmed that the staff have received training relating to fire, manual handling, food hygiene, adult protection, infection control, first aid and medication administration. In addition training relating to palliative care, Nasogastric feeding, diabetes, autism, challenging behaviour, epilepsy and sensory impairment. The manager has also attended training relating to dementia care. Since the last inspection three staff members have been employed to work in the home. This includes a cook who works five days a week. Prior to this meal preparation had been the responsibility of the care staff. This change enables the care staff to spend more time with the residents. The manager stated that no staff members have left the home.
Polesworth Group - Station Road, 32 DS0000004283.V274750.R01.S.doc Version 5.1 Page 16 Conduct and Management of the Home
The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 39 The home regularly reviews its performance through a good programme of self-review and consultation, seeking the views of the residents, their relatives, staff and other professionals. There is evidence that the views expressed are acted upon. EVIDENCE: The Registered Manager demonstrated her competence to manage the home throughout this inspection. Systems are in place to monitor the quality of the service that is provided. This includes seeking the views of the residents, their relatives, staff and visiting professionals. Copies of questionnaires and analysis of the responses give is available in the home, this is with the exception of feedback received from visiting professionals. The manager stated that this feedback is collated and held at the organisations head office. Polesworth Group - Station Road, 32 DS0000004283.V274750.R01.S.doc Version 5.1 Page 17 In addition to the annual quality review that takes place the manager also holds meetings with each individual resident every six months. These meetings are individually tailored to enable the residents to discuss the issues that are important to them. A plan to address issues raised or make changes to the care provided is agreed during the meeting. Notes from these meetings are provided in a pictorial format using appropriate language. A representative of the organisation visits the home, under Regulation 26 of the Care Homes Regulations 2001. A copy of the report made following these visits is provided to the Commission. Polesworth Group - Station Road, 32 DS0000004283.V274750.R01.S.doc Version 5.1 Page 18 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 x 23 x ENVIRONMENT Standard No Score 24 4 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 4 33 x 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 3 14 x 15 3 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x 4 x 4 x x x x Polesworth Group - Station Road, 32 DS0000004283.V274750.R01.S.doc Version 5.1 Page 19 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. Standard Regulation Requirement Timescale for action Polesworth Group - Station Road, 32 DS0000004283.V274750.R01.S.doc Version 5.1 Page 20 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 YA35 Good Practice Recommendations It is strongly recommended that the staff team receive training relating to dementia care. Since the inspection the manager has taken action towards arranging this training. Polesworth Group - Station Road, 32 DS0000004283.V274750.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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