CARE HOME ADULTS 18-65
Polesworth Group - Friary Road, 8 8 Friary Road Atherstone Warwickshire CV9 3AG Lead Inspector
Catherine Mundy Unannounced Inspection 21st February 2006 04:20 Polesworth Group - Friary Road, 8 DS0000004281.V284343.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 - Friary Road, 8 DS0000004281.V284343.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 - Friary Road, 8 DS0000004281.V284343.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Polesworth Group - Friary Road, 8 Address 8 Friary Road Atherstone Warwickshire CV9 3AG 01827 718066 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 Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Polesworth Group - Friary Road, 8 DS0000004281.V284343.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 20th July 2005 Brief Description of the Service: 8 Friary Road is a registered care home providing 24-hour personal support to six adults with learning disability. Friary Road was established in 1992 and is part of Polesworth Group Homes Limited, a voluntary organisation and registered charity. 8 Friary Road is a large semi-detached house situated on the outskirts of the small market town of Atherstone in Warwickshire and close to all local services and facilities. There are six single bedrooms; each service user has their own room, which contains a wash hand basin. Shared space comprises of a spacious kitchen, a large lounge with dining area, and utility room. There are three bedrooms on the ground floor, a shower room and bathroom with shower, bath, toilet and wash hand basin. There are three further bedrooms on the first floor of the house, and the staff sleepover/office room. There is a further bathroom with toilet, basin and shower cubicle on the first floor. The premises are well maintained. Decor, furniture and fittings are of a good quality.Outside there is a driveway and car parking to the front of the property and to the rear, a spacious private garden, which is well maintained and includes a vegetable patch, patio area, shed and greenhouse. Polesworth Group - Friary Road, 8 DS0000004281.V284343.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. This inspection focuses on the key standards that were not inspected during the first inspection. For a full overview of this service this report should be read alongside that made following the inspection that took place on 20th July 2005. This inspection was unannounced and took place on 21st February 2006, between 4.20pm and 6.30 pm. The inspection included a tour of the communal areas of the home, examination of a sample of residents files, discussions with residents, staff and the manager and observation of the interactions between residents, staff and their environment. The manager has completed a pre-inspection questionnaire and feedback cards have been completed by two of the residents relatives. What the service does well:
The feedback received from the residents was extremely complimentary of the service that is provided. The residents stated that they were happy and enjoyed living in the home. Observations of the interactions between the residents, the staff and their environment indicated that the residents were comfortable and relaxed. Feedback received from relatives is also complimentary, indicating that they are satisfied with the care that is provided. One relative stated ‘ I am absolutely delighted with the care and attention that my brother receives’. The residents said that the quality of the food is good and that they enjoy their meals. The residents take it in turns to choose the following days meals. They confirmed that if they don’t like the meal chosen an alternative is provided. The residents share responsibility for the day-to-day running of the home. A rota of chores has been developed, this includes washing up, helping to prepare the meal, preparing lunch boxes, vacuuming, dusting, putting out the rubbish and laying the table. Staff support is provided if required. The residents said that they enjoy helping around the home. The home is nicely decorated and furnished, on the day of the inspection it was very clean and tidy. Polesworth Group - Friary Road, 8 DS0000004281.V284343.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. Polesworth Group - Friary Road, 8 DS0000004281.V284343.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 - Friary Road, 8 DS0000004281.V284343.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): x EVIDENCE: Standards 1,2 ,3 and 4 were assessed and met at the last inspection of this home and were not inspected on this occasion. Polesworth Group - Friary Road, 8 DS0000004281.V284343.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): 7 The residents are supported to make decisions regarding their everyday lives, and can be confident that the decisions they make are respected by the home. EVIDENCE: Discussions with the residents confirmed that the home continues to support them to make decisions regarding their every day lives. These include meals provided, activities pursued, holidays and personal clothing. The residents were asked by the staff if they wished to take part in the inspection, one residents stated that he did not. This decision was respected by the home. The residents permission was also sought before care plans and life history documents were shown to the inspector. The residents stated that the home continues to hold regular residents meetings, which provide a forum to air views and make group decisions regarding the running of the home. The residents goals and aspirations are clearly recorded in their ‘dream books’. These books also record the progress made by the residents towards achieving their goals. These are produced in a pictorial format with text to explain, in the
Polesworth Group - Friary Road, 8 DS0000004281.V284343.R01.S.doc Version 5.1 Page 10 residents own words, their wishes and feelings once ‘the dream’ has been accomplished. Discussions with the residents confirmed that the decisions that they make are respected by the home. The manager explained that on the rare occasions when requests made can not be met a compromise is agreed. Polesworth Group - Friary Road, 8 DS0000004281.V284343.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): 16 and 17 The meals provided by the home are good, offering the residents choice and variety. The residents are supported to maintain and develop their independence and are actively encouraged to participate in the day-to-day running of the home. It is clear that the residents value the responsibilities that they have been given. EVIDENCE: Standards 12, 13, 14 and 15 were assessed and met at the last inspection of this home and were not inspected on this occasion. Discussions with the residents, examination of records relating to meals and the homes food stocks confirmed that the residents are provided with a varied and balanced diet. On the days prior to the inspection the meals provided included braised steak in red wine, roast turkey, pork chops and sausage and chips, with a takeaway or meal out on a Wednesday. Ample stocks of fresh fruit and vegetables were available.
Polesworth Group - Friary Road, 8 DS0000004281.V284343.R01.S.doc Version 5.1 Page 12 The evening meal on the day of the inspection was steak pie with potatoes, carrots, cabbage and broccoli with a choice of chocolate cake or trifle for desert. Meals are eaten together at the kitchen table. The atmosphere at meal time was relaxed. The residents stated that they enjoy the meals that are provided. The residents confirmed that they take it in turns to choose the evening meal that will be provided the following day. They confirmed that if someone does not like the meal that is chosen an alternative is provided. This is evident in the records maintained. During the inspection the residents were observed to have free access to the communal areas of the home and to make a choice as to whether to spend time alone or socialise in the lounge and kitchen. The care plans examined included detailed information relating to the residents preferred daily routine, these are provided in written format and easy read formats using pictures. The residents each have a copy of their care plans. The residents confirmed that they are actively involved in the running of the home. There is a rota that details each residents responsibilities with regard to this. This is clearly displayed in the home, although the residents are fully aware of the chores that they are to complete. These include putting the rubbish out, dusting, vacuuming, laying the table, meal preparation, washing up and unpacking the dishwasher. Each residents is responsible for their own bedroom. The staff confirmed that support is available if required. The residents confirmed that they had contributed to the preparation of the evening meal, by peeling the vegetables and setting the table. They were observed to help each other to clear away after the meal. One resident was preparing his lunch box for the following day. Observations during the inspection and discussions with the residents and staff confirmed that the residents enjoy the responsibilities that they have. Polesworth Group - Friary Road, 8 DS0000004281.V284343.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): x EVIDENCE: The key standards within this section were met at the last inspection of this home and so not inspected on this occasion. Polesworth Group - Friary Road, 8 DS0000004281.V284343.R01.S.doc Version 5.1 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 the following standard(s): X EVIDENCE: The standards within this section were assessed and met at the last inspection of this home and were not inspected on this occasion. Polesworth Group - Friary Road, 8 DS0000004281.V284343.R01.S.doc Version 5.1 Page 15 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 a comfortable and homely place to live. EVIDENCE: The inspection included a tour of the communal areas of the home are comfortable, clean and homely. Décor and furnishings are of good quality and well maintained. Some new ornaments and a lamp have recently been purchased, the residents were keen to show these to the inspector. There is a plan to lay new tiles in the hallway. The requirement made at the last inspection to change the lock on the first floor bathroom to enable the staff to access in the event of an emergency has been addressed. The laundry facilities provided are appropriate for the needs of the home. The manager and residents stated that a new washing machine is to be fitted on the day following the inspection as the current machine is noisy. The home is clean, tidy and free from unpleasant odour. Polesworth Group - Friary Road, 8 DS0000004281.V284343.R01.S.doc Version 5.1 Page 16 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): X EVIDENCE: Standards 32, 33, 34, 35 and 36 were met at the last inspection and so not assessed on this occasion. Polesworth Group - Friary Road, 8 DS0000004281.V284343.R01.S.doc Version 5.1 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 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): X EVIDENCE: The Key standards within this section were met at the last inspection and so not assessed on this occasion. Polesworth Group - Friary Road, 8 DS0000004281.V284343.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 3 25 X 26 X 27 X 28 X 29 X 30 3 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 X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X X X Polesworth Group - Friary Road, 8 DS0000004281.V284343.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 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 YA39 Good Practice Recommendations It is recommended that the home seek advocacy which is external to the home to support the residents when completing satisfaction questionnaires. The home has made good progress towards meeting this recommendation. Polesworth Group - Friary Road, 8 DS0000004281.V284343.R01.S.doc Version 5.1 Page 20 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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