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Inspection on 20/06/05 for Polesworth Group Pooley Heights

Also see our care home review for Polesworth Group Pooley Heights for more information

This inspection was carried out on 20th June 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home continues to provide a valuable respite service for local people who need and benefit from such a service. It provides a friendly, well-organised service on a homely, domestic scale, in which people using the service readily feel comfortable and at ease.

What has improved since the last inspection?

The deputy manager is working on completing the previous recommendation that all assessments are completely up to date.

What the care home could do better:

The completion of the recommendation, as above, will ensure that the home is fully aware of any changes in the needs of users of the service.

CARE HOME ADULTS 18-65 Polesworth Group - Pooley Heights Pooley Heights Polesworth Staffordshire B78 1JA Lead Inspector Martin Brown Unannounced 20 June 2005 3.15pm 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. Polesworth Group - Pooley Heights E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Polesworth Group - Pooley Heights Address Pooley Heights Polesworth Staffordshire B78 1JA 01827 894197 01827 892500 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) Polesworth Group Homes Limited Mrs Elizabeth Boucher PC 6 Category(ies) of LD 6 registration, with number PD 1 of places Polesworth Group - Pooley Heights E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 31 January 2005 Brief Description of the Service: Pooley Heights is part of the Polesworth Group Homes Ltd. The company was established in June 1991 with the aim of providing accommodation and support to people with learning disabilities. Pooley Heights is a large, detached bungalow in a rural setting on the outskirts of the village of Polesworth near Tamworth. Many local shops and services are within walking distance. The service provides five planned short stay and one emergency care places. There are around forty service users who have regular short stays. The property has been extended to provide four single bedrooms and one double bedroom. Three single bedrooms and the double bedroom have en-suite facilities and the fifth bedroom is adjacent to a bathroom that includes corner bath, shower, toilet and basin. There is a garden backing onto open fields that has a decked area and lawns with flowerbeds. There are level walkways in the garden with wheelchair access and ramps. There is an eight seater “People Carrier” that provides transport for the service users and public transport also passes the end of the road. All placements at Pooley Heights are currently commissioned by Warwickshire Social Services. Polesworth Group - Pooley Heights E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection on a weekday afternoon/evening, lasting approximately three hours. Staff and service users were friendly, welcoming and helpful. There were five service users at the home during the inspection, some having just arrived for respite, and some who had been there for a number of days. All had been for respite at Pooley Heights before, and were familiar with it. A friendly, easy-going and sociable atmosphere prevailed in the home. What the service does well: What has improved since the last inspection? What they could do better: The completion of the recommendation, as above, will ensure that the home is fully aware of any changes in the needs of users of the service. Polesworth Group - Pooley Heights E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 Page 6 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 - Pooley Heights E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 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 Polesworth Group - Pooley Heights E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 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) 2,5 The home is able to meet service users’ assessed needs and wishes, and has procedures in place to ensure that it does not accept respite placements for people whose needs it could not meet. EVIDENCE: The statement of purpose is a clear concise document setting out the aims of the home; leaflets are readily available in the home outlining what the organisation, and each home within that organisation, offers. Placement agreements were seen for individual service users; these are in the process of being reviewed, in line with a recommendation following the previous inspection. The manager was able to satisfactorily explain the process by which the home ascertains that it can meet the needs of service users, including emergency placements. Polesworth Group - Pooley Heights E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 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) 6,7,8,9,10 Service users are appropriately supported during their stay at the home; risk assessments and guidelines are in place to help encourage service users’ independence within safe boundaries. EVIDENCE: Individual care plans provide sufficient information about each service user to ensure that their individual needs and wishes are met. Risk assessments are detailed, according to need, and reviewed regularly. Risk assessments are listed, and the management of each assessment is listed following these. Service users were given choices about activities during the inspection; staff advised that varying options are available for service users who are not otherwise engaged, during the day, with the home’s eight-seater ‘people mover ‘ being available. Personal files are kept securely in the main office, and transferred over to the sleep-in room/office for the duration of a person’s stay. Polesworth Group - Pooley Heights E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 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 standard(s) 1213,15,16,17. Service users are supported to continue activities, or are able to take part in alternative ones, during their stay at Pooley Heights. EVIDENCE: A vehicle is available and was used during the inspection for a short trip out, which most service users chose to go on. Other than that, most service users were content watching television, re-acquainting themselves and chatting with other service users and staff. Some service users talked enthusiastically about their interests, especially, in the case of the men, sport. Transport is available to access the local community; service users reacted positively to being at the home, although one person acknowledged that he would prefer to be in his own family home. Service users enjoyed their evening meal in a relaxed, friendly manner, spending time chatting and joking at the dinner table. Polesworth Group - Pooley Heights E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 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) 18,19,20 The home is able to meet the personal and healthcare needs of the people who use its respite service. EVIDENCE: The home clearly sets out what sorts of needs it can meet, and individual care plans detail these and how they are met during people’s stay at the home. A positive atmosphere prevailed throughout the home, helping people to rapidly adjust and enjoy a stay that could, for some, potentially be a less than welcome experience. There is one double room. The manager was able to explain how the admissions procedure ensured that this room was always used by people who were happy to share. On the day of the inspection, this had the one vacant bed. Medication records were seen to be satisfactory; guidelines for self-medication were in place where appropriate. Polesworth Group - Pooley Heights E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 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) 22,23 There is no reason to think other than service users are protected from abuse, neglect and self-harm, and that their views are listened to and acted on. EVIDENCE: A complaints policy is in place; a pictorial guide to it was in place on the wall. Service users were not particularly interested in talking about the care in the home or whether they had any complaints; they were far keener to talk about their hobbies and interests. Service users have respite at the home for varying periods, and have contact with other agencies, relatives and social services. When they could be encouraged to talk about the respite service, they were positive about it. Polesworth Group - Pooley Heights E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 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) 24,25,26,27,28,29,30 The home is a safe, comfortable, ‘home from home’ for the people using it. EVIDENCE: The home was clean, tidy and well-maintained throughout. The outdoor area is accessible through use of a discrete ramp. There are three single bedrooms with en-suite, one double room with en-suite and one single room with an adjacent bathroom. The conservatory is used as a dining area; one service user said they had eaten outside the day before because the weather was nice, but that it had been too windy. Polesworth Group - Pooley Heights E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 Page 14 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) 31,32,33,34,35,36 People using this respite service are supported by competent and wellsupported staff. EVIDENCE: Staff training records were seen. Training for staff is up-to-date and ongoing. Two staff were on duty, which was seen as sufficient to meet the needs of the people having respite at the home. One staff member was relatively new, having recently moved there from one of the organisation’s other homes, but had soon ‘slotted’ in, being confident and at ease with the home and the service users. The manager advised that there is always a senior person oncall to give advice or support, in the rare of event of this being required. Appropriate details of satisfactory CRB checks were seen. Staff are suitably supported and supervised. Polesworth Group - Pooley Heights E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 Page 15 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) 37,38,39,42 The home is run safely and competently, for the benefit of the people using it as a respite service. EVIDENCE: Mrs. E. Boucher is the registered manager; Leigh Anne Smith is the deputy manager. It is now planned that the deputy manager applies to be the registered manager. Gas, electric, and fire certificates were all up-to-date. there are regular fire and lighting tests recorded. There are two large fire extinguishers in the hallway; one, in particular, is a potential obstruction; a service user knocked against it whilst walking along the hall. The deputy advised that there are six-weekly service user meetings, and annual meetings with carers, as well as Quality Assurance questionnaires. Polesworth Group - Pooley Heights E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 Page 16 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 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 x 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Polesworth Group - Pooley Heights Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 Page 17 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 There are no requirements arising from this inspection. 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. 2. 3. Refer to Standard 9 38 42 Good Practice Recommendations it is recommended that each risk assessment, and its management, is put together, rather than listed separately. It is recommended that the deputy manager apply to become registered manager. It is recommended that the home discusses with the fire officer the siting and need for large extinguishers. Polesworth Group - Pooley Heights E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection 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 © 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 Polesworth Group - Pooley Heights E53 S4282 PGH - Pooley Heights V234249 200605 stage 4.doc Version 1.30 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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