Inspection on 12/01/06 for Portland House Care Home

This inspection was carried out on 12th January 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

Portland House Care Home 05/11/08

Portland House Care Home 10/08/06

Portland House Care Home 12/09/05

Portland House Care Home 24/02/05

Portland House Care Home 15/09/04

Portland House Care Home 16/02/04

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

CARE HOME ADULTS 18-65 Portland House Care Home 113 & 146 Portland Road Nottingham NG7 4HE Lead Inspector Kim Cowley Unannounced Inspection 12th January 2006 10:00 Portland House Care Home DS0000002240.V275067.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 Portland House Care Home DS0000002240.V275067.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. Portland House Care Home DS0000002240.V275067.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Portland House Care Home Address 113 & 146 Portland Road Nottingham NG7 4HE 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) 0115 978 7840 0115 978 9995 Networking Care Partnerships (SW) Ltd Ms Catherine Moir Care Home 27 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (27) of places Portland House Care Home DS0000002240.V275067.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 12th September 2005 Brief Description of the Service: Portland House Care Home provides accommodation and care for up to 27 younger adults with mental health needs. The home consists of two units situated on opposite sides of Portland Road (the larger is known as Portland House and the smaller as Hemsley House). It is situated in a residential area close to Nottingham City Centre, and has access to public transport (including a tram service). Shops, parks, and pubs are within easy walking distance. Portland House provides spacious accommodation for residents who are mobile. Portland House Care Home DS0000002240.V275067.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was unannounced inspection that took place during an evening. When undertaking inspections the Commission for Social Care Inspection (CSCI) focuses on the outcomes for residents living in a home. In order to do this, the inspector ‘case tracked’ four residents. This means the inspector checked their care records, and met with two of them. In addition the inspector talked to three other residents, the Manager, and one of the senior carers. Further care and other records were examined. One recommendation was made and the staff team were commended. What the service does well: What has improved since the last inspection? Medication administration procedures have been reviewed and discussed with staff to ensure they are properly kept. GPs have provided written instructions to staff explaining what to do if a resident misses a dose of their medication, for example if they go out early. Portland House Care Home DS0000002240.V275067.R01.S.doc Version 5.1 Page 6 Hemsley House has been re-decorated, but areas of Portland House are still in need of improvement. The Manager has produced a detailed redecoration plan. She has submitted it, with estimates, to the Owning Body. The Manager is awaiting approval from the Owning Body and said that work will commence once she has that. The Manager has arranged with the agency that supplies relief staff to the home to provide photocopies of CRB checks and other essential documentation for these staff. While this is acknowledged, the Manager was reminded that the responsibility for employing suitable staff ultimately rests with the Registered Persons at Portland House, and it is they that must ensure that all staff employed have undergone appropriate checks. 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. Portland House Care Home DS0000002240.V275067.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 Portland House Care Home DS0000002240.V275067.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: This Standard was inspected at the last inspection on 12.09.06. Portland House Care Home DS0000002240.V275067.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 Residents are encouraged to determine their own lifestyles. EVIDENCE: Residents are encouraged to determine their own lifestyles and to make choices about how they spend their time. Records showed that since coming to Portland House some residents had become more motivated and taken up new activities. Others preferred a quieter and spent more time in their rooms and staff respected their decisions. One resident commented, ‘I decide what I do each day. Sometimes I sleep in. Sometimes I get up early. It depends on how I’m feeling.’ Another resident said, ‘My week is all planned out and I have different things to do each day. That’s how I like it.’ Portland House Care Home DS0000002240.V275067.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, 16,17 Opportunities are available for residents take part in leisure, educational, and vocational activities in the community. Residents are offered a healthy diet with plenty of choice. EVIDENCE: Records showed that all residents have been consulted about their social, educational, and vocational interests, and that staff are working with them to help them achieve their aims. On resident commented, ‘I was asked what I wanted to do and I said I might like to go to college so staff are looking into that for me.’ Since the last inspection some residents have taken part in a 12 weeks ‘Art in Mind’ project and attend workshops in photography, poetry, painting, and music. This culminated in an exhibition of their work. Portland House Care Home DS0000002240.V275067.R01.S.doc Version 5.1 Page 11 The home doesn’t have its own transport but residents can apply for a pass, which allows them free use of local trams and buses. Residents also go to local pubs and shops and use other community facilities. The Manager said most of the residents are fairly independent and have developed their own individual lifestyles. One resident described his typical week, which included a full programme of activities including classes in basic skills and cookery, shopping, college and day services, family visits, and crafts in the home. The home employs a full time chef. Breakfast is cereal and toast during the week and cooked at weekends. Lunch is a hot or cold snack. Tea is the main meal of the day and is served at 5pm. Residents were having tea during the inspection. This consisted of pork casserole or fish fingers, with beans, potato wedges, and salad, and a range of standard alternatives (including soup, omelette, and jacket potatoes). Dessert was strawberry mousse or melon. Meals are prepared in the main kitchen and brought into the dining room in a catering trolley. One resident said he didn’t like queuing up at the trolley to be served, and would rather have his food brought to him at the table. This was discussed with the Manager who said she was happy to look at an alternative way of serving food if that was what residents wanted. It is recommended that this issue is raised at the next residents’ meeting, or via key workers, to see what residents prefer. Portland House Care Home DS0000002240.V275067.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: This Standard was inspected at the last inspection on 12.09.06. Portland House Care Home DS0000002240.V275067.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): 22 Residents are listened to and staff encourage them to express any concerns they may have. Complaints are taken seriously and responded to. EVIDENCE: The home has a Complaints Procedure, which is printed in the service users’ guide, and also displayed in the entrance to the home. Records showed that all complaints, however minor, are taken seriously and responded to, with action taken where appropriate. All residents interviewed were aware of the complaints procedure and said they would have no hesitation in complaining if they felt they needed to. Comments included: ‘If I wasn’t happy about something I’d tell Molly (a senior carer) or someone else, any member of staff would do.’ ‘If there was anything wrong I think the staff would do something about it if they could.’ ‘I’d tell Molly or the Manager if I had a complaint.’ Portland House Care Home DS0000002240.V275067.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): EVIDENCE: This Standard was inspected at the last inspection on 12.09.06. Portland House Care Home DS0000002240.V275067.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, 35 The home is staffed by a team of friendly and well-trained care workers who were praised by the residents. EVIDENCE: The home is well staffed. At Portland House there are three carers and the Manager on duty during the day, plus ancillary staff (the cook, two domestics, the maintenance man, and an administrator). At night there are two waking carers. Helmsley House has one member of staff on duty at all times. All new staff have a week’s induction during which time there are supernumary. After 12 weeks they are appraised by the Manager and signed off if considered competent. Their future training needs are then discussed. Short training courses are provided by a local training centre and include: Alcohol Awareness Drug Awareness Mental Health Awareness Learning Disability Awareness NAPPI Safe Holding Techniques Health and Safety Basic Food Hygiene Mental Health Awareness Portland House Care Home DS0000002240.V275067.R01.S.doc Version 5.1 Page 16 NVQs are established in the home. The Manager is doing the Registered Managers Award, the Care Manager and two seniors are doing Level 3. One member of staff said, ‘The training here is good and we always have access to the Internet if we want to look anything up.’ All residents interviewed praised the staff team and the following comments were made: ‘I like the staff – they’re friendly.’ ‘I have a laugh with Molly and Keith (staff members).’ ‘Molly is one of the best.’ ‘When I hear voices I call for the staff and they advise me what to do.’ During the inspection it was observed that relationships between staff and residents were excellent, being warm and professional, and this is commended. Portland House Care Home DS0000002240.V275067.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): 39 Residents’ views are taken into account when decisions are made about the home. EVIDENCE: Residents’ views are gathered in a number of ways. Staff interact informally with residents, joining them for meals and in the lounges to chat. In this way staff are able to build relationships of trust with residents, enabling to speak out openly about the home. Formal residents’ meetings are held every month. Staff facilitate these and minutes are taken. The Manager does not attend these meetings unless specifically invited, but said she reads and acts on the minutes. In addition key workers ask residents for their views, and these are shared with the Manager if residents wish. Portland House Care Home DS0000002240.V275067.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 3 23 X ENVIRONMENT Standard No Score 24 25 26 27 28 29 30 X 3 X X X X X X X X X X LIFESTYLES Standard No Score 11 3 12 X 13 3 14 X 15 3 16 3 17 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 DS0000002240.V275067.R01.S.doc 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Portland House Care Home Score X X X X X X 3 X X X X Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO 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 YA17 Good Practice Recommendations Alternative ways of serving food should be considered so that residents who don’t want to stand in a queue don’t have to. Portland House Care Home DS0000002240.V275067.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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 Portland House Care Home DS0000002240.V275067.R01.S.doc Version 5.1 Page 21 - 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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