Inspection on 12/01/06 for Primrose House

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

Primrose House 01/08/06

Primrose House 03/12/04

Primrose House 17/06/04

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Primrose House 19 Sandhill Court Farnborough Hampshire GU14 8EP Lead Inspector Debbie Oliver Unannounced Inspection 12 January 2006 2:00 th Primrose House DS0000059611.V272665.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 Primrose House DS0000059611.V272665.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. Primrose House DS0000059611.V272665.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Primrose House Address 19 Sandhill Court Farnborough Hampshire GU14 8EP 01252 514795 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) jhon@dsl.pipex.com Mrs Juliana Hon Mrs Juliana Hon Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Primrose House DS0000059611.V272665.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. All proposed extension work as advised is completed satisfactorily within the timescales agreed as at 2 February 2004. One named service user may be accommodated in the MD(E) category who is over 65 years old. 20th April 2005 Date of last inspection Brief Description of the Service: Primrose House is a six bedroom detached house in a cul-de-sac in a quiet area of Farnborough. It is accessible to the local shops and public transport. Mrs Juliana Hon is both the registered provider and the registered manager. The home is registered to provide care and accommodation to six service users who have a learning disability. The home comprises of six single bedrooms, a sitting room, dining room, kitchen and laundry facilities. The home also has a garden providing additional recreational space. Primrose House encourages service users to achieve a fulfilled and varied lifestyle. Primrose House DS0000059611.V272665.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over three hours. The manager was available for the latter part of the inspection and the staff on duty and the service users also assisted with the visit. Many of the core standards were inspected during the previous visit on 20th April 2005; therefore referral to both reports will give a full overview of the service. An opportunity was taken to look around parts of the home, view some records and talk to two staff and five service users. Throughout the visit it was evident there is a relaxed and supportive atmosphere. Relatives were not visiting on the day of inspection. What the service does well: What has improved since the last inspection? One service user’s quality of life has improved by reducing their medication that was prescribed for their behaviour many years ago. Since the last inspection the complaints procedure is now in a pictorial format making it accessible to everyone. All staff are now aware of one particular service user’s medical condition. Since the last inspection the manager has now included her hours on the rota and has included how many service users are in the home during evenings and Primrose House DS0000059611.V272665.R01.S.doc Version 5.1 Page 6 weekends, this now ensures at a glance whether the staffing levels are always adequate when service users go home or are at college. 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. Primrose House DS0000059611.V272665.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 Primrose House DS0000059611.V272665.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): None of these standards were assessed on this occasion as the core standards were inspected at the last visit and found to be satisfactory. EVIDENCE: Primrose House DS0000059611.V272665.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 Service users make decisions about their lives with assistance as needed. EVIDENCE: Service users confirmed they are supported to make decisions and this is done by telling staff what they want or some service users show staff such as taking them to the kitchen if they want something to eat and drink. During the inspection one service user made themselves a milkshake, as they didn’t want the cup of tea offered. Another service user cleared all the cups away and washed and dried them up without being encouraged to do so. Staff spoken to said they support service users with the decisions they make. Primrose House DS0000059611.V272665.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): 15 and 17 Service users have good relations and support from friends and family. Service users are offered plenty of fresh food with lots of choices to enable a balanced and healthy diet. EVIDENCE: Service users spoken to confirmed they have good family contact. Over the Christmas holiday most service users went home to visit their families. Another service users recently had a birthday party and all their family attended. They also confirmed they have made many friends whilst attending college. The menu was seen and showed a varied and balanced diet. On the day of the inspection plenty of fresh fruit and vegetables were available. Staff said menus are devised during service user meetings and picture cards are used to assist service users to choose what they wish to eat. One service Primrose House DS0000059611.V272665.R01.S.doc Version 5.1 Page 11 user spoken to said they will prepare an alternative if they don’t like what is on the menu. Some service users go into the kitchen and choose what they want to eat and drink and prepare it themselves, this was seen on the day of the inspection. Primrose House DS0000059611.V272665.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): 19 Service users’ physical and emotional health needs are met. EVIDENCE: All areas of standard 19 were inspected during the last visit but one staff member was not clear on the medical condition of one service user. The manager confirmed this has been discussed at team meetings and all staff understand. The staff on duty spoken to was very clear on the condition. Primrose House DS0000059611.V272665.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 Arrangements for responding to concerns are satisfactory. EVIDENCE: Since the last inspection the complaints procedure is now in a pictorial format and the manager agreed to display this on the notice board in the lounge so everyone has access to it. Staff spoken to were clear on what to do if they received a complaint or had a complaint themselves. Two service users spoken to had certain staff members they would go to if they had a worry or concern. There have been no new complaints. Primrose House DS0000059611.V272665.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): 30 The home is clean and hygienic EVIDENCE: The home was clean and tidy on the day of the inspection. The home has a suitable laundry room with all the necessary equipment available including gloves and aprons. One service user spoken to said they do all their own laundry. Primrose House DS0000059611.V272665.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): 33, 34 and 35 There is a good skill mix of well trained staff to support service users. The relevant recruitment practices in place ensure service users are protected. EVIDENCE: The inspector viewed two staff files and all contained criminal record bureau checks, application forms, references and a health check. Staff spoken to have many years experience in this field of work and have received lots of training such as activities and reminiscence, communication workshop and administration of medicines. The training records of the staff spoken to confirmed this. The manager confirmed staff are booked to attend first aid training. Staff spoken to said they have regular supervision. Since the last inspection the manager has now included her hours on the rota and has included how many service users are in the home during evenings and weekends, this now ensures at a glance whether the staffing levels are adequate when service users go home or are at college. Primrose House DS0000059611.V272665.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 is managed efficiently and service users benefit from a well run home. Service users views are sought to ensure they are involved in the selfmonitoring, reviewing and development of the home. EVIDENCE: The registered manager is also the owner with the skills and experience to manage the home. She has been registered for many years and is also a registered nurse. Staff spoken to said the manager is approachable and easy to work with. There are regular service user meetings to gain the views of service users and the minutes of these meetings were viewed. It shows service users asking to go on holiday and for meals out, which is now happening. Primrose House DS0000059611.V272665.R01.S.doc Version 5.1 Page 17 In November questionnaires were sent out to service users, relatives, social services and health service professionals. The home received three from service users and two from relatives. A report has been devised to show the outcome of the findings and the inspector viewed this. The home also offers informal discussions with families when they visit their relatives in the home. Primrose House DS0000059611.V272665.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 X 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 3 35 3 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 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X 3 X 3 X X X X Primrose House DS0000059611.V272665.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. Refer to Standard Good Practice Recommendations Primrose House DS0000059611.V272665.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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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