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Inspection on 16/02/06 for Progress House (Kilnhurst)

Also see our care home review for Progress House (Kilnhurst) for more information

This inspection was carried out on 16th February 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

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 provides good quality care for the service users with the needs of service users met. Activities provided are excellent including group and individual activities. The service users also have a good selection of holidays. The training provided to staff is very good the company have ten statutory training courses that staff have to update regularly.

What has improved since the last inspection?

The home continues to provide good quality care meeting service users needs however, due to the changes in the home no improvements have been made since the last inspection.

What the care home could do better:

CARE HOME ADULTS 18-65 Progress House (Kilnhurst) 17 Rix Road Kilnhurst Rotherham South Yorkshire S64 5TZ Lead Inspector Sarah Powell Unannounced Inspection 16th February 2006 17:50 Progress House (Kilnhurst) DS0000003137.V286848.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 Progress House (Kilnhurst) DS0000003137.V286848.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. Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Progress House (Kilnhurst) Address 17 Rix Road Kilnhurst Rotherham South Yorkshire S64 5TZ 01709 589385 01709 582111 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) Sapphire Care Services Limited Gary Hurlstone Care Home 4 Category(ies) of Learning disability (4) registration, with number of places Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th September 2005 Brief Description of the Service: Progress House is a detached property in a residential area of Kilnhurst near Rotherham. It provides care for 4 service users with learning disabilities ages 18 to 65. There is parking to the front of the property and an enclosed garden at the rear with a patio. Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second inspection in the year 2005/2006 and took place over an evening the inspection was on 16th February 2006 at 17.50 and finished at 19.20. 1 Service users and a carer were spoken to. There have been some major changes in the home since the last inspection a new Manager has been appointed and is to apply to CSCI to become registered, new support staff are in post. The home currently has one vacancy as one service users has moved. What the service does well: 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. Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 Page 6 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 Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 Page 7 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 at this inspection. EVIDENCE: Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 Page 8 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): None of these standards were assessed at this inspection. EVIDENCE: Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 Page 9 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. Service users have appropriate relationships and their rights are respected. Service users are offered a healthy diet. EVIDENCE: Service users participate in the local community using local facilities and activities in the community enabling the service users to integrate into the community meeting their needs. Staff support service users to have relationships with family and friends all service users have regular contact with family. Staff spoken to were aware that relationships had to be appropriate to protect service users as due to their learning disabilities some service users were unable to make an informed decision. The routines within the home promote independence, choice and freedom of movement within service users limitations respecting their rights. Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 Page 10 Service users are offered a healthy diet; service users will often do the shopping with a support worker two service users were out shopping with the manager at the time of the inspection. Service users also help prepare their meals. The member of Staff spoken to said all service users enjoy their meals and mealtimes. The service users will also eat out particularly if they are going out doing an activity. Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 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 the following standard(s): 20 Medication policies and procedures protect. EVIDENCE: Medication polices and procedures in the home were very good the support worker on duty told the inspector that all medication was documented on arrival, when administered and disposed of. Medication was appropriately stored. All staff that administers medication have the accredited medication training to protect service users, however it is only the manager at present that is able to give medication. Other staff members are new to post and have not completed the appropriate training. This has caused some problems but a member of staff who is currently on sick leave is due to return and this should alleviate the problem. Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 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 the following standard(s): None of these standards were assessed at this inspection. EVIDENCE: Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 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 the following standard(s): 24 The environment is homely and comfortable although some remedial work is required. EVIDENCE: The condition of the environment has deteriorated since the last inspection, many rooms need re-painting and some furniture is worn and could do with replacing in order that the environment is comfortable and safe for the service users. The home does not have a planned maintenance and renewal programme the company are aware this needs addressing and are implementing these for all the Sapphire Care homes in order a safe environment is provided for the service users. Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 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 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 Staff are competent to do their jobs and support service users. EVIDENCE: The inspector was unable to see the staff training files as the manager was not at the home and the support worker on duty was still on the induction programme. Training was discussed with the support worker and the induction programme is very thorough with all mandatory training covered to ensure service users are protected. The inspector spoke to the manager on the telephone to confirm training issues and she told the inspector that all training was up to date and she was due to commence her Registered Managers award. Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 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 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 & 42 The home is well run with health and safety promoted and maintained. EVIDENCE: The home has got good quality monitoring systems based on seeking views of service users and Regulation 26 visits are carried out to ensure service users views underpin development in the home. The home has a comprehensive health and safety policy and the manager told the inspector that all staff receive health and safety training. The manager also told the inspector that all safety certificates are kept at the home and all checks are up to date to safeguard service users. Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 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 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 2 25 X 26 X 27 X 28 X 29 X 30 X 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 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X X X 3 X X 3 X Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 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 1 Standard 23 23 Regulation YA24 YA24 Requirement Timescale for action 01/06/06 The registered provider must ensure the carpets that are badly stained are replaced. Ensure the home has a planned 01/06/06 maintenance and renewal programme so environmental standards are maintained. 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 Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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 Progress House (Kilnhurst) DS0000003137.V286848.R01.S.doc Version 5.1 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. 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