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Inspection on 28/09/05 for Progress House (Kilnhurst)

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

This inspection was carried out on 28th September 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 provides good quality care for the service users with the needs of service users met. The service users spoken to said staff were very good and supported them appropriately in order that there needs were met. Activities provided are excellent including group and individual activities. The service users have also had a good selection of holidays, which were thoroughly enjoyed by the service users, and one further holiday is booked in October, which the service users were very excited about.

What has improved since the last inspection?

The training has again improved with the new company reviewing training needs of all staff. The company have ten statutory training courses that staff have to update regularly. The ten are; health and safety, first aid, adult protection, infection control, challenging behaviour, fire awareness, equal opportunities, food hygiene, moving and handling and COSHH. The manager has completed the induction training provided by the new company and new policies and procedures will gradually be introduced. The home now has access to a computer and is able to get on-line which improves communication throughout the company.

CARE HOME ADULTS 18-65 PROGRESS HOUSE 17 Rix Road Kilnhurst Rotherham S64 5TZ Lead Inspector Sarah Powell Unannounced 28 September 2005; 14.45 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. PROGRESS HOUSE 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Progress House Address 17 Rix Road Kilnhurst Rotherham South Yorkshire S64 5TZ 01709 589385 01709 582111 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) Sapphire Care Services Ltd Mr Gary Hurlstone PC Care Home only 4 Category(ies) of LD Learning Disability: 4 registration, with number of places PROGRESS HOUSE 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14 March 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 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first inspection in the year 2005/2006 and took place over an afternoon and evening the inspection was on 28 September 2005 at 14.45 and finished at 17.45. 3 Service users, a carer and the manager were spoken to. Since the last inspection the company owners have changed it is now owned by Craegmoor although the company name stays the same Sapphire care services. What the service does well: What has improved since the last inspection? The training has again improved with the new company reviewing training needs of all staff. The company have ten statutory training courses that staff have to update regularly. The ten are; health and safety, first aid, adult protection, infection control, challenging behaviour, fire awareness, equal opportunities, food hygiene, moving and handling and COSHH. The manager has completed the induction training provided by the new company and new policies and procedures will gradually be introduced. The home now has access to a computer and is able to get on-line which improves communication throughout the company. PROGRESS HOUSE 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 Page 6 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 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 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 PROGRESS HOUSE 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 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 The needs of all prospective service users are assessed EVIDENCE: Three of the service users at Progress house have lived there a number of years the fourth service user moved in last year and their needs were fully assessed prior to moving into Progress House. The manager is also aware of the need to fully assess prospective service users to ensure the needs of the service users are identified and can be met also taking into consideration the existing service users. PROGRESS HOUSE 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 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 & 9 All service users have a care plan are able to make decisions and take risks as part of an independent lifestyle. EVIDENCE: Each service user has a plan of care reflecting their changing needs and personal goals. These were seen during the inspection and contained all the relevant information for staff to meet the needs of the individuals. The service users spoken to were aware of their care plans some liked to be involved and others did not want to be involved. Service users are supported to make decisions this was evident from speaking to the service users. This is well documented in the plans of care. If was also evident they were allowed to make decisions as the service users were deciding where to go and what to do the evening of the inspection, they eventually decided between themselves they wanted a quiet night in. Service users are able to take responsible risks staff give information and support to enable service users to do this as part of an independent lifestyle. PROGRESS HOUSE 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 Page 10 The risk assessments in the care plan were detailed and comprehensive to ensure needs of service users are met. The care plans were in the process of being reviewed with the changes that have occurred within the company, this should improve the plans of care further. PROGRESS HOUSE 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 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 standard(s) 12 & 14 Service users take part in appropriate activities and have opportunities for personal development. EVIDENCE: Staff support service users to continue their education or learn new skills. Three service users attends day centres Monday to Friday and the other attends a college in Worksop Monday to Friday Speaking to the service users their needs regarding education are fully met. When not attending college or day centres the service users have a full programme of activities these are in the plans of care. The activities programme is drawn up with the involvement of the service users and are flexible to ensure the needs of the service users are met. The service users said they enjoy the activities and are able to choose what they would like to do sometimes this is as a group or individually. On the evening of the inspection they were deciding what to do they eventually decided to stay in this was a group decision with all service users in agreement. PROGRESS HOUSE 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 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 standard(s) 18 & 19 Health care needs of service users are met and personal support is provided in the way service users prefer. EVIDENCE: Service users within Progress House are able to maintain their own personal care with minimum support from the staff this is documented in the plans of care. Service users choose their own clothes and hairstyles to reflect their personality this was confirmed by the service users. Health care needs of service users are maintained, all service users are registered with a GP. All access local dentists, chiropodists and opticians. They also receive an annual health check from their GP’s. This was all documented in the care plans, the service users also told the inspector they go to these appointments assisted by staff. One service users went to the Doctors during the inspection supported by a member of staff, the service user confirmed this was usual and you were able to choose the member of staff you would prefer to go with. PROGRESS HOUSE 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 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 standard(s) 22 & 23 Service users are protected from abuse and their views are listened to. EVIDENCE: There is a clear and effective complaints procedure, which includes set timescales. The complaints procedure also states that the CSCI can be contacted at any time. The home had received no complaints in the last twelve months. The Inspector has seen a policy and procedure regarding service user protection from abuse and this sets the framework for a robust response to any suspicion or evidence of abuse or neglect. Whistle blowing was also included in the policy, this however is currently being reviewed and will be replaced with a new policy and procedure in line with the new companies policies and procedures. All staff have received training on adult protection to ensure the service users are protected. PROGRESS HOUSE 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 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 standard(s) 30 The standard of cleanliness throughout the home was good. EVIDENCE: The areas of the home observed by the inspector were very clean, however some areas required re-painting and a carpet in the second sitting area was badly stained. The Manager told the inspector that they are to be allocated a maintenance budget in order to maintain the home to a high standard this is in the process of being implemented. The Service users told the inspector that they clean their bedrooms with the help of staff to ensure they maintain independent living skills. PROGRESS HOUSE 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 34, 35 & 36 The homes recruitment process protects Service users and staff are appropriately supervised and trained to meet the needs of the service users. EVIDENCE: The staff personal files were looked at these contained all the required information, completed application form, two written references, CRB checks and all other relevant information to protect service users. Records of staff supervision were also seen these were up to date and cover all areas of practice required to ensure staff are able to meet the needs of the service users. The training has again improved with the new company reviewing training needs of all staff. The company have ten statutory training courses that staff have to update regularly. The ten are; health and safety, first aid, adult protection, infection control, challenging behaviour, fire awareness, equal opportunities, food hygiene, moving and handling and COSHH. The training matrix is accessed on line and is easy to follow which member of staff requires training update the matrix is returned to head office monthly and if there are and “red flags” this means if some training has not been carried out then the PROGRESS HOUSE 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 Page 16 manager has to give a good reason why this is to ensure staff are appropriately trained to met the needs of service users The manager told the inspector he had noticed that medication training was not included in the mandatory training and it should be he was following this up to ensure it was included as all staff who administer medication must have received training to safeguard the service users. PROGRESS HOUSE 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 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 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 The home is well run with a qualified competent manager. EVIDENCE: The manager has registered on the Registered Managers award and commenced the units and hopes to complete the course within six months. The service users said the manager was great he understood their needs and they could easily talk to him and he would listen and remedy problems and concerns that they raised. PROGRESS HOUSE 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 Standard No 11 12 13 14 15 16 17 x 4 x 4 x x x Standard No 31 32 33 34 35 36 Score x x x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 PROGRESS HOUSE Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x x x x x x 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 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. 1. 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 YA30 Good Practice Recommendations Ensure the maintenance budget is allocated to the home to ensure the standards are maintained. PROGRESS HOUSE 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 Page 20 Commission for Social Care Inspection First Floor, Barclay Court Heavens Walk 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 20050922 Progress House X00023 UN Stage 4 S3137 V196240 J55.doc Version 1.40 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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