Inspection on 12/12/06 for Prospect House

This inspection was carried out on 12th December 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

Prospect House 09/03/06

Prospect House 10/08/05

Prospect House 16/02/05

Prospect House 15/09/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

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

CARE HOME ADULTS 18-65 Prospect House Woodlands Avenue Goole East Yorkshire DN14 6RU Lead Inspector Rob Padwick Unannounced Inspection 12th December 2006 1:45 Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 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 Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 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. Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Prospect House Address Woodlands Avenue Goole East Yorkshire DN14 6RU 01405 761026 01405 720112 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) Humberside Independent Care Association Limited Mrs Wendy Beck Care Home 24 Category(ies) of Learning disability (24) registration, with number of places Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th March 2006 Brief Description of the Service: Prospect House is situated in a residential area on the outskirts of Goole. The home provides care and accommodation for up to twenty four younger adults who have a learning disability. The accommodation is split into four separate units each having their own lounge, kitchen, dining area and bathroom facilities. Each unit accommodates six service users and the units on the first floor are serviced by a passenger lift. Service users have been encouraged to personalise their own bedrooms. The home is situated conveniently for local facilities including shops, hairdressers and the local hospital. The town centre is within walking distance and there is also easy access to local public transport. Prospect House is owned and operated by Humberside Independent Care Association Ltd, a not for profit organisation. The standard fee charged by the home is £ 447 with additional charges made for hairdressing, chiropody, toiletries etc. Prospect House provides information about the home to residents in its Statement of Purpose and Service User Guide. Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit for this service lasted for 5 hours and included a tour of the building and checking the progress in implementing the requirements and recommendations from the previous inspection. During the visit, time was spent with the residents, observing their daily lives and talking with them. Other time was spent reading care plans and files and talking to staff. A Pre Inspection Questionnaire asking for information about the home was sent to the manager before this visit and information from this was included as part of the inspection process. Other information that was used included reports from monthly visits carried out by a senior manager from the parent company and notifications received by the Commission for Social Care Inspection about serious incidents that had taken place in the home. Questionnaires were sent out to relatives and Health and Social Services staff associated with the home. Four replies were received from the group of relatives who were contacted, all of these commented favourably about the home, but one of these expressed some concerns about the staffing levels in the home. These concerns however, could not be substantiated from evidence obtained as part of this inspection visit. Three comment cards were returned from professionals associated with the home and the replies from these were also generally favourable. Residents completed questionnaires as part of the inspection process and their views have been included within the report from this visit. What the service does well: The information given to residents about the home was of good quality, to help them make a choice about moving in to it. The residents care plans were of a good standard and included information about their individual health needs. The residents enjoy living at the home and they have a good variety of things to do. The residents are encouraged and helped by staff to live their lives as they choose. Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 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 Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 4 Quality in this outcome area is excellent. The residents had been provided with good information to help them make a decision about the home and they had been involved in decisions about moving into it. Residents had been assessed, in order to ensure that the home could meet their needs appropriately. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with residents confirmed that they had been involved in decisions about moving into the home and that for some of them, this process had involved over night stays, in order that they could try out the home before moving in. Information in pictorial form had been developed about the home, in order to help them residents make a decision about it and inspection of the file of the most recently admitted resident confirmed that an appropriate assessment had been completed prior to her moving in to the home, in order to ensure that it could satisfactorily meet them. Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. The residents were being sensitively supported by staff to make choices about their lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Questionnaires returned from residents and discussion with them confirmed that they were involved in making decisions about their lives and staff were observed sensitively supporting them in this respect. Some residents talked about visits from family members or the things they enjoyed doing at college, and recording in the care plans documented examples of how they had been assisted in making individual choices. The four resident files inspected contained copies of individual care plans, which were generally of a high quality, with clear information to staff about how the residents’ needs should be met. Those care plans inspected were partly in pictorial form to help the residents understand them, with evidence that they had been included in the development of these. Details of those involved with the residents were included in the care plans inspected, together with evidence of daily and monthly monitoring of these, in order to ensure that they reflected any changes that were needed. The monthly summaries of two of the four care plans inspected were not as up to date as the ideal however, and a Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 10 recommendation is made about this. The manager indicated that she was aware of this fact, and that she had held a care planning session with staff earlier that day, in order to help improve and enhance the recording in them. The home’s accident book documented a significant number of incidents relating to the residents, but inspection of the care plans and discussion with the staff indicated that these had occurred within a framework of assessed risk, consistent with individual choice and part of the residents’ normal everyday lives. Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. The residents were being supported to take part in a range of daily activities, in order that that their lifestyle wishes and needs were appropriately met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents were keen to talk about their every day lives and discussion with them indicated that they were able to participate in a good range of appropriate activities, both within the home and in the community in this respect. The home has good links with a variety of local colleges and a day centre and residents showed things that they had made at these. One resident spoke about a production of “Stars In Their Eyes” that he was looking forward to taking part in. The routines in the home are generally flexible in nature, with care plans documenting how residents are supported in their activities of daily living. The home has a part time coordinator who supports residents in a range of activities both in the home, and on trips out using the home’s mini bus, and residents were observed helping him to decorate the home’s Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 12 Christmas tree. Residents said they “liked going to the pub” or “going shopping” and the home’s notice board displayed pictures of fund raising event involving the residents in aid of a local radio appeal for the Life Boat Association. The home encourages residents to maintain links with friends and family members and discussion with the cook indicated how relatives had been invited to a number of social events over the past year, including a summer BBQ and Easter Tea, which had been served to them by the residents. The home’s menus indicated that meals were of a nutritious and healthy nature and discussion with the residents confirmed that that they were regularly consulted about them and that they were of good quality. Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. The personal and healthcare needs of the residents were being well met but better recording of the medication was needed to ensure that residents are kept safe. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Care plans inspected contained clear guidance on how the individual resident’s personal care needs should be met and discussion with residents confirmed that they were happy that staff were doing this in a way that they were in agreement with. The care plans included copies of good quality health action plans with evidence of appropriate monitoring of the individual residents needs in this respect and liaison with health professionals as required. Routines in the home were flexible in nature, in order to enable the residents’ choice and control over their lives and specialist equipment had been obtained, in order to maximise the residents’ abilities to be as independent as possible. Staff were observed interacting with the residents in an appropriate and positive manner and inspection of the home’s training records indicated that a range topics relevant to the needs of the individual residents had been provided in order to help them do their jobs. Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 14 At the previous inspection some serious errors were found in the staff recording in the home’s medication systems and requirements and recommendations were made. Information supplied to the Commission indicated that these systems were being monitored appropriately and that this had resulted in the management taking action against staff responsible for errors subsequently found. However despite this, a minor recording error was found on the medication sheet of one of the three residents records that were inspected during this site visit. Discussion with staff consequently resulted in an explanation being found, nevertheless the previous recommendation is therefore again repeated. This matter will continue to be monitored at the next inspection visit, in order to ensure that the inspector can have a clearer picture that practice in this matter has been improved. Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. Complaints and adult protection policies and procedures were in place and understood by staff, in order to ensure that residents are safeguarded from harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with residents indicated they were happy with the service they received and indicated that they believed the staff and management took their concerns seriously. The home had a clear and accessible complaints policy and further information about using this was included within the service users guide that is given to residents, however despite this some of the questionnaires returned from residents as part of the inspection process indicated that they were not able to fully understand the way the policy worked but would tell staff or the manager if they were unhappy. Information submitted by the manager indicated that six complaints had been received over the past year and examination of the complaints book indicated that appropriate action had been taken by the manager to follow these up. Policies and procedures were in place to safeguard the residents from abuse. The home’s staff induction process includes training in Protection of Vulnerable Adults procedures and discussion with the manager and staff indicated that they were aware of these and that they would take appropriate action if this was needed. Two referrals had been made since the last inspection to the local Social Services Department, under its duties as the lead agency, to investigate issues concerning adult protection and evidence was seen to Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 16 indicate that appropriate action had been taken to resolve these issues, including the involvement of health professionals and increased staff supervision of individual residents. The Provider organisation has a computerised system for the management of individual resident’s personal allowances and a random check of the associated records for these indicated that the residents’ finances were being safeguarded, with two staff signatures being obtained for any monies issued. Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is good. The Residents live in a warm, safe and clean environment. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is purpose built and was warm, clean and bright on the day of the site visit. Accommodation is provided on two floors with access to the top floor via a lift. The building is split into four separate interconnecting units with each having its own lounge and kitchen areas, though in practice most residents freely congregate in the communal areas of the home. Their were signs that some areas of the home were in need of decoration, with corridor area carpets beginning to show signs of wear. However, the provider company has a programme of maintenance and upkeep and evidence was seen that this was being carried out and actioned appropriately. A Sensory room equipped with specialist lighting and other equipment, to provide a discrete area for stimulation or relaxation, had been developed on the ground floor of the Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 18 building and observation and discussion with residents indicated that this was very popular. Aids and adaptations had been provided throughout the building, in order to aid the independence of residents and a random sample of the associated records for these indicated that this equipment was being serviced appropriately. Most of the residents’ bedrooms are single occupancy and discussion with staff and residents indicated that those sharing a room had chosen to do so. The laundry was neat and tidy with facilities and equipment enabling staff to wash at appropriate temperatures. Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 add 35 Quality in this outcome area is good. Staff had been safely recruited and training provided for them, in order that health and social needs of the residents were met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents were observed to have positive relationships with the staff with them gaining support and assistance as appropriate. Discussion with staff indicated that they were knowledgeable about the needs of the individual residents and that they were enthusiastic about their jobs. Comments returned in resident questionnaires stated that “Staff try and help me if I need help with anything I cannot do on my own” and “I like to things with staff”. Inspection of the home’s rotas indicated that staffing levels enabled a ratio of 1:6 residents and discussion staff indicated that these levels were sufficient to meet the residents’ needs. Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 20 A staff training programme has been developed by the Provider organisation and inspection of the staff records confirmed that a good range of topics relating to the individual needs of the residents had been delivered. Information submitted by the manager as part of the inspection process, indicated that 38 of the staff group had obtained an NVQ level 2 qualifications in care and discussion with her indicated that new staff are encouraged to undertake Learning Disability Award Framework training. Recommendations are made in these matters. A recruitment policy and procedure was in place to ensue that staff are safe to care for the residents. The files of the three most recently employed staff were inspected and indicated that this was being followed appropriately with copies of Criminal Records Bureau checks and two written references being taken before staff could start work. No residents are currently involved in the process of selection and recruitment of staff, but discussion with the manager indicated that measures adopted by the home to include and involve them more directly in the active decision making process of the home includes a resident being part of the fundraising “Friends Of Prospect House” Committee. Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. Appropriate checks in order to ensure the maintenance and welfare of residents and staff were being carried out This judgement has been made using available evidence including a visit to this service. EVIDENCE: Discussion with residents and staff indicated that Prospect House was being well run. The manager is a qualified nurse and holds a NVQ qualification in management. Staff indicated that her management style was open and approachable and inspection of the home’s quality assurance systems confirmed that regular and thorough checks were being made of various aspects of the service, in order to ensure that it was meeting its stated aims. Inspection of the minutes of meetings held with residents and staff confirmed that their views were considered and that they were consulted about matters affecting them. Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 22 Inspection of the home’s records indicated that the health, safety and welfare of residents and staff were being promoted and protected. Maintenance records inspected were up to date and in good order and the home’s training plan indicated that staff had covered a variety of health and safety issues or that these been identified for them as a future development need. Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 23 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 4 2 3 3 4 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 2 X 3 X 3 X X 3 X Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 24 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. 2. 3. Refer to Standard YA6YA6 YA20YA20 YA32YA32 Good Practice Recommendations The manager should ensure that care plans are reviewed and updated monthly, in order to ensure that they reflect any changes in the residents needs The manager should undertake weekly audits of the medication records to highlight any problems and address these with the member of staff concerned. The manager should continue to encourage staff to undertake accredited Learning Disability Award Framework (LDAF) training The registered person should ensure that 50 of the staff have obtained an NVQ level 2 in care. Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hessle Area Office First Floor, Unit 3 Hesslewood Country Office Park Ferriby Road Hessle HU13 0QF National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Prospect House DS0000019710.V316876.R01.S.doc Version 5.2 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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