Inspection on 03/10/05 for Prospect House

This inspection was carried out on 3rd October 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.

Other inspections for this house

Prospect House 13/02/07

Prospect House 06/06/05

Prospect House 22/01/05

Prospect House 13/05/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Prospect House 14 Boston Road Spilsby Lincs PE23 5HD Lead Inspector Mrs Sue Daniells Unannounced Inspection 3rd October 2005 02:00 Prospect House DS0000002405.V254164.R01.S.doc Version 5.0 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 DS0000002405.V254164.R01.S.doc Version 5.0 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 DS0000002405.V254164.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Prospect House Address 14 Boston Road Spilsby Lincs PE23 5HD 01790 752531 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) Linkage Community Trust Mr Simon Brown Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Prospect House DS0000002405.V254164.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th June 2005 Brief Description of the Service: Prospect House is a care home operated by a voluntary organisation, Linkage Community Trust Care Services. It is a detached two-storey house situated in a residential area of the market town of Spilsby and is registered to accommodate six persons with a learning disability. The home has its own small garden area, equipped with patio furniture and is sited close to the local shopping area. Public transport is readily available, linking Spilsby with Boston and the coastal town of Skegness. Accommodation is provided in six single occupancy rooms on both the ground and first floors and has benefited from an upgrading to parts of the property in August 2004 including a new fitted kitchen. The home is part of Linkage Community Trust’s longstay project, which also operates a day centre facility at Scremby Grange, approximately four miles from Spilsby. The residents are able to access this facility and as part of their personal development, are also involved in community work experience projects. Prospect House DS0000002405.V254164.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second of two inspections, which are required by law each year. It was unannounced and took place from 014:35 hours until 17:30 hours The main method of inspection used was “case tracking”. This involved selecting two residents and tracking the care they receive, discussion with them and the care staff and observation of care practices. A sample of regulatory records and policies and procedures were seen and a partial tour of the premises took place. This included viewing a sample of resident’s bedrooms as well as the kitchen/dining area and lounge. What the service does well: What has improved since the last inspection? What they could do better: It has been recommended as good practice that the outcome for all complaints is documented to ensure that these are dealt with in a satisfactory manner for the complainant. Prospect House DS0000002405.V254164.R01.S.doc Version 5.0 Page 6 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. Prospect House DS0000002405.V254164.R01.S.doc Version 5.0 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 DS0000002405.V254164.R01.S.doc Version 5.0 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: The outcome for Standard 2 was inspected during the last visit to the home. Prospect House DS0000002405.V254164.R01.S.doc Version 5.0 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): EVIDENCE: The outcomes for Standards 6,7 and 9 were inspected during the last visit. Prospect House DS0000002405.V254164.R01.S.doc Version 5.0 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): 17 Residents enjoy their meals in a family atmosphere with food being nutritious and well balanced. A healthy eating option is always encouraged. EVIDENCE: Residents were asked their comments about the food that they received in their home. Both the residents stated that it was good and they enjoyed it. One said that they didn’t like lamb, but that they could have what they liked instead and “it’s always fantastic”. They are able to choose their menus and they’re encouraged to eat a healthy diet, but they “just eat what we want” Meals are taken in the large kitchen-diner and the residents stated that they enjoyed the atmosphere and friendliness when they were all eating together. Mealtimes are flexible to the individual needs of the residents. Prospect House DS0000002405.V254164.R01.S.doc Version 5.0 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): 18 and 20 Residents have their own “key worker” with particular responsibility for them; the residents stated that they liked this and could change their worker at any time if they wished to. EVIDENCE: None of the current residents require support to undertake intimate tasks, although they do sometimes need prompting by staff to carry them out. One resident stated that “the staff are really helpful”. Each resident opens their own mail and has the key to their room. Residents have their own “key worker” with particular responsibility for them; the residents stated that they liked this and could change their worker at any time if they wished to; all they had to do was ask. Both the residents spoken to in the home were responsible for taking their own medication. This is stored in a locked tin within their wardrobes, which is also locked. The home’s policies and procedures are comprehensive and ensure that residents are not at risk and staff are protected. Prospect House DS0000002405.V254164.R01.S.doc Version 5.0 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): 22 Residents feel confident that their concerns will be listened to and acted upon and are protected from abuse by trained staff and comprehensive policies and procedures. EVIDENCE: Both the residents spoken to were confident that they could speak out if they needed to. They felt they could approach the manager and that “something would get done about it” One of the residents explained a situation to demonstrate this and felt happy with the outcome. All complaints are placed in a book with the action taken to rectify the situation and the outcome, although it was found that an outcome to one of the five complaints during the year had not been written. The home has policies and procedures relating to adult protection, which are linked to the most recent Lincolnshire guidance. A new staff member, still undertaking induction, stated that she had not received training, although the inspector was informed that she would receive an “awareness” session before the completion of induction and be booked on the next available course. All staff receive refresher courses every two years. Both the residents spoken to stated that they knew that they could tell the manager if anything upset them, with one adding that “ I could ring you up ‘cos you would do something about it and there’s a number I can ring” Prospect House DS0000002405.V254164.R01.S.doc Version 5.0 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): EVIDENCE: The outcomes for Standards 24 and 30 were inspected during the last visit. Prospect House DS0000002405.V254164.R01.S.doc Version 5.0 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): EVIDENCE: The outcomes for Standards 32, 34 and 35 were inspected during the last visit. Prospect House DS0000002405.V254164.R01.S.doc Version 5.0 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 Residents are confident that their views and opinions are listened to and acted upon. EVIDENCE: Residents stated that they felt their feelings and views about anything relating to the home were listened to. Regular questionnaires are handed to each resident for their reactions and views on all aspects of their lives and the results are used to make strategic decisions by the Trust. Residents are also consulted regarding choices of new furniture, carpets and wallpaper for their home as well as the décor for their own bedrooms. Each financial year the manager asks them the things they would like to be included in the capital expenditure budget for the home. A documented monthly resident progress review is undertaken by their “key worker” and which they participate in. Prospect House DS0000002405.V254164.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Prospect House Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X X X DS0000002405.V254164.R01.S.doc Version 5.0 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. 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 YA22 Good Practice Recommendations It is recommended as good practice that outcomes are documented for all complaints. Prospect House DS0000002405.V254164.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 Prospect House DS0000002405.V254164.R01.S.doc Version 5.0 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. 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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