Inspection on 06/06/05 for Prospect House

This inspection was carried out on 6th June 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 03/10/05

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 Sue Hayward Unannounced 6 June 2005 9:00am 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. Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.doc Version 1.40 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 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 PC 6 Category(ies) of LD Learning disability 6 registration, with number of places Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 26/01/2005 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 long-stay 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 C53 C04 2405 Prospect House V235586 060605 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first of two inspections, which are required by law each year. It was unannounced and took place from 09:00 – 13:45. The main method of inspection used was “case tracking”. This involved selecting two residents and tracking the care they receive through the checking of their records, discussion with them, the care staff and the manager of the home (who was present throughout most of the inspection) 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? The redecoration of the home continues. Since the last inspection the laundry room and a ground floor toilet and bathroom have been redecorated and service users continue to be involved in choosing colour schemes, furnishings and fittings. The programme to ensure that radiators have low surface temperatures is now complete. Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.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. Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.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 Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.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 There is a satisfactory procedure in place for service users to be admitted to the home, which ensures that service users needs are met. EVIDENCE: There have not been any recent admissions to the home however records, policies and discussions with staff demonstrated that there is a thorough procedure in place. Staff gave a good account of the process, which includes visits to the home and overnight stays. Staff said that prospective service users are given information verbally and in writing about the home. Service users records checked confirmed this. The statement of purpose and service users guide, which provide information about the home was on display in the hallway. Information is provided to service users in various forms for example the previous inspection report of 25/01/2005 commented that a DVD had been produced and service users participated in the making of it. The pre-inspection questionnaire also indicated that information is available for service users in widget, audio and makaton form. Records seen demonstrated that assessments had been completed, care plans developed and risk assessments had been done. Records also indicated that service users had been involved in the development of their care plans, as were service users relatives. Residents spoken to said that they liked living at the home. Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.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 and 9 The care planning and risk assessment system in place enables resident’s individual needs and aspirations to be met. This home promotes the independence of service users. EVIDENCE: Service users spoken to were aware of their care plans, which are detailed. One resident explained her person centred plan and talked about how she had been able to achieve the goals she set. Records and discussions indicated that plans are reviewed regularly with service users and their relatives or representatives involvement. Service users records showed that individual risk assessments are done in relation to any activity that may pose a risk such as road safety, medication and behavioural. Staff had a good knowledge of the needs of service users and of the help and support required to enable service users to be as independent as possible. Comments from service users indicated that they are able to make decisions about their lives and have choices. They also gave examples of how their independence is promoted in the home. At the time of the inspection a service user was making the dinner. Both service users seen mentioned that they Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.doc Version 1.40 Page 10 liked to help prepare meals and that they have choices as to what meals they make. Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.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, 13, 15 and 16 The home enables service users to participate in a wide range of activities and leisure interests both within the home and community. These are based on service users individual preferences, who are supported to make choices about their preferred lifestyles and routines. EVIDENCE: There is a wide variety of social, educational, work and leisure opportunities, which are offered to service users in order for them to develop independent living and social skills. Activities such as cinema, pub trips and outings to places of interest are arranged. Work opportunities are also pursued for service users. One said she attended stables on a weekly basis where she is doing a training course and was soon going to start work at another facility that is provided by Linkage Trust, which offers work opportunities. Other examples service users gave of leisure events they can participate in were swimming, tenpin bowling and holidays. Service users have opportunities to discuss what they do individually and at weekly meetings held in the home. Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.doc Version 1.40 Page 12 The home shares the use of a minibus with another home in the group that is within the area. Staff gave some examples of service users participation in the local community including attending local Church services if they wished and running a stall at Spilsby and Revesby shows. Service users have opportunities to increase their independent living skills by being supported for example to prepare meals and be responsible for the cleaning of their rooms and shopping for the house. Service users made comments indicating that staff helped them were needed. Records and comments from service users confirmed that visitors are welcomed at the home. Staff were well aware of the homes visiting policy and a service user confirmed that staff always checked with her whether she wanted to see visitors. Service users also confirmed that they had opportunities to visit their friends and relatives. Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 Service users physical, emotional and health care needs are being well met in this home. EVIDENCE: Service users made positive comments about the care and accommodation that the home provides. They made comments that demonstrated they are able to make decisions about their lives and records indicated that staff provide them with the necessary support. Staff comments demonstrated that they had a good knowledge of the needs of service users and the support that individuals need. It was also seen on the day of the visit that a staff member was supporting a service user to prepare a meal; another was accompanying a service user to a health appointment. Records confirmed that service users health is regularly monitored for example they demonstrated when residents had attended doctors appointments or visited the district nurse. Staff comments indicated that all service users were registered with a dentist and they understood the importance of monitoring aspects of resident’s health such as weight. Staff accompany those service users who need assistance to attend appointments. Service users said that they felt able to talk to staff if they had a problem. Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.doc Version 1.40 Page 14 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) These standards were not inspected on this occasion. EVIDENCE: Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.doc Version 1.40 Page 15 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) 24, 25 and 30 The home is being well maintained and provides comfortable and clean accommodation for service users who are involved in the choice of décor and furnishings of the home and are able to personalise their bedrooms as they wish. EVIDENCE: The home provides a domestic style property. Those areas of the home seen on the day of the visit included the lounge, dining and kitchen area, toilet and bathroom, laundry and two service user bedrooms. The home looked clean and tidy and was comfortably furnished. Service users comments indicated that they are consulted about the décor of the home and how it is furnished, for example they had chosen the kitchen units. There is an on-going programme of redecoration and maintenance of the home and since the last inspection the laundry room and a ground floor bathroom and toilet have been redecorated. There were no obvious safety issues noted at the time of the inspection and the sample of records checked and information provided on the pre-inspection questionnaire demonstrated that there are systems in place to monitor the safety of the premises. For example the central heating system was last Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.doc Version 1.40 Page 16 checked 17/05/04 and the fixed electrical wiring was checked 26/05/04 and was satisfactory. The fire officer visited the home on 08/03/04 and the Environmental Health Officer visited the home on 17/05/04. Both reports were satisfactory. Service users rooms had been decorated and furnished according to their tastes and interests and a comment was made by a service user that she felt safe at this home. Staff gave examples of ways in which they respect service users privacy. The pre-inspection questionnaire identified that since the last inspection all remaining radiators have now been provided with low surface temperature radiator covers. Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.doc Version 1.40 Page 17 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) 32 and 35 There is an established team of committed staff who receive regular training to ensure that they have the necessary knowledge and skills to care for service users safely. EVIDENCE: Staff indicated that they were of the opinion that current staffing levels are sufficient to meet the needs of service users. There is some flexibility with staffing arrangements in order to meet specific needs. Service users attend centres, college and work placements during the day and at times there is one staff member in the home working with any remaining service users. An oncall system is operated if additional staff support is needed. No new staff have been appointed since the last inspection. Service users made positive comments about the staff team and said they would feel able to raise any problems they may have with them. Staff were noticed to treat service users with respect and in a kind and courteous manner and there was a good rapport between service users and staff. Staff spoken to and records demonstrated that there had been a range of training opportunities offered in the past year which included updates in relation to some matters and also more specific training to meet the needs of service users. Both staff members spoken to had achieved a level III National Vocational Qualification (NVQ). Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.doc Version 1.40 Page 18 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 and 42 The home is being well managed and staff are further supported in their roles from the training that is provided by the organisation, the policies, procedures and record keeping systems in place which all help to ensure the health, safety and welfare of service users living in this home. EVIDENCE: The manager attended for the majority of the inspection. He also manages another home within the same group, which is approximately a mile away. His time is flexibly managed between the two homes. There are a range of policies and procedures in place relating to health and safety issues. Risk assessments are documented and include not only risks to individuals but also in relation to the premises, for example fire risk assessments have been completed as well as a health and safety risk assessments in relation to the premises. A sample of records were viewed on this occasion relating to health and safety matters these included accident records, missing person policy, records relating to fire alarm tests and drills, Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.doc Version 1.40 Page 19 fire safety and first aid procedure, infection control and health and safety policy. Records are being well maintained. Information provided at the time of the inspection indicated that where health and safety matters are identified as a risk to service users action is taken to address these, for example the provision of radiator covers. Comments from service users indicated that they felt safe at this home and did not want to change anything about it. Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.doc Version 1.40 Page 20 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 x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 x 4 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 3 x x x x 3 Standard No 11 12 13 14 15 16 17 x 4 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x 3 x x 4 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Prospect House Score x 3 x x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x C53 C04 2405 Prospect House V235586 060605 Stage 4.doc Version 1.40 Page 21 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 Good Practice Recommendations Prospect House C53 C04 2405 Prospect House V235586 060605 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection 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. 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