Inspection on 09/03/06 for Prospect House

This inspection was carried out on 9th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Prospect House 12/12/06

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 Mrs Rosalind Sanderson Unannounced Inspection 9 March, 2006 11:30 th Prospect House DS0000019710.V281488.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Prospect House DS0000019710.V281488.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Prospect House DS0000019710.V281488.R01.S.doc Version 5.1 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.V281488.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10th August 2005 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. Prospect House is owned and operated by Humberside Indepenent Care Association Ltd, a not for profit organisation. 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 DS0000019710.V281488.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection lasted for 5 hours including preparation time. The focus of the inspection was to speak with service users, staff and to assess those key standards remaining for this inspection year. Records relating to service users, staff and health and safety were looked at. Medication practices were also looked at. Four service users were spoken with and those who were unable to participate in the inspection were observed. Comments received from service users are included in this report. The registered manager was available for the feedback session at the end of the inspection. What the service does well: What has improved since the last inspection? Since the last inspection the manager has involved the necessary healthcare professionals to ensure that service users holistic needs are met and they are safe. The necessary notifications are now made when there are incidents at the home that may affect the well being of service users. Chains have been removed from bathroom doors so that service users have access to the bathroom at all times. Prospect House DS0000019710.V281488.R01.S.doc Version 5.1 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 DS0000019710.V281488.R01.S.doc Version 5.1 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.V281488.R01.S.doc Version 5.1 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: Not assessed at this inspection. Prospect House DS0000019710.V281488.R01.S.doc Version 5.1 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): 7 Service users are assisted to make decisions about how they spend their lives. EVIDENCE: The personal profiles that were looked at showed how service users are able to exercise choice in their daily lives. Preferences are recorded and the records showed that staff help service users in their preferred routines. It was clear that service users are able to spend their money on items that they choose. The home organises regular shopping trips. There is a group called ‘The friends of Prospect House’ that is made up of relatives and residents and they organise activities to raise funds for service users preferred activities and outings. One service user spoken with said, ‘I like to go to the friendship club but decided not to go today’ Another said, ‘I enjoy the activities here and get on really well with David’(activities organiser) Prospect House DS0000019710.V281488.R01.S.doc Version 5.1 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): 13,15 &16 Service users are assisted to achieve their individual goals and achieve the lifestyle they wish. EVIDENCE: The home operates a key worker system and this enables staff to get to know individual service users wishes and aspirations very well. Care plans clearly contain details of individual preferences of service users. Service users attend local day centres and groups and have the opportunity to further their education in areas such as communication and literacy. All service users have the opportunity to go on holiday each year and are accompanied by staff. Families are able to visit at anytime to suit them and relatives are part of the ‘Friend of Prospect House’ Prospect House DS0000019710.V281488.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19&20 Medication practices have the potential to place service users at risk. EVIDENCE: Care plans showed that the staff involve the necessary healthcare professionals when needed in order that healthcare and emotional needs are met. Staff spoken with were clear about what circumstances they would seek further advice. The home uses a monitored dosage system. Medication records showed inconsistencies in recording. Some medications had not been signed for, some signed in error and some medications had not been given as prescribed. In one instance the medication in the cassette did not tally with what was on the drug sheet and staff had failed to notice this and so, in effect were giving drugs that had not been prescribed. This was corrected at the inspection and the correct medication administration record put in place. Prospect House DS0000019710.V281488.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 Service users are listened to and their comments acted upon. EVIDENCE: There is a clear and accessible complaints policy in place. There had been no complaints since the last inspection. Service users said that they would speak to staff if they were not happy about anything in the home and would feel confident doing this. Service users are also given the opportunity to voice any concerns they may have at the monthly service user meetings that are held. There are no local advocacy services but the manager is aware of whom to contact should a service user require advocacy. Prospect House DS0000019710.V281488.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Not assessed at this inspection. Prospect House DS0000019710.V281488.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 Service users are cared for by staff that are safe and well trained. EVIDENCE: The homes recruitment policy is robust and recruitment file looked at showed that the policy is adhered to. All necessary checks are in place. The organisation provides a thorough induction-training programme that all staff are required to attend. Mandatory training is kept up to date to ensure that all staff are appropriately trained. Care staff are encouraged to complete the Learning Disability Award Framework and then the NVQ qualification. Currently 25 of staff hold an NVQ qualification in care. Prospect House DS0000019710.V281488.R01.S.doc Version 5.1 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 The manager has an open and respectful approach to management of the home and ensures that service users feel valued. EVIDENCE: The manager is a qualified nurse and holds a NVQ qualification in management. She operates an open door policy in the home for service users and staff. This was observed at the inspection service users freely approach her. She contributes to hands on care in the home. The home operates a quality assurance system where questionnaires are sent to service users, relatives and staff. The results from the surveys are analysed and results conveyed to those that have an interest in the home and used to form the development plan of the home. Residents have meetings monthly and until recently relatives also had regular meetings. These have stopped for the time being at the request of the relatives. Prospect House DS0000019710.V281488.R01.S.doc Version 5.1 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 1 X 3 X 3 X X X X Prospect House DS0000019710.V281488.R01.S.doc Version 5.1 Page 17 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. 1 Standard YA20 Regulation 13(2) Requirement The registered manager must make arrangements to ensure that all staff involved with the administration of medications are aware of and adhere to the organisations policy in respect of medications to ensure that service users receive their medications safely. Timescale for action 24/03/06 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 Refer to Standard YA20 YA32 Good Practice Recommendations It is recommended that the manager 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 training in order that they achieve an NVQ qualification in care. Prospect House DS0000019710.V281488.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection York Area Office Unit 4 Triune Court Monks Cross York YO32 9GZ 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 DS0000019710.V281488.R01.S.doc Version 5.1 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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