Inspection on 11/01/06 for Prospect Place, 6a

This inspection was carried out on 11th January 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Prospect Place, 6a 08/11/06

Prospect Place, 6a 31/08/05

Prospect Place, 6a 18/03/05

Prospect Place, 6a 20/07/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Prospect Place, 6a 6a Prospect Place Worcester Worcestershire WR5 2AD Lead Inspector R McGorman Unannounced Inspection 11th January 2006 13:30 Prospect Place, 6a DS0000018671.V274591.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 Place, 6a DS0000018671.V274591.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 Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Prospect Place, 6a Address 6a Prospect Place Worcester Worcestershire WR5 2AD 01905 351514 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) New Era Housing Association Limited Ms Helen Elizabeth Mence Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Prospect Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. This Home is primarily for people with a learning disability but may accommodate people with an additional physical disability. 31st August 2005 Date of last inspection Brief Description of the Service: 6a, Prospect Place is registered to provide residential care for up to four service users who experience a learning disability, who may also have a physical disability, and whose needs are diverse. The home is also able to accommodate one person over 65 years of age. The premises is a large dormer bungalow situated in a quiet cul-de-sac, in close proximity to the city centre, with access to a range of amenities and facilities. The home is owned and run by the New Era Housing Association Ltd., and is part of the New Dimensions Group, which, as the parent company, provides strategic direction and a range of functional support services. The stated purpose of the organisation is, to work with people with learning difficulties, supporting them to make choices and to exercise control over their lives, and the main aim of the home is, to deliver a person-centred response to the needs and aspirations of the people we support. Prospect Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The purpose of this routine unannounced inspection was to follow up previous requirements and recommendations, and to monitor the care provision at 6a Prospect Place Worcester, in relation to the stated aims and objectives of the home. The inspection took approximately 3 hours, when some time was spent with service users, and also talking with staff. Very positive comments were made by staff, about what it is like to work at the home. A tour of the building was also undertaken. The care records of service users were inspected, and discussions held with the manager and staff about the content, as service users are unable to communicate their opinions verbally. The records kept in respect of the maintenance of equipment, and safe working practices were also seen. What the service does well: Comprehensive documentation is maintained at the home. Good lines of communication ensure that everyone has the relevant information to enable appropriate decisions to be made. The home is well maintained. It appears cared for, and is comfortable and secure. The needs of service users are anticipated, and responded to appropriately. The individuality of each service user is recognised and the commitment of staff to their role in supporting and enabling service users and to person centred work with service users, is commendable. Prospect Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 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. Prospect Place, 6a DS0000018671.V274591.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 Place, 6a DS0000018671.V274591.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): 1&4 Appropriate documentation is in place to enable prospective service users to make an informed decision about their future care needs. The admission procedure is both detailed and thorough, to ensure that an appropriate decision is made, both by the home and the service user. EVIDENCE: The Statement of Purpose and the Service Users Guide, provide detailed information for residents and their families, about the services and facilities available at the home. The documentation is produced in an appropriate format, and retained by the service user, if this is their wish. Documentation is reviewed regularly, to ensure that it accurately reflects specific aspects of the care that can be provided. The admission procedure includes extensive assessment by staff from the home, and has recently been implemented for a service user who has been admitted to the home Prospect Place, 6a DS0000018671.V274591.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): 6&7 The service users plan of care is based on the initial assessment, which clearly identifies their assessed needs, and how these will be met. The key-worker system ensures that service users living at the home are supported in making choices in all areas of their lives. EVIDENCE: An individual plan of care is produced for each service user, based on the initial assessment undertaken during the admission process. The plans are very comprehensive, detailing the specific needs of service users and how these are to be met, and is confirmed in the care plan of the service user who has been admitted recently. Two key-workers are assigned to each service user, and have responsibility for ensuring that appropriate care is provided. Changes are monitored over a period of time, and amendments made when necessary. Prospect Place, 6a DS0000018671.V274591.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): 11 & 13 Service users are involved in the daily arrangements at the home, as appropriate, and are the focus of the delivery of the high standard of person centred care that is provided. The opportunities made available to service users enable them to live as fulfilling a life as possible, although some limitations have been caused by staff shortages. EVIDENCE: Service users living at the home are encouraged to follow an ‘ordinary’ life style as far as possible, by using the same facilities as other members of the community, and being involved in a range activities. Limited communication skills preclude involvement in paid employment or educational opportunities, but social activities are provided, and these may be undertaken in-house or in the community. There are no set routines or formal arrangements within the home, as staff respond to each situation as it occurs. The days are organized around the pre- planned activities of each service user, and are also influenced by the health of each person, although some care packages in the community have been restricted recently, because of staffing difficulties. Prospect Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 Page 11 Prospect Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 21 Procedures are in place to ensure that the personal and health care needs of service users are appropriately met, although these have increased recently. Further training for staff on death and bereavement will increase their understanding and ensure the dignity of service users is maintained EVIDENCE: The personal and healthcare needs of service users, which are extensive, are well documented, and there is evidence to show how staff understand and respond to them in an appropriate way. Personal care is provided in privacy, and is never rushed, although an increasing amount of time is spent giving personal support to each individual. Reviews are being undertaken on all service users to determine their specific individual needs The healthcare of service users is closely monitored, and additional specialist support and advice is sought from the primary health care team, and other health professionals, when necessary. The issues relating to the ageing, illness and possible death of a service user, were discussed, and the need was again identified for more in-depth training on death and bereavement to be provided. Prospect Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 Page 13 Prospect Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 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 the following standard(s): 22 A satisfactory complaints procedure is in place at the home, and it enables everyone to express their concerns, views, opinions, and compliments. EVIDENCE: These standards were not inspected in detail, but were previously met. A clear procedure for the investigation of complaints has been produced and any issues are dealt with immediately. The document has been produced in a format that is understandable to service users. There have been no complaints to the home, since the last inspection. Prospect Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 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 the following standard(s): 24, 29 & 30 The premises are suitable for their purpose. They are comfortable and clean, and ensure as far as possible that the safety and wellbeing of service users is promoted. The standard of the accommodation is excellent. The décor and furnishings are in good condition, and provide service users with an attractive and homely place to live. The location of the house is convenient to local services and facilities, and the layout provides adequate communal space and equipment for the needs of service users. Prospect Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 Page 16 EVIDENCE: The premises at 6a, Prospect Place is a large detached, bungalow, which provides a safe and well-maintained environment that is suitable for its purpose. The communal areas of the house are nicely decorated and comfortably furnished. There is a lounge, and a separate dining room, with additional comfortable seating. Sensory equipment is provided for the benefit of service users. The ground floor of the house is fitted with overhead tracking to assist with moving service users. Appropriate aids and adaptations are provided for the use of service users, although storage space is limited, as the amount of equipment is extensive. Contracts are in place for the servicing and maintenance of equipment. The home is clean and free from offensive odours. Procedures are in place in regard to the control of infection, and staff are trained in health and safety matters. There are no outstanding requirements following a visit from the Environmental Health Officer. The home has not received a recent visit from the Fire Safety Officer. The Fire Log Book was seen, and the appropriate checks have been undertaken with the required frequency. Prospect Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 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 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): 31,33 & 35 The management support and supervision given to staff, enables a clear understanding of their roles and responsibilities, and ensures the promotion of the aims and objectives of the home. The home has an experienced and competent team of staff, who are able to ensure that the needs of service users living at the home can be effectively met, providing adequate staffing levels are maintained. The training programme available to staff ensures that they are effective in their work, and therefore able to provide appropriate care and support to service users. Prospect Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 Page 18 EVIDENCE: New Era provides relevant information for staff on joining the organisation, and also keeps them updated on new developments and any changes that take place. Each member of staff is given a Welcome Pack that contains details about the organisation, and its aims and objectives, an Employee Handbook that provides information about terms and conditions of employment and policies and procedures, and an Induction Checklist covering the first three months of employment. The rotas suggest that there is some difficulty at present in maintaining staffing at a satisfactory level, and this inevitably affects many of the planned activities. There are several factors that have combined to create this situation, including staff sickness, the admission of an additional service user, and the increasing dependency of the people who have lived at the home for a long time. There have also been several changes in the staff group in recent months, following a long period of relative stability, and this has required some intensive team rebuilding. A review of the staffing arrangements at the home is being undertaken by the organisation, but meanwhile a minimum of three members of staff should be on duty at the home throughout the waking day. A training programme is in place at the home that includes statutory and specialist training, and the Learning Disability Award Framework (LDAF) accredited training is followed, although this is being replaced by New Approach Training, which is an alternative to the NVQ. The training needs of staff are regularly reviewed, and care related courses are organized, although staff shortages have also affected the availability of staff to attend. A training record is maintained in respect of each member of staff. Prospect Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 Page 19 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): 37,40 & 41 The management arrangements at 6a, Prospect Place are satisfactory, and staff and service users benefit from the positive leadership, and the person centred approach to the care they receive. The policies and procedures, and records maintained at the home, comply with legislative requirements and therefore help to safeguard the rights of service users. The support provided to staff by the area manager, ensures the promotion of the aims and objectives of the home. Prospect Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 Page 20 EVIDENCE: The Care Manager, Mrs Helen Mence, has many years experience working with this client group and has good communication skills, and a clear understanding of her role and responsibilities. She attends various care related training courses and ensures she is kept informed of the various developments relating to the care of people with a learning disability. Consideration is being given to her undertaking the Registered Managers Award. Policies and procedures are produced by the Organisation, and staff confirmed they are familiar with the content. Specifically, an extensive health and safety policy and procedure is in place, and the Company employs an officer to advise on health and safety matters. Risk assessments in respect of all safe working practices are completed. The records checked during the inspection have been completed to a satisfactory standard. Regular maintenance and servicing of equipment is done, and temperature checks are recorded. The accident records were seen to be in order, and Notifications under Regulation 37 are made to the Commission, when appropriate, and Regulation 26 reports are also submitted on a regular basis. Prospect Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 Page 21 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 3 2 X 3 X 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 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 3 30 3 STAFFING Standard No Score 31 3 32 X 33 2 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X X X LIFESTYLES Standard No Score 11 3 12 X 13 2 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X X 2 3 X X 3 3 X X Prospect Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 Page 22 YES 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 YA33 Regulation 18 Requirement Suitably qualified, competent and experienced persons must work at the care home in such numbers as are appropriate for the health and welfare of service users Timescale for action 31/01/06 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 3 Refer to Standard YA13 YA19 YA21 Good Practice Recommendations The care packages of service users should be consistently maintained A review of the personal and healthcare needs of service users should be undertaken and appropriate action taken to ensure their assessed needs are met Training should be provided for all staff at the home on death and bereavement Prospect Place, 6a DS0000018671.V274591.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Worcester Local Office Commission for Social Care Inspection The Coach House John Comyn Drive Perdiswell Park, Droitwich Road Worcester WR3 7NW 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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