CARE HOME ADULTS 18-65
Queensberry Road 22 Queensberry Road Kettering Northants NN15 7HL Lead Inspector
Mr Patrick Toner Unannounced Inspection 23rd January 2006 08:30 Queensberry Road DS0000012891.V274429.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 Queensberry Road DS0000012891.V274429.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. Queensberry Road DS0000012891.V274429.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service Queensberry Road Address 22 Queensberry Road Kettering Northants NN15 7HL 01536 415201 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) Royal Mencap Society Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Queensberry Road DS0000012891.V274429.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: None Date of last inspection 30th June 2005 Brief Description of the Service: Queensbury Road is a home for up to 5 service users with learning disabilities. The home is owned and managed by Royal Mencap Society who have many years experience of providing care in residential settings. 22 Queensbury Road is situated amongst other houses, similar in age and design, close to local shops and accessible by public transport. The premises offer single bedroom accommodation for all service users. Communal space provided includes, a lounge, conservatory, kitchen, bathroom and shower room. The service users have access to a large well maintained rear garden. Queensberry Road DS0000012891.V274429.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This unannounced inspection took place during an early-morning visit over a period of approximately 2 hours. The timing of the visit enabled the inspector to observe the breakfast and early-morning routines in preparation for service users going off to their different day-care settings. There were brief discussions with all service users, a member of staff on duty and more detailed discussions with the acting manager for the home. All parts of the home were seen during the visit. This is the second inspection visit of the year and the majority of the key standards have been assessed during the first visit, therefore the focus of this visit was on gaining the views of service users regarding the quality of care, reviewing previous requirements and recommendations from the last report and assessing the remaining key standards through a review of records and discussions with the acting manager. What the service does well: The home continues to provide a family style environment, service users were keen to stress their satisfaction with the arrangements for their care and they particularly enjoyed the Christmas and New Year period. Given that the group of service users tend to spend much of their social time together, they chose as a treat over the holiday period to have individual outings of their choice including a meal out with a member of staff rather than a whole group outing. Service users participate fully in the running of the home including cooking and other domestic duties in line with their level of interest and abilities. There is an individual focus of care, for example one service user has chosen to spend less time in day care placements and the home has arranged extra funding to allow the service user to remain in their home during the day or to have alternative outings. Queensberry Road DS0000012891.V274429.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. Queensberry Road DS0000012891.V274429.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 Queensberry Road DS0000012891.V274429.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): These standards were not assessed during this visit. EVIDENCE: Queensberry Road DS0000012891.V274429.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): These standards were not assessed during this visit. EVIDENCE: Queensberry Road DS0000012891.V274429.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): 16 The home respects and promotes service users rights within the context of group living. EVIDENCE: A review of records and discussions with the manager and with a service user showed the practical ways in which the home encourages service users to accept and develop areas of responsibility e.g. through the choices they make and the routines they decide to follow. This was particularly evident in the routines arrived at for one service user who now enjoys a much better quality of life, combining attendance at day care with simply enjoying her home life when other service users are out of the home. Queensberry Road DS0000012891.V274429.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): 18 and 20 The home provides individual service users with appropriate levels of personal and health care support EVIDENCE: At the request of the service user the manager has made appropriate arrangements for the refurbishment of her bedroom which allows her to spend more time in her room engaged in solitary activities which she enjoys. Another resident has particular health-care needs, which dictates that there is close and active monitoring of food intake and general health care. Care Plans contains sufficient information to ensure all staff on duty are aware of the routines and potential risks to health and general well-being. Staff are able to manage and support the service user in a manner which is not oppressive. The home has reviewed its medication system and further developed arrangements with the medication provider to enable a service user to continue to self Medicate in a safe manner. Queensberry Road DS0000012891.V274429.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): 23 The homes complaints and protection processes are robust. EVIDENCE: There are no current concerns, complaints or protection issues in the home, in discussions the manager was able to recount how the home had dealt with a Protection Of Vulnerable Adults issue sometime ago. It was clear that all procedures had been carried out properly and that the manager had a thorough understanding of the processes. Queensberry Road DS0000012891.V274429.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): These standards were not assessed during this visit. EVIDENCE: Queensberry Road DS0000012891.V274429.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): These standards were not assessed during this visit. EVIDENCE: Queensberry Road DS0000012891.V274429.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): 39 The home is properly managed. EVIDENCE: The manager is aware of the need to ensure there is regular review of Care Plans and risk assessments and is in the process of reviewing some service users care files. There are effective arrangements in place to allow one service user to continue to self Medicate. The expressed wishes of one service user have been responded to and changes made to staffing levels and the service users daily routines, the practical outcome of this has been an enhanced quality of life for the individual concerned. Queensberry Road DS0000012891.V274429.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 x 23 3 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 x 33 x 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x 3 x x x 3 x x x x Queensberry Road DS0000012891.V274429.R01.S.doc Version 5.1 Page 17 no 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. Refer to Standard Good Practice Recommendations Queensberry Road DS0000012891.V274429.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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