Inspection on 10/01/06 for Skills for Living (38 Forest Road)

This inspection was carried out on 10th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

Skills for Living (38 Forest... 08/12/08

Skills for Living (38 Forest... 24/01/07

Skills for Living (38 Forest... 14/07/05

Skills for Living (38 Forest... 04/11/04

Skills for Living (38 Forest... 20/07/04

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

CARE HOME ADULTS 18-65 Skills for Living (38 Forest Road) 38 Forest Road Hinckley Leicestershire LE10 1HB Lead Inspector Linda Clarke Unannounced Inspection 01:00 10th January 2006 Skills for Living (38 Forest Road) DS0000001670.V272871.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 Skills for Living (38 Forest Road) DS0000001670.V272871.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. Skills for Living (38 Forest Road) DS0000001670.V272871.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Skills for Living (38 Forest Road) Address 38 Forest Road Hinckley Leicestershire LE10 1HB 01455 635818 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) Ms Paula Florance Burton Ms Lucy Hogg Mrs Wendy Elizabeth Smith Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Skills for Living (38 Forest Road) DS0000001670.V272871.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration. Date of last inspection 14th July 2005 Brief Description of the Service: 38 Forest Road is one of three Skills for Living small family homes, for two young adults who have a learning disability and who have additional complex needs and behaviours. The home is a semi-detached house in a road with similar houses and situated near to the town of Hinckley and to a range of facilities. The house has two bedrooms, bathroom, an open plan lounge, dining area and kitchen. There is a pleasant garden with trees to the rear of the house. High staffing ratios are provided, to meet the needs of the young people living there, and in order to promote their independent living skills and community integration. Skills for Living (38 Forest Road) DS0000001670.V272871.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced Inspection that took place between 1.00pm and 3.00pm. When undertaking Inspections, the Commission for Social Care Inspection focuses on the outcomes of individuals staying in the home. To support this, one resident was ‘case tracked’; the records and care plans of this individual were viewed. The Manager and Home Leader facilitated the Inspection. What the service does well: 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. Skills for Living (38 Forest Road) DS0000001670.V272871.R01.S.doc Version 5.0 Page 6 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 Skills for Living (38 Forest Road) DS0000001670.V272871.R01.S.doc Version 5.0 Page 7 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): Individual needs are assessed prior to admission. EVIDENCE: Skills for Living (38 Forest Road) provides accommodation for two individuals, who have resided within the home for a significant period of time, original comprehensive assessments of need are in place, supported by reviews whereby individual needs are re-assessed. Skills for Living (38 Forest Road) DS0000001670.V272871.R01.S.doc Version 5.0 Page 8 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 and 9. Individual plans of care are in place ensuring that individuals receive the care they need with elements of risk managed to promote independence. EVIDENCE: The care plan and records of one individual were viewed; the care plan incorporates a ‘pen portrait’ of the individual, providing an outline of the individuals experience and life prior to moving into the home. The care plan details how the individual requires support in daily living skills, including physical health, behaviour, goals and aspirations. Elements of care, which have a degree of risk, are assessed, detailing as to how the risk is to be managed consistent with the promotion of independence. Care plans are regularly reviewed internally within the home, and through the review process within a multi-agency approach. Skills for Living (38 Forest Road) DS0000001670.V272871.R01.S.doc Version 5.0 Page 9 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): 12 and 14. Resident’s social, leisure and recreational needs are met. EVIDENCE: The daily records of one resident viewed evidenced that he attends formal day care provided by Skills for Living within Hinckley. Records evidenced that the gentleman has participated in swimming and fitness sessions, trampoline, painting, baking, massage, art and craftwork, football and basketball. Skills for Living (38 Forest Road) DS0000001670.V272871.R01.S.doc Version 5.0 Page 10 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. Residents are looked after well in respect of their health and personal care needs. EVIDENCE: The residents whose records were viewed, detailed as to how his health care needs are met. These are provided by a variety of health care professionals, which include General Practitioners, Psychiatrists, Community Nurse, Dentist, and Speech and Language Therapy, along with relevant specialist health care professionals required by the individual. The health and welfare of residents is further promoted through activities, which include swimming, fitness sessions, football and basketball. Skills for Living (38 Forest Road) DS0000001670.V272871.R01.S.doc Version 5.0 Page 11 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): EVIDENCE: Standards within this section were not inspected on this occasion, but were inspected at the previous inspection, which took place earlier in the year. Skills for Living (38 Forest Road) DS0000001670.V272871.R01.S.doc Version 5.0 Page 12 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. A comfortable and safe standard of accommodation is provided for the resident’s including a garden, which individually and collectively meets the resident’s needs. EVIDENCE: The house the residents live in is a semi-detached property. The small scale home offers the two residents a quiet and individualised way of living, and this contributes to their personal development. The house is open plan in design consisting of a lounge, dining and kitchen area. Skills for Living (38 Forest Road) DS0000001670.V272871.R01.S.doc Version 5.0 Page 13 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 and 35. Staff are trained and supported, and employed in sufficient numbers to meet the needs of residents. EVIDENCE: Evidence of future planned training was displayed, which highlighted courses in care planning, person centred planning along with a variety of health and safety topics. The Manager and Home Leader confirmed that currently there are forty members of staff employed (for both 36 and 38 Forest Road), of which eighteen have attained a level 2 National Vocational Qualification in Care. There are two members of staff on during the day, providing one to one support for residents; there is one member of waking night staff on duty, who is supported by a member of staff who sleeps on site. It is recommended that staff achieve a level 3 National Vocational Qualification in Promoting Independence, as this award incorporates the assessing and development of individuals with regards to the development of care plans and includes supporting individuals in accessing community resources. Skills for Living (38 Forest Road) DS0000001670.V272871.R01.S.doc Version 5.0 Page 14 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): 42. Health, safety and welfare of residents are the responsibility of all staff, which is supported by documentation. EVIDENCE: The two Responsible Individuals oversee the running of the three Skills for Livings home; there is a Manager in post, who has submitted an application to the Commission for Social Care Inspection for consideration with the view to becoming the Registered Manager. The Home Leader in turn supports the Manager. The Pre Inspection Questionnaire submitted to the Commission for Social Care Inspection along with documents held by the home evidenced that the home is managed with respect of health and safety. Health and safety records were viewed by the Inspector, which evidence regular fire drills, the regular review of the fire risk assessment along with checks to gas and electrical systems. Training relevant to the promotion of resident’s health and welfare. Skills for Living (38 Forest Road) DS0000001670.V272871.R01.S.doc Version 5.0 Page 15 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 4 X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X 3 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Skills for Living (38 Forest Road) Score X 4 X X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000001670.V272871.R01.S.doc Version 5.0 Page 16 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 YA32 Good Practice Recommendations It is recommended that staff access National Vocational Qualification training at level 3 in the Promoting of Independence. Skills for Living (38 Forest Road) DS0000001670.V272871.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Skills for Living (38 Forest Road) DS0000001670.V272871.R01.S.doc Version 5.0 Page 18 - 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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