Inspection on 24/01/07 for Skills for Living (38 Forest Road)

This inspection was carried out on 24th January 2007.

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... 10/01/06

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

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

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

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 Skills for Living (38 Forest Road) 38 Forest Road Hinckley Leicestershire LE10 1HB Lead Inspector Ruth Wood Key Unannounced Inspection 24th January 2007 01:00 Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 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.V328388.R01.S.doc Version 5.2 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.V328388.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Skills for Living (38 Forest Road) Address 38 Forest Road Hinckley Leicestershire LE10 1HB 01455 635818 01455 440980 Lucy_hogg@hotmail.co.uk 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 Jane Elizabeth Reid Care Home 2 Category(ies) of Learning disability (2) registration, with number of places Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. No one falling within the category LD may be admitted to Skills for Living (38 Forest Road) where there are 2 persons within the category of LD already accommodated. The maximum number of persons to be accommodated at Skills for Living (38 Forest Road) is two. 10th January 2006 Date of last inspection Brief Description of the Service: This is one of three Skills for Living small, family homes and provides a service for two young adults with a learning disability and additional complex needs and behaviours. 36 Forest Road is a semi-detached house in a road with similar houses and is 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 and to promote their independent living skills and community integration. Current fee levels are £1752.50 Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on a weekday and was conducted in conjunction with an inspection of 36 Forest Road. The inspection for both homes started at 1pm and was completed by 5pm. The inspector observed the interaction between staff and the two residents and spoke with both registered providers and four staff members. One residents’ support plan and assessments were seen as well as documents relating to staff training and recruitment, health and safety and quality assurance. 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 Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 Page 6 contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 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 Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent Comprehensive assessment procedures ensure that residents’ needs and aspirations can be met. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One resident’s assessment was examined. This was exceptionally detailed and contained information relating to all aspects of their needs and plans for the future. Details of regular re-assessment were also in place together with assessment documents from the resident’s placing authority. Discussion with staff members and observation of the resident indicated that the assessment was an accurate reflection of their needs. Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 9 Quality in this outcome area is excellent Residents are fully involved in day to day decisions, are well supported to take reasonable risks and excellent support plans accurately reflect their needs. This judgement has been made using available evidence including a visit to this service. EVIDENCE: One resident’s support plan was examined: this like their assessment was extremely detailed and covered all aspects of daily life. Staff responsibilities for meeting various aspects of the plan were clearly identified and there was evidence that the information was regularly reviewed. The resident also has an illustrated life history book as well as a person centred plan. There is a welldeveloped culture of ongoing risk assessments; a risk assessment is routinely completed before every activity as the resident’s response can vary. Staff displayed a good understanding as to why this was appropriate. Detailed daily notes cover every activity and the resident’s responses to them. Staff support the resident to make decisions about their daily life particularly in relation to their activities. The resident also receives support to manage their finances and detailed records are kept of all transactions. Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16, 17 Quality in this outcome area is excellent Residents have excellent opportunities to engage in vocational, leisure and community activities, are given good support in maintaining links with family and friends and enjoy good, nutritious food. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Very high staff ratios allow residents to engage in a programme of activities designed to meet their individual needs fully supported at all times by staff from the home. One resident attends a day service regularly (also run by Skills for Living). Excellent risk assessments are in place covering all aspects of accessing the community, e.g. walking to the shop, riding in the car etc. A report is made of each activity attended and these are reviewed by senior staff to ensure that the level of activity is maintained. Residents are supported in maintaining regular contact with their family. Both residents went on a week’s holiday last year supported by staff from the home. Menus are planned and a full record of the resident’s diet is kept; this showed that a good variety of food was served including plenty of fresh fruit and vegetables. Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, Quality in this outcome area is excellent Health and personal care needs are exceptionally well met This judgement has been made using available evidence including a visit to this service. EVIDENCE: Residents’ personal care support needs are clearly detailed in their support plan; information includes details of when residents like to get up and go to bed, the kind of support they need with washing and dressing and which staff members they prefer to receive that support from. Residents have a health action plan which includes information about their sleep pattern, stress management and nutrition. They have regular access to dental and optical services and are supported to attend GP appointments. Regular access to specialist health care such as consultant psychiatrists, psychologists and speech and language therapy was also evident. Residents also have access to complimentary therapies such as hand massage and reflexology. Excellent systems are in place for the management of medication. All staff administering medication have received appropriate training and junior staff are clear that they are not responsible for this aspect of care. Exceptionally clear protocols are in place relating to the administration of ‘as required’ medication. Medication is stored appropriately and staff administer medication in pairs to ensure that it is accurately dispensed. Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 Quality in this outcome area is excellent Residents’ views are actively sought and good systems are in place to protect them. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A formal complaints procedure is in place but the ethos of the home is to respond to any concerns of residents as and when they arise. Interaction between the residents and staff members was observed and this appeared to be open and relaxed. Information in support plans indicates that staff are expected to be aware of the residents’ responses and behaviour to actively ensure they are happy with the service provided. There are clear behaviour management protocols in place to respond to any behaviour from residents that may challenge, together with a policy which deals with physical intervention. Staff receive ongoing training and support in these areas and there is a very well developed on-call system to enable staff to access additional support at any time of the day or night. The providers are aware of the protocols with regards to adult protection procedures and their requirement to inform CSCI and Social Services of any incidents where a vulnerable adult may be at risk. Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 Quality in this outcome area is good Residents live in a clean and comfortable environment, which meets their needs well. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Communal areas of the home were viewed and these were clean, well decorated and furnished. Staff records show that they have received training in infection control. The open plan nature of the downstairs accommodation ensures that staff are continually in contact with residents even if engaged in a domestic activity. The small scale of the home offers a quiet and individualised style of living. Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is excellent Residents are supported and protected by well-trained staff and effective recruitment practices. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staffing levels are commensurate with the residents’ level of need and enable a high level of individual support throughout the day and night. A very comprehensive programme of training is in place and staff spoke very positively about the training opportunities and the ongoing, individual support that they receive; this includes a variable induction and probationary period. Staff undertake National Vocational Qualifications (NVQs), 60 now hold this qualification at level 2 or above. The Registered Providers discussed their intention to set up their own training organisation as the current lack of assessors was affecting the numbers of people able to complete the qualification. Staff recruitment records were examined; these contained a written application form, two written references and evidence of identity. Discussion was held about Criminal Records Bureau checks and the delay currently experienced with these being processed. The Providers’ attention was brought to the ‘POVA First’ service, which enables a check to be made against the vulnerable adults register within 48 hours of the request being made. Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 Quality in this outcome area is excellent Very well developed management systems ensure that residents’ health and safety is promoted and that their views inform the running of the service. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The two registered providers visit the home regularly to monitor the quality of service provided. There is a registered manager in place who has the required, relevant experience and is currently undertaking a National Vocational Qualification in care at Level 4. Residents, their relatives and staff members are regularly surveyed to illicit their views on the running on the service, as are professionals and those that commission the service. Information gathered from these surveys is used to ensure that quality in the home is constantly maintained and improved. Regular training updates are provided for all staff in first aid, moving and handling, food hygiene and health and safety. They have also received training from the Environmental Health Department on ‘due diligence’ with Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 Page 16 regards to food hygiene and health and safety practice. Comprehensive risk assessments are in place for all working practices and these are regularly reassessed. Documentary evidence demonstrated that fire systems and equipment are regularly serviced and tested. Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 Page 17 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 4 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 4 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 4 34 3 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 X 4 X LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 4 X 3 X 4 X X 4 X Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 Page 18 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. 1 Refer to Standard YA34 Good Practice Recommendations To hasten the recruitment process and ensure that guidance is consistently followed, it is recommended that an application be made to the Criminal Records Bureau to check prospective staff against the Vulnerable Adults Register before this is made as part of the Enhanced Criminal Records Bureau check. This process is known as ‘POVA first’ and can be completed within 48 hours. Skills for Living (38 Forest Road) DS0000001670.V328388.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V328388.R01.S.doc Version 5.2 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!