Inspection on 10/07/07 for South Park

This inspection was carried out on 10th July 2007.

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 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

South Park 14/07/06

South Park 07/02/06

South Park 20/10/05

South Park 16/03/05

South Park 20/07/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

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

CARE HOME ADULTS 18-65 South Park 10 & 11 Park Drive South Gledholt Huddersfield West Yorkshire HD1 4HT Lead Inspector Karen Summers Unannounced Inspection 10 & 11th July 2007 09:00a th South Park DS0000050141.V345222.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 South Park DS0000050141.V345222.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. South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service South Park Address 10 & 11 Park Drive South Gledholt Huddersfield West Yorkshire HD1 4HT 01484 315551 01484 315551T/F compass.care@ntlworld.com 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) Compass Care Homes Ltd Mrs Joanne Nicola Mawson Care Home 10 Category(ies) of Learning disability (10) registration, with number of places South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The registered person may provide the following category of service only - Care home only - Code PC, to people of the following gender: either, whose primary care needs on admission to the home are within the following categories: Learning disability - Code LD. The maximum number of people who can be accommodated is: 10 2. Date of last inspection 14th July 2006 Brief Description of the Service: South Park is a care home providing accommodation and personal care for ten people who have varying degrees of learning disability. The business is privately owned through a limited company. The accommodation consists of two linked dormer bungalows. All the bedrooms are for single occupancy. There are two lounges, a separate dining area, and a garden with an area of decking to the rear of the property. There is also a small amount of off road car parking to the front of the property. The home is sited adjacent to Greenhead Park in a residential suburb of Huddersfield. There are some shops within walking distance and good transport links into the centre of the town. Fees at the home start at £500 - £1000 per week. Items not covered by the fee include: Hairdressing and toiletries. Information about the home and the latest Commission for Social Care Inspection report are available from the home. South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report refers to a key inspection, which included an unannounced visit to the home on the 10th & 11th July 2007, which took 10 hours. Mrs Joanne Mawson manager was present at the visit. During the visit the inspector spoke to people who live at the home and a number of staff. The inspector also read care records, staff recruitment records, training records, and staff supervision records and also had a tour of the home. To reflect the views of those who use the service, satisfaction surveys were sent to the people living at the home, all of which were returned and those people had been supported by a care worker to complete the survey. Surveys were also sent out to relatives/ advocate/ friends, three were returned, and also to local doctors and health care workers, (Social workers, community nurses) two were returned. Evidence used in the inspection process includes information supplied by the manager, at the request of CSCI, about people who live at the home, staff who work there and how the home is run. Notifications received since the last inspection about incidents at the home have also been taken into account. The inspector would like to thank those who contributed to the inspection, and also thank Mrs Joanne Mawson the staff and people who use the service, for their time and hospitality. What the service does well: Peoples’ needs are assessed prior to them moving into the home and they are able to visit the home to decide whether or not it is the right place for them. Surveys received from people who live at the home commented that they received enough information before they moved in. One person said that they were happy about the decision to move in. The surveys from the relatives also confirmed that they received enough information about the home. It was evident from observing staff interaction with people living at the home that they knew each individual’s likes, dislikes and needs. A doctor wrote a comment on the survey he returned, “Very friendly caring atmosphere.” Relatives’ surveys asked if the home meets the needs of their relative/ friend. One person said, “Quite outstanding. I could not wish for more loving & professional care.” Another said that their relative always seems happy when they visit and that it is an ideal place. They were also asked what the home South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 6 does well. One person said, “All needs of my daughter are taken care of.” Another said “An amazing family ambiance full of love and care.” All people go on a holiday, and their time away from the home depends upon their assessed needs and the preferences of the individual. Two people had recently been on a cruise and one of those people talked enthusiastically about their holiday. People living at the home benefit from being supported by qualified, competent and supervised staff, that have had all the necessary checks before working with people so that they are kept safe. What has improved since the last inspection? What they could do better: The procedure of how to respond to a person’s medical condition in the event of an emergency must be recorded. The decorative areas that are showing signs of wear should be redecorated. All parts of the home should be kept clean. The manager and the owner have had discussions about employing a cleaner. South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 8 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 South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 9 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, 4 & 5 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. Peoples’ needs are assessed prior to them moving into the home and are they able to visit the home to decide whether or not it is the right place for them. Each person has a contract of terms and conditions with the home. EVIDENCE: Records relating to three people using the service were examined, and all contained evidence that their needs had been assessed prior to them moving into the home and each had a community care assessment. Staff also said that people would be invited for visits to the home, and this would include an overnight stay. Surveys received from people who live at the home commented that they received enough information before they moved in, and that they wanted to move to the home. One person said that they were happy about the decision to move in. The surveys from the relatives also confirmed that they received enough information about the home. South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 10 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 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. Care plans were generally of a good standard, and the people are able to make decisions about their lives with assistance as needed. EVIDENCE: The care records were comprehensive however, some of the information was a little disjointed as it was held in different folders. General risk assessments and the personal care needs of people had been recorded. The daily record was an account of the care given that day, and it also included social care that the person had taken part in, and any untoward incidents. There was evidence to suggest that the documents had been reviewed and updated monthly. Formal reviews are carried out six monthly and the person using the service, their relatives/ advocate, day care providers and social work support are invited. This is to make sure people’s current needs are being met. There were also records of the reviews and who were present. It was evident from observing staff interaction with people living at the home that they knew each individual likes, dislikes and needs. South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 11 Documented evidence was seen of involvement from doctors, optician, dentist and other healthcare professionals where needed. A doctor wrote a comment on the survey he returned, “Very friendly caring atmosphere.” Relatives’ surveys asked if the home meets the needs of their relative/ friend. One person said, “Quite outstanding. I could not wish for more loving & professional care.” Another said that their relative always seems happy when they visit and that it is an ideal place. They were also asked what the home does well. One person said, “All needs of my daughter are taken care of.” Another said “An amazing family ambiance full of love and care.” There was also evidence that regular resident meetings take place to inform people of any changes and also enable them to participate in house hold decisions about the home. Minutes were recorded in simple words and picture, and a copy is given to every client which includes feedback on any suggestions or requests they have made. South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 12 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, 15, 16 & 17 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People take part in appropriate activities. They are part of the local community and are encouraged to maintain contact with their family and friends. People receive a varied diet that takes into account their likes, dislikes and dietary needs. EVIDENCE: There was evidence in the care records that people continue to live as independent lifestyle as possible, and are supported to maintain the day care that they did prior to living at the home. They also continue to participate in a wide range of social and recreational activities. Activities include trips out of the home to places of interest, e.g. York, Blackpool lights, the zoo, the Lakes, train rides. All people go on a holiday, and their time away from the home depends upon their assessed needs and the preferences of the individuals. Two people had recently been on a cruise and one of those people talked enthusiastically about their holiday. South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 13 One person chooses to have a daily newspaper delivered. Every two months there is a church service at the home, and one of the people recently requested to visit a church and a carer escorted him there. The home has transport and people who use wheelchairs are able to transfer to the vehicle, then the wheelchair is stowed away for their use when they arrive at their destination. Therefore those people in need of wheelchair assistance are able to go out and live an independent life as possible. The relatives, cares and advocates survey asked the question, “Does the care home help your friend or relative to keep in touch with you?” The comment from one person was that their relative phones them with the help of the staff. Another person commented that their relative had recently been in hospital, and that the staff from the home visited him 2/3 times a day and kept them informed of his care. The person also said, “The staff look after everyone very well when we go visit.” People who use the service were asked, “Do you make decisions about what you do each day?” The majority of people said yes, or nodded their head, one person was said to point to what they want and two people said that they sometimes decide what they want to do each day. Lunch was served at the time of the inspection and everyone spoken with said that they had enjoyed their meal. The menu was varied and took into consideration the likes and dislikes of people living there. South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 14 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 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People receive personal support in the way they prefer and their physical and emotional care needs are met. EVIDENCE: Care records examined showed that people receive personal support in the way they prefer and are supported to have regular health screening and access a range of health services. There was also evidence to suggest that the information had been reviewed and updated. Records indicated a good level of contact with the primary health care team and a full range of medical services. Information relating to a persons medical condition had not been recorded in sufficient detail to show how to respond in the case of an emergency. Staff who were spoken with did know the procedure to follow, however, the information should be recorded so that all staff who work at the home can refer to the information and be able to respond appropriately. There was evidence that staff who administer medication have had training, and the medication and records that were audited were correct. The temperature of the room where the medication is stored is now monitored and the records were satisfactory. South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 15 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 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People living at the home and their relatives and friends can be confident that their complaints will be listened to, taken seriously and acted upon. People are protected from abuse. EVIDENCE: The home has the up to date Kirklees Safeguarding Policy, and the home’s complaints procedure had also been updated to reflect that policy. Training records showed that staff have had safeguarding training (protection of vulnerable adults training,) and when spoken with staff were aware of the procedure to follow. Two out of three relatives were aware of the home’s complaints procedure, and the doctor’s survey said that they had not received any complaints about the home. People who use the service and able to make a comment stated the member of staff’s name they would speak to if they were not happy. There had been one complaint made to the home since the last inspection, and it had been responded to appropriately. The home also keeps records of compliments. A visiting nurse had commented on how well staff cared for an individual living at the home. A relative commented on the hard work of staff in the care of his relative. South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 16 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 People who use the service experience adequate quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People live in a homely and comfortable environment. There were signs of wear and tear and some areas required cleaning. EVIDENCE: The infection control nurse visited earlier in the year and recommended that liquid soap and towel dispensers were used, and these were seen at the time of the visit. The home was generally clean however, some areas of the home required attention to cleanliness. The manager and the owner have had discussions about employing a cleaner. People who use the service and are able to say whether the home is clean or not, did say that the home was clean. As discussed with the manager, some areas of the home require attention to décor and fittings, and recommendations have been made about this on pages 23 and 24. South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 17 Since the last inspection a specialised bath, and bathroom suite has been fitted to a downstairs bathroom. With the permission of people living at the home a sample of bedrooms were inspected and the rooms were individualised with personal belongings, and reflected the personalities and tastes of the people living there. South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 18 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 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. People living at the home benefit from being supported by qualified, competent and supervised staff, that have had all the necessary checks before working with people so that they are kept safe. EVIDENCE: The duty rotas were inspected and staff training files were also inspected and there was evidence to suggest that the staffing levels and skill mix were sufficient to meet the number and needs of people living at the home. Relatives’ questionnaires confirmed that the care staff have the right skills and experience to look after people properly. One person commented, “The staff look after everyone very well when we go visit.” The doctor’s survey stated that there is always a senior member of staff to confer with. Three out of eleven staff has an NVQ level 2 qualification in care, and five other care staff have started the qualification. Staff recruitment files contained the relevant information and documentation. Evidence was seen in the staff records and staff also confirmed that they had induction training and supervision. South Park DS0000050141.V345222.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 People who use the service experience good quality outcomes in this area. We have made this judgment using a range of evidence, including a visit to the service. The registered manager is of good character and competent to manage the home, and the health, safety and welfare of people who live at the home is protected. EVIDENCE: Mrs Joanne Mawson, the manager, has a number of years experience in the care of people who have learning disabilities and has completed an NVQ level 4 in management and care. Records show that Joanne and her staff attend regular training and up dates of existing training, these include fire, movement and handling and first aid. Meetings with people who live at the home take place every month and minutes were seen. The minutes of the meeting showed that the views of the people were taken into account and also recorded, what the individuals wished to talk about for example, birthdays, how they had enjoyed their holidays, South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 20 likes and dislikes, the employment of new staff and any changes at the home. Staff meeting are held fortnightly and minutes were also seen. There are presently eight people in residence and there was evidence that surveys were sent out in January this year to their relatives/ advocates/ friends. In addition to this the people living at the home have a reviews of their care every six months and everyone who has involvement in their care is invited to attend. Minutes were seen of the reviews and there was evidence that the information is used to assist the staff when reviewing the care of the individual. A newsletter is published which includes forth-coming events at various times throughout the year. Accident books were checked and satisfactory records were seen. South Park DS0000050141.V345222.R01.S.doc Version 5.2 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 X 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 2 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 X 3 X 3 X X 3 X South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 22 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. 1. Standard YA19 Regulation 15.-(1) Requirement The care plan should be written in sufficient detail to show how to respond in an emergency situation when specific medical intervention is required. Timescale for action 27/08/07 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 YA24 Good Practice Recommendations • • • • • • • The decorative areas that are showing signs of wear should be redecorated. The damage to the plaster on the wall behind the dining room door should be repaired. The dining room curtains should be repaired. The damaged radiator cover should be repaired. The plaster that is flaking in the porch located at the rear of the building should be repaired. The laundry floor edges should be sealed to ensure that debris does not collect between the surfaces and the floor can be properly cleaned. Bathroom number 10 – the side and corner of the bath should be kept clean and where the bath meets DS0000050141.V345222.R01.S.doc Version 5.2 Page 23 South Park 2. 3. YA30 YA32 the wall be resealed. The home should be kept clean. 50 of care staff should have an NVQ level 2 or equivalent. South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Brighouse Area Team First Floor St Pauls House 23 Park Square Leeds LS1 2ND 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 South Park DS0000050141.V345222.R01.S.doc Version 5.2 Page 25 - 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!