Inspection on 20/10/05 for South Park

This inspection was carried out on 20th October 2005.

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 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

South Park 10/07/07

South Park 14/07/06

South Park 07/02/06

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 John Gregory Unannounced Inspection 20th October 2005 13.00 South Park DS0000050141.V258634.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 South Park DS0000050141.V258634.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. South Park DS0000050141.V258634.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service South Park Address 10 & 11 Park Drive South Gledholt Huddersfield West Yorkshire HD1 4HT 01484 315551 01484 315551 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 Lesley Scott Care Home 10 Category(ies) of Learning disability (10) registration, with number of places South Park DS0000050141.V258634.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th March 2005 Brief Description of the Service: South Park is a care home providing accommodation and personal care for ten persons subject to 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 and there are two communal lounges and dining area. There is a garden with a decking area to the rear and 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. South Park DS0000050141.V258634.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over the course of one day in October 2005. The inspection took 5 hours and concentrated on those areas that the CSCI determine are central to the caring process. A sample of policies procedures and records were examined that were relevant to the standards inspected. Two service users files were examined in detail and interviews were held in private with five service users. Four staff files were examined and interviews undertaken with three staff. A brief tour of the accommodation was undertaken. Service users kindly showed the inspector their rooms. The deputy manager to the home facilitated the inspection. The inspector would like to thank the staff and service users of South Park for their time, cooperation and hospitality during this inspection. What the service does well: What has improved since the last inspection? The standards of care remain unaltered from that identified at the last inspection. Action has been taken to rectify issues identified at the last inspection. South Park DS0000050141.V258634.R01.S.doc Version 5.0 Page 6 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. South Park DS0000050141.V258634.R01.S.doc Version 5.0 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 South Park DS0000050141.V258634.R01.S.doc Version 5.0 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): 2&5 The service updates information on the needs of individuals through the care plan. EVIDENCE: The case files examined were designed in such a way as to integrate an assessment of the service users’ needs in order to keep their care plan up to date and relevant to their needs. The contracts on service users’ files are updated annually by the inclusion of an up to date statement of charges. South Park DS0000050141.V258634.R01.S.doc Version 5.0 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&9 The care is based on care plans that are comprehensive but need some attention to the review process. Risk assessments take place to the main risks in the service users’ life but could usefully be expanded to further normalise the service users’ care. EVIDENCE: The care plans seen were comprehensive and established through recorded contact with the service user and their family carers. Reviews by care staff are undertaken monthly and there is a more formal review undertaken six monthly by the care staff as a group. This six monthly review should be expanded to include other stakeholders in the service users life to keep the care plan relevant to their needs. The inclusiveness of this process would be better demonstrated by the recording of the persons contributing to the review or their apologies. Risk assessments of the major risks in the service users’ life are undertaken and regularly reviewed. These risk assessments could be usefully expanded to include all the risks of daily living to assist in the process of normalisation. The assessments might include management of money and medication and their use of keys to their rooms and the building. South Park DS0000050141.V258634.R01.S.doc Version 5.0 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): 13,15 & 17 Service users have their needs for activity met mainly through specialist day care facilities during the week and a stimulating range of activities on evenings, weekends and holidays. There is good family contact. The service users receive nutritious meals but attention is needed to their involvement in the process of menu setting and the presentation of the communal meal. EVIDENCE: The files contained evidence of service users’ regular attendance at specialist day settings in the local town. Service users were enthusiastic about their attendance at this work and its stimulating nature and opportunities for new friendships. Service users also spoke of their families and confirmed the written information about their contact and some service users having short breaks with their families. Service users participate in the local community facilities. Some service users have up to three holidays a year. The owners subsidise one holiday for each service user. Service users showed pictures of a recent break in Blackpool with some pride. South Park DS0000050141.V258634.R01.S.doc Version 5.0 Page 11 The record of food served demonstrated a wide range of nutritious food being cooked and the main meal of the day of the inspection was served in good quantities. The inspector was unable to definitely establish that service users were actively involved in the choice of menu. The communal meal was observed to be served plated up and placed on the table irrespective of whether the individual was seated at the table. Attention to the process of presentation of meals into a more sophisticated process involving service users would enhance the meal as an important social occasion and reduce the institutional appearance of the process seen by the inspector on the day. South Park DS0000050141.V258634.R01.S.doc Version 5.0 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): 18,19 & 20 Other than the recommendation regarding the presentation of the meal, the transactions between staff and service users were positive and delivered by staff of both genders. Service users receive good health care and specialist intervention. The medication system protects service users. EVIDENCE: Service users were well dressed and groomed in individual styles; care is available from staff of both genders and personal care provided in service users’ own rooms or in private. The service users were happy with the support they received. Facilities are available for those service users with physical disabilities. The service users’ records indicated a good level of contact with the primary health care team and a full range of medical ancillaries. Some service users receive specialist medical care on a continuing basis. The service provider has good policies and procedures for the administration of medication. The medication of four service users was audited and found in all respects to be accurate and protect service users. South Park DS0000050141.V258634.R01.S.doc Version 5.0 Page 13 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& 23 The service provider has a complaints procedure which the staff understand and can ensure that service users’ views are listened to and acted upon. Staff training is necessary to ensure that service users are fully protected from abuse. EVIDENCE: The service provider has a complaints procedure which will ensure that service users’ views are listened to and acted upon. Staff, who could describe appropriate action to be taken in the event of a complaint, understood the procedure. There have been no recent complaints. The provider has a comprehensive procedure for the protection of vulnerable adults and a whistle blowing procedure. Staff who have been appointed recently were lacking in confidence in the possible use of the procedures and may require support in developing this. Although there are some incidents of aggression in the home, the staff expressed an understanding of the issues and felt confident to deal with any issues. South Park DS0000050141.V258634.R01.S.doc Version 5.0 Page 14 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 & 30 The service users live in a comfortable, well-decorated domestic environment that is both clean and hygienic. EVIDENCE: A brief tour of the home demonstrated it to be comfortable, well decorated and maintained. The décor and equipment is of a domestic nature. The service users’ rooms were well equipped and personalised. The laundry facility includes a washer capable of sluicing and has impervious wall and flooring. South Park DS0000050141.V258634.R01.S.doc Version 5.0 Page 15 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): 33,34, 35 & 36 The home is staffed to meet the basic needs of service users. Staff are basically well trained. Staff are supported and well supervised. EVIDENCE: The rota was examined and the manager confirmed that the home’s staffing is based on two staff being on duty for the morning and afternoon shifts and one waking night staff with the manager being supernumerary. Occasionally, when there is a full staff team, opportunities exist for additional staff to be on duty at busy times. The staffing files contained much good information. Staff confirmed the evidence on file of induction training being undertaken through the LDAF system and for routine training in matters related to health and safety. Staff then proceed to undertake the level NVQ 2 training to LDAF standards. Staff confirmed the record of monthly supervision being provided by the manager. South Park DS0000050141.V258634.R01.S.doc Version 5.0 Page 16 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 & 42 The service provider has developed a business plan and quality assurance report, also undertakes monthly visits under regulation 26 of the Care Homes Regulations to ensure good quality services are being maintained. EVIDENCE: There was some evidence of quality of care being monitored through supervision and a business reporting process. The provider should record the views of service users and other stakeholders. COSHH records were in order and temperatures of food and water are routinely undertaken. Fire drills were recorded with participants listed. Records should be kept together for ease of reference. A workplace risk assessment required by the Health and Safety Executive has been completed. South Park DS0000050141.V258634.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X 3 X X 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X 3 X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 South Park Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 X DS0000050141.V258634.R01.S.doc Version 5.0 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. Refer to Standard Good Practice Recommendations 3 4 YA6 YA17 The six monthly reviews should include other stakeholders as agreed with service users, and as outlined in the standards. Service users’ meals should not be served before they are seated at the table. South Park DS0000050141.V258634.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Brighouse Area Office Park View House Woodvale Office Park Woodvale Road Brighouse HD6 4AB 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 South Park DS0000050141.V258634.R01.S.doc Version 5.0 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. 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