Inspection on 13/09/07 for Southview

This inspection was carried out on 13th September 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 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

Southview 10/02/09

Southview 22/11/06

Southview 24/01/06

Southview 22/09/05

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Southview 34 Yew Tree Close Fair Oak Eastleigh Hampshire SO50 7GP Lead Inspector Neil Kingman Unannounced Inspection 13 September 2007 13:50 Southview DS0000064107.V344525.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 Southview DS0000064107.V344525.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. Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Southview Address 34 Yew Tree Close Fair Oak Eastleigh Hampshire SO50 7GP 023 8060 1805 023 8069 5473 southviewhome@tiscali.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) Milbury Care Services Ltd Post vacant Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22 November 2006 Brief Description of the Service: Southview is a registered care home providing care support and accommodation for up to six adults of both sexes with learning disabilities. The home is owned and run by Milbury Care Services Limited a national organisation that employs a manager for the home. This service was first registered on 26th August 2005. The property is a two-storey domestic detached house located near the centre of Fair Oak about a half-mile from local shops and other amenities. There is a house car, which provides transport for service users, and the main bus route on Winchester Road lies a few yards from the home. All bedrooms are for single occupancy and have individual en-suite facilities. Communal areas comprise a large lounge, separate dining room, kitchen/diner, sensory room and a quiet area in the hall with seating. The garden is landscaped with an area of decking, and there is ample parking at the front of the house. The manager states that fees are based on a breakdown of individual needs and requirements. Details can be found in the service user’s guide. Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the results of an evaluation of the quality of the service provided by Southview and brings together accumulated evidence of activity in the home since the last key inspection on 22 November 2006, at which there were three requirements identified as needing to be addressed. Part of the process has been to consult with people who use the service by way of survey comment cards. Responses were received from all service users. Included in the inspection was an unannounced site visit to the home by an inspector on 13 September 2007. The manager and her deputy were on duty and available throughout the afternoon. At the visit we had an opportunity to look at a selection of records, tour the building, speak with staff on duty and meet all five people currently resident in the home. We also spoke with a relative of one of the service users, who was visiting at the time. Prior to the site visit the manager sent to the Commission a selection of information about the service including an Annual Quality Assurance Assessment (referred to as the assessment during the report). However, the assessment lacked essential detail in all areas, especially the key areas of what the service does well and what they could do better. What the service does well: The home understands the importance of having sufficient information when choosing a Care Home. It has developed a good admission procedure, which was in the process of being used at the time of the inspection. The service involves individuals in the planning of care and support that affects their lifestyle and quality of life. Personal plans are very person centred. Staff understand the importance of people being supported to take control of their own lives. Individuals are encouraged to make their own decisions and choices. The home enables younger adults to achieve their goals, follow their interests and be integrated into community life and leisure activities in a person centred way. Personal plans are directed towards this. The home use photographs and pictures to ensure individuals have the information they need to enable them to choose what activities they wish to participate in, colour schemes for decoration and what they prefer to eat each day. Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 6 There is an excellent attitude towards service users personal development expressing their own opinions and participating in activities as well as accessing the local community. Significant progress has been made with the development of one individual. The home provides a comfortable and safe environment. It is well maintained and suited to the service users’ needs, being spacious, bright and airy, and decorated and furnished to a good standard. Provider’s Annual Quality Assurance Assessment The assessment summarises what the service does well: We are very service user led. We maintain a high level of care and support, which is reflected in their individual development and progression. We provide a safe, homely and welcoming environment. What has improved since the last inspection? What they could do better: There were no requirements or recommendations identified during the inspection. Provider’s Annual Quality Assurance Assessment The assessment summarises what they could do better: Maintain a full staff team. Southview DS0000064107.V344525.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. Southview DS0000064107.V344525.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 Southview DS0000064107.V344525.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 and 5 – People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager ensures that the care support needs of the people who use the service will be met by undertaking a proper assessment prior to them moving into the home. People who may use the service and their representatives have the information needed to choose a home that will meet their needs. EVIDENCE: Pre-admission assessment People should know that their needs will be met when they move into a home. An important part of ensuring this happens is the pre-admission assessment process. At the last inspection this standard was judged to have been met. Southview provides long-term care and support for up to six adults with learning disabilities. At the last inspection this standard was judged to have been met. The manager confirmed that there had been no new admissions to the home since the last inspection. However, they were currently involved with a transition plan for a young person who may wish to use the service. The manager showed a good understanding of the importance of the pre-admission Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 10 assessment in the process of choosing the right home, which includes contact with care managers and introductory visits to establish compatibility with existing service users, and to judge whether the home would be suitable. It was noted that each person who currently uses the service has a needs assessment on his or her file. Contract – At the last inspection it was noted that service users’ statements of terms and conditions did not included details of additional costs they would be expected to pay for or contribute to. At this site visit we looked at terms and conditions documents, which are included in the service user’s guide. It was noted that the outstanding information is now included and the documents are signed by the service user or representative where applicable. The home has developed clear information in the service user’s guide to help people understand what services the home can provide. It includes photographs. We had an opportunity to speak in private with the mother of one of the service users who moved in when the home first opened. It was clear from discussions that they were given sufficient information about the service and time was taken to ensure the experience was as positive for the service user as possible. Provider’s Annual Quality Assurance Assessment The assessment identified what the service does well in this area: • • We undertake thorough assessments before service users are placed. Successful placements and service users development evidence this. Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 11 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 and 9 - People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Individuals are involved in decisions about their lives, and play an active role in planning the care and support they receive. EVIDENCE: Personal plans – The home operates a key worker system where key support workers have additional responsibilities for identified residents, including reviews. Each person who uses the service has a personal plan, which reflects their individual needs, wants and goals. We looked at a sample of two plans, one for a male service user and one for a female. The intention was to look at the outcomes for people in general by assessing all areas of care and support for those sampled. The manager and her deputy said that a good deal of work had gone into the development of plans since the last inspection. Information is written in plain Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 12 language and includes pictures and photographs, it is up to date and reviews are being carried out monthly. It was noted that information in personal plans is very ‘person centred’ and includes: • • • • • • • • • Details of contacts and the individual’s ‘circle of friends’ Support plan with guidelines Goals plan Activities timetable and diary Health care plan Financial care plan Likes and dislikes Methods of communication Risk assessments Pictures and photographs are used in plans to help service users to understand the information they need to make choices. The visiting relative spoken with was very clear about being involved in the plans and reviews of the service user and confirmed that they were kept informed by the manager of all important matters that affected him. Decision making Information in Personal Plans and discussions with the manager and staff on duty provided evidence of staff respecting peoples’ rights to make their own decisions. Individuals have their own needs, interests, aspirations and goals, which are reflected in their plans. House meetings are arranged for people as a group to discuss the running of the home, holidays, trips, food menus etc. The manager confirmed, and records showed that people are variously supported to manage their financial affairs in different ways according to their individual skills and circumstances. Each person has their own bank account and is given support to be as independent as possible in this respect. She explained that four service users have a family member to represent them. The advocacy service was tried but proved not to be appropriate for the needs of another, so staff provide support. It was clear from discussions with the manager and staff that they are fully committed in supporting individuals to lead purposeful and fulfilling lives as independently as possible, and that a good deal of progress had been made towards a goal that one hoped to achieve of leading a more independent lifestyle in a support living setting. Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 13 Risk taking – At the site visit we noted good risk assessments in the sample files viewed. They are person centred and include all relevant information, actions and interventions to minimise the risk, and the perceived benefit to the service user. In discussions with the manager and staff about examples of challenging behaviour it was clear that the home has strategies for managing situations, which keep incidents to a minimum. Provider’s Annual Quality Assurance Assessment The assessment identified what the service does well in this area: • • We encourage service users to achieve their goals, monitor and record their progress PCP files & photo reference evidence this. Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 14 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 and 17 - People who use the service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to make choices about their lifestyle, and are supported to develop their life skills. Social, educational, cultural and recreational activities meet individual’s expectations. EVIDENCE: Education and occupation – During the site visit we had an opportunity to meet with all those who live at the home and view a sample of records relevant to peoples’ daily life and social activities. Personal plans provide information about individual’s likes, dislikes, goals, activities and the support they need. Three of the five service users with severe disabilities do not have the capacity, even with help to find jobs or take part in education or training. However, one of the three regularly attends a day service. One of the more able people has enrolled on a college course to develop essential life skills and another has been attending college for some time. Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 15 In conversations with the manager and staff it was clear that a good deal of support is provided for individuals to make choices that enhance their independence. Those who are less able are supported to take part in a range of activities in the home, including games, art and crafts, looking after pets, gardening and experiences in the sensory room. Community links, social inclusion and relationshipsIt was clear from discussions with staff and from information in personal plans that people enjoy going out from the home. Each individual has a programme of activities, which meets their needs and gives them choices. Photographs and pictures are used to help people with communication difficulties to make their choices known. Activities are many and varied and are carried out mainly on a one-to-one basis but sometimes as a group. They include: Horse riding Swimming Archery Wall climbing Trampoline Cinema Bowling Stream walking Country parks Dance class Pubs and eating out All the above activities are accessed in the local community either by way of public transport or the home’s vehicle. Staffing is flexible to allow support for people in the evenings and at weekends. Staff confirmed that each has an opportunity to go on holiday away from the home each year. At the time of the inspection they had just returned from a holiday on the Isle of Wight and were planning another holiday in October. All but one service user has regular contact with their family and visits take place either in Southview or the family home. The home makes visitors welcome and service users are able to receive them in the communal areas, or the privacy of their rooms. The visitors’ book showed that visits from family and health care professionals are frequent. The visiting relative spoken with was full of praise for the home, confirming that they are always made welcome at any time. Daily routines – All those who live in the home have ‘life skills’ slots during the week when they are supported to undertake their domestic activities such as cleaning their bedrooms and general chores. People are encouraged to undertake domestic tasks but can opt out if they choose to do so. Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 16 Meals – The manager explained that food menus are updated quarterly and are influenced by peoples’ choices. A comprehensive visual food directory with photographs is used to help them identify their preferences. There is a choice of two meals at lunchtime and in the evening. Service users prepare their own breakfasts with support from staff. Care support workers take turns on a rota to do the cooking and other domestic chores, a system that is felt to work well in what is essentially a domestic setting. On the day of the site visit it had already been planned that the evening meal would be a take-away and choices had been made. Provider’s Annual Quality Assurance Assessment The assessment identified what the service does well in this area: • • We ensure that all the service users have the opportunity to progress educationally and recreationally. Activity planners, factual evidence and social links evidence this. Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 17 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 and 20 - People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Personal support – At the time of the inspection there were five people resident at Southview and all are fully mobile, needing no specialist aids or equipment, although they all need some support from staff with their personal hygiene. Three of the five have chronic epilepsy and staff have been given specific training in this area. People’s individual plans clearly record their personal and healthcare needs and detail how they will be delivered. Staff use a person centred approach to deliver care and support and meet people’s changing needs. We observed during the site visit that service users were in various parts of the home doing different things; two on their own and three variously in the company of staff who were supporting them with activities. Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 18 The manager and staff explained that service users are encouraged to be independent and choose their own clothes, hairstyles and hobbies, which reflect their individual personalities. This was clear from our observations during the visit. All five responses to the service user survey indicated staff always treat them well. Healthcare – Personal plans showed that peoples’ health care needs are regularly addressed. All service users are registered with the local health clinic in Fair Oak. They receive regular health checks from the GP, dentist, optician, and specialist health care professional where needed, either at the surgery or in their own rooms depending on the circumstances. All health care needs are identified in their health care plans. Records showed behaviour monitoring charts were being used, following advice given to the home by the Community Learning Disability Team, with whom, according to the manager they had an excellent relationship. There is a good gender mix in the staff group, which means that all preferences can be accommodated. Medication We looked at the home’s arrangements for service users’ medication with the manager and found them to be very good in all respects. Records showed that medication is administered by staff who have been trained in medicines management and deemed competent by the manager. All service users have a medication assessment and there is a file of information for staff, which helps with their understanding of the reasons why service users take the medicines they are prescribed. At the time of the site visit service users’ medication was securely held, and records relating to its safekeeping and administration were found to be in good order. It was noted that individual PRN (as required medicines) guidance and protocols were in place. Peoples’ assessed needs are such that staff administer their medication for them. Provider’s Annual Quality Assurance Assessment The assessment identified what the service does well in this area: Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 19 • • • We ensure that all service user support elements are person centred. We ensure that they are encouraged to make active choices because their support plans are very person centred. This allows the individual to express their preference and choice. We monitor and record regularly and full risk assessments are in place. Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 20 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 and 23 - People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are able to express their concerns, and have access to a robust, effective complaints procedure, and are protected from abuse. EVIDENCE: Complaints The homes pre-inspection information indicated that there had been no complaints about this service since the last inspection visit. The home’s complaints procedure is set out in pictorial format, laminated and prominently displayed in the hall. However, the manager said that it attracted the attention of those with difficult behaviour and had to be frequently renewed. There are several situations where service users have opportunities to raise any concerns, e.g., one-to-one approaches to staff or the manager, formal residents house meetings and at reviews. Three of the five responses to the service user survey indicated they always knew how to make a complaint, one indicated sometimes and another was unable to express an opinion. Three indicated they knew who to speak to if they were unhappy. There was unanimous agreement with the staff that those who had no verbal communication could make their feelings known. Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 21 Safeguarding adults Information provided as part of the home’s assessment indicated that policies, procedures and codes of practice are in place in the area of safeguarding adults and the prevention of abuse, and records showed that staff receive specific training in the subject. Staff spoken with confirmed that they had received training in safeguarding adults and were very clear about the importance of reporting issues of concern without delay. Since the last inspection there has been one safeguarding of adults referral, which was dealt with appropriately by the home. The home provides a secure system of safeguarding service users’ monies. The arrangements were fully explored and judged to be appropriate. In a dip sample of records entries were found to be accurate, monies balanced and receipts were kept of incidental purchases. Provider’s Annual Quality Assurance Assessment The assessment identified what the service does well in this area: • • • We take all complaints seriously; safeguard our service users by being effective and ensuring that all allegations and complaints are dealt with immediately. We follow all policies and procedures. We have a complaint file in place. We monitor the staff through supervisions to ensure all codes of practice are followed Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 22 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 and 30 - People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home’s premises are suitable for its stated purpose. They are comfortable, safe and well maintained. On the day of the site visit the home was clean, hygienic and free from unpleasant odours. EVIDENCE: Premises – Southview is a modern two-storey house located in a close of other similar houses on the outskirt of Fair Oak, Hampshire and offers the service users a safe and comfortable home. The building is suitable for people who are independently mobile and all areas including the garden are accessible. During the site visit we toured the building with the manager. It was noted that bedrooms were spacious, reasonably well decorated and equipped, and Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 23 individually personalised. Five rooms are equipped with an en-suite bath and WC and one has an en-suite shower and WC. The home provides a range of communal shared space. There is a wellfurnished and recently decorated comfortable lounge, a large kitchen/diner, a separate dining room, which is also used for activities, a sensory room with a range of sensory equipment for touch, sight and sound, and a quiet area with seating, at the foot of the wide stair case leading to the first floor. The home is spacious, bright and airy and many of the walls have photographs of individuals and staff participating in various activities. Outside the enclosed garden is mainly laid to lawn, with shrub borders and a patio with good quality seating. Part of the garden is sectioned off and used for growing vegetables. The manager said that the service users had been involved with growing a wide range of vegetables, which had been harvested and included in the food menus. During the site visit service users were observed variously taking part in activities with staff inside the home and in the garden. Cleanliness During the site visit all areas were noted to be clean, tidy and free from unpleasant odours. There is a utility/laundry room, sited away from areas where food is prepared, cooked or eaten and equipped with commercial grade machines. All five responses to the service user survey indicated the home was always fresh and clean. Provider’s Annual Quality Assurance Assessment The assessment identified what the service does well in this area: • • • We ensure the house is well maintained and risk assessments are up to date. The service is decorated in a homely way and offers lots of space. Monthly Health & Safety checks and daily checks, i.e., cleaning rotas etc. Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 24 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 and 35 - People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff in the home are trained, skilled and are deployed in sufficient numbers to support the people who use the service, in line with their terms and conditions, and to support the smooth running of the service. EVIDENCE: Staff recruitment The manager confirmed that eight new care support workers had been recruited since this standard was last assessed. Milbury Care Services Ltd holds the original staff recruitment information for all their services centrally. However, relevant information to evidence the robustness of the recruitment procedure is made available for inspection in the home. The procedure includes: • • • • Application form Contract of employment Health questionnaire Two written references DS0000064107.V344525.R01.S.doc Version 5.2 Page 25 Southview • Criminal record and Protection of Vulnerable Adults (POVA) checks on all staff. We looked at the recruitment information for four newly recruited staff and found it to be in good order. The manager confirmed that the service users are involved in decisions around the recruitment of new care support workers. Staff training, development and competencies The manager has produced a training plan, which shows at a glance the position with regard to staff training. The plan, which covers all induction and mandatory training and is colour coded, gives a very clear indication of what training has been achieved and what is scheduled, together with dates. Records demonstrate that the full range of mandatory training is provided together with additional service specific training such as: • • • • • Autism including challenging behaviour Mental health awareness Epilepsy Makaton communication Anything else as required We also viewed a random selection of qualification certificates that evidenced the training given. The manager described and produced evidence of the induction programme care support workers undertake when joining the home. The current programme follows the Common Induction Standards recommended by ‘Skills for Care’. In addition, five are currently undertaking Learning Disabilities Award Framework (LDAF) training. The manager confirmed and records showed that six of the fourteen permanent staff have achieved the National Vocational Qualification (NVQ) at level 2 or above; two have completed the course and are awaiting certificates, and five are undertaking the training. The arrangements in place will ensure that this standard is met. Staff spoken with said that the home provides a very good staff training package, which equips them well for the work they do. Provider’s Annual Quality Assurance Assessment The assessment identified what the service does well in this area: • We ensure that all staff receive a full training package. Job descriptions are read and understood. Regular supervisions take place. DS0000064107.V344525.R01.S.doc Version 5.2 Page 26 Southview 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 and 42 - People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service benefit from living in a home that is well managed. Quality assurance measures are in place to ensure the home is run in peoples’ best interests, and the home’s policies, procedures and staff training ensure as far as is reasonably practicable, peoples’ health and safety. EVIDENCE: Management – The manager has been in post for almost a year and is undergoing the process for registration. She has achieved a National Vocational Qualification (NVQ) at level 3 and a B/Tech National Diploma in Health Studies. She states that she has enrolled on the combined NVQ 4/Registered Managers Award, commencing in October 2007. Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 27 Staff spoken with regarded the home as being well run, with regular staff meetings and formal supervision. They confirmed that the morale of staff was good and the manager was very approachable and supportive. While the manager returned the home’s assessment promptly, it lacked essential detail in all areas. In discussions the manager recognised the failings in the assessment, explaining that she had completed it hurriedly without fully understanding that it is the main way of letting us know how well the service is delivering good outcomes for the people who use it. Quality assurance – The manager gave examples and we saw records of the home’s approach to quality assurance, which include: • • • • • • • • Regular service users house meetings where issues are recorded and addressed. Yearly formal surveys with relatives of service users. Monthly personal plan reviews and quarterly ‘goals’ reviews involving the service user and the key worker. Regular statutory visits by a representative of the company to monitor the conduct of the home. Quality audits undertaken by the company’s quality manager (last one July 2007), which review all aspects of the service. Regular staff meetings and formal supervision sessions. Ongoing maintenance of the building. The Milbury Care Services Limited business plan. Health and safety The home’s pre-inspection information confirmed that policies and procedures were in place to ensure safe working practices in the home. During the site visit the manager produced a comprehensive file, which contained details of regular weekly health and safety checks, certificates showing regular servicing of the gas and electrical systems, fire safety equipment and the Control Of Substances Hazardous to Health (COSHH) sheets. Staff training records showed, and staff confirmed that statutory training is scheduled and updated in manual handling, first aid, fire training, infection control and food hygiene. Provider’s Annual Quality Assurance Assessment The assessment identified what the service does well in this area: • • Fully experienced and competent within our roles. A well run and happy service with consistent training. DS0000064107.V344525.R01.S.doc Version 5.2 Page 28 Southview 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 x 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 3 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 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 4 14 x 15 4 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 2 x 3 x x 3 x Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 29 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 Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Southview DS0000064107.V344525.R01.S.doc Version 5.2 Page 31 - 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!