Inspection on 22/09/05 for Southview

This inspection was carried out on 22nd September 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

Southview 10/02/09

Southview 13/09/07

Southview 22/11/06

Southview 24/01/06

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 Isolina Reilly Unannounced Inspection 22nd September 2005 10:00 Southview DS0000064107.V251917.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 Southview DS0000064107.V251917.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. Southview DS0000064107.V251917.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Southview Address 34 Yew Tree Close Fair Oak Eastleigh Hampshire SO50 7GP 02380601805 02380695473 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 Mrs Carol Anne Mitchell Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Southview DS0000064107.V251917.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection New service first inspection Brief Description of the Service: Southview provides care for up to six young adults with learning disabilities and associated behaviour support needs. 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 home is located near the centre of Fair Oak with easy access to local shops, other amenities and is on a main bus route. The service users have access to a house car. The building is a two-storey domestic detached house, comprising of six single bedrooms. There is ample parking at the front of the house. The home’s communal space comprises of two lounges, a separate dining room and kitchen/diner. The garden is landscaped area of decking. Southview DS0000064107.V251917.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the first unannounced inspection at Southview. Since the registration of this home the original manager has left and a new manager recruited who had only been in post one week when this visit took place. On the day of the inspection, the opportunity was taken to look around the home, view records and talk with service users and staff. Most of the service users were seen during the inspection and several were spoken with. Several staff were also spoken with. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Southview DS0000064107.V251917.R01.S.doc Version 5.0 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Southview DS0000064107.V251917.R01.S.doc Version 5.0 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The home’s procedures are very good for admitting service users on the basis of a full assessment. This makes the experience for individuals welcoming, informative and understandable. EVIDENCE: Two out of the three service users records were sampled and there was evidence of planned visits over a period of time prior to being admitted. The staff spoken with confirmed this. The planned visits included stayed for meals and overnight stays. The service users were interviewed by the organisations’ psychologist and manager and had various discussions about what their needs and wants also involving their family and Social Services Care Manager. The staff spoken with confirmed that the home’s rules and service user guide were explained to each service user. The two service users files sampled held evidence of pre-admission assessments records undertaken by health, Social Services and the organisation’s specialist. Southview DS0000064107.V251917.R01.S.doc Version 5.0 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 The staff have a good understanding of service users’ support needs and aspirations that is backed up by a good system for recording information that fully involves the service user. There is an on going implementation the organisation’s system of risk assessment that encourages service user independence. EVIDENCE: The inspector was able to sample two out of the three service user files. The service users signatures were seen. The individual records were clear and the service users confirmed that they are regularly checked with their Key Worker to see how they are progressing. The manager explained that at present they are able to continue with some activities the service users were undertaking prior to moving in. The service user and staff spoken with stated that they looking at different things they could get involved in including education and aspirations identified through the person centred planning. The records sampled reflected choices and discussion held with the service users on their likes and dislikes. Southview DS0000064107.V251917.R01.S.doc Version 5.0 Page 9 Two of the service users stated that they enjoyed going out for meals. The files seen also held records of risk assessments and service users abilities. The staff spoken with confirmed that they had had instruction on how to write care plans and risk assessment putting the service user first. So that the service users can be supported to make their wishes, desires and ambitions become a reality in a safe and enjoyable way. The care plans contained written risk assessments and instructions to staff on how to look after the individual residents. The records also included names of relatives, friends, health care professionals and social services care managers who are involved in supporting the resident. Photographs were seen on the files and records. Southview DS0000064107.V251917.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): 12, 13, 15, 16 and 17 The home has a supportive and service user led ethos that develops and maintains daily living skills and appropriate relationships including social and leisure activities within the local community. The service users are fully involved in the provision of nutritious variable meals of their own choice that ensure integration in the day to day running of the home. EVIDENCE: The service users spoken with felt the home is a nice place to live with great staff and generally relaxed atmosphere. The service users records sampled held weekly programme of activities that the staff support them to plan. The service users and staff confirmed that the programmes are carried out. The staff spoken with confirmed that the service users are encourages and supported to make new friends and join in the local events. These are Southview DS0000064107.V251917.R01.S.doc Version 5.0 Page 11 discussed individually or at the regular ‘house meetings’ that are attended by the service users and records made. The types of activities being undertaken by the service users spoken with include attending day centres, clubs, horse riding, music therapy, meals out and discos. The inspector observed that staff and service users interacting well with each other and the service users stated that they feel respected and safe. The service users assist to plan their own meals, go shopping and participate in the cooking of meal with the support of staff. On the day of the visit the inspector observed two service users going out shopping with the a staff member. The staff confirmed that all service users within the home assist to choose and plan of meals. The home has developed a four-week menu plan that includes a shopping list. The menu includes two choices and are available in a file kept in the kitchen. Southview DS0000064107.V251917.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 and 20 The personal and emotional support, and health care in the home is offered in such a way as to promote service user independence, privacy and dignity. The systems for the administration of medication is in the main are good with clear and comprehensive arrangements being in place to ensure service users medication needs are met. EVIDENCE: The staff spoken with confirmed that some of the service users need to be prompted to get out of bed in the morning and to shower or bath regularly. This was seen in the records sampled. One of the service users spoken with stated that they look after themselves and do not need staff to help them to wash and dress. One service user described the staff as being very good and nice. The manager confirmed that the doctors can be contacted. The individual files seen held copies of ‘Care Plan Approach’ (CPA) and the service users confirmed that they had been present. The records seen had information on individual medical visits and other appointment letters. Southview DS0000064107.V251917.R01.S.doc Version 5.0 Page 13 The home is situated on a main bus route and the service users spoken with confirmed that they also have the use of the home’s car and staff will drive them. The staff spoken with confirmed that currently there are no service users who self-administer their own medication. This was reflected in the records sampled. The staff were observed and discussed with the inspector the medication administration practices that are reflected in the homes policy and procedures that were briefly sampled. The medication receipt, administration and disposal records were seen by the inspector and found to be satisfactory. However, there was a gap in the recording of one service user’s medication. The gap was due to medication not being administered and there was a lack of information regarding why the medication had been omitted. This was discussed with the manager who gave a verbal undertaken to ensure that reasons are recorded for nonadministration. The manager stated she would be undertaking a full review of the home’s medication as a matter of priority. The manager was advised that as good practise a list of all staff signatures and initials would be useful for auditing purposes. The manager showed the inspector the home’s medication storage cupboard that was clean with medication stored correctly in date and in sufficient quantities. The staff confirmed that they have received a basic instruction on the safe handling and administration of medication. The manager confirmed staff are due to attend a formal training refresher. Southview DS0000064107.V251917.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Southview DS0000064107.V251917.R01.S.doc Version 5.0 Page 15 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 and 30 The home presents as a homely, comfortable and suitable environment for the service users. The standard of the décor within the home is good with systems in place for maintenance. EVIDENCE: The service users stated that the home is warm and comfortable. They also confirmed that they like the fresh décor and furnishing within the home. The staff spoken with felt there were enough toilets and bathrooms or showers. The staff stated that the home was pleasant and bright. The home’s emergency pager system has had several teething problems that are on going. The manager is looking into the reason for the problems. On the day of the visit the emergency pager system was not working. The service users like the home and all were very happy with their rooms. One service user stated that they help with the cleaning of the home and have certain tasks they do weekly like polishing. They feel the home is always clean and tidy. The inspector was able to look around the home and viewed all the bedrooms. Southview DS0000064107.V251917.R01.S.doc Version 5.0 Page 16 The Environmental Health Officer (EHO) visited the home on 12th September 2005. The home in working towards meeting the requirement and recommendations issued by EHO. During the tour of the home the inspector noticed that all the communal hand sinks have liquid soap for washing hands and disposable paper towels. The staff spoken with confirmed that they have had recent training in ‘infection control’. They also have had training in the safe use of chemicals for cleaning and the importance of hand washing. Southview DS0000064107.V251917.R01.S.doc Version 5.0 Page 17 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): 35 The staff at the home are trained, supported and employed in sufficient numbers to meet the service users needs. The organisation has an ethos of developing staff as individuals and this is reflected in the service users feeling comfortable at the home. EVIDENCE: The service users spoken with described the staff as ‘friendly and helpful’. All the service users spoken with said there was sufficient staff around and like their key worker. The home’s induction programme is run over a period of time and some staff are awaiting training course to attend. The organisation’s induction process has been assessed and meets the Skills for Care standards. The staff spoken with confirmed that the home provides and support staff to achieve qualifications in promoting independence to National Vocational Qualification level 3 and the Learning Disabilities Awareness Framework training. Many of the staff are awaiting courses to come up in some of the areas already mentioned. The home’s training records show that the home undertakes training regularly. The inspector was able to sample training certificates and other records of Southview DS0000064107.V251917.R01.S.doc Version 5.0 Page 18 training undertaken by the staff as part of their induction as the home is new that including health and safety, food hygiene, non violent crisis intervention, fire safety, manual handling and medication. Southview DS0000064107.V251917.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: Southview DS0000064107.V251917.R01.S.doc Version 5.0 Page 20 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 X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 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 3 13 3 14 3 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X 3 X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Southview Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000064107.V251917.R01.S.doc Version 5.0 Page 21 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 Southview DS0000064107.V251917.R01.S.doc Version 5.0 Page 22 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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