Inspection on 24/02/06 for St Andrews (Father Hudson`s)

This inspection was carried out on 24th February 2006.

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

St Andrews (Father Hudson`s) 29/10/07

St Andrews (Father Hudson`s) 04/12/06

St Andrews (Father Hudson`s) 19/09/05

St Andrews (Father Hudson`s) 21/02/05

St Andrews (Father Hudson`s) 08/07/04

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

CARE HOME ADULTS 18-65 St Andrews (Father Hudson`s) 37 Blythe Road Coleshill Birmingham West Midlands B46 1AF Lead Inspector Maggie Arnold Unannounced Inspection 24th February 2006 10:00 St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 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 St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 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. St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service St Andrews (Father Hudson`s) Address 37 Blythe Road Coleshill Birmingham West Midlands B46 1AF 01675 462240 01675 434010 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) Father Hudson`s Society Mr Alan Everitt Care Home 11 Category(ies) of Learning disability (11) registration, with number of places St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th September 2005 Brief Description of the Service: St Andrews is a registered care home for 11 service users with learning disabilities. The Father Hudson’s Society provides 24 hour care and support. The home is in a large detached 18th century house, surrounded by gardens with an open outlook to the rear and setback off a busy road just off the main street of the small town of Coleshill in Warwickshire. It is within a short walking distance of the town and all local amenities and facilities, as well as bus routes to Birmingham and Nuneaton. Plenty of parking is available in the grounds. Service users all have their own bedroom with ample shared space on the ground floor. St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on a weekday between the hours of 10.00 am and12.30pm. The manager and two staff members were on duty at the time of the inspection. What the service does well: What has improved since the last inspection? What they could do better: St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 Page 6 Seven standards of were scrutinised on this occasion. It is pleasing to note that no requirements arose from this inspection. 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. St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 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 St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 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): Not assessed on this occasion. EVIDENCE: St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 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): Not assessed on this occasion. EVIDENCE: St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 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 & 16 Residents are supported to participate in the local community. The home ensures that residents’ rights and responsibilities are recognised in their day-to-day living. Residents are encouraged to maintain fulfilling personal and family relationships. This helps to ensure that the residents’ confidence, well being and sense of identity is promoted and upheld. EVIDENCE: Wherever possible medical, spiritual, social and personal care needs are met in the local community. For example, residents access the services of local hairdressers, shops, pubs, cafés, dentist and General Practitioners. Some residents also attended church services on either a weekly or monthly basis. Where practical residents also use public transport. A number of residents attend college courses. Records showed that the residents, who mainly attend either Birmingham City College and or Solihull St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 Page 11 College, undertake a wide variety of courses, reflecting their individual interests and skills. Courses include needlecrafts, flower craft, cake decorating, music technology, woodwork, independent living skills and art/drawing. Recent social outings have included attending a production of Fiddler on the Roof, visiting the Butterfly Farm, Teddy Bear Museum and trips to the cinema. In the previous twelve months the residents have been on a large group holiday as well as small group holidays. Holidays included staying in on a Lodge Park, a trip to holiday camp and a stay in a small farmhouse cottage. The residents decided that, this forthcoming year, they would prefer not to go on a large group holiday. Plans are in place for small group holidays in Wales or Edinborough. Residents know which staff members will be accompanying them on their holidays. Residents pay for their own holidays. The staff costs are paid for by the Charity. The home has recently employed an Activities Organiser who is employed for a total of sixteen hours a week. The manager advised that there had been very positive feedback from the residents regarding the new appointment. Discussions with the residents evidenced that the Activities Organiser encouraged them to make their own suggestions and decisions regarding the activities. The Activities Organiser endeavours to work on a small group and a one to one basis. Two relatives completed the Commission’s comment cards. The cards ask ten questions covering all aspects of the service. Questions asked covered aspects such as how welcoming is the home, privacy, consultation, general satisfaction and staffing levels. Both respondents indicated that they were happy with the service. One respondent commented that their relative “Could not be better looked after, no matter where he might live”. The respondent also noted that the home had encouraged their relative to exercise a greater degree of independence than he has ever had before. The inspector also met two visitors as they were leaving the home. The visitors advised that they always enjoyed visiting and were welcomed by both staff and residents. In their view, the residents were very happy and settled in the home because they were looked after by a good staff team. St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 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): 21 The home supports the residents through illness and death in a sensitive manner that ensures the dignity and wishes of the residents are upheld. EVIDENCE: Standards 18-20 were fully met at the time of the last inspection. A discussion with the manager regarding the recent death of one of the residents demonstrated that the home had dealt with the situation in a in a sensitive and respectful manner. The manager and staff were supportive to the relative’s family and the other residents in the home. The late resident’s family had written to the home expressing their appreciation for the care and support that they and their relative had received. Residents spoken to confirmed that the manager and staff had discussed the resident’s death and they had been given a choice as to whether they wished to attend the funeral service. The manager advised that the health of one resident was failing. Records demonstrated that the home has been concerned and ensured that the resident accessed medical advice, investigations and support. For example, there was very good recording regarding a particular symptom, which could have easily been overlooked in a less vigilant residential home. St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 Page 13 Records showed that the home has been pro-active in ensuring that specialist support for the resident’s present needs and additional specialist support as the resident health needs changes. A discussion took place regarding suggestions as to what other records could be put in place to help monitor the resident’s health. It is pleasing to note that within days of the inspection the home forwarded various documents to evidence that the suggestions had been implemented. St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 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): 22 The views of the residents are listened to and respected. This helps to promote the residents confidence and helps to reduce the risk of neglect or abuse. EVIDENCE: The home follows Father Hudson’s Society corporate complaints policy and procedures. The document was not seen on this occasion. Residents, relatives and visitors are provided with a brief five-stage summary of the complaints policy and procedures. The leaflet advises that fuller details are available in the office. Contact details of the Head Office and the Commission for Social Care are also noted on the leaflet. This enables potential complainants to bypass the home if they feel they do not wish to discuss their concerns directly with the home. Neither the Commission nor the home has received any complaints in the last twelve months. Residents spoken to said that they felt confident that their views would be listened to if they were “worried or wanted to complain”. Although not fully familiar with the complaints process the residents were aware that they could talk to their key worker, the manager or other staff. They also advised that they would talk to family members and/or the person who undertakes the monthly Regulation 26 visits to the home. A check of some of the residents’ finances found them to be in good order. The records were up to date and easy to cross-reference. St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 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): Not assessed on this occasion. EVIDENCE: This section was fully assessed at the time of the last inspection. A brief tour of the environment evidenced that the home continues to be a homely, clean, well-ordered and safe environment. St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 Page 16 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 Appropriately trained staff helps to ensure that the individual and collective needs of the residents are met. EVIDENCE: A small stable staff team care for the needs of the residents who live at St Andrew’s. The home has a training and development plan that is updated on a regular basis. This helps to ensure that the staff are appropriately informed and trained to meet the changing needs of the residents. The manager advised that the Charity holds central training budget which he has experienced no difficulties in accessing. Records seen evidenced that the staff have undertaken a variety of courses in the last two years. In addition to updating core training such as fire safety, other courses have included Diabetes and Diet, Assertiveness and Advocacy, Handling difficult situations, Anti Discriminatory Practice and Awareness training in Bi-Polar Disorder. Three staff hold a National Vocational Qualification (NVQ) Level 2 in Care. One staff member is in the process of enrolling for NVQ Level 3. St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 Page 17 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): 37 &39. A suitably qualified and competent manager works towards ensuring that the home meets its stated purpose, aims and objectives. The home has effective quality assurance and quality monitoring systems in place that are based on the views of the residents and their advocates. This helps to ensure that the home works towards meeting the needs and preferences of the residents. EVIDENCE: The registered manager has fourteen years management experience. The manager, who is a qualified social worker, holds the Registered Managers Award and is a qualified NVQ Assessor. Other training courses have included Recruitment and Selection, Supervision and Coaching, and Appraisal and Performance Skills. The manager, who delivers care, also undertakes core and specialist training courses. St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 Page 18 The home has a number quality assurance and monitoring systems in place. These include various feedback forms for relatives, visitors and other professionals who visit the home. Visitors completed feedback forms gave very positive comments. For example, one visitor noted that the home was always welcoming and friendly, the (staff) warmth and care was very noticeable. The visitor went on to say that St. Andrews was a pleasure to visit. Records also demonstrated that residents receive regular reviews of their packages of care and are encouraged to attend residents meetings. It is particularly pleasing to note that a resident attends staff meeting as a representative of the residents. Minutes of residents meetings evidenced that the resident gave feedback to the other residents at the time of their next meeting. In accordance with the Care Homes Regulations 2001: Regulation 26 a representative of the Charity makes monthly unannounced visits to the home. A copy of the findings of the Regulation 26 visit is forwarded to the Commission and Responsible Individual for the home. The manager receives regular formal supervision and an annual appraisal. An annual performance review helps to monitor the standard of the service over the previous twelve months and agree on development plans for the forthcoming year. The meetings and visits help to ensure the accountability of the manager and staff and that the service is run in a manner that takes into account the views of the residents. St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 Page 19 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 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 x 33 x 34 x 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 3 14 x 15 3 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x 3 3 x 3 x x x x St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 Page 20 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 St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 Page 21 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 St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Leamington Spa Office Imperial Court Holly Walk Leamington Spa CV32 4YB 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 St Andrews (Father Hudson`s) DS0000004297.V284943.R01.S.doc Version 5.1 Page 23 - 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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