Inspection on 26/07/05 for St Winnow

This inspection was carried out on 26th July 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

St Winnow 26/06/06

St Winnow 31/01/06

St Winnow 26/01/05

St Winnow 22/06/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 St Winnow Rocky Park Road Plymstock Plymouth PL9 7DQ Lead Inspector Wendy Baines Unannounced 26th July 2005 11:00 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 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 Stationary 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 Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service St Winnow Address Rocky Park Road Plymstock Plymouth PL9 7DQ 01803 882296 01803 882296 jg.pass@ukonline.co.uk Peninsula Autism Services & Support Ltd Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Care Home 3 Category(ies) of Learning Disability (3) registration, with number of places St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22nd June 2004 Brief Description of the Service: The Registered provider for St Winnow is Peninsula Autism Services and Support (PASS) a Ltd company managed by a board of directors. The organisation states that it concentrates solely on providing care services to those with Autistic Spectrum Disorders. St Winnow has been Registered since February 2004, and has three registered beds. Residential care and support is provided for younger adults with Autism and Aspergers syndrome. The house is a large, attractive, detached property, situated in a quiet cul-de-sac in the Plymstock area of Plymouth. The home is close to all local amenities and is within walking distance of the bus route into Plymouth. Service users have been assessed as requiring support to access opportunities in the community and to attend to some daily living skills. St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place on the 26th July 2005, between 9.30 and 2pm. At the time of the inspection the home did not have a Registered manager and the Acting manager was on annual leave. The Deputy manager was available and present throughout the inspection. Time was spent talking to both service users who live in the home and the inspector met other staff on duty. A tour of the premises took place and a sample of records relating to service users, staff and management of the home were also inspected. The atmosphere of the home was happy and relaxed and the inspector was made to feel welcome by staff and service users. What the service does well: What has improved since the last inspection? Since the last inspection the Acting manager has completed contracts between the home and the service user. St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 Page 6 An agreement has also been drawn up between the home and service users regarding the use of the office to ensure that individuals private information is kept safe at all times. 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. St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 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 standard(s) 1,2,3,4,5, Prospective service users are provided with sufficient information to make an informed choice about where they wish to live. The homes admission, assessment and care planning process ensure that information is reviewed and needs continue to be met. EVIDENCE: A Statement of Purpose was available which describes the aims of the home and the services provided. The current service users have lived in the home since it opened and have now settled following a planned transition period. Information regarding the home is provided to service users in a format appropriate to their needs and ability. Information following admission has been translated into a care plan for the home and this information is regularly monitored and reviewed. Since the last inspection contracts between the home and service user have been completed, and these have been agreed and signed by both parties. St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 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 standard(s) 6,7,8,9,10 The home has a clear and consistent care planning system in place to provide staff with the information required to satisfactorily meet service users needs. Service users are enabled to make choices and have control over their lives. Service users can be confident that their personal information is kept safe. EVIDENCE: Each service user has a care plan, risk assessment and behaviour management guidelines that are regularly reviewed. Any restrictions on choice or freedom are agreed with the service user, documented and reviewed. Records confirmed that where restrictions are likely to be long term these have been agreed as part of a risk assessment and multi-agency meeting. It was evident through discussion with service users that they are fully involved in all decisions about their lives and events in the home. Staff reinforce to service users that they are available to support them with decisions and offer guidance and advice when requested. Since the last inspection an agreement has been drawn up between the home and service users regarding the use of the office and the privacy of information in the home. All records were found to be well maintained and kept safe. St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 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 standard(s) 12,13,14,15,16,17 Service users can learn life skills, attend work placements, participate in any community and leisure activities and maintain friendships with family and friends. Support and facilities are provided to ensure service users can enjoy a diet of their choice and learn the skills required to partake in shopping and meal preparation. EVIDENCE: Information in care plans, and discussion with service users showed that they are enabled to live as full a life as they wished to and had opportunities for personal development. Service users attend to most daily tasks and partake in a range of leisure and social opportunities outside the home. Through observation it was evident that service users have organised the communal parts of the house to meet their individual needs and to enable them to pursue interests and hobbies, such as cooking and music. Service users spoken to were keen to tell me about new work opportunities, and social events. St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 Page 11 Contact with family and friends is encouraged and any restrictions are agreed with service users, documented and reviewed. The home has a large kitchen area and service users have their own storage areas for food. Through discussion it was evident that service users partake in all aspects of shopping and meal preparation and staff provide assistance and guidance when necessary. St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 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 standard(s) 18,19,20. Information within service user files ensure that staff are aware of personal and health care needs and how this support should be delivered. The home has written policies, storage facilities and risk assessments in place should service users require prescribed medication or other homely remedies. EVIDENCE: Service user plans provided information about personal, emotional, and health care needs. Through observation and discussion it was evident that service users are able to verbalise how they wish to be supported. Discussion with staff confirmed that high staffing levels are available to ensure that service users receive advice and guidance when required and individual support when necessary. External professional advice and guidance was sought when necessary from local health care professionals and social services. The acting manager advised that at the time of the inspection no service users were in receipt of any prescribed medication. A lockable medical cabinet was available and risk assessments completed for self- administration. Service users are provided with a lockable storage facility within their rooms. St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 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 standard(s) 22,23 Service users are protected from abuse, neglect and self -harm. Service users are provided with opportunities to express their views and opinions and can feel confident that the Registered Provider always deals with complaints seriously. EVIDENCE: The Commission for Social Care inspection has not received any complaints regarding the home since the last inspection. The acting manager advised that the home was in the process of investigating a complaint made direct to the home and this was being investigated using the homes complaints procedure. All details concerning the complaint had been documented and letters sent to the complainant by the director of the company. Service users spoken to said they were aware of the homes complaints procedure, had opportunities to raise issues and felt their concerns would be listened to and addressed. There is an adult protection procedure in place as well as copies of the Local Alerters Guide, and all staff undertake in-house POVA training. Staff spoken to were aware of the homes adult protection procedures and issues relating to abuse but staff have not attended local multi-agency POVA training (see recommendation.) Service users have their own accounts and manage their own finances dependent on assessed need. Any arrangements for supporting service users with their money had been documented and agreed between the home, service user and social services. These agreements were regularly monitored and St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 Page 14 reviewed. Locks were provided on bedroom doors and a lockable storage space for personal possessions. Service users are charged a mileage rate for transport and are provided with a monthly invoice. St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 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 standard(s) 24,25,26,27,28,30. The home is sufficient in size, and has adequate communal and private facilities for the number and needs of service users. Service users have been supported by staff to make the house their home and are offered guidance and support to attend to daily tasks. EVIDENCE: Since service users moved into the home the communal and private areas have been decorated and organised to meet each individuals needs. Service users have their own bedroom and bathroom facility, and locks are provided on all bedroom and bathroom doors. There are two communal sitting areas on the ground floors and service users have organised these to reflect their separate interests and to provide opportunities for privacy and space when necessary. The kitchen is large and has sufficient space and facilities for each service user to store food and prepare meals independently. The garden is still in the process of being organised, and garden furniture has been purchased for use during the summer months. Kitchen and bathroom areas were found to be clean and hygienic. The house is very clearly the service users home and rooms are filled with belongings to reflect each individuals’ interests, age and personalities. St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 Page 16 St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,36 Recruitment procedures are robust and the staff have a good understanding of the service users support needs. This is evident from the positive relationships, which have been formed between the staff and service users. There are sufficient formal and informal systems in place to ensure staff receive the support required to fulfil their role. EVIDENCE: Staff spoken to were very aware of the individual care needs of service users and how support should be provided. Staff had a good rapport with service users and were observed responding promptly and sensitively to any requests. Staff said that the service users have a wide range of skills and their role is to provide reassurance, support and guidance when necessary. The acting manager confirmed that service users have been assessed as requiring 1:1 staffing levels at different times of the day. Staffing rotas were available in the home showing that there is usually a minimum of two staff on duty, and occasionally one member of staff at the latter part of the day unless activities have been arranged. The home also has a on-call system and a oncall rota was available in the main office. St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 Page 18 Staff files inspected showed that the home has a robust recruitment procedure and all the required information was available. Formal supervision sessions take place on a monthly basis and a timetable was available to confirm these arrangements. In addition the home has a daily communication book and shift handovers. Each month staff attend core group meetings to discuss individual service users and regular house meetings are arranged, which service users are invited to attend. Service users receive minutes and an action plan from house meetings and future dates were recorded in the office. The home has a clear system for recording any incidents in the home and sends information to CSCI when required. As part of the incident recording process staff are offered the opportunity to discuss and receive support regarding what has occurred and this information is recorded. St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,40,41,42 In the absence of a Registered Manager the Registered Provider has made sufficient interim arrangements to ensure the home is run effectively. EVIDENCE: At the time of the inspection the home did not have a Registered Manager. The Registered Provider has kept the Commission for Social Care Inspection informed of the situation and are in the process of recruiting a new manager. The assistant manager was available throughout the inspection and staff spoken to were aware of service user needs and processes within the home. The members of staff and management who were spoken to confirmed that they are consulted and included in any decisions regarding the running of the home. All documentation relating to service users was up to date and accurate. Any agreements regarding the recording and handling of service user records had been agreed between the home and service user, and this information was documented and reviewed. Records relating to health and safety issues, such St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 Page 20 as risk assessments, the accident/incident book and fire log book were available and up to date. St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 x 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 St Winnow Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 3 x D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 Page 22 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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. 1. Refer to Standard 23 Good Practice Recommendations The Registered provider should ensure that staff are aware of how the homes Adult Protection procedures relate to local guidence. The Registered Manager should attend local multi-agency Adult Protection training. St Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Winnow D52-D04 S54152 St Winnow V231847 260705 Stage 4.doc Version 1.30 Page 24 - 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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