Inspection on 14/12/05 for Stokewood

This inspection was carried out on 14th December 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

Stokewood 12/09/06

Stokewood 20/06/05

Stokewood 14/02/05

Stokewood 10/08/04

Similar services:

21 High Street

Vale House

Chestnut Walk

The Old Vicarage

Cherwood House Care Centre

Ashley House

Ascot Nursing Home

Fountain View

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

CARE HOME ADULTS 18-65 Stokewood 204 Hunts Pond Road Titchfield Common Fareham Hampshire PO14 4PJ Lead Inspector Mr Roy Bega Unannounced Inspection 14th December 2005 10:45a Stokewood DS0000055847.V273112.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 Stokewood DS0000055847.V273112.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. Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stokewood Address 204 Hunts Pond Road Titchfield Common Fareham Hampshire PO14 4PJ 01489 603108 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) Truecare Group Limited Michaela Dawn Russell Care Home 7 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (7) of places Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th June 2005 Brief Description of the Service: Stokewood is part of the Truecare Group managed by C.H.O.I.C.E. Ltd. providing residential accommodation for up to seven women who have mental health issues. Stokewood offers seven single bed rooms all with an en-suite toilet and shower facilities The home is situated on the outskirts of Fareham, along a busy residential road. The property is detached with parking spaces at the front, and a large established garden to the rear. Community facilities can be accessed by foot, using public transport, or through use of the home’s vehicle. Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report summarises the assessment of the extent to which the National Minimum Standards for Care Homes for adults 18-65 were being met at the time of the inspection. Standards not inspected on this occasion will be assessed during future visits. People living in the home prefer to be referred to as ladies rather than service users or residents. Therefore, for the purpose of this report when refering to people who live in the home, the term ladies has been used. The ladies moved back into Stokewood two weeks prior to this inspection on completion of major building works that has provide three additional bedrooms an office, staff accommodation and a meeting room. Works also included re landscaping of the large rear garden. This visit took place on 14 December 2005 between 10-45 am. and 1-45 pm., a total of three hours. Opportunity was taken to look around the home view records, observe the working environment and speak with four ladies and staff on duty. No requirements were raised resulting from this inspection. What the service does well: What has improved since the last inspection? Major building works has provided en-suite facilities in existing bedrooms, three additional bedrooms all with en-suite facilities, an office, staff accommodation and a meeting room, new kitchen and laundry. Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 Page 6 Works also included re landscaping of the large rear garden. 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. Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1. Prospective ladies have the information they need to make an informed choice whether to move into Stokewood. EVIDENCE: A new statement of purpose setting out the aims, objectives, philosophy of the home, its services and facilities and terms and conditions was submitted as part of the major variation application for new building works. Each lady has been provided with a copy. Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the standards in this section were assessed on this occasion. Stokewood DS0000055847.V273112.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): EVIDENCE: None of the standards in this section were assessed on this occasion. Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 Page 11 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 ladies and their representatives are assured that ageing, illness and death will be handled with sensitivity and respect. EVIDENCE: The home has an appropriate policy and procedure to assure the ladies that at the time of illness and death, they and their family will be treated with care, sensitivity and respect. Discussions with staff indicated that this standard would likely be met. Residents’ cultural/requirements/ wishes upon death are recorded in care plans. Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 Page 12 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: None of the standards in this section were assessed on this occasion. Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 Page 13 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, 25, 26, 27, 28, 30. The home’s premises are suitable for its stated purpose; accessible, safe and well maintained, meeting the ladies individual and collective needs in a comfortable and homely way. EVIDENCE: The ladies moved back into Stokewood two weeks prior to this inspection on completion of major building works that has provide the following facilities – • • • • • • • • • • En- suite shower/toilet facilities in existing bedrooms. Three additional bedrooms with en-suite shower/toilet facilities. A communal bathroom. An office. Staff accommodation/rest room. A meeting room/quiet lounge. New kitchen. New laundry. New lounge/dining room. Landscaping of the rear garden. Discussions with the ladies indicated that they were fully involved in choosing colour schemes and soft furnishings. Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 Page 14 The home was clean, hygienic and free from offensive odours. Systems are in place to control the spread of infection. Evidence was seen to indicate that all staff have received infection control training. Discussions, records and observations indicated that residents are supported to assist with domestic duties in developing their life skills. Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34 and 36. The ladies benefit from clarity of staff roles and responsibilities. They are supported by an effective staff team whom are well supported and supervised. EVIDENCE: The inspector had the opportunity to speak with and observe staff on duty. They portrayed knowledge of specific needs with an appreciation of and ability to balance particular and complex needs of individuals and the group. Observations and discussions indicated that staff on duty had a clear understanding of their roles, limitations and responsibilities. Discussions with the ladies indicated that they have good relationships with current staff in the home stating that they listen, are helpful and supporting. Observations, discussions and available records indicated the home has an effective staff team with complementary skills and sufficient numbers to support current ladies. Discussions and available records indicated that that staff receive one to one recorded supervision meetings every eight weeks with their line manager. The inspector was informed that areas covered include, support and professional guidance, identification of training needs and monitoring work with individual residents. Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 Page 16 The staff team has been increased by the equivalent of three full time support workers to compliment the increase of three ladies able to be accommodated. Records for all three new staff were seen which included the required information. It was noted that induction training had included short introductory courses in the following areas – • • • • • Certificate of mental Health level 2. Obsessive, Compulsive disorder. Personality disorder. Schizophrenia. Depression. Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 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): 39. The ladies are confident their views form part of the home’s self monitoring and quality assurance systems. EVIDENCE: It was noted that the home was recently presented with an “Investors in People Award”. Internal and external audit and quality assurance systems are in place. Discussions and information indicated that the ladies have weekly team meetings with their key worker to discuss any comcerns with regards to the daily running of the unit. The ladies informed the inspector that they are listened to and feel suppoprted. Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 Page 18 Regular monthly “resident” meetings are held. Minutes of these meetings were seen by the inspector. The ladies spoken with assured the inspector that they attend these metings and have a say. As part of the review system, relatives and placing authorities views are also sought to ascertain whether the home is achieving its aims and objectives. Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 x 3 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stokewood Score X X X 3 Standard No 37 38 39 40 41 42 43 Score X X 3 X X X X DS0000055847.V273112.R01.S.doc Version 5.0 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 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 Stokewood DS0000055847.V273112.R01.S.doc Version 5.0 Page 21 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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