Inspection on 20/06/05 for Stokewood

This inspection was carried out on 20th June 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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Stokewood 12/09/06

Stokewood 14/12/05

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 Lead Inspector Roy Bega Unannounced 20/6/2005 10:00am 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. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Stokewood Address 204 Hunts Road, Titchfield Common, Fareham, PO14 4PJ 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) 01489 603108 Truecare Group Limited Michaela Dawn Russell CRH 4 Category(ies) of MD- Mental Disorder: 4 registration, with number of places Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 14/2/2005 Brief Description of the Service: Stokewood is part of the Truecare Group managed by C.H.O.I.C.E. Ltd. providinge residential accommodarion for up to four women who have mental health issues. 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. Stokewood offers four single rooms, one with an en-suite WC facility, and two bathrooms, one on each floor. Community facilities can be accessed by foot, using public transport, or through use of the homes vehicle. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 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. This visit took place on 20 June 2005 between 10 am. and 2 pm., a total of four hours. Opportunity was taken to look around the home view records, observe the working environment and speak with all for ladies and staff. 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. Planning permission has been approved to extend the home to provide three additional bedrooms and communal space. Building works were to start a week after this visit on Monday 26 June. At the time of this visit, the ladies and staff were preparing to move to temporary accommodation for a period of approximately four months. It was evident that the ladies have been fully involved in discussions and planning with regards to the temporary move. They are also being consulted in respect of the décor etc. and landscaping of the garden on completion of the new build. What the service does well: The home is well managed. The staff team are highly motivated well trained and have good relationships with residents. The ladies care plans are well documented in meeting their needs wishes and aspirations. Staff were observed to respect and be supportive of the ladies. The ladies have a stimulating and varied life being encouraged to maintain their independence, fulfil their aspirations and be part of the community. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 6 What has improved since the last inspection? What they could do better: The requirement raised resulting from the previous two inspections as detailed below does not fall within the manager’s or staff’s remit. Maintenance work as detailed • • • Paintwork to facia boards is flaking. Woodwork to conservatory is rotten. Wash hand basins 3 bedrooms. Planning permission has been approved to extend the home to provide • • • • Three additional bedrooms and Additional communal space. Office accommodation Improved staff accommodation. Building works were due to start on Monday 26 June. At the time of this visit the ladies and staff were preparing to move to temporary accommodation for a period of approximately four months. For the purpose of this report the requirements stated above will remain until completion of the building works. 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 H54 S55847 Stokewood V232553 20605.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 Stokewood H54 S55847 Stokewood V232553 20605.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) 2, 3, and 4. The ladies needs and aspirations are fully assessed prior to admission. They are provided with opportunities to make an informed choice as to whether Stokewood is able to meet them before deciding to move in. EVIDENCE: The organisation has a comprehensive admission policy in place which includes full assessment of needs, aspirations and planned introductory visits. Discussions and a sample of two records indicated that appropriately competent persons, the ladies and their representatives were involved in the assessment process. Observations, discussions and available training records indicated that staff have the skills and experience to deliver care effectively. Information and discussions indicated that before taking up residence, ladies are invited to visit the home initially for lunch, an over night stay then a weekend before deciding whether the home will meet their needs and aspirations. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 9 All the ladies felt that their needs are being met and enjoy living in the home. They had nothing but praise for staff stating that they are always ready to listen and supportive. Other comments included – “Staff have helped me sort my life out”; “If it wasn’t for the staff, I wouldn’t be able to do the things that I can now” ; “Staff have helped me get my confidence” ; “I am able to do things now that I couldn’t before coming to live at Stokewood” and “I’m well chuffed with Stokewood”. It was evident that the ladies had considerable respect for staff and visa versa. Discussions with staff on duty at the time of the inspection indicated that they have the skills and experience to deliver the services and care which the home offers to provide. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 10 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, and 10. The ladies assessed personal needs and aspirations are reflected in their individual plan. EVIDENCE: A sample of two care plans were seen and discussed with the respective ladies. The ladies sign their own care plans and help to complete the daily report at the end of the day. If there is a disagreement between the member of staff and the lady as to how the day had gone then entries are made from both the member of staff and the lady concerned. Each lady retains a copy of their personal care plan and weekly time table of agreed activities. For example, social, educational, clinical, domestic etc. The ladies also maintain personal appointment files. For example, G.P. reviews etc., making a record how they felt said meetings went. Advocates are used to support individuals if required. It was evident that the ladies have been fully involved in discussions with regards to the temporary move due to the refurbishments. They are also being consulted in respect of the décor etc. and landscaping of the garden on completion of the new build. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 11 The ladies are fully involved in the running of the home and in choosing the activities that they participate in. Full risk assessments are in place. The ladies readily informed the inspector that they have open discussions with staff with regards what goes on in the home. Any limitations placed on a lady’s right to make decisions are detailed in their care plan. All the ladies participate in the daily up keep of the home. A rota was available which indicated daily tasks undertaken. The ladies have full choice in the social activities they would like to participate in and are supported to join clubs, adult education classes and pursue a range of leisure activities. For example going to the pub, bowling, shopping and the cinema. Risk assessments with regards to individual daily living skills and personal needs are included within individual lady’s support plans. Daily risk assessments are completed before anyone goes out. The ladies files are securely kept. Issues around confidentiality form part of the induction package for new staff. Staff spoken with and observations indicated good practice with regards to confidentiality. The ladies informed the inspector that they have full confidence in staff maintaining confidentiality. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 12 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) 11,12,13,14,15, 16 and 17. The ladies rights are respected and responsibilities recognised in their daily lives. They are also provided with opportunities of personal development and participation in chosen activities including the community which demonstrates their rights are respected. EVIDENCE: See also the previous section, Individual needs and Choices, Standards 6 – 10. A sample of 2 of the ladies daily activity programmes were seen. Activities include college courses, community access, budgeting, life skills and recreational. Further education courses accessed include woodwork, sewing, art, maths, English, drama, first aid, cooking, literacy and computers. One lady has recently completed a health and safety course ran by the organisation for staff. The ladies belong to various clubs, including, drama, and a sports and social club. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 13 They informed by the inspector that they feel fully accepted in the community. Discussions indicated that the staff have enabled the ladies to gain confidence in accessing the local community. Discussions and available records indicated that family links and friendships inside and outside the home are encouraged subject to agreed restrictions. Observations, discussions and available records indicate that daily routines and house rules promote independence, individual choice and freedom of movement, subject to restrictions agreed in individual care plans. The ladies were observed to have unrestricted access to their own and communal areas of the home. Ladies have keys to the front door. Staff were observed to interact appropriately with all ladies and respect their privacy. A sample of menus were seen which indicated a varied and balanced diet. Discussions indicated that the ladies are involved in grocery shopping and food preparation. The ladies invited the inspector to dine with them for lunch which was duly accepted and enjoyed in a relaxed social environment. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 14 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 and19. The ladies health/medical care needs are met and they receive personal support in an appropriate manner. EVIDENCE: See also the previous sections, Individual needs and Choices, Standards 6 –10. and Lifestyle, Standards 11 – 17. Observation and discussions indicated staff provide sensitive and flexible personal support to maximise the ladies privacy, dignity, independence and control over their lives. Care plans seen and discussions indicated that the ladies health care needs are assessed, and appropriate procedures put in place to ensure they are met. All ladies have been assessed as being incapable of managing their own medication. The home’s medication policy and procedure was seen. Records of medication administered were well maintained and up to date. Evidence was seen that staff who administer medication have received appropriate training. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 15 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 and 23. The ladies views are listened to and acted on positively. The ladies are protected from abuse neglect and self harm by an educatdstaff team and robust pol;icies and procedures. EVIDENCE: See also the previous sections, Individual needs and Choices, Standards 6 –10. and Lifestyle, Standards 11 – 17. A clear and effective complaints procedure, which includes the stages of, and timescales for, the process was seen. Three “in house” complaints have been made subsequent to the previous inspection. Records seen and discussions with the ladies indicated that appropriate action had been taken to resolve them. The Commission has not received any complaints subsequent to the previous inspection. The home has an adult protection policy and procedure in place of which staff spoken with had a good understanding. Evidence was seen that staff have received adult protection training. Discussions indicated that the ladies know how and to whom to report any concerns. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 16 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. The ladies live in a homely environment. EVIDENCE: A requirement was raised resulting from the previous two inspections for the following maintenance work to be completed. • • • Paintwork to facia boards is flaking. Woodwork to conservatory is rotten. Wash hand basins 3 bedrooms. Planning permission has been approved to extend the home to provide • • • • Three additional bedrooms. Additional communal space, Office accommodation. improved staff accommodation. All seven bedrooms will have en-suite toilet and shower/bathing facilities. Building works were planned to commence on Monday 26 June. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 17 At the time of this visit the ladies and staff were preparing to move to temporary accommodation for a period of approximately four months. For the purpose of this report the requirements stated above will remain until completion of the building works. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 18 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) 32 and 35. The ladies are supported to meet their individual and joint needs and aspirations by appropriately trained staff who are well supported and supervised. EVIDENCE: Observations and discussions indicated that staff on duty had the competencies and qualities required to meet residents’ needs. They also portrayed knowledge of individual ladies fluctuating needs and aspirations. Staff on duty portrayed knowledge of specific lady’s needs with an appreciation of and ability to balance the particular and fluctuating needs of all four individuals. Observation and discussions indicated that the staff on duty and the ladies have open and professional relationships. Several staff have completed the National Vocation Qualification level 2 in care and others are currently studying for it. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 19 The organisation has its own training department. Evidence was seen that staff have completed the following training appertaining to mental health • • • • Personality disorder Self harm. Epilepsy. Schizophrenia. In house training has included • • • Care planning. Menu planning Risk assessments. In preparation for the increase of ladies able to be accommodated and staffing requirements, two seniors have completed a staff supervision course. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 20 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, 41 and 42. The ladies live in a home that is well run with an open management approach. The health, safety and welfare of residents are positively promoted within the home by efective policies, procedures and good record keeping. EVIDENCE: During the visit, the inspector had the opportunity to speak with four staff anall the ladies. It was evidenced through these discussions and observations that good working relationships exist between the staff group and the ladies and staff. From observation and discussions it was also possible to assess that the management approach of the home creates an open, positive and inclusive environment. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 21 The atmosphere was relaxed indicating an environment where the ladies abilities and aspirations are being promoted. Records seen were well managed up to date and kept secure. Staff training in Fire Safety, First Aid, Food Hygiene and Infection Control is up to date. Staff have received appropriate training with regards to Care of Substances Hazardous to Health. Hazardous substances are kept in a locked cupboard to promote the welfare and safety of residents.. The home has up to date maintenance certificates for the boiler, fire equipment etc. Accidents/incidents that affect the wellbeing of residents that occur within the home and whilst on activities are well documented. The Commission of Social Care Inspectorate have been fully informed of such incidents. Fire drills and required fire safety precautions are carried out and recorded. It was noted that to assist with meeting their personal needs, the ladies are involved in maintaining safety elements within the home. For example – fire, hazardous substances and health and safety. Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 22 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 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 2 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x x x 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 x 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stokewood Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x 3 3 x H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 23 yes 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 24 Regulation 23 (2 b & d) Requirement Maintenance works identified in Standard 24 require to be addressed. Whist it is acknowledged that building works are taking place this requirment remains until said works have been completed. Timescale for action 30/10/05 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 Good Practice Recommendations Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 24 Commission for Social Care Inspection 4th Floor- Overline House Blechynden Terrace Southampton Hampshire 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 Stokewood H54 S55847 Stokewood V232553 20605.doc Version 1.30 Page 25 - 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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