Inspection on 19/07/05 for Stonepit Close (42-44)

This inspection was carried out on 19th 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

Stonepit Close (42-44) 05/04/07

Stonepit Close (42-44) 03/11/05

Stonepit Close (42-44) 24/11/04

Stonepit Close (42-44) 09/06/04

Similar services:

Thorndene

Insight - Eastchurch

Southfields

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Seabourne House

33 St John`s Church Road

Dovedale Court

Lyncol House

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

CARE HOME ADULTS 18-65 42 - 44 Stonepit Close Godalming Surrey GU7 2LS Lead Inspector Mavis Clahar Unannounced 19 July 2005 @ 9:00am th 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. 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 42 - 44 Stonepit Close Address Godalming Surrey GU7 2LS 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) 01483 861066 National Autistic Society Ms Hannah Rebecca Barnett CRH - Care Home 10 Category(ies) of LD - Learning Disability (10) registration, with number SI - Sensory Impairment (1) of places 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1 - Within the category/categories LD (Learning Disability), one of whom maybe in the category SI (Sensory Impairment) 2 - The age/age range of the persons to be accommodated will be 18 - 50 years. Date of last inspection 24 November 2004 Brief Description of the Service: 42-44 Stonepit Close is a purpose built residential care home for up to ten adults with autism or Aspergers syndrome. The service is operated by the National Autistic Society and is situated in a residential area approximately one mile from Godalming town centre.The accommodation consists of two houses, known as Holly House and Jan Norton House. These have separate entrances but are connected by an office and recreation room (hobby room). Each service user has a single bedroom. With the exception of one bedroom, which is on the ground floor with en-suite facilities, the bedrooms are all on the first floor. As the home does not have a lift, service users need to be able to be ambulant and able to negotiate the stairs. All of the bedrooms have hand washbasins.Each house has a domestic style kitchen and adjoining pantry, a utility room with domestic laundry facilities, a communal lounge, quiet lounge and conservatory and a dining room. Holly House has a separate shower and bath; Jan Norton House has two baths. Both houses have ample toilet facilities. There are payphone facilities. Each of the houses has an enclosed garden and the home has three vehicles. There is limited street parking. 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the first inspection to be undertaken in the Commission for Social care Inspection year April 2005 to March 2006. This unannounced inspection took place on 19th July 2005. The home received an unannounced inspection on 24th November 2004. The inspector arrived at 9.30 am to find the service users and care workers busy getting ready for the day’s activities. The majority of the service users who were going to the day centre were in the process of boarding the bus. It was decided that the three service users who were agitated would be kept at home for the day to enable them to be in a more calming situation. The first part of the inspection was spent reviewing service users files, primarily to give the care workers space to continue with their work. Two members of staff were left at the home to care for the three service users. Within approximately one hour of the bus leaving, a care worker returned with one service user, who was highly agitated. The manager of the home who was on a training course returned to the home within twenty minutes of the service user’s return. It was the impression of the inspector that the staff on duty handled the situation in a professional way, and that the manager demonstrated good management judgement and skills in her decision to return to the home. Prior to the manager’s return the senior support worker had asked the inspector not to do a tour of the home on this visit as a new face in the home would trigger more agitation in the service users already agitated. The inspector agreed to this request. The information contained in this report is based on evidence gathered from service users files, which were extensively reviewed, and discussions with staff members on duty at the time of the inspection. On this inspection visit service users were not spoken to neither was a tour of the home conducted for reasons stated above. The second part of the inspection was spent talking with care workers. 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 Page 6 What the service does well: What has improved since the last inspection? What they could do better: The garden needs to be tended on a regular basis. The manager informed the inspector that she intends to employ a gardener on a regular basis. All counter signature charts must be signed at the time of administering of medication. 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 Page 7 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. 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 Page 8 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 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 Page 9 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 The home was found to be operating effectively. The inspector was impressed with the quality and amount of information about the service users and felt confident the approaches employed by the home will enhance the independence of the service users. EVIDENCE: A number of service users files were reviewed and contained very detailed assessments of health, social, cultural and spiritual needs. Assessments were repeated on a yearly basis and more often in a number of cases. 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 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) 7 9 The home continues to encourage and enable service users to live active and full lives. EVIDENCE: There were good care plans drawn from the assessment which demonstrated the involvement of the service user, care manager relatives and where necessary an advocate. These plans were all signed and dated by the relevant persons. In addition, each service user has their personal Person Centred Plan, which is very detailed, including their likes and dislikes, their ability to performing tasks around the home such as setting the table, clearing the table, making their own beds and undertaking some domestic duties such as vacuuming. Most of the service users at this home is diagnosed with autism which affects the level of imagination; therefore they will not always see the sequence of events, and this could lead to a lack of understanding. The Person Centred Plan along with the risk assessments will ensure safety, along with the guidelines for the appropriate support strategies needed to enhance self worth and independence in these service users. 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 Page 11 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 15. The home met each of the above standards. The home was able to demonstrate that each service user was encouraged and supported to lead as independent, varied and fulfilling life as they were able to. EVIDENCE: Observed interactions between service users and care workers were seen as relaxed, unobtrusive but firm yet non-threatening. From the files of the service users and in discussions with care workers it was apparent that service users are encouraged and enabled to live a full life and to partake in age related activities such as going to the pub, having meals out attending college of further education, going swimming, attending the theatre and going horse racing at Ascot last year. One service user likes to attend concerts. Another service user wishes to have church services but will not attend church so the Vicar comes to him. The inspector was informed that service users are able to make friends of the opposite sex outside the home. Service users in this home have good family connections, which they are encouraged and enabled to maintain. 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 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 20 The home continues to offer individualised care to the service users to ensure that their assessed needs are met in a person centred way. EVIDENCE: Discussion with care workers and random review of service users files and care plans revealed that each service users received the agreed personal care or support as indicated in the care plans and documented in the daily record sheets. Discussion with care workers and review of service users files supported the risk assessment that none of the service users are risk assessed as capable to self-administer their medication. A review of the medication records demonstrated that medication is being administered within the home’s policy and guidelines on administration of medicines. 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 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 The home operates in a manner that supports service users to air their views and concerns, which are acted upon before they can become complaints. EVIDENCE: Review of the home’s complaints folder showed no complaints were received by the home since the last inspection. The manager supported this verbally. The service user satisfaction survey demonstrated that service users and their families are satisfied with the care given to service users. 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 Page 14 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 standard of the environment in this home is good, providing service users with an attractive and homely place to live. EVIDENCE: The home environment is clean and is maintained by service users and care workers. Care workers informed the inspector that service users have a sense of ownership of their home, and that their personal space reflects their individual lifestyles as recorded in their personal files. 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Care workers spoken to appear enthusiastic and committed to supporting service users. Training and development of care workers are given high priority. EVIDENCE: The inspector was informed that regular staff and service users meetings are held to discuss the ongoing or changing needs of the service users. Families and friends are encouraged and enabled to take an active part in the lives of the service users. There were adequate numbers of staff on duty on the day of inspection. The inspector observed good interaction between care workers and service users who were extremely agitated. The inspector formed the opinion that the service users were cared for calmly, in a reassuring way, which aided the service users to regain stability. 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 Page 16 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) 39 The systems for service users consultations are good with a variety of evidence that indicates that service users views are sought or acted upon. EVIDENCE: The inspector was informed that the home holds regular service participation group meetings to discuss how to involve service users more fully, to encourage them to make more choices which might lead to improved independence. These meetings are documented. The home seeks service users views via questionnaires to ascertain the level to which care workers meets the needs of the service users. Different methods of communications are used i.e. makaton, pecs, and symwright. These methods are structured and tailored to individual needs and ability. 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 Page 17 The inspector was informed that service users have attended service users training days - led by an outside agency with adults with Learning Disabilities. To enhance their communication skills so that they will be kept informed about all aspects of the service the home provides. 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 ENVIRONMENT Score 3 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 42 - 44 Stonepit Close Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x x 3 x x x x H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 Page 19 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. 1. Standard Regulation Requirement No requirements were issued on this inspection. 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 Good Practice Recommendations 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection The Wharf Abbey Mill Business Park Eashing Surrey GU7 2QN 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 42 - 44 Stonepit Close H58 H09 S13501 Stonepit Cl V229181 190705 Stage 4.doc Version 1.40 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!