Inspection on 03/11/05 for Stonepit Close (42-44)

This inspection was carried out on 3rd November 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 no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

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

Stonepit Close (42-44) 19/07/05

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

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

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

CARE HOME ADULTS 18-65 Stonepit Close (42-44) 42-44 Stonepit Close Godalming Surrey GU7 2LS Lead Inspector Mavis Clahar Announced Inspection 3rd November 2005 09:10 Stonepit Close (42-44) DS0000013501.V249419.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 Stonepit Close (42-44) DS0000013501.V249419.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. Stonepit Close (42-44) DS0000013501.V249419.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Stonepit Close (42-44) Address 42-44 Stonepit Close Godalming Surrey GU7 2LS 01483 861066 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) Vanessahalfacre@nas.org.uk National Autistic Society Ms Hannah Rebecca Barnett Care Home 10 Category(ies) of Learning disability (10), Sensory impairment (1) registration, with number of places Stonepit Close (42-44) DS0000013501.V249419.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the category/categories `LD` (LEARNING DISABILITIES), one of whom maybe in the category `SI` (Sensory Impairment) The age/age range of the persons to be accommodated will be 18-50 YEARS 19/07/05 Date of last inspection Brief Description of the Service: 42-44 Stonepit Close is a purpose built residential home for up to ten young adults with autism or Aspergers syndrome. The service is operated by the National Autistic Society, and is situated in a residential area approximately ine mile from Godalming town centre. The accommodation consists of two houses, known as Holly House and Jan Norton House. The houses 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 bed room, which is on the ground floor with en-suite facilities, the bedrooms are all on the first floor. The home does not have a lift therefore; service users need to be ambulant and able to negotiate the stairs. All 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 dining room. Holly house has a separate shower and bath; Jan Norton 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 available. Stonepit Close (42-44) DS0000013501.V249419.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection to e undertaken in the Commission for Social Care Inspection year April 2005 to March 2006. To get a fuller understanding of the performance of the home it is necessary to read both reports for the year April 2005 to March 2006. This announced inspection took place on the 3rd November 2005, the home having received an unannounced inspection on 19th July 2005. This inspection was well advertised, so that Management, service users and care staff at the home knew of the inspection. Service users relatives and visitors to the home were also aware of the inspection, as demonstrated by the amount of pre inspection questionnaires that were completed and returned to CSCI. CSCI would like to thank all service users, their relatives, visitors and visiting professionals to the home for taking the time to complete the questionnaires and for your very valued comments. All comments were discussed with the manager. The inspector arrived at 09:10 hours to find service users boarding their transport for their day’s activities at the day centre. Only limited and brief discussions were able to take place, as the inspector did not want to delay the service users. One service user told the inspector “I am not going to do anything at the day centre today except sleep”. When the inspector enquired why, the service user replied, “Because I feel like it”. The inspector wished him a good sleep and he went into the vehicle. The first part of the inspection was spent in discussion with the manager who has very recently been registered. A random sample of service users files were reviewed along with a random sample of care workers files. All were in good order, containing up to date information in line with the National Care Standards requirements for good practice. At 10:30 the service user who had earlier said he was going to sleep at the day centre returned to the home highly agitated. He was helped by the care workers to calm down and take a rest, which he apparently did. Approximately 11:30 he knocked on the office door offering to make coffee for the manager and the inspector. He appeared calm and well rested. He stayed and spoke with the inspector for a short time. The second part of the inspection was spent touring the houses, including the new improvements to the homes viewing the gardens, and giving feedback to the manager on the findings of the inspection. What the service does well: Stonepit Close (42-44) DS0000013501.V249419.R01.S.doc Version 5.0 Page 6 The home has introduced the Health and Wellbeing Folder which includes information on medical conditions that might affect men. This folder contains useful information for service users on how to recognise and deal with these conditions and who to approach for help and advice. A similar folder is available for the female service users also. These folders are taken into residents meetings and discussed and again on a one to one basis. Included in the folders are various forms of communication tools for care workers to utilise according to the service users needs. These folders also contain maps for going to the Doctors surgery, to the dentist, to the local hospital Accident and Emergency unit. There is a front sheet for care workers to sign and date stating they have read the document. An outings folder has been introduced, where service users are able to choose where they would like to go to spend their activity time or holidays. Choices are discussed with service users. This folder is kept in the hobbies room where all service users have access. The new notice board placed in the hobby room informs service users of local events and special occasions in which service users might like to participate. The home has introduced a décor folder for service users to choose paints and carpets for their bedrooms or for communal areas of the home. Service users, depending on their level of understanding, use choice boards or memo to aid their choice making. Evaluation of these choices is carried out at regular intervals to see if service users are happy with the choices they have made. What has improved since the last inspection? The office, small toilet in Holly House and two service users bedrooms have all been redecorated. New tiling has been completed around the wash hand basin and bin area in Holly House. Also the pipes have been boxed in giving a more pleasant appearance to the home. Two other bedrooms have been fitted with new fire doors. The radiators have new covers in place. New blinds for the stair well have been purchased for both homes. The runner has been replaced on the patio door in the hobby room. One service user has had three new beds in three months due to his bouncing on the bed and breaking the bed beyond repair. New crockery, cutlery, new bath mats have been purchased. Two bedrooms in Jan Norton has had new curtain rails. New décor additions have been added to the home to make it more homely. Approval for a regular gardener has been granted. Stonepit Close (42-44) DS0000013501.V249419.R01.S.doc Version 5.0 Page 7 Two new kettles have been bought along with a new fridge for Jan Norton Home. 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. Stonepit Close (42-44) DS0000013501.V249419.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Stonepit Close (42-44) DS0000013501.V249419.R01.S.doc Version 5.0 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 the following standard(s): 1 There is a lot of information available to service users and their relatives to enable them to make an informed choice. EVIDENCE: The home has a statement of purpose, which needs to be updated to include the eighteen paragraphs in Schedule 1 of the Amended Care Homes Regulation 2001. Stonepit Close (42-44) DS0000013501.V249419.R01.S.doc Version 5.0 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 the following standard(s): 6 The home continues to encourage and enable service users to participate in their care and make decisions based on sound information. EVIDENCE: Most of the service users at this home are diagnosed with autism which affects their level of imagination; therefore they will not always see the sequence of events, and this could lead to a lack of understanding. Each service user has their own personal care plan, which is directed solely for achieving the assessed needs of this particular service user. These plans are well used, and documented evidence is available to show service users or relatives involvement. Service users in Jan Norton house are more able, and from discussions with them they know their assessed needs and personal goals are documented, and they are involved in their review of care. In the case of service users from Holly House the inspector found it very difficult to measure their level of understanding. However, documented evidence is available to show that these service users parents, key worker, psychologist, and care manager are involved in the planning of their care. Stonepit Close (42-44) DS0000013501.V249419.R01.S.doc Version 5.0 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 the following standard(s): 16 17 Dietary needs of the service users are well catered for with a balanced and varied selection of food available that meets service users tastes and choices. Service users rights are respected. EVIDENCE: Review of minutes of residents weekly meetings demonstrated that service users are able to voice their opinion. Service users also have one to one sessions with their key workers as required. The manager informed the inspector that service users are encouraged to do whatever they are capable of achieving. To promote and encourage service users participation in meal preparation, all menus are laminated with a coloured picture of the meal on the front and stepby-step guide for care workers to assist and support service users in producing a healthy, balanced meal. From the menu record it is obvious what meals are more favourable to service users. Stonepit Close (42-44) DS0000013501.V249419.R01.S.doc Version 5.0 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 The physical and emotional health needs of the service users are well met with evidence of multi disciplinary working taking place on a regular basis. EVIDENCE: Review of randomly selected service users personal files revealed that regular medical, psychological, emotional /behavioural checks are undertaken on a regular basis and sometimes on a as needed basis to maintain the well being of the service users. In discussion with the manager she supported this documentation. The inspector did not think it fit to ask the service user about this standard in case the question might aggravate the situation. Stonepit Close (42-44) DS0000013501.V249419.R01.S.doc Version 5.0 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 the following standard(s): 23 Care workers have excellent knowledge and understanding of Safeguarding Adults (Vulnerable Adults Protection) EVIDENCE: Review of randomly selected care workers files and review of the homes training record showed that all care workers had training on POVA issues. The manager informed the inspector that regular staff meetings and staff supervisions are held to ascertain how service users are coping. Regular updating of training needs are carried out and documented. Management training is offered to care workers to allow them to be able to identify and deal with service users changing behaviour patterns. Incidence forms are completed kept for all incidents in the home, and these are monitored and evaluated by the assistant psychologist on a monthly basis. Management, support and development sessions with debriefing are offered to all care workers. Stonepit Close (42-44) DS0000013501.V249419.R01.S.doc Version 5.0 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 the following standard(s): 30 The standard of the environment in this home is good, providing service users with an attractive and homely place to live. EVIDENCE: On the day of inspection the home and grounds were clean, and free from offensive odours. The manager informed the inspector that service users with support from the care workers kept the home clean. One service user invited the inspector to come and see his bedroom, which he was in the process of tidying. The room was very nicely decorated, very neat and tidy. The inspector congratulated him on the appearance of his bedroom. Stonepit Close (42-44) DS0000013501.V249419.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): 32 34 Staff morale is high resulting in a dedicated workforce that works positively with service users to enhance and improve their whole lifestyles. EVIDENCE: The home has an effective staff team according to the staff rota, and to care workers spoken to. The manager supported this. The majority of the care workers are qualified to NVQ L3, and two staff currently with NVQ L4. From the training rota and randomly selected care workers files, it was evident that training of care workers is given high priority in this home. Recruitment of staff is carried out under the homes policy and procedure on Staff Recruitment that incorporates the equal opportunity policy and procedure of the home. All care workers have up to date POVA and CRB checks. Stonepit Close (42-44) DS0000013501.V249419.R01.S.doc Version 5.0 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 42 The home was observed to be functioning satisfactorily based on the standards assessed. EVIDENCE: The home continues to operate effectively for the benefit of the service users. The newly appointed manager is now registered with CSCI. All service users are registered with a GP who monitors their physical health needs. The home appoints its own assistant psychologist, who is based at the home three days per week and is available for telephone contact on the other days. However, the assistant psychologist will come into the home in an emergency at any time. Visits by the Dentist, GP and Psychologist are adapted to meet the needs of the service users. Stonepit Close (42-44) DS0000013501.V249419.R01.S.doc Version 5.0 Page 17 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 2 X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Stonepit Close (42-44) Score X 3 X x Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000013501.V249419.R01.S.doc Version 5.0 Page 18 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 1 Regulation YA1 Requirement Produce an up to date Statement of Purpose based on the eighteen headings as in Schedule 1 of the Amended Care Homes Regulation 2001. Timescale for action 10/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Stonepit Close (42-44) DS0000013501.V249419.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Surrey Area Office 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 Stonepit Close (42-44) DS0000013501.V249419.R01.S.doc Version 5.0 Page 20 - 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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