Inspection on 12/12/05 for The Alton Centre

This inspection was carried out on 12th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

The Alton Centre 04/11/08

The Alton Centre 08/10/08

The Alton Centre 08/10/07

The Alton Centre 20/06/07

The Alton Centre 07/06/06

The Alton Centre 05/05/05

The Alton Centre 16/11/04

The Alton Centre 14/07/04

The Alton Centre 25/05/04

The Alton Centre 13/02/04

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

CARE HOME ADULTS 18-65 The Alton Centre Irchester Road Knuston Spinney Wellingborough Northants NN29 7EY Lead Inspector Mrs Linda Preen Unannounced Inspection 12th December 2005 10:00 The Alton Centre DS0000055888.V268331.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 The Alton Centre DS0000055888.V268331.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. The Alton Centre DS0000055888.V268331.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service The Alton Centre Address Irchester Road Knuston Spinney Wellingborough Northants NN29 7EY 01933 413646 01933 413664 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) Active Care Partnerships Ltd Vacant Care Home 31 Category(ies) of Learning disability (24), Physical disability (31) registration, with number of places The Alton Centre DS0000055888.V268331.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. 5. Care Home with nursing A total of 31 residents in the category of PD (Physical Disability) between the ages of 18 and 65 years may be accommodated in the home. Four named residents in the category of PD over the age of 65 years may be accommodated in the home. A total of 31 residents in the category of PD (Physically Disabled) A total of 24 residents in the category of LD (Learning Disability) between the ages of 18 and 65 years requiring personal care only may be accommodat ed in the home. No more residents in the category of PD may be admitted to the home when there are already 31 residents in this category accommodated. No more residents may be admitted to the home when 24 residents in the category of LD (Learning Disabilities) are already accommodated in the home. 6. 7. Date of last inspection Brief Description of the Service: The home provides care for 31 physically disabled adults and 24 residents with learning difficulties between the ages of 18 and 65 years. Accommodation is mainly provided over three floors and is in single rooms with ensuite facilities. Six residents have their own self- contained bungalows in the grounds but attend the main house for meals and activities. Adaptations such as ceiling hoists and mobility aids are provided according to assessed needs. The home is situated in a small village, close to two local towns and their amenities. Transport is provided in the form of two mini-busses. The Alton Centre DS0000055888.V268331.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. One hour was spent prior to the inspection reviewing previous requirements and recommendations, and collating information provided by the service. The inspection took place over a period of two hours as part of the statutory inspection programme. Two residents were chosen in order that their experience in the home could be monitored. This included looking at their records, talking to them and other residents and doing a limited tour of the environment. What the service does well: What has improved since the last inspection? What they could do better: The Alton Centre DS0000055888.V268331.R01.S.doc Version 5.0 Page 6 Some care plans need to be expanded to give staff clear instruction as to how to meet resident’s needs. Testing of emergency lighting is not being carried out at the required intervals. 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. The Alton Centre DS0000055888.V268331.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 The Alton Centre DS0000055888.V268331.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): These standards were not assessed on this occasion. EVIDENCE: The Alton Centre DS0000055888.V268331.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): 6,7 and 9 Staff do not always have the information required to ensure that all resident needs are met. Residents are given choice concerning their daily lives. EVIDENCE: Comprehensive care plans were available for the two residents chosen to case track. These care plans were regularly reviewed and signed by the resident concerned. However one resident who had an indwelling catheter and stoma, had insufficient information recorded to allow staff to care for these areas satisfactorily. For example: there was no record of the due date of change or size of catheter to be used and no details of the type of stoma appliance used or of any skin care for the stoma site. Evidence was available of residents preferred activities and of their preferred time of rising and retiring. Residents were getting up according to their preference and having breakfast in a relaxed informal manner during the inspection. Residents spoken to expressed their satisfaction at the care and attention received and with the standard of food and activities provided. All residents seen appeared well groomed and dressed in an appropriate manner. The Alton Centre DS0000055888.V268331.R01.S.doc Version 5.0 Page 10 The Alton Centre DS0000055888.V268331.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): 12, 13, 14 and 17 Social Activities and meals are both well managed, creative and provide daily interest and variation for people living in the home. EVIDENCE: Residents are able to go out into the community if they wish, either with family and friends or alone according to risk assessments. One resident left to attend a local day centre during the inspection. Another resident stated they were looking forward to the weekly BINGO session that evening. The company are currently developing an IT room for those residents who wish to avail themselves of this facility. Residents spoken to stated that the standard of food was good and that choice was available at all meals. Lunch on the day of the inspection was Gammon steaks or cottage pie and tea was planned as toasted sandwiches or beans on toast. Evidence was available that alternatives such as take aways are offered if resident’s appetite is poor. The Alton Centre DS0000055888.V268331.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 and 20 Access to local healthcare is facilitated in the home. Systems for the control of medication are satisfactory. EVIDENCE: Records of General Practitioner and other health care professionals visits was seen in the files monitored. One of the residents case tracked confirmed that he had physiotherapy twice a week and also that he had aromatherapy, which he enjoyed. Systems for the receipt, recording, administration and return of medication were seen and found to be satisfactory. The Alton Centre DS0000055888.V268331.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): These standards were not assessed on this occasion. EVIDENCE: The Alton Centre DS0000055888.V268331.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): 24,25, 28, 29 and 30 A safe, clean, well-maintained environment is provided for the residents. Specialist equipment is provided to meet their needs. EVIDENCE: A limited tour of the environment was undertaken. This demonstrated that a continuing programme of redecoration and refurbishment is in progress. Decorators are currently redecorating the conservatory area. New armchairs have been provided. The gardens and outside areas have been tidied since the last inspection, making them a more pleasant area for residents. Resident rooms seen showed evidence of personalisation with small items of furniture, pictures and ornaments on display as well as personal music systems and television. Hoists, handrails and wheelchairs are available according to resident need. Evidence was available of the maintenance of these items. All areas of the home seen were clean and tidy. The Alton Centre DS0000055888.V268331.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): These standards were not assessed on this occasion. EVIDENCE: The Alton Centre DS0000055888.V268331.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): 42 The health and welfare of residents is not always protected. EVIDENCE: Risk assessments are in place for pressure ulcers, moving and handling, nutrition and falls. Records of the testing of fire alarms were seen and found to be satisfactory. Testing of Emergency lighting was not being done monthly as required but maintenance of this system had been carried out in September. This was made the subject of a requirement. The Alton Centre DS0000055888.V268331.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 X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 X X 3 3 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 The Alton Centre Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X 2 X DS0000055888.V268331.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. 2 Standard YA6 YA42 Regulation 15 23(4)c Requirement Care plans must be expanded to ensure that guidance is available on all aspects of resident care. Records must be available to demonstrate that the emergency lighting system has been tested at the required monthly intervals. Timescale for action 14/01/06 14/01/06 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 The Alton Centre DS0000055888.V268331.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Northamptonshire Area Office 1st Floor Newland House Campbell Square Northampton NN1 3EB 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 The Alton Centre DS0000055888.V268331.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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