CARE HOME ADULTS 18-65
The Haven Hackthorpe Penrith Cumbria CA10 2HT Lead Inspector
Paula Banham Unannounced Inspection 8th February 2006 3:00 The Haven DS0000022592.V281010.R01.S.doc Version 5.1 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 Haven DS0000022592.V281010.R01.S.doc Version 5.1 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 Haven DS0000022592.V281010.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service The Haven Address Hackthorpe Penrith Cumbria CA10 2HT 01931 712155 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) Mrs Rowena Gibson Mrs Rowena Gibson Care Home 2 Category(ies) of Learning disability (2) registration, with number of places The Haven DS0000022592.V281010.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Bedrooms measuring less than 12 sq m must not be used to accommodate service users who are confined to a wheelchair. 8th August 2005 Date of last inspection Brief Description of the Service: The Haven is a care home registered with The Commission for Social Care Inspection to provide accommodation to two adults with a learning disability. The Haven is owned by Mrs Rowena Gibson who is also the main carer. No care staff are employed in the home. The Haven is in Hackthorpe village approximately 5 miles between Shap and Penrith. Mrs Gibson aims to provide support to residents in a domestic, family type environment and the accommodation is suitable to meet this aim. Accommodation is provided in a large property which is in keeping with the neighbouring premises. Accommodation for residents is provided in the form of two single bedrooms and a walk in shower and toilet. Shared accommodation is provided in the form of a kitchen, dining room, two sitting rooms and a large, well maintained garden. The services provided at The Haven are the same as services registered as Adult Placement Schemes in other areas in England. As Cumbria County Council does not have an Adult Placement Scheme The Haven is registered as a care home and subject to inspection against the Care Home Regulations 2001 and National Minimum Standards for Adults (18-65) 2nd Edition. The Haven provides permanent accommodation and respite care when accommodation is available. The Haven DS0000022592.V281010.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and was carried out on 8th February 2006. The inspection focussed on how well the home meets the needs of the people using the service. This was assessed by speaking to a resident and Mrs Gibson and watching activity in the home. What the service does well: What has improved since the last inspection? What they could do better:
The Haven is a good home. Residents are provided with a high standard of care which meets their needs. All of the standards assessed were met and there were no areas identified as requiring attention. The Haven DS0000022592.V281010.R01.S.doc Version 5.1 Page 6 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 Haven DS0000022592.V281010.R01.S.doc Version 5.1 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 Haven DS0000022592.V281010.R01.S.doc Version 5.1 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): 2 and 3. The home has good procedures for handling admissions and residents and their families know that their needs will be met. EVIDENCE: Mrs Gibson follows a thorough admissions process before offering accommodation to an individual. The process includes gathering information about the resident, their needs and preferences. The information is used to ensure that the services provided in The Haven are suitable to meet the person’s needs. Mrs Gibson is aware of the range of needs which the home is able to meet. Mrs Gibson does not offer to provide accommodation unless the home is suitable for the individual. The Haven DS0000022592.V281010.R01.S.doc Version 5.1 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): 7 and 9. Residents are supported to make choices about their lives and to develop skills and independence. EVIDENCE: Mrs Gibson has a clear sense of purpose for the home which focuses on promoting individual’s rights and independence. Residents are supported to attend a range of appropriate activities which give opportunities for personal development and increase their confidence. People staying at the home for respite care are supported to continue to follow activities they enjoy when at home, where this is possible. The Haven DS0000022592.V281010.R01.S.doc Version 5.1 Page 10 Lifestyle
The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12, 13, 14 and 16. Residents benefit from having opportunities to follow a range of appropriate activities. EVIDENCE: Residents follow a range of activities including opportunities for leisure, employment and education. Mrs Gibson encourages residents to live independently within the supported environment provided in the home. Residents’ rights are respected and they make decisions about their lives. Mrs Gibson respects the decisions and choices which residents make. The Haven DS0000022592.V281010.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support
The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 19. Residents’ receive a high standard of support and their health and personal care needs are met. EVIDENCE: Mrs Gibson is knowledgeable about residents’ needs and provides the support they require to maintain their health and well-being. Residents are supported to self-care as far as they are able and their independence and skills are promoted. Care is provided in a manner which respects residents’ privacy and preferences. Residents attend routine and specialist health care appointments as they require. The Haven DS0000022592.V281010.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection
The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22. The home has clear procedures for handling and resolving residents’ concerns. EVIDENCE: The home has a clear complaints procedure which is given to residents and their families. The complaints procedure includes agencies outside of the home to whom complaints can be made. No complaints have been received about the service. Mrs Gibson involves residents in decisions about their care in an informal and ongoing manner. Residents and their families know that their views are listened to. The Haven DS0000022592.V281010.R01.S.doc Version 5.1 Page 13 Environment
The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 27, 28 and 30. Residents are provided with safe, clean and comfortable accommodation. EVIDENCE: The Haven is Mrs Gibson’s family home and residents live as part of her family. The accommodation has been extended and accommodation for residents is all on the ground floor of the home. Residents have private use of their bedrooms and shared use of appropriate bathing and toilet facilities. Residents share use of communal lounges, kitchen and dining rooms with Mrs Gibson and her family. The accommodation is clean and comfortable and provides a homely environment for residents to live in. The property is decorated and maintained to a high standard. Furniture and furnishings are of a high quality and are domestic in character. The accommodation is suitable to meet residents’ needs. The Haven DS0000022592.V281010.R01.S.doc Version 5.1 Page 14 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 are not applicable to The Haven. These standards do not apply to The Haven as no care staff are employed in the home. EVIDENCE: The Haven is Mrs Gibson’s family home and she is the sole carer. No care staff are employed in the home and these standards do not apply. The Haven DS0000022592.V281010.R01.S.doc Version 5.1 Page 15 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, 38, and 42. Residents benefit from living in a well run home where their rights, safety and well-being are protected. EVIDENCE: Mrs Gibson has a clear sense of direction for the home which focuses on promoting residents’ rights and maintaining their safety. Mrs Gibson is knowledgeable about residents’ needs and provides a high standard of care. Support is provided in a manner which promotes residents’ independence, increases their skills and respects the choices they make about their lives. Advice has been taken from appropriate agencies regarding maintaining a safe environment for residents to live in. The Haven DS0000022592.V281010.R01.S.doc Version 5.1 Page 16 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 Standard No Score 1 X 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 x ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 3 3 X X X 3 X The Haven DS0000022592.V281010.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? N/A STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations The Haven DS0000022592.V281010.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith Cumbria CA11 9BP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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