Inspection on 09/02/06 for The Old Police House

This inspection was carried out on 9th February 2006.

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

The Old Police House 16/02/09

The Old Police House 13/02/07

The Old Police House 23/08/05

The Old Police House 09/02/05

The Old Police House 23/09/04

The Old Police House 16/07/02

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 The Old Police House The Old Police House Nunney Frome Somerset BA11 4NE Lead Inspector Justine Button Unannounced Inspection 9th February 2006 09:30 The Old Police House DS0000030144.V283882.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 Old Police House DS0000030144.V283882.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 Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service The Old Police House Address The Old Police House Nunney Frome Somerset BA11 4NE 01823 423126 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) gguy@somerset.gov.uk Somerset County Council (LD Services) Mr Gavin Jon Guy Care Home 8 Category(ies) of Learning disability (0), Physical disability (0), registration, with number Sensory impairment (0) of places The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Service users may have concurrent physical disabilities and/or sensory impairment. Service users over the age of 65 are permitted to remain in the home. Date of last inspection 23rd August 2005 Brief Description of the Service: The Old Police House provides care and support for up to eight adults who have learning disabilities and associated physical and sensory impairments. In addition, a high level of support is required with communication needs. The home is situated on the edge of the village of Nunney. The accommodation is arranged on two floors and includes single bedrooms for all. The building has been adapted in the past to accommodate people with additional care and support needs. The ground floor accommodation is fully accessible and comprises 6 bedrooms, two bathrooms and communal space. Two further bedrooms are located on the first floor, which is accessed by a stairway. The property has an enclosed garden area at the rear. A team of staff throughout the 24-hour period supports the people who live at The Old Police House. Staff provide support in maintaining links with families, who are encouraged to remain involved in the lives of those who live here. The home has its own transport. Those who live here are able to get out and about into the wider community, with staff support. The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted over the course of one day by one inspector. The inspector was able to speak to all the staff on duty although the manager was not present. All the people who live at the service were seen and spoken to during the inspection. Overall The Old Police House provides a good standard of care and support although the building has limitations. What the service does well: What has improved since the last inspection? What they could do better: A number of people who live at the home require help and support to move around. Staff currently receive moving and handling training every three The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 Page 6 years. The frequency of this training is not in line with good practise guidelines. This should be reviewed. The last inspection recommended changes to the systems of care planning. Somerset County Council have discussed potential changes with the CSCI but these have yet to be implemented. The décor in some of the communal areas is now showing signs of wear and tear. Consideration should be given to redecorating some of the rooms. 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 Old Police House DS0000030144.V283882.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 Old Police House DS0000030144.V283882.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): 1, 2, 3, 4 & 5. All people who move into the home have adequate information in order to make an informed choice about living there. Staff receive adequate information about the individuals needs in order to ensure that they can offer the correct care and support. People are able to visit the service prior to moving in. EVIDENCE: The people who live at the home have all lived there for a significant period of time. The home however has got adequate information available for any individual wishing to move in. Prospective individuals are introduced to the service dependant on their needs and requirements. For some people this could mean a number of visits over several weeks. Families and advocates are used to ensure that information the person requires is communicated using an appropriate method. A copy of the terms and conditions of stay are in the individuals care and support plan, although it was not confirmed how relevant this document is for a number of people who live at the home. The Old Police House DS0000030144.V283882.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): 6, 7, 8, 9 & 10. All service users have an individual service user plan. In all of the plans viewed it was difficult to ascertain the current needs of the service users and the action to be taken by staff. This is particularly important to aid consistency of approach when staff are dealing with current medical conditions. People who live at the home are involved as much as they are able in the dayto-day running of the service. Staff support and encourage an independent lifestyle. Information is held in a secure manner. EVIDENCE: In the last report a requirement was made with regard to the care planning system. Since the last inspection Somerset County Council have worked towards updating and reviewing the care planning system. These plans have yet to be implemented. For this reason there have been no changes to the The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 Page 10 care plans at The Old Police House. The recommendation from the last inspection therefore remains. Service users rights to make decisions are promoted. This may be limited for some of the current service users who’s assessed needs do not allow them to make choices readily. Staff were observed supporting people to make choices about what food they would like to eat. Staff work closely with the individual’s to promote this skill. The staff have a good working relationship with the people they support. Due to this staff are aware of the non-verbal signs that may indicate if people are enjoying an activity. The nature of people’s disabilities means that input into the development of policies and procedures is not generally possible. Information is handled and stored in a secure manner. The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 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): 11, 12, 13, 14, 15, 16 & 17. There is a good range of opportunities available for personal development, recreation and community involvement. People who live at the service are supported to maintain links with family and friends. EVIDENCE: The duty and staff rota’s demonstrated that people who live at the service attend a range of activities. Activities include swimming, “atmospherics”, attendance at Frome educational and recreational centre, going out for walks. One of the people attends a lunch club. The service also has it’s own transport. The number of staff needed to support service users in activities is relatively high. Visitors were not seen during this inspection however have been seen to visit regularly on previous inspections. People choose whom they see and when; The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 Page 12 and can see visitors in their rooms and in private. People choose whom they see and when; and can see visitors in their rooms and in private. Photographs of friends and relatives are on display in the service users bedrooms. The kitchen was viewed on the day of the inspection. The kitchen was clean and tidy on the day of the inspection. A range of food was available including fresh fruit and vegetables. Staff are aware of the individual diets of people living at the home from those who are trying to lose weight to those individuals who need to put weight on. Staff support individuals to make appropriate food choices. The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 Page 13 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, 19 & 20. The health of service users is maintained and promoted. Medication is stored and administered in line with good practise guidelines. EVIDENCE: The service uses plans demonstrated that the people who live at the service have regular access to health care professionals including GP’s, dentist etc. Psychology and psychiatric input is gained as and when required .A speech and language therapist visits the home regularly. Documented evidence was available to show service users were supported by staff to attend medical appointments at the local hospital. One individual was visiting the dentist, with staff support, when the inspector arrived at the home. The documentation regarding medication was viewed. The Medication Administration Records were viewed and these were in good order. All medication is signed in by two staff. There are facilities available for people living at the home to self medicate although this is not applicable at the The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 Page 14 current time. Staff stated that they had received training on the safe handling of medication. The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 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 the following standard(s): These standards were not assessed on this occasion. EVIDENCE: The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 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 the following standard(s): 24, 25, 26, 27, 28, 29 & 30. The premises are suitable for the stated purpose, however due to the high needs of the people who live at the service the environment needs continual review. EVIDENCE: A tour of the building was conducted. The service is offered in a domestic style house. All areas are decorated and furnished in a homely way. Two bedrooms are on the upper floor. Some of the service users require wheelchairs to aid mobility and require the use of a hoist for moving and handling. Some of the bedrooms appear small when the needs of the service users are considered. Two of the bedrooms have been fitted with overhead hoists. This has maximised the space in these bedrooms. The bedrooms seen were decorated to the taste of the individual. People with the support of the staff or family are encouraged to choose furnishings and décor. Furniture, which suits the assessed needs of the individual, is provided. The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 Page 17 The service has three bathrooms. Two people who have bedrooms on the upper floor use the bathroom upstairs. The bath in this in need of replacement in the near future. The bathroom has limited adaptations and is not accessible to the other six people who reside at the house. The other two bathrooms are on the lower floor. One of the bathrooms has recently been refurbished and now provides an accessible shower. This refurbishment is welcomed although the design could have been improved. The other bathroom provides a bath and is also accessible to the people who live at the service. The service is part double-glazed. The remaining windows will require attention in the near future. The home provides two areas used primarily as living space. Some of the communal areas will require redecoration in the near future. The home has a small accessible garden. The home was clean and tidy on the day of inspection. There are adequate provisions for infection control. All personal care is conducted in the privacy of people’s rooms and staff were observed knocking on bedroom doors prior to entering. The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 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 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): 31, 32, 33, 35 & 36. People who live at the service are supported by adequate numbers of staff. Staff have received adequate training to fulfil their role. Systems are in place to provide staff with supervision and appraisals. EVIDENCE: The duty rotas were examined. These demonstrated that staffing numbers are provided. These demonstrated that that three staff are on duty for all day time hours. This was increased dependant on the needs of the people at the service on a particular day. Staff spoken to during the inspection stated that they felt that they had received sufficient training in order to fulfil their role. Somerset County Council’s current guidelines state that staff should received Moving and Handling training at three yearly intervals. This is not in line with guidance issued by the health and safety executive. It is therefore recommended that the provision of this training is reviewed. The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 Page 19 There is a planned programme of formal staff supervision and appraisals, in addition to regular staff meetings. This will have a positive contribution to the continued development of the team. The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 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 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, 39 & 42. The service is well run and managed. The service is yet to develop a quality assurance or self-monitoring systems. The health and safety of the people who live at the service is promoted. There are a range of policies and procedures. EVIDENCE: There is a clear management structure at both company and service level. The area manager visits the service regularly. This includes a tour of the building and gives the opportunity to talk to staff and the people who live at the service. Consideration should be given to the development of a quality assurance/self monitoring system. The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 Page 21 The service has a range of policies and procedures. Some of these were viewed on the day of the inspection and were satisfactory. Staff stated that they were aware of the policies and where they would find the information they required. A range of health and safety documentation was seen including fire safety and hot water checks. These were in good order. The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 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 Standard No Score 1 3 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 x ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 X 3 x The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 Page 23 Are there any outstanding requirements from the last inspection? NA 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. 1. 2. 3. Refer to Standard YA6 YA35 YA28 Good Practice Recommendations It is recommended that the remaining service user plans are reviewed and all out of date information removed. It is recommended that the frequency of moving and handling training be reviewed. It is recommended that some of the communal spaces including the lounge, upstairs bathroom are redecorated. The Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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 Old Police House DS0000030144.V283882.R01.S.doc Version 5.1 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. 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!