Inspection on 01/11/06 for The Poplars

This inspection was carried out on 1st November 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 Poplars 16/12/05

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 The Poplars 347 Salisbury Road Totton Hampshire SO40 3NF Lead Inspector Anita Tengnah Unannounced Inspection 1st November 2006 10:00 The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 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 Poplars DS0000063927.V315281.R01.S.doc Version 5.2 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 Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service The Poplars Address 347 Salisbury Road Totton Hampshire SO40 3NF 023 8043 4269 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) Starfish Enterprise Limited Janice Elizabeth Billson Care Home 6 Category(ies) of Learning disability (6) registration, with number of places The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15/12/05 Brief Description of the Service: The Poplars is a large Edwardian building set off the main road. It has six bedrooms for service users, a lounge, a conservatory and a kitchen/dining room. Outside there is a large garden. The home caters for younger adults with learning difficulties and aims to support people to develop the skills they might need in order to move on to more independent living. The home is owned by Starfish Enterprise and the Registered Manager is Jan Billson. The current fees charged ranged between £1330- £1500 per week. The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An unannounced visit was undertaken on the 1st of November 2006. The process included a tour of the service where a number of the bedrooms, communal areas, kitchen, and bathrooms were viewed. As part of case tracking the staff and service users views were sought and care records were looked at. Information gained from the pre inspection questionnaire was also used, as was information gathered by the commission since the last inspection to contribute in assessing judgements in this report. There were 2 service users accommodated at the time of the visit, however both of them were out at college on the day. A comment card was received from one of the parent of a service user and positive comments were made about the staff and the care that he was receiving at the home. What the service does well: What has improved since the last inspection? Some of the rooms have been refurbished and there is an ongoing programme of decorating the vacant rooms prior to new admission. The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 6 The gardener was putting up trellises in the front garden to make it more private. There is a training programme in place that ensures that staff have the skills in providing care safely. The home has recently completed an audit seeking the views of the service users, family, and other professionals. This was a requirement from the last visit that has been met. 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. The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 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 Poplars DS0000063927.V315281.R01.S.doc Version 5.2 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): 2,4,5 Quality outcome in this area is good. The judgement has been made using available evidence including a visit to the service. The pre assessment process is good and ensures that service users’ needs could be met and included visits to the service. EVIDENCE: The care plans contained assessments in both service users records seen as part of the visit. These were detailed and included care management assessments. Staff reported that these assessments are used as part of the care planning. Service users are offered the opportunity to “test drive” the home prior to admission and includes overnight/ weekend stay. The manager reported that one of the service users made frequent visits prior to moving into the home. There was evidence that the service users and other professionals were involved in the assessments. Comment from a relative having visited other homes included ” The poplars is outstanding and the best place for him”. Information in the statement of purpose and the service user’s guide was available and included pictorial format. The manager reported that the outcome of the recent audit would be included as part of the information that is provided to all the service users. These were found to detailed and informative. The manager said that she was planning to develop these further. The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 9 The service users were provided with a contract and terms and conditions of residency and both of these were signed by the service user/relative as appropriate. Information on accessing advocacy service was also available as required. The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 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): 6,7,9 Quality outcome in this area is good. The judgement has been made using available evidence including a visit to the service. The care plans had detailed information to show how the care needs of the service users would be met. The health and personal care needs of the service users are well met. The service users are supported to take risks as part of daily living. EVIDENCE: Both of the service users care plans were examined as part of this visit. Care plans were generated from care managements’ assessments and the home’s own assessment. The plans seen were detailed and included clear information about what the service users are able to do and what type of support they required. It was evident that both of the service users required minimal help with personal care and prompts were used instead. Records showed that the home had a person-centred approach to care and the service users had been involved in the formation of their care plan with the support of their key The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 11 workers. Care plans seen were reviewed and updated on a regular basis with evidence of the service users involvements. Risk assessments were in place and the service users are assisted in taking risks as part of their daily living. One of the service users liked swimming, risk assessment and a care plan was in place to show how this could be achieved. Staff provided assistance with communication support that included pictorial format for one of the service users. The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 12 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): 12,13,14,17 Quality outcome in this area is good. The judgement has been made using available evidence including a visit to the service. Service users have opportunity for their personal developments and are well supported in activities of their choice. The meals are well managed and meet with the service users expectations. EVIDENCE: The care plans seen showed that the service users had activity plans in place for each service user and staff supported them to be involved in activities they enjoyed. Some of the activities included bowling, swimming, eating out theatre trip and the cinema. The home has a variety of DVDs that staff reported the service users enjoyed in the evening. The comment of a service user who has moved out recently identified that she enjoyed the evening spent watching DVD and valued the time that staff spent with her. Both of the service users attended Brockenhurst and Totton colleges. The home has its own transport and staff supported them to get to the college. The manager reported that The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 13 both of the service users recently went to the Isle of Wight on holiday and was very successful. Other comments from relatives included “care at the Poplars is outstanding” and “this is the best place” for her relative. The home has a policy in supporting the service users with personal relationships with each other and encouraged them to be part of the local community. The staff acknowledged that the service users needs as young adults and referral is made to external agencies as appropriate to meet these needs. The staff discussed that the service users are involved in food shopping and supported in choosing and menu planning. The menu seen indicated that the service users have a varied diet and individual choices are respected. Service users are responsible for some of the household such as tidying their bedrooms. Staff reported that one of the service users liked cooking and staff supported him with new recipes that included making jams and lemon curd during the summer. The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 14 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 Quality outcome in this area is good. The judgement has been made using available evidence including a visit to the service. Personal support is provided in a sensitive way to the satisfaction of the service users. The health and medication management is good and protect the service users. EVIDENCE: Both care plans seen indicated that the essential life plan were devised with the involvement of service users and contained clear guidance about the way support is given. Plans also described the physical and health care needs of service users and were regularly monitored. Service users were supported to access relevant healthcare services as necessary. The plans contained detailed records of health and dental history to ensure that staff have the relevant information and the healthcare needs are met. Staff reported that the service users are supported to attend the local surgery and are aware of the service users’ right to NHS care. The home has a clear policy and procedure for the management of medication. Staff had undertaken training in medication and all medication was stored The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 15 safely at the time of the visit. Neither of the service users were selfmedicating at the time, this had been part of the assessment process. Records of medication administered were kept in Medication Administration Records Sheets (MARS) as maintained by the home. The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 16 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): 22,23 Quality outcome in this area is good. The judgement has been made using available evidence including a visit to the service. The complaint and adult protection procedures and staff knowledge ensures that the service users are protected. EVIDENCE: The home has a complaint procedure in place that was available to the service users in appropriate formats. A complaint log was maintained. This indicated that the home had received one complaint that was dealt with promptly and a record of this was maintained. There were also 2 compliments letters received from service users expressing a high degree of satisfaction with the care they had received. The home has the Hampshire Adult Protection procedure and is used in conjunction with the home’s own procedures for dealing with allegations of abuse. Staff have completed training in adult protection and challenging behaviour and staff spoken with had good knowledge of what constituted abuse and what to do. The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 17 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): 24,30 Quality outcome in this area is good. The judgement has been made using available evidence including a visit to the service. Service users are provided with a clean and homely environment that meets their needs. EVIDENCE: Accommodation is provided in a large house that is well maintained and close to some local amenities. The staff reported that there is an ongoing programme of refurbishment. Some of the rooms were being decorated at the time of the visit and prior to new admissions. The home was clean throughout and there was no adverse odour. All the service users bedrooms were tastefully decorated and personalised with en suite facility that consisted of either a shower or bath in each bedroom. It was evident that the service users are encouraged to personalise their rooms. Furnishing was of good quality and appropriate to the service users’ needs. The home benefits from a kitchen diner, large communal lounge and conservatory. There is an additional communal bathroom and toilet. There is a large well- maintained garden with seating available and accessible to the service users. The manager stated that gardener was putting up some The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 18 trellis in the front garden on the day of the visit and this will give more privacy for the service users. The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 19 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): 32,34,35 Quality outcome in this area is good. The judgement has been made using available evidence including a visit to the service. There is adequate and competent staff employed to meet the needs of the service users. The training programme is good and ensures that staff have the necessary skills in providing care safely. The recruitment process was examined at the last visit and was met. There has been no new staff employed since the last visit. EVIDENCE: Discussion with staff and records seen showed that staff have the skills and experience in providing care to people with learning difficulty. Staff had clear understanding of the needs of this client group and the duty roster indicated that the ratio of care staff is determined according to the assessed needs of the service users. The home has two staff on the day shift, one staff in the evening and one sleeping in staff at present. The manager reported that this was appropriate as there were only 2 service users accommodated at the time of the visit and this would be reviewed as necessary. The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 20 There has been no new staff recruited since the last visit. This standard was fully met at the last visit. There is an ongoing training programme in place, recent training included food hygiene, safe- handling of medication and health and safety. The manager confirmed that all staff had completed training in the prevention of abuse as recommended following the last inspection. The home has achieved the required ratio of care staff achieving NVQ level 2 in care with three out of four current staff having completed the course. The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 21 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): 37,39,42 Quality outcome in this area is good. The judgement has been made using available evidence including a visit to the service. The management at the home is good and benefits the service users. The auditing system in place is good and takes into account service users views. The health and safety practices are good and ensure that the service users are safeguarded. EVIDENCE: The home has a registered manager who is qualified and has years of experience in managing care for people with learning disability. There are clear lines of accountability within the home and the manager demonstrated good knowledge of the service users’ needs. Comments from service user and The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 22 stakeholders included “ I have been very impressed by the support and commitment of all the staff”. The home has recently completed an audit of service users, relatives, support workers and social services views. This was a requirement from the last inspection in Dec. 05 and has been met. The home has received positive feedbacks and the respondents expressed a high degree of satisfaction with the care that they are receiving. The manager said that this would be linked to the annual review of the service and that the result of the survey would be included as part of the information provided to the service users. A sample of the policies and procedures was seen and some of these had been reviewed and the manager stated that she was in the process of reviewing all of these to ensure that they meet with current guidelines. A sample of servicing records seen indicated that there is an ongoing programme in place for servicing of equipment to safeguard the service users. This included weekly fore alarm test, weekly water temperature check. The central heating system and boiler was serviced in Oct 06. The environmental health officer visited in August o5 and a recommendation made at the time of the visit has been completed. All items identified as hazardous to health (COSHH) were maintained securely and it was reported that a staff member was in the process of updating all the COSHH sheets to make sure that information is current. The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 23 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 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X The Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 24 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. 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 Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Poplars DS0000063927.V315281.R01.S.doc Version 5.2 Page 26 - 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!