Inspection on 15/12/05 for Thistledown

This inspection was carried out on 15th December 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 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

Thistledown 17/01/07

Thistledown 28/06/05

Thistledown 28/02/05

Thistledown 25/08/04

Thistledown 03/02/04

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 Thistledown 33 Beach Road Hayling Island Portsmouth Hampshire PO11 0JB Lead Inspector Eamonn Kelly Unannounced Inspection 15th December 2005 10:30a Thistledown DS0000011854.V273346.R02.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 Thistledown DS0000011854.V273346.R02.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. Thistledown DS0000011854.V273346.R02.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Thistledown Address 33 Beach Road Hayling Island Portsmouth Hampshire PO11 0JB 023 9246 1282 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) Mr R Bagoban Mrs I Bagoban Mr R Bagoban Care Home 6 Category(ies) of Learning disability (6) registration, with number of places Thistledown DS0000011854.V273346.R02.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 2005 Brief Description of the Service: The home provides care for up to six people (aged 18-65). Four of the five residents currently at the home have lived there since 1984, whilst the fifth took up residence circa 2000. Residents have single bedrooms on the ground and first floors. The home has a lounge, dining room, kitchen and bathroom. It is within easy reach of local amenities. Residents have the benefit of transport to day centres and other locations in the owner’s minibus. Thistledown DS0000011854.V273346.R02.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection (unannounced, between about 10.30 am and 15.30 pm) consisted of meeting with the owners (Mr & Mrs Bagoban), discussing with them aspects of care for residents and visiting 2 locations to meet with residents. All 5 residents were attending day centre locations (as they do each weekday between about 09.00 am and 03.30 pm). Support workers were met at each location. These day services are: • • Hayling Island Day Centre and The Horticultural Centre, Blandworth Training Centre, Horndean. What the service does well: What has improved since the last inspection? What they could do better: Comments by support workers at two locations, where service users spend each weekday, indicated that residents were well cared for and at ease. The focus for this inspection was meeting with residents outside the home and Thistledown DS0000011854.V273346.R02.S.doc Version 5.0 Page 6 meeting their support workers. No requirements or recommendations are made in this report. 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. Thistledown DS0000011854.V273346.R02.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 Thistledown DS0000011854.V273346.R02.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): 2 Service users have had their care and accommodation needs met. Any new service users are likely to receive good care within an established, stable environment. EVIDENCE: Four of the five service users have lived at the home for more than a decade and one took up residence about 5 years ago. The owners are aware, through experience, of the steps to be taken when considering a new service user for admission. Thistledown DS0000011854.V273346.R02.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, 9. Service user’s care needs are met through a support network comprising of the owner’s family and service user’s supporters. EVIDENCE: The previous inspection report stated that the Commission is working with the owners to develop suitable care plan records. Progress had been made in identifying and recording health needs, personal aspirations of service users and progress made by each service user as a result of activities attended. Mr and Mrs Bagoban outlined examples of how progress had been made in helping service users become more independent. An example was that a service user is now able to use public travel unaccompanied. Written risk assessments are made and these would, according to the owners, be reviewed and updated to keep them relevant. Thistledown DS0000011854.V273346.R02.S.doc Version 5.0 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): 14 Service users are supported by the owners and others to lead active lives and to have leisure activities. EVIDENCE: Some service users go home to their families at weekend. There is an active supporters group that is involved in many aspects of assisting with service user’s care. The home has the use of a minibus for the benefit of transporting residents to their various locations. Most service users attend a horticultural centre each weekday between 09.00 am and 15.30 pm. Some of the activities followed at the centre were observed as part of the inspection. Another service user was met at a local Social Services day centre. Service users also have activities in the evening and at weekends. For example, there is athletics training on Monday, cookery at College on Tuesday, arts & crafts on Wednesday, learning about competition (on Thursday). Thistledown DS0000011854.V273346.R02.S.doc Version 5.0 Page 11 Other activities/pastimes are visits to the pub, and listening to music, dance, TV/DVD. Their bedrooms are highly personalised with many types of audio/ visual equipment. Earlier in the year some service users competed in the Special Olympics in Scotland. Thistledown DS0000011854.V273346.R02.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): 18 Service users receive good personal support. EVIDENCE: Mr and Mrs Bagoban outlined the background to each service user’s assessment as to their need for residential care. Each is registered with a local GP and are helped by the owners to attend appointments. Their other healthcare needs are also met, these events are recorded in care plan records. The owners explained how service users live a very normal life within the community. The previous report indicated that some service users require medication to be administered by staff. On that occasion, medication records were maintained to the right standard and medicines were stored securely. Thistledown DS0000011854.V273346.R02.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): x These standards were not assessed on this occasion. EVIDENCE: Thistledown DS0000011854.V273346.R02.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, 30. The premises are suitable for the care and accommodation of service users and owners, who live there also. EVIDENCE: Residents’ single bedrooms are on the ground and first floors. These are suitable for service users’ needs and aspirations. There is a garden at the rear. The home was clean and tidy during the inspection visit. Thistledown DS0000011854.V273346.R02.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): x These standards were not assessed on this occasion. EVIDENCE: The previous inspection report states that, in addition to the owners, there is one long-serving member of staff. Thistledown DS0000011854.V273346.R02.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 The home is well established and the experience of the owners has contributed to stable environment for service users. EVIDENCE: The owners are qualified nurses in the field of learning disabilities. They previously worked in long-stay hospitals and have significant experience in caring for people with learning and physical disabilities. The registered manager’s award was not discussed on this occasion. Mr and Mrs Bagoban explained how an active support group (The Friends of Thistledown) provides very good support for both them and residents. They gave examples of the types of support given; assistance with costs of sports equipment, meals out for service users, pastoral support. Thistledown DS0000011854.V273346.R02.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 3 x x x Standard No 22 23 Score x x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 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 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Thistledown Score 3 x x x Standard No 37 38 39 40 41 42 43 Score 3 x x x x x x DS0000011854.V273346.R02.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. 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 Thistledown DS0000011854.V273346.R02.S.doc Version 5.0 Page 19 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 Thistledown DS0000011854.V273346.R02.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. 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!