Inspection on 18/11/05 for Touchwood

This inspection was carried out on 18th November 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Touchwood 29/08/07

Touchwood 16/03/07

Touchwood 19/01/06

Touchwood 10/01/05

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 Touchwood 13 Somerset Road Christchurch Dorset BH23 2ED Lead Inspector Tracey Cockburn Unannounced Inspection 10:00 18 November 2005 th DS0000059217.V266056.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 DS0000059217.V266056.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. DS0000059217.V266056.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Touchwood Address 13 Somerset Road Christchurch Dorset BH23 2ED 01202 487575 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) touchwoodcare@aol.com Principle Care Ltd Andrew James Milnes Care Home 5 Category(ies) of Learning disability (5) registration, with number of places DS0000059217.V266056.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named service user (as known to the Commission for Social Care Inspection) under the age of 18 may be accommodated. 23rd June 2005 Date of last inspection Brief Description of the Service: Touchwood is a small care home situated in a residential area close to the centre of Christchurch. The home was first registered in April 2004 and provides support, accommodation and personal care to a maximum of 5 learning disabled people. The registered provider is Principle Care ltd; which is a private organisation owned by the responsible individual Mark Hulme and the registered manager of touchwood Andrew Milnes. The house is domestic in size and does not stand out from neighbouring properties. There is a large garden at the rear and ample parking on the front driveway. The home provides 5 bedrooms, all with en-suite bathrooms, a lounge with dining area and a kitchen. There is also a fully equipped laundry/utility room, a staff sleep in room and a small office. DS0000059217.V266056.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place unannounced over 2 hours in the morning. The purpose of this inspection was to review the requirements and recommendations of the last inspection. Care records, policies and staff files were viewed as part of the process. 2 residents were spoken to as well as several members of staff. One resident’s room was also seen. A senior member of staff who is acting manager was present throughout the inspection and able to assist. What the service does well: What has improved since the last inspection? At the conclusion of the previous inspection there was 1 requirement and 3 recommendations. The fire records for the home are now up to date and this means that both residents and staff are protected. Residents are involved in making decisions about their lives and this is recorded in their plans of care. Courses on adult protection are sourced for all staff to attend to enable them to fully understand the responsibility for protecting vulnerable adults. DS0000059217.V266056.R01.S.doc Version 5.0 Page 6 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. DS0000059217.V266056.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 DS0000059217.V266056.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): 2 The home understands the importance of meeting resident’s aspirations as well as their needs and do both well. EVIDENCE: The care files for 2 residents were seen, both contained assessments. These assessments were detailed. From the assessments seen it is clear that there is input from both health and social services into the development of an individual care plan. One resident said that the staff understand his needs and what he likes to do. Staff were also observed reacting positively to manage another residents behaviour. DS0000059217.V266056.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): 6,9 Individual plans of care reflect changing needs and goals ensuring that residents have the care they need. Robust risk management systems support residents in achieving independent lifestyles. EVIDENCE: 2 individual plans of care were examined both contained information on the changing needs and goals of the individual’s concerned. Each file contained detailed risk assessments. Files also contained information relationships, communication and education. There was also information on joint working with health professionals such as dietician, psychologist and occupational therapist. One file contained a detailed joint risk strategy with health and social services. The acting manager explained the work which has been done to ensure that one resident has a consistent approach by all staff to his anxieties and behaviour. DS0000059217.V266056.R01.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): 13,14 Residents live ordinary lives in the community participating in leisure activities, which interest them. EVIDENCE: Residents in the home said that they take part in activities outside the home that they are interested in such as: hobbies and leisure. Going out with friends and seeing family. They also go shopping; participate in a variety of activities including work, craft activity and ordinary leisure interests such as going bowling. There is evidence in resident’s files of the activities they participate in on a daily basis. There are also charts on the office wall which indicate who is participating in what activity on a weekly basis. This enables the staff to plan who will be using the homes transport and when. DS0000059217.V266056.R01.S.doc Version 5.0 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 Care documentation details how service users prefer and require to be supported enabling care staff to meet resident’s needs the way they need, want and like. EVIDENCE: Residents who spoke to the inspector said that they were supported by staff in the way that they like and prefer. They also said that the care staff understand how they like to be supported and understand their moods and worries. At the time of the inspection no resident needed any technical aids. The residents also said that they are able to wear the clothes they like, and receive support with personal care if it is required. There is evidence in their personal files that they receive specialist support from therapists when it has been identified as necessary. The acting manager also confirmed that if they have any concerns about a resident they have good support from health professionals. DS0000059217.V266056.R01.S.doc Version 5.0 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 Good relationships between resident and manager mean that any concerns are listened to seriously and action taken to sort out the problem. EVIDENCE: The home has a clear complaints procedure which residents said that they understood they also said who they would speak to if they were worried. There have been no complaints received either by the home or by the commission since the last inspection. The acting manager said that residents have “niggles” which are handled on a day to day basis and recorded in the daily records. DS0000059217.V266056.R01.S.doc Version 5.0 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): 24,30 Residents live in a comfortable home and their private space is decorated in a style of their choosing. The home is clean and appears hygienic which gives a good impression to visitors. EVIDENCE: The premises are safe, comfortable, bright and cheerful. The home was warm; it was a very cold day on the day of the inspection. There is easy access to local amenities, at the time of the inspection none of the residents were able to access public transport independently. The home has the use of a people carrier. The home is in keeping with other detached houses in the street. All the residents are able to access the home independently. All the furniture was domestic and ordinary. The premise meets the requirements of the fire service. The home was clean, and free from offensive odours. There are systems in place to control the spread of infection. Laundry facilities are domestic. DS0000059217.V266056.R01.S.doc Version 5.0 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): 34,35 Recruitment practice within the home has improved this means that residents are protected. Training provided for staff means that staff that have received the right training to ensure that each resident’s needs are fully met. EVIDENCE: 2 files for the newest member of staff were looked at. The file contained 2 references including a verbal reference. Criminal Records Bureau checks have been completed but the acting manager was unsure if that included a POVA 1st check. The rota demonstrated that there are 4 staff on duty during the day and 3 in the evenings, with 1 awake member of staff and 1 asleep each night. Service users are not involved in the selection process although they do meet the prospective employee. The acting manager said that staff receive specialist training, this was also evidenced in staff files and by noting forthcoming training events on the notice board in the office. DS0000059217.V266056.R01.S.doc Version 5.0 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): 39 & 42 The quality assurance system is not fully implemented which means that residents cannot be confident that their views underpin the homes development. Health, safety and welfare practices within the home ensure that residents are protected. EVIDENCE: The home has not yet fully implemented its quality assurance system. The fire records were examined and found to be in order. The certificate of inspection for fire was completed on 26/10/05. All weekly and monthly checks were up to date. DS0000059217.V266056.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 3 x x x Standard No 22 23 Score 3 x ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 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 3 14 3 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x x x 2 2 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x x x Standard No 37 38 39 40 41 42 43 Score x x 2 x x 3 x DS0000059217.V266056.R01.S.doc Version 5.0 Page 17 Are there any outstanding requirements from the last inspection? Yes 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 Standard YA39 Regulation 24 Requirement The homes quality assurance system must be fully implemented. Timescale for action 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard YA34 YA35 Good Practice Recommendations The acting manager should be aware of the POVA 1st requirements when recruiting staff. 50 of all staff should obtain NVQ level 2 or above. 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