Inspection on 20/02/06 for Travis Gardens (88)

This inspection was carried out on 20th 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

Travis Gardens (88) 04/02/09

Travis Gardens (88) 04/01/07

Travis Gardens (88) 22/09/05

Travis Gardens (88) 19/01/05

Travis Gardens (88) 26/08/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood Hall

Muston Road (70)

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

CARE HOME ADULTS 18-65 Travis Gardens (88) 88 Travis Gardens Hexthorpe Doncaster South Yorkshire DN4 0DP Lead Inspector Ian Hall Unannounced Inspection 22nd February 2006 08:30 Travis Gardens (88) DS0000008005.V282798.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 Travis Gardens (88) DS0000008005.V282798.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. Travis Gardens (88) DS0000008005.V282798.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Travis Gardens (88) Address 88 Travis Gardens Hexthorpe Doncaster South Yorkshire DN4 0DP 01302 852854 01302 310687 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) Doncaster Health Care (NHS) Trust Jayne Harris Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Travis Gardens (88) DS0000008005.V282798.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. One named person over the age of 65 to be allowed to reside at the home until such time as the place is no longer required. 22nd September 2005 Date of last inspection Brief Description of the Service: 88 Travis Gardens is a registered residential home that provides twenty-four hour personal care and accommodation for a maximum of eight adults with a learning disability and associated physical impairment. The building is owned by Doncaster Metropolitan Council (DMBC). The Doncaster and South Humber Healthcare Trust staff the home. These organisations share the day to day running of the home with the trust being responsible for the employment and supervision of the staff group in accordance with Healthcare Trust Policy. The DMBC is responsible for the structures maintenance and upkeep. The Philosophy of the home is to integrate and enable people with a learning disability to become part of the community and become valued members of the community. Travis Gardens (88) DS0000008005.V282798.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over 4.0 hours and was the second of the cycle of inspections for the year 2005/6 and followed a risk assessment carried out with the CSCI risk assessment tool. The focus of the inspection was to meet both service users and visitors to the home to gain an insight into daily life for residents. The officer met with members of the on duty staff team and toured the site. What the service does well: What has improved since the last inspection? The homes owners have continued their programme of redecoration and refurbishment of the communal and individual bedroom areas. The care team have continued to enlist Health Care Professionals to assess and support residents to achieve their individual potential to integrate into the community. Travis Gardens (88) DS0000008005.V282798.R01.S.doc Version 5.1 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. Travis Gardens (88) DS0000008005.V282798.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 Travis Gardens (88) DS0000008005.V282798.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. It was evident that the needs of existing residents are considered throughout the assessment process before a decision to admit another resident is taken. Trial periods and visits to the home are employed to ensure users’ care needs can be met. EVIDENCE: The homes’ management had carefully assessed the needs of prospective service users prior to admission. Short trial visits and overnight stay were used to ensure that all service users could live happily together and their care needs able to be met. The case files examined contained individual copies of care assessments, care plans and written contracts that stated both terms and conditions of residence. Travis Gardens (88) DS0000008005.V282798.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. Detailed case files reflect service user needs; staff act as advocates for individual service users. Staff was focussed upon meeting the needs of both residents and their families. Relatives were invited to visit their loved ones. The home facilitates access to the whole range of health care professionals and facilities. Data protection is in accordance with Health Authority policy and procedure. EVIDENCE: Care records contain individual “needs” assessments with plans of “care” for staff to follow and meet each individuals needs. These records were correctly maintained; they described how each resident responded to the care package and any necessary changes that were made. These were monitored at regular intervals; some plans had been amended within the timescale in response to changing needs. None of the residents was responsible for their own medication. Staff was observed administering medications and providing appropriate support to residents. Travis Gardens (88) DS0000008005.V282798.R01.S.doc Version 5.1 Page 10 Staff does assist residents to mail letters and remember special occasions. One resident wrote and mailed a letter to an elderly relative. Transport is arranged and staff accompanied residents to visit their relatives if they are unable to visit. Travis Gardens (88) DS0000008005.V282798.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. The Manager and her team have worked hard to build links with the local community. They provide a setting that is both welcoming and homely. Service users are provided with opportunities to socialise and personally develop within the wider community and within day care provision. A balanced diet is provided for all with dietetic advice and input as needed. EVIDENCE: Visiting is flexible at any reasonable time, with shift workers visit at any other time by appointment. Activities were organised on either a one to one basis. Residents were observed to be listening to music and watching television. None of the residents currently leave the home unless accompanied by members of their family or staff. The health Authority provides a vehicle that has recently been renewed to facilitate and enable the service users to undertake visits to places of interest, their GP and participate in community living. Travis Gardens (88) DS0000008005.V282798.R01.S.doc Version 5.1 Page 12 Nourishing fluids were readily available throughout the day. There was a choice of midday meal, staff was observed to encourage and assist with meals as needed. Mealtimes were unhurried with extra portions available as required. Specialist diets are available for those requiring this service. The dietician has assisted with compiling the menu. Travis Gardens (88) DS0000008005.V282798.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 Manager and her team provide a setting that is both welcoming and homely. Staff work hard to provide individual care and support, both physical and psychological. Medicines are ordered and administered by trained nurses. Staff demonstrated their professionalism and empathy dealing with the loss of service users. EVIDENCE: Care records contain individual “needs” assessments with plans of “care” for staff to follow and meet each individuals needs. These comprehensive records were correctly maintained; they described how each resident responded to the care package and any necessary changes that were made. These were monitored at regular intervals; some plans had been amended within the timescale in response to changing needs. Staff and service users clearly had a warm and caring relationship. Staff was observed administering medications and providing appropriate support to residents. None of the residents was responsible for their own medication although this facility is available. Travis Gardens (88) DS0000008005.V282798.R01.S.doc Version 5.1 Page 14 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. Staff spoken to was confident and competent to respond to concerns or complaints effectively. EVIDENCE: Staff are trained to recognise signs of abuse; the authority has a clear policy for dealing with seen or suspected abuse. There had been no concerns or complaints about care or services provided since the last inspection. Travis Gardens (88) DS0000008005.V282798.R01.S.doc Version 5.1 Page 15 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 home both appeared clean and smelled fresh. The homes owners and team works hard to both maintain and improve the resident’s environment. Service users choice and personality is reflected within personal space. Specialist equipment is available for staff and service users as needed. EVIDENCE: The homeowners continue to redecorate and refurbish the home in line with their business plan. Individual bedrooms have been redecorated, re-carpeted and refurbished since the last inspection. Lounge areas would benefit from recarpeting, as the present carpet appears “tired”. Several bedrooms were visited all appeared comfortably furnished and decorated. A number of residents and their families had taken the opportunity to personalise their space with personal effects and memorabilia. A bathroom has been refurbished and reflects the needs of the service users. Toilets and bathrooms were readily accessible and equipped with aids and adaptations as required. Travis Gardens (88) DS0000008005.V282798.R01.S.doc Version 5.1 Page 16 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): The staff group is well organised and managed. They receive regular supervision and are supported within their work and personal development. The staff team are keen to learn, develop their skills and knowledge base, this reflects within the personal care provision. EVIDENCE: The staff group without exception were well motivated and enthusiastic about their work. They confirmed that not only were they well supported in their work but actively encouraged and supported to develop personally. Staff had undertaken statutory training and updates i.e. moving and handling, fire prevention etc, and is involved in national vocational qualification training and medication administration training. Recently appointed staff described the induction and training they had received and confirmed that they were well supported in their roles. Travis Gardens (88) DS0000008005.V282798.R01.S.doc Version 5.1 Page 17 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): Ms Harris is a trained nurse with extensive experience as a manager and caring for persons with a learning disability. The home is well organised and managed with all statutory servicing and checks complete. Health and safety risks are assessed and documented. The management teams enthusiasm and positive approach to care has clearly influenced the whole team and benefited the service users. EVIDENCE: Staff stated here was always a senior member of staff on duty at the home with advice and support readily available. Responsibilities were shared between senior members of the team. Risk assessments had been completed and were reviewed regularly. Travis Gardens (88) DS0000008005.V282798.R01.S.doc Version 5.1 Page 18 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 3 23 3 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 3 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 3 3 3 3 3 3 3 3 Travis Gardens (88) DS0000008005.V282798.R01.S.doc Version 5.1 Page 19 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 Travis Gardens (88) DS0000008005.V282798.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster DN4 5HZ 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. 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