Inspection on 04/01/07 for Travis Gardens (88)

This inspection was carried out on 4th January 2007.

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) 20/02/06

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 Key Unannounced Inspection 4th January 2007 08.40 Travis Gardens (88) DS0000008005.V312264.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 Travis Gardens (88) DS0000008005.V312264.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. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Travis Gardens (88) Address 88 Travis Gardens Hexthorpe Doncaster South Yorkshire DN4 0DP 01302 852814 01302 310687 NONE 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.V312264.R01.S.doc Version 5.2 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. 20th February 2006 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. The home is located in the small community of Hexthorpe, approximately 3 miles from Doncaster. The home is easily accessed from the M18 has car parking spaces available and a regular bus service that stops nearby. The purpose built bungalow style home provides all service users with single bedroom accommodation, shared lounge and dining area. There is a secure garden area that has both lawned and patio areas. Information gained on the 4th January 2007 indicates the current fees are £845.49 for residential care and additional charges are made for hairdressing and chiropody. These fee charges only applied at the time of inspection, more up to date information may be obtained from the manager of the home. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that started at 08:40 and concluded at 14:20. The inspection included a tour of the building, reading records, discussions with staff and service users, observation of service users, and observation of the midday meal. The Inspector also met with the registered manager, deputy manager and other members of staff. What the service does well: What has improved since the last inspection? What they could do better: Management are to continue monitoring and developing service users abilities and integration into the community. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 Page 6 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.V312264.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 Travis Gardens (88) DS0000008005.V312264.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): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including looking at admission and discharge procedures and discussions with staff members. EVIDENCE: The statement of purpose and philosophy provide up to date information about the home, care and services offered for service users, their families and advocates. The management had assessed the needs of prospective service users prior to admission. Short trial visits and overnight stays had been used to assess whether service users needs can be met. Management considered existing service users and their needs to accommodate compatibility so far as possible. The case files examined contained individual copies of care assessments, care plans and written contracts that stated both terms and conditions of residence. There had been no admissions of service users since the last inspection during February 2006. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 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 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including sampling service user personal files and discussion with the staff team. 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. Areas of risk such as risk of falling had been identified with detailed plans made to protect service users. The home facilitates access to the whole range of health care professionals, there was written evidence of service user’s assessment by a clinical psychologist. This had resulted in changes to the care planned and delivered to individual service users and consequent benefits within their communication and behaviour patterns. All service users are registered with a general practitioner and the registered manager reported that there is a good relationship with the doctors. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 Page 10 Records are safely maintained in accordance with health authority policy and procedure protecting service users personal information. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 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 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including sampling service user personal files, activity records, inspecting the catering arrangements and discussion with the staff team. EVIDENCE: Care records contained individual needs assessments with plans of care for staff to follow and meet each individuals needs. The records sampled were comprehensive and well maintained; they described how each service user responded to the care provided and any necessary changes that were made. These were monitored at regular intervals; some plans had been amended within the timescale in response to service user’s changing needs. Family and friends are always welcome as visitors; service users also made visits to the homes of friends and family. There were no visitors on the day and service users were unable to make comment due to their diagnosis. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 Page 12 Seven service users attend nearby day centres. Two service users went away for a summer holiday. Outings, shopping trips and visits to local amenities take place on a planned basis, this is facilitated by use of the home’s own vehicle. Staff had assisted service users to mail Christmas cards and produce personalised Christmas gifts for their family members. Drinks and snacks were readily available throughout the day. There was a choice of midday meal, staff were observed to encourage and help service users with their meals as needed. Mealtimes were unhurried with extra portions available as required. Service user’s personal dietary likes and dislikes were documented and known by staff. Specialist diets are available for those requiring this service. The dietician had assisted with compiling the balanced menu. The kitchen had been refurbished with new flooring and kitchen units. The contractor had agreed to return later this month and complete wall tiling and decoration work. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 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 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including sampling service user personal files; talking with the registered manager and other staff. EVIDENCE: Staff interactions with service users were observed. This demonstrated that staff understood each service user’s needs, abilities and preferred method of communication. Staff were observed to treat each service user as individuals responding skilfully to their physical and changing emotional needs. None of the service users was responsible for their own medication. Staff were observed administering medications and helping service users to take their prescribed medicines. Records were correctly maintained and medicines stored safely. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service; conversations with service users and staff and inspection of the complaints record. EVIDENCE: Staff are trained to recognise signs of abuse; the authority has a clear policy for dealing with seen or suspected abuse. There have been no complaints or protection issues from any source since the last inspection. Discussions with a new member of staff found that their induction training included information regarding both the complaints policy and the adult protection policy of the Doncaster and South Humberside Trust; the member of staff was aware of their responsibilities in these areas. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 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 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a tour of the premises, viewing three private bedrooms, communal areas and kitchen. EVIDENCE: Travis Gardens is well presented, homely, clean and fresh smelling. The premises had a good standard of décor and furnishings. The bedrooms inspected all were comfortably furnished and decorated. Service users and their families had taken the opportunity to personalise their space with personal effects and memorabilia. Communal areas had been re-carpeted the furnishings were appropriate to meet the needs of the service users. A bathroom had been refurbished and equipped to meet the needs of the service users. Toilets and bathrooms were readily accessible and provided with aids and adaptations as required. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 Page 16 The kitchen has been refurbished with a new floor covering and kitchen units. The wall tiling and decoration requires finishing with the contractor to return next week and complete the works. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 Page 17 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, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including looking at their training and supervision records. Two newly recruited members of staff were interviewed as part of this inspection visit. 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 to develop personally. Five members of staff including the manager were spoken to during the course of this inspection, they were observed working with service users, there was an atmosphere of mutual respect between staff and residents. A new member of staff was available for interview and described his induction, training and developing knowledge of the care needs of the service users. Current rotas provide for four staff on duty in the mornings, three staff each afternoon and evening, with three at night (two waking and one sleeping in). The manager or senior staff on duty is included in these numbers and depending on the demand on their time this may delay written work such as updating staff personal development reviews and service user reviews. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 Page 18 The manager confirmed the regulation 36 reports that following staff review by the authority the total number of trained nurses employed at Travis Gardens has been reduced an will further reduce to two; the registered manager and her deputy. They will be supported by three senior care staff two of whom have been appointed. One senior carer currently completing his induction programme; this had been extended by the manager to meet his needs and ensure his competence. He confirmed that it was meeting his personal learning needs and he was well supported in his training and practise. Two new members of staff have commenced work at Travis Gardens since the last inspection, the inspector established that the recruitment policy of the Doncaster & South Humberside Trust had required both applicants to provide two satisfactory written references and a Criminal Records Bureau check before commencing employment with this vulnerable client group. Staff files and discussion confirmed that staff received regular supervision from the manager or her deputy; this ensures that service users are provided with a high standard of care and service. The staff training and development programme covers a wide range of topics, these included fire prevention and health and safety at work. The numbers of staff who have achieved a National Vocational Qualification in care exceeds the minimum level required with the National Care Standards this promotes a good standard of care for service users. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 Page 19 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, 40, 41 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including interviewing the registered manager; observing staff as they work. Rotas and fire safety and other health & safety records were inspected along with the personal allowance arrangements for 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 have been completed and are reviewed regularly. Service records for the moving and handling equipment, fire safety records, and other maintenance records were up to date; service users finances are properly recorded and personal allowances provided. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 Page 20 Policies and procedures had been reviewed annually and promoted best practice and service user choice and independence. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 Page 21 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 2 3 4 5 CONCERNS AND COMPLAINTS Standard No Score 22 23 3 3 3 3 3 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 3 3 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 DS0000008005.V312264.R01.S.doc LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Travis Gardens (88) Score 3 3 3 x 3 3 3 3 3 3 3 Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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 Refer to Standard YA1 Good Practice Recommendations The Registered Individual should make application to the CSCI to remove a variation to the homes registration certificate that is no longer applicable. Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Shefffield S9 2LR 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 Travis Gardens (88) DS0000008005.V312264.R01.S.doc Version 5.2 Page 24 - 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. 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