Inspection on 01/08/05 for Udal Garth

This inspection was carried out on 1st August 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

Udal Garth 30/04/07

Udal Garth 03/01/06

Udal Garth 28/02/05

Udal Garth 12/10/04

Udal Garth 22/03/04

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 Udal Garth 2 North Road Torpoint Cornwall PL11 2DH Lead Inspector Philippa Cutting Unannounced 01 August 2005 09:30am 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 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 Stationary 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. Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Udal Garth Address 2 North Road Torpoint Cornwall PL11 2DH 01752 815999 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) jg.pass@ukonline.co.uk Peninsula Autism Services & Support Limited Miss Emma Jane Holman Care Home 8 Category(ies) of Learning disability (8) registration, with number of places Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Two named service users under the age of 18 years and standards applicable are met. Date of last inspection 28 February 2005 Brief Description of the Service: Udal Garth provides care and accommodation for adults with a learning disability that falls within the autistic spectrum. The house is situted centrally in Torpoint. It is an older detached house with a garden whose boundaries have`been made safe and secure for the service users. It offers accommodation on two floors in single rooms; there is communal space on ground floor with additonal areas that can be used for quiet or one:one activites in portable buildings in the garden. Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The services provided by Udal Garth are personalised for a group of younger adults who, due to their communication and behavioural problems, have difficulty in adapting to the norms of a wider society. All have personalised care programmes to hep them develop their personal and social skills in different situations. The staff appeared to have a good understanding of the help that the service users needed and were adept in providing this in the way that was most appropriate at the time. It was acknowledged that there could be a delicate balance that has to be struck to accommodate the needs of all the service users and individuals. As well as a home for the majority of service users, a number are supported by the provision of regular respite care. What the service does well: What has improved since the last inspection? What they could do better: The home has recently had an audit from the National Autistic Association. They identified the need to improve communication strategies, which is being addressed. The documentation is comprehensive and so the home needs to ensure that new staff have sufficient need time to become acquainted with it. Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 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. Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 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 standard(s) 1,2,3,4,5, Udal Garth provides information to and seeks information about all service users prior to offering accommodation in order to ascertain that the service will be appropriate. EVIDENCE: Udal Garth displays its comprehensive statement of purpose and a service users guide is available. Few of the service users would study this but copies are provided for families and relatives. Information is sought about the needs and aspirations for potential service users in order to determine whether these and the services offered by the home are compatible. Contracts detailing the terms and conditions are provided. Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 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 standard(s) 6,7,8,9,10 Service users’ needs are assessed and fully recorded in their care plans following detailed assessment and observation. All relevant people are consulted in their preparation. EVIDENCE: Service users are involved in all aspects of their care plan as far as they are able. In reality many decisions have to be made on behalf of service users, based on professional experience and family choices etc. These and any risks involves are assessed and recorded. Staff working with service users have to be alert to risk in particular. The home is currently working on ways in which communication with service users can be improved with the use of whatever method is best for each individual. Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 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 standard(s) 11,12,13,14,15,16,17 All aspects of these standards are taken fully into account but their execution is very individual, based on each persons’ abilities and needs. EVIDENCE: Service users have opportunities for developing their personal and social skills both within the home and in the community. Everyone is supported throughout to the level thought they need. Obviously the range of activities provided for service users varies from individual to individual but the records showed a varied and imaginative use of the home’s resources and the community facilities. Meals are provided throughout the day and everyone is encouraged to eat in the dining room; some at a table with others, some at their own table if this means they are able to manage better. Any dietary problems are recorded. Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 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 standard(s) 18,19,20 The health & personal care needs of service users are met by staff and specialists. People caring for the service users use their judgement and discernment as service users cannot always express their difficulties or concerns. EVIDENCE: The provision of help with personal care is a delivered in a way that best suits the service user. Staff have to be alert to the fact that they may need to be flexible as what is acceptable and practical to a service user one day may not be so the next day. All the staff with whom the inspector spoke understood this and were very adaptable. They had earned if needed. Provision is made for the service users’ healthcare to gauge peoples’ moods and knew that other staff were available to assist needs with access to specialists as required. All medication is administered by staff. It is a dedicated task so that the person in charge of medication on a shift is not interrupted whilst attending to it. The policies and procedures were demonstrated. The inspector was told that generally there were no problems with service users taking what was Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 Page 12 prescribed for them. The medication administration record sheets were fully completed. All medications are kept locked securely. Udal Garth has not yet experienced problems with ageing and dying, as it is a relatively new home with younger people living there. Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 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 standard(s) 22,23 Service users are safeguarded from harm as much as possible whilst in the care of Udal Garth. EVIDENCE: The home has policies and procedures that outline how complaints should be dealt with and detailing the action to be taken to protect the service users from any form of abuse. Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 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 standard(s) 24,25,26,27,28,29,,30 The environment is safe and suitable for service users. EVIDENCE: The premises were inspected. Perforce the majority of service users’ rooms were plain and with little ornament as this how the occupants prefer them, although personal possessions etc. are encouraged. Safety precautions had been incorporated where necessary according to individual need. Communal rooms provided a variety of seating and space where people could be amongst others or spend time quietly on a one:one basis. Externally the garden is level and secure with plans to provide more equipment for stimulation and fun. Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35,36 Staff working with the service users receive training and supervision so that they can perform their roles properly. EVIDENCE: The staff with whom the inspector spoke were enthusiastic and caring about their work. They enjoyed the challenge of helping people with communication problems and whose behaviour could be challenging. Staffing levels are high to accommodate the service users’ needs. References, Criminal Records Bureau and PoVA checks are taken up on all staff and their files contained details of their induction and subsequent training programmes. Training and knowledge reinforcement is encouraged with needs being identified formally during annual appraisals or during regular documented supervision. Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38,40,41,42,43 The home is run in the best interests of the service users with all records being full and well kept. EVIDENCE: All documentation and records in the home are full and thorough, to the point where a new member of staff might take some time to become familiar with the paper work. Collaborative work is undertaken whenever possible with a service user’s family and the professional support needed. The home is at pains to include families as much as they wish and they are included in all reviews etc. All records required by statute are maintained. The home is currently upgrading some documentation as recommended following an assessment of Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 Page 17 its care by the National Autistic Association. This centred mainly around communication methods and skills. The standards for younger people aged 16 & 17 are observed where a service user falls into this category. The registered manager is supported by regular visits from the company’s senior management team. Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Udal Garth Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x 3 3 3 3 D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 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. 1. Standard Regulation Requirement There ae no statutory requiremens following this inspection 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 Good Practice Recommendations Udal Garth D52-D04 S45077 Udal Garth V242063 010805 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection John Keay House Tregonissey Road St Austell Cornwall, PL25 4AD 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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