Care Home: 30 Church Road

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What the care home does well Service users are supported to make choices about their lives. Service users are treated as individuals and their individual needs are clearly recorded in their care plans. Staff communicate well with service users. Staff know when service users are unhappy and will act on this. Staff are well trained and are happy and enjoy their work. People who use services live in a home that is clean and designed to be accessible to them. What has improved since the last inspection? The manager has been registered with us. Care plans have been redeveloped to be more person centred. The kitchen has been refurbished.The garden has been revamped and the access has improved. New activities and experiences have been offered to service users. Key policies have been reviewed and updated. What the care home could do better: We have not asked for improvements as a result of this inspection as the manager is aware of any improvements needed and is working on them. CARE HOME ADULTS 18-65 30 Church Road 30 Church Road Locksheath Hampshire SO31 6LU Lead Inspector Liz Palmer Unannounced Inspection 28 February 2008 10:00 30 Church Road DS0000067289.V349409.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 30 Church Road DS0000067289.V349409.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. 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 30 Church Road Address 30 Church Road Locksheath Hampshire SO31 6LU 01489 570084 01489 570084 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) Hampshire Partnership NHS Trust Christopher Brereton Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th October 2006 Brief Description of the Service: 30 Church Rd is one of a number of Homes managed by Hampshire Partnership Trust and owned by Downlands Housing Association. Church Rd is situated in the village of Locks Heath, a short journey from the town of Fareham that has a range of shops and leisure facilities. The Home is a detached property, domestic in style and has been adapted on the ground floor for disabled access. There are four bedrooms, communal areas and a large garden. The service is registered to provide accommodation and support for up to 4 service users with a learning disability although one individual has an additional physical disability. The current fees are paid through a block contract with Adult Services. 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. The inspection took place over three hours. An analysis of the home was undertaken before the visit using the last inspection report, notifications and the homes Annual Quality Assurance Assessment (AQAA). No complaints have been made to us about the home. During the visit the registered manager was available, two members of staff were spoken to and all of the service users were met. Surveys were also received from three service users and one relative. What the service does well: What has improved since the last inspection? The manager has been registered with us. Care plans have been redeveloped to be more person centred. The kitchen has been refurbished. 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 6 The garden has been revamped and the access has improved. New activities and experiences have been offered to service users. Key policies have been reviewed and updated. 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. The summary of this inspection report can be made available in other formats on request. 30 Church Road DS0000067289.V349409.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 30 Church Road DS0000067289.V349409.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service can be assured that their individual needs and aspirations would be assessed prior to moving to the home. EVIDENCE: No new service users have been admitted to the home for many years. The AQAA states that there is a comprehensive pre admission policy and assessment process. The manager stated he is aware of the organisations procedures relating to this. 30 Church Road DS0000067289.V349409.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service have individual care plans and risk assessments that are detailed and clear. People who use the service are involved in their care plans and involved in decisions about their every day life. EVIDENCE: Two care plans were looked at. These are clear, detailed and kept under regular review. There was evidence that people who use the service are involved in this process, as are their relatives (where appropriate), care managers and other relevant professionals. Information such as important relationships, likes and dislikes and how to support individuals are written in the plans. Communication needs are detailed for individuals to ensure that those supporting them can understand the needs and wishes of individuals. 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 10 Short and long-term goals are set and the manager reviews these on a monthly basis. House meetings also take place to discuss everyday life and other topics such as holidays. People who use the service are supported to take risks and risk assessments are in place and regularly reviewed. Risk assessments are drawn up on an individual basis and the emphasis on independence and positive outcomes supports people to achieve their goals and aspirations. People were observed being able to choose how they spend their time and care plans reflect that they make choices about when they get up and how they spend their time. 30 Church Road DS0000067289.V349409.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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 and 17. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service are supported to access a range of educational, social and community activities. Healthy and varied meals are provided with the preferences of people who use the service taken into account. EVIDENCE: From the two care plans looked at, talking to staff and observing service users it is evident that people are supported to make choices about how they spend their time. They are supported to access a range of activities within the local community. Two people attend a day centre for full and half days according to their individually assessed needs. The other services users have planned activities that are undertaken on a one to one basis with staff. Care plans 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 12 detail people’s preferences and their regular social activities. They are supported to engage in health and fitness activities such as swimming and walking. Evidence was seen to show that people are supported to do the things they like and pursue their hobbies. People are supported to use the local shops, pubs, cafes and restaurants. Service users who responded to the survey confirmed that they were involved in the decision making in the home and that there are good activities in the home. Evidence in care plans showed that people are supported to keep in touch with their families. Some are supported to use the telephone and individual arrangements are in place for people to visit their families and for them to be visited in the home. Healthy and varied meals are provided and service users were seen to be enjoying helping with their lunch. Details of specific dietary needs are recorded in care plans as well as individual preferences. Meals and meal times are flexible. Those who responded to the surveys confirmed that they liked the food provided. 30 Church Road DS0000067289.V349409.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service are supported to maintain their health and receive personal care in a way that meets their individual needs and preferences. They are protected by the home’s policies and procedures for storing, recording and administering medication. EVIDENCE: The individual needs and preferences of people who use the service regarding their health and personal care are recorded in their care plans. Care plans and daily records show that people get the support they need and that staff respond to any indication that the person’s health or well being is effected. The staff spoken to know people who use the service very well and are able to describe the support that individuals need. They know the indicators for individuals being unwell or unhappy, in particular for those who would not be 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 14 able to verbally communicate this. Evidence in care plans show that emotional and psychological needs are considered individually and the home has good links with other professionals who can offer advice and support. People who use the service who responded to the survey said their privacy is respected and they feel safe and well cared for. The relative’s survey stated that they are satisfied with the care provided in the home. Each person is supported to maintain their health and well being by having their own General Practitioner (GP). Support is given to keep GP’s appointments as well as dental and optician appointments. Records are kept of appointments and any follow up action is communicated to staff to ensure everyone is aware of any new procedures or changes to medication. Specialist healthcare professionals are involved when necessary, for people with specific health needs, systems are in place to monitor and review these. There have been no changes to the way medication is stored or administered since the last inspection with medication being locked in a drawer in the individual service users room. Procedures and records for storing medication were sampled and found to be secure and accurate. The home has guidelines in place and training is provided to staff. The member of staff assisting was clear about the home’s procedures. 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who live in the home and their families are able to express their views and make complaints. Procedures are in place to protect people from abuse. EVIDENCE: People who use service and their relatives are provided with a complaints procedure. The relative survey received states that they would know how to complain. People who use services did not respond to the questions regarding complaints in the survey. Staff were asked how people living in the home would be able to complain if they needed to. Staff are clear about how each individual would express their views, in particular if they were unhappy. Care plans contained supporting evidence that confirmed that that those service users who could not express complaints verbally could make their views known and expect to have them acted on. Staff spoken to say they are familiar with the home’s adult protection policy and the Hampshire County Council one. They stated they are aware of their responsibilities within them. There are no ongoing adult protection issues and no complaints about the home have been made to the commission. A complaints log is kept in the home and one complaint has been logged since 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 16 the last inspection. This has been dealt with in keeping with the home’s procedure. 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. People who use the service have a clean, homely and safe environment to live in. EVIDENCE: During the inspection the lounge, dining room, kitchen, office, two bedrooms and two bathrooms were seen. All areas are clean and homely and suitable for the people who use them. On the day of the inspection work was going on in the downstairs bathroom. A new shower will improve the facilities for the service user who uses this bathroom. Improvements have been made to the accessibility of the garden and the manager stated staff had worked really hard getting a new summerhouse in place with new furniture all ready for the warmer weather. 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 18 Staff are trained in health and hygiene and notices relating to this are displayed in the home. This protects service users and ensures they live in a clean and hygienic home. 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. A trained and competent staff team supports people who use the service. EVIDENCE: The staff spoken to during the inspection were confident and competent. They said they enjoyed their work and showed a good understanding of the individual needs of people who use the service. Staff are able to communicate easily with service users. They spoke about people who use the service in a sensitive and positive manner and were seen interacting in this way. People who use the service were relaxed around the staff and a natural and friendly rapport was noticed between them. A corporate training programme, which includes all the mandatory training, such as, Health and Safety, Fire and First Aid, is ongoing. The manager confirmed that new staff receive a ‘Skills for Care’ standard induction programme. The home is currently under the 50 level for staff qualified to National Vocational Qualification (NVQ) level 2. Two staff are currently 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 20 undertaking NVQ level 2, and the manager stated that he is aware of and aiming towards having over 50 of his staff qualified to this level. One new member of staff has been employed at the home since the last inspection and their file was looked at and seen to contain all the relevant paperwork to protect service users. For example, a suitable application form, criminal record check and two references. The AQAA states that the home undertakes regular supervision and appraisal, records were available to verify this and staff spoken to say they receive regular supervision and felt well supported by the manager. 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42. People who use the service experience good quality outcomes in this area. This judgement has been made using available evidence including a visit to this service. The home is well run and the health and safety of people who use the service is promoted. The best interests and views of service users are part of the overall and day-to-day development. EVIDENCE: The new manager of the home has been registered with us since November 2007. He has achieved National Vocational Level 4 and the Registered Managers’ Award. He keeps himself up to date with current legislation relating to the running of the home. The staff spoken to say they have confidence in 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 22 the manager and think the home is well run. Monthly Regulation 26 monitoring visits take place by a locality manager. The home manager says this is really helpful in helping him to focus on the improvements needed in the home. He is proactive in identifying improvements needed and putting into action what needs to be done. People who use the service are consulted about the daily running of the home and are involved in domestic duties such as shopping and household tasks. They are involved in bi-monthly reviews of their care and the AQAA states that the home constantly aims to offer choices to people and involve them in all decisions made. As previously stated, staff are trained in all mandatory areas of health and safety to ensure that service users health and welfare is maintained. The manager undertakes annually; a cleaning audit; a health and safety risk assessment and a monthly property hazard report. Regular meetings are also held with the housing association to identify any issues relating to health and safety. 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 23 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 X 2 3 3 X 4 X 5 X 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 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 X 3 X 3 X X 3 X 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 24 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 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 30 Church Road DS0000067289.V349409.R01.S.doc Version 5.2 Page 26 - 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. 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