Care Home: 36 Station Road

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What the care home does well The home provides care and support to enable users of the service to live fulfilling and meaningful lives. Residents are given choice in their day-to-day lives with appropriate support provided by staff at the home. There is an effective care planning system in place and each resident has a key worker who assists individuals to be involved as much as possible in this process. Residents are supported to access the local community and to undertake leisure pursuits of their choice and all service users have day service activities provided by the home. The home has a dedicated and stable staff team and recruitment practices are robust. What has improved since the last inspection? Since the last inspection improvements have been made to the rear of the property to improve parking and a new lawn has been laid. The home has obtained a new vehicle to provide transport for residents. What the care home could do better: No requirements or recommendations have been made as a result of this visit. There was 1 area identified that could improve the service for residents and this was: The homes daily recording did not always provide clear information on what care and support had been given during the day. Recording was discussed with the homes manager and senior support worker who acknowledged that that recording could be improved to provide more evidence of care delivery. CARE HOME ADULTS 18-65 36 Station Road Petersfield Hampshire GU32 3ES Lead Inspector Michael Gough Unannounced Inspection 6 th November 2007 10:00 36 Station Road DS0000064989.V349689.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 36 Station Road DS0000064989.V349689.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. 36 Station Road DS0000064989.V349689.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 36 Station Road Address Petersfield Hampshire GU32 3ES 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) 01730 261535 www.c-i-c.co.uk. Community Integrated Care Joseph Snowden To Be Confirmed Care Home 3 Category(ies) of Learning disability (3), Learning disability over registration, with number 65 years of age (3) of places 36 Station Road DS0000064989.V349689.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th June 2006 Brief Description of the Service: 36 Station Road is a small residential service providing care and support to three adults with a learning disability. Community Integrated Care (CIC) who took over the service on the 1st July 2005 from the previous provider. The building is owned by a housing association that is responsible for the maintenance of the property. Staff provide twenty four hours a day support for the service users. The home is located on a busy road and is indistinguishable from the other houses in the street. The home is close to the shops and public transport in the town of Petersfield. At the time of the visit fees at the home were £887 per week and this is dependant on individual needs. Residents are responsible for purchasing their own toiletries and items of a personal nature. 36 Station Road DS0000064989.V349689.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report details the evaluation of the quality of the service provided at 36 Station Road and takes into account the accumulated evidence of the activity at the home since the last inspection, which was carried out in June 2006. The inspection took into account the homes Annual Quality Assurance Assessment (AQAA) and comment cards received from 2 users of the service, 2 relatives and 2 members of staff. Included in the inspection was an unannounced site visit to the home, which took place on the 6 November 2007. Evidence for this report was obtained from reviewing the homes completed AQAA, reading and inspecting records, touring the home and from observing the interaction between staff and service users. It was also possible to gain the views of one of the people living at the home and the inspector also had the opportunity to speak with the homes manager and a senior support worker, who assisted the inspector throughout the visit. The home is registered to provide support for 3 residents who have a learning disability and at the time of the inspection the home was full. What the service does well: The home provides care and support to enable users of the service to live fulfilling and meaningful lives. Residents are given choice in their day-to-day lives with appropriate support provided by staff at the home. There is an effective care planning system in place and each resident has a key worker who assists individuals to be involved as much as possible in this process. Residents are supported to access the local community and to undertake leisure pursuits of their choice and all service users have day service activities provided by the home. The home has a dedicated and stable staff team and recruitment practices are robust. 36 Station Road DS0000064989.V349689.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. 36 Station Road DS0000064989.V349689.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 36 Station Road DS0000064989.V349689.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 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can be confident that there will be a detailed assessment of their individual needs before they move into the home EVIDENCE: There have been no new residents admitted since the last inspection and there is no evidence that users of the service do not receive a full assessment prior to moving into the home. The organisation/home has a clear and comprehensive admissions policy and the manager stated that he would carry out his own assessment and also obtain social service assessment before anyone moved into the home. The assessment form is used to form the basis of the resident’s plan of care. 36 Station Road DS0000064989.V349689.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 & 9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents assessed needs and personal goals are set out in their individual plan of care and they are involved in the care planning process, however the daily recording does not always provide clear evidence of what support has been given. Staff at the home respect residents rights to be involved and make decisions about their day to day lives and are supported in this process by staff at the home. Residents are supported to take responsible risks as part of their independent lifestyle. EVIDENCE: The completed AQAA stated that care plans were person centred and that goals and ambitions are well documented and this was confirmed in the care plans seen for 2 residents, which were comprehensive documents that gave staff clear information on what support was required and how and when this should be given, there was information on the residents routines in the mornings, afternoon and evenings. Residents are involved in the care planning process as much as possible. 36 Station Road DS0000064989.V349689.R01.S.doc Version 5.2 Page 10 Recording was noted in the daily evaluation sheet and the recording gave some information on what care had been given, however recording could be improved to provide more evidence of care delivery, as there was not always evidence recorded that the support that the care plan said was needed by residents had been given. The inspector discussed recording with the homes manager and senior carer who said that they would address this issue. Residents were actively involved in the decision making process in the home and were consulted on all aspects of their lives and their wishes were respected and acted upon. The home holds monthly residents meetings and there are also one to one sessions with their key worker. All staff know each resident well and they are able to express their views and wishes to staff who then ensure that their wishes are acted upon. Each care plan seen had risk assessments in place for identified risks to residents and the manager informed the inspector that the organisation had just changed its risk assessment forms and that he would be changing the risk assessments at the home to the new format and that he would be reviewing risk assessments when this takes place. The risk assessments seen identified the risk and gave information for staff on how to minimise the risk. 36 Station Road DS0000064989.V349689.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, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are encouraged and supported to be part of the local community and to be involved in appropriate activities. Residents benefit from support to maintain social contacts and daily routines at the home respect their rights and responsibilities. Meals at the home are flexible and residents benefit from a healthy diet. EVIDENCE: 2 residents at the home go to a local college 3 days per week to develop their personal independence and the other resident goes to day service 3 days per week. The home also supports residents to participate in other activities and these include walks, shopping trips, visiting places of interest and bowling. All residents go away for a short holiday each year and staff provide support. On the day of the visit, all of the residents were out when the inspector arrived. One resident returned at lunchtime and the inspector had the opportunity to have a chat and the resident confirmed that she was very happy at the home and that she had an active social life. 36 Station Road DS0000064989.V349689.R01.S.doc Version 5.2 Page 12 All residents are encouraged and supported to be part of the local community and are supported to be aware of what events are happening locally, they regularly go shopping, visit a local social club and also attend community events in the local area. The home keeps a record of the activities and these are recorded in the daily evaluation sheets. Residents are supported to maintain and expand their social networks. Families are welcome to visit and one resident regularly has befrienders who visit and one resident has a friend who lives in another care home and staff support her to meet up for social occasions. Daily routines in the home promote independence as much as possible and residents are involved in all aspects of the day to day running of the home. The one resident spoken to said that she was very happy at the home and liked being involved in decision making. Residents are able to access all areas of the home and are able to choose if they wish to be alone in their rooms or be in the company of others. Staff ensure that residents are involved in the planning of meals at their monthly residents meetings and staff provide support to ensure they have a balanced diet. Residents choose what they want at breakfast and lunchtime is mainly a snack type meal with the main meal being in the evening. Food shopping normally takes place once a week with top up shopping being done on a day-to-day basis. Residents are involved in shopping trips to buy food for the home 36 Station Road DS0000064989.V349689.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 & 20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support in the way they prefer and their physical, emotional and health needs are met. The homes policies and procedures with regard to medication provide protection for residents. EVIDENCE: Each resident had a health care plan, which gave information on personal care needs and there is information that they are involved in decisions about this. There was information on what support was required in the mornings and evenings and also information on individual’s personal care skills so that staff could offer the correct type of support. The staff team are flexible round the times when they give personal support and the resident spoken with stated that their health care needs were met and that their daily routines were flexible and they were fully involved in planning their activities and daily routine. Residents are registered with 2 different GP’s at a local surgery. Dental checks are carried out by local dental practices who offer NHS treatment. Local 36 Station Road DS0000064989.V349689.R01.S.doc Version 5.2 Page 14 opticians conduct eye tests and all other health care professionals are accessed through GP referrals. All of the residents until recently had a psychiatrist but have all now been discharged but they are able to go back if it was felt there was any need. Staff at the home monitor residents health and support them to access appropriate healthcare professionals and to attend any appointments. The home has clear policies and procedures in place for the receipt, storage and administration of medication. The home uses a monitored dose system and all staff at the home have undertaken training in medication administration procedures. No controlled drugs are held at the home. The home has clear information for staff for administering when required medication. None of the residents self medicates. 36 Station Road DS0000064989.V349689.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 & 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are protected by a simple, clear and accessible complaints procedure and the homes policies and procedures provide protection from any form of abuse. EVIDENCE: The home has a clear complaints procedure and this includes timescales for the complaint to be addressed and gives details of how to contact the CSCI. The manager said he would keep clear records of any complaints made and also record responses. There have been no complaints since the last inspection. A resident spoken with was aware that there was a complaints procedure and said that they would speak to a member of staff if she was unhappy. Staff members were aware of the homes complaints procedure and said that they would support any service users to make a complaint. Staff have received training in the protection of vulnerable adults and said that they would talk to the manager if they had any concerns, they were aware that they could go above the manager if they felt that this was appropriate and knew that social services would take the lead in any protection issues. The resident spoken to said that she felt safe at the home. 36 Station Road DS0000064989.V349689.R01.S.doc Version 5.2 Page 16 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 & 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 36 station road provides a well-maintained environment and residents have access to comfortable indoor and outdoor facilities and the home was clean, and hygienic and free from offensive odours and this provided a pleasant environment for residents and staff. EVIDENCE: The accommodation is provided over 2 floors and resident’s bedrooms are on the first floor, each has their own room and there is also a toilet and shower room as well as a bathroom with WC. Downstairs there is the office, lounge and large kitchen diner with a dining table where residents can all eat together. There is a rear garden with a patio area and small lawn. The resident spoken with was happy with the environment and was proud of her home. The laundry is part of the large kitchen diner and access is available without going through the food preparation areas. There is a domestic washing machine and tumble dryer. Residents bring their own laundry down and are supported by staff to do their own laundry. Suitable protective clothing is available and staff have received training on infection control. 36 Station Road DS0000064989.V349689.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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff employed at the home have the competencies and qualifications required to meet residents needs and they are protected by the home’s staff recruitment procedures and are supported by trained staff. EVIDENCE: The home employs a total of 4 permanent care staff and these are backed by bank staff who cover additional shifts as and when required. 3 of the permanent staff have NVQ qualifications and residents benefit from being supported by dedicated and qualified staff. The completed AQAA, staff rota and conversations with the manager and senior support worker confirmed that there is normally one staff member on duty between the hours of 7.30am and 10pm and between 10pm and 7.30am there is a sleep in staff member who is available to provide support if required. These hours do not include the manager who shares his time between two homes. The Social Services contract with the home has cut the number of support hours and the staffing budget allow for an extra 28 hours of support, which is used mainly at weekends for additional one to one activities. 36 Station Road DS0000064989.V349689.R01.S.doc Version 5.2 Page 18 The home has a stable staff team who have all worked at the home for over 12 months, there have been no new staff members employed at the home since the last inspection and the home has an effective recruitment practice. Staff records were inspected for 2 staff members and records seen contained all of the required information. The manager explained that all new staff complete induction on starting work at the home and this is done via E-Learning and meets the Skills for Care Council minimum standards for induction. The homes completed AQAA stated that staff receive regular training and training certificates and the home’s staff training matrix seen confirmed this. Training is provided in: Induction and foundation, moving and handling, 1st aid, fire, food hygiene, crisis prevention and intervention, principles of care, safeguarding of vulnerable adults, person centred planning, H & S and medication. 36 Station Road DS0000064989.V349689.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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s benefit from a well run home and the home is developing its quality assurance system. There are appropriate controls, policies and procedures in place, which help promote the health and safety of service users and staff. EVIDENCE: The registered manager has been in post for over 2 years and he has the skills and experience to effectively manage the home and has completed the registered managers award Each resident has a named key-worker who works closely with the individual concerned, they are involved in decisions about the service provided for their particular key resident and have supported them to complete satisfaction surveys. Residents, relatives and care managers are included in yearly care reviews and these reviews are used to monitor how the home is meeting its 36 Station Road DS0000064989.V349689.R01.S.doc Version 5.2 Page 20 aims and objectives. The home has monthly residents and staff meetings and regular monthly regulation 26 visits are carried out. There are policies and procedures in place to ensure safe working practices in the home and all care staff undertake statutory training, which includes health and safety, food hygiene, first aid and manual handling. The fire logbook was inspected and all required testing had been carried out. Certificates were available for annual testing of equipment and services. Fire equipment was last tested in August 07 and private electrical equipment in November 2006. 36 Station Road DS0000064989.V349689.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 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 X 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 X 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 36 Station Road DS0000064989.V349689.R01.S.doc Version 5.2 Page 22 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 36 Station Road DS0000064989.V349689.R01.S.doc Version 5.2 Page 23 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 36 Station Road DS0000064989.V349689.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. 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