Care Home: 58 Park Road (Royal Mencap Society)

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What the care home does well Park Road is a warm and friendly home.You will be made welcome during your visit.Bedrooms viewed were clean and pleasant. They contained personal items.Support plans are developed with people who use the service. People who use the service are involved with decisions made about them, the home and in developing their support plans.People using the service are supported to be as independent as possible.Support workers will assist people in meeting their personal and health care needs.Your privacy will be was respected.Support workers are well trained and have good support.The service is well managed.Information is available in easy read documents.Most people using the service feel safe. What has improved since the last inspection? The service continues to review their practise and improve. What the care home could do better: The support plans need to be completed in their new format. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 58 Park Road (Royal Mencap Society) 58 Park Road Kettering Northamptonshire NN16 9LL The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Judith Roan Date: 2 5 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Inspection report CSCI Page 2 of 32 Care Homes for Adults (18-65 years) Audience Further copies from Copyright General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 32 Information about the care home Name of care home: Address: 58 Park Road (Royal Mencap Society) 58 Park Road Kettering Northamptonshire NN16 9LL 01536416550 01536416550 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Royal Mencap Society care home 4 Number of places (if applicable): Under 65 Over 65 4 0 learning disability Additional conditions: Date of last inspection A bit about the care home Park Road is registered to provide care for up to four adults who have a learning disability. The home is a four bedroomed residential house located opposites a large park, close to Kettering town centre. Service users access a range of community facilities by bus or other transport. The house has a goodsized open plan dining kitchen and comfortable lounge. There is also a fully enclosed rear garden and patio, which provides a private and pleasant sitting area for the service users. They access healthcare, occupational training and Care Homes for Adults (18-65 years) Page 4 of 32 work in the community. The staff team supports the service users to pursue an active social and recreational life style according to their individual needs and preferences. There is currently an acting manager in post whilst a new manager is appointed. Care Homes for Adults (18-65 years) Page 5 of 32 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 6 of 32 How we did our inspection: This is what the inspector did when they were at the care home We randomly selected two people who use the service and tracked the care they receive through review of their records, discussion with them, the care staff and observation of care practises. We also received information other people who use the service, relatives, support staff and a health care professional. The homes registered manager also completed an Annual Quality Assurance Assessment (AQAA) a document required by CSCI. The inspection was unannounced and was undertaken during the afternoon and evening and lasted 5 Hours. People using the service said that Its a nice house they look after you and we go out I am really happy here I like all the staff they are good to me Care Homes for Adults (18-65 years) Page 7 of 32 What the care home does well Park Road is a warm and friendly home.You will be made welcome during your visit.Bedrooms viewed were clean and pleasant. They contained personal items. Support plans are developed with people who use the service. People who use the service are involved with decisions made about them, the home and in developing their support plans. People using the service are supported to be as independent as possible. Care Homes for Adults (18-65 years) Page 8 of 32 Support workers will assist people in meeting their personal and health care needs. Your privacy will be was respected. Support workers are well trained and have good support. The service is well managed. Care Homes for Adults (18-65 years) Page 9 of 32 Information is available in easy read documents. Most people using the service feel safe. What has got better from the last inspection The service continues to review their practise and improve. Care Homes for Adults (18-65 years) Page 10 of 32 What the care home could do better The support plans need to be completed in their new format. Care Homes for Adults (18-65 years) Page 11 of 32 If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Judith Roan CPC1 Capital Business Park Fulbourn Cambridge CB21 5XE Tel: 01223 771300 If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Care Homes for Adults (18-65 years) Page 12 of 32 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 13 of 32 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People using the service are fully assessed to ensure that the service can meet their needs. Evidence: There has been one new admission to the service since the last inspection. One person spoken to during the inspection comfirmed that they had visited the home several times prior to admission. They had been supported by family and advocates to make a decision on whether the service could meet their needs. The clear admissions criteria and procedure was seen to be used within the last admission at the home. All information during these visits is recorded and held on file for reference. Visits can include overnight stays. All potential Service Users have an Extended Community Care Assessment from Social Services prior to admission. All people living at the service have their needs reassessed as part of the ongoing review process. Additional needs are highlighted and appropriate action is taken to provide the support. Information about the service is provided in an easy read format. There is a clear statement of purpose and service user guide that people using the services have access to. Files contained all the relevant documentation and contracts about the support individuals receive. Care Homes for Adults (18-65 years) Page 14 of 32 Evidence: Care Homes for Adults (18-65 years) Page 15 of 32 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The needs of people who use the service are met through an effective care plans. Evidence: Support plans were seen for the two people who use the service. These were comprehensive but in the process of being changed to meet a more person centred approach. The plans contain a great deal of relevant information that support workers use to ensure continuity of service. The support plans clearly direct staff on how to meet individual needs. People who use the service or their advocates are fully involved with their preparation and sign to confirm this fact. The support plans cover all aspects of an individuals care including personal care needs, social, physical, communication and independence goals. Information about the cultural and religious needs was also evident. One person spoken with during the inspection was able to confirm that they had enjoyed working on their support plan with their key worker. They were proud of their Care Homes for Adults (18-65 years) Page 16 of 32 Evidence: achievements in the area of becoming more independent. They also said that they were encouraged to make choices and decisions about their life. They told the inspector that they would like another resident of the same gender if it was possible. In observation of the regular house meeting it was evident that individuals were positively supported to voice their views and to make informed choices about everyday activities within the home. All house meetings have minutes with appropriate action plans Risk assessments are in place for all areas of activity and identify the reasons for any restrictions made to ensure a safe environment along with the promotion of self-choice and independence. Care Homes for Adults (18-65 years) Page 17 of 32 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People who use the service are encouraged to be lead full and active lives and to be as independent as possible. Evidence: People who us the service attend a variety of day placements including college, day centres and individual activities to suit their needs. Individuals have a weekly activities programme that is updated to take account of various events and personal choices. New activities are tried out to extend the choices and experiences for each person. Since moving into the service all of the individuals had become fully involved in activities within and outside of the home. During the period of observation it was noted how individuals were supported with everyday activities around the house to enable them to be included and to take on joint Care Homes for Adults (18-65 years) Page 18 of 32 Evidence: responsibility for their environment and their belongings. One person went out for the evening to a party and was able to travel in a taxi unsupported. Risk assessments were in place to ensure the individual was safe. Careful planning is undertaken for all activities to ensure that people who use the service and support workers are protected and enjoy the experience. Experiences are good and varied. Individuals choose daily routines, like going to bed when they choose. People using the service are involved with the weekly shopping at a local supermarket The menu is chosen at the weekly house meeting, using picture where necessary to aid people with their choice. If someone does not like the chosen meal they are offered a different choice. Meals are served in the family style dining room. The meal was freshly cooked on the day of the inspection and healthy. Individuals are supported to make healthy choices and have a balanced diet, with opportunities to have the occasional not so healthy treat. Support workers have a good understanding of the needs for people who use the service and use the meal times to develop communication skills with each other. Meals were seen to be an important social event at the home. There is negotiation between individuals so that meal times can be arranged around social activities and needs. The standard of food prepared at the home is good. The relationship between people who use the service and support workers was seen to be positive; support workers encouraged and enabled individuals rather than taking over and controlling what they were doing. The support workers prepare the meals with the assistance of people that use the service depending on their skills and abilities. The kitchen was well organised with good records to show how they maintain the necessary health and hygiene requirements. Care Homes for Adults (18-65 years) Page 19 of 32 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People using the service are positively supported to access local or specialist healthcare services, with medication being safely administered. Evidence: Health information in files case tracked was very good with detail about the level of support needed. All healthcare appointments are recorded and people using the service are supported to access these. There is evidence of input from a range of health professionals including the GP, community nurse, podiatry, dental and physiotherapy input where needed. Support plans give good detail about how an individual wishes to be supported with their personal care and continues to promote independence. Individuals confirmed that their privacy and dignity is sensitively managed. There is information about specific syndromes within the support plans with support workers signing to say they have read the documents. This ensures they have a better understanding of the needs of the people they support. Care Homes for Adults (18-65 years) Page 20 of 32 Evidence: Identified health care needs are monitored with supporting records found in files pertinent to that person using the service. So if an individual needed support to manage their weight a maintenance plan would be agreed and reviewed with their GP. There are medication procedures in place for the safe ordering, storage, administration and disposal of medication. The medication administration records were crossreferenced to the medication stored for the four people using the service. One person is self-medicating and the necessary plans are in place to encourage this independence along with monitoring procedures to ensure it is a safe practice. All support workers receive medication training. Each person case tracked had information about what they would like to happen if they were to become ill. The support plans also confirmed that funeral arrangements have been discussed and agreed, along with details about their religious needs and support for church attendance of their preferences. Care Homes for Adults (18-65 years) Page 21 of 32 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The service is able to respond well to complaints made and people using the service are listened when they raise a concern. Evidence: The acting manager stated in the AQAA that one complaint has been received since the last inspection. This was resolved using the organisations complaints procedure. A clear and easy accessible complaints procedure is in place, which was developed through the tenants forum. People using the service confirmed that they would talk with their key worker if they had any concerns or worries. People who use the service are observed to ensure any concerns are noted and brought to the attention of the manager through meetings. Support workers undertake safeguarding training as part of their induction and foundation training. We checked out their understanding during the inspection, which was good. Families are aware of the complaints procedures and know how to raise concerns they have with the manager. Recruitment procedures ensure that support workers working at Park Road are security checked with files supporting that enhanced Criminal Record Bureau disclosures have been undertaken. There have been two allegations made since the last inspection one is being investigated. The previous compliant was not founded. There are good systems in place for the management of service users money. Individuals have their own bank accounts and these are double checked by staff. Risk assessments are in place to assist individuals manage their finances as independently Care Homes for Adults (18-65 years) Page 22 of 32 Evidence: as possible. Support workers however need to be more vigilant when they are interrupted during the process of handling monies and ensure that records and case tins are secure when leaving the office. Care Homes for Adults (18-65 years) Page 23 of 32 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The home provides a warm family setting with individual space that is well maintained clean, hygienic, and fit for pupose Evidence: Park road was seen to be clean, hygienic, safe and well-maintained environment. The premise provides a comfortable and accessible accommodation for all the people using the service. The atmosphere is calm and relaxing. A garden situated at the rear of the building offers good outdoor space where people can sit and relax in good weather. Bathrooms, bedrooms and communal areas are well maintained and decorated. Bedrooms viewed were personalised, containing personal possessions, photographs, ornaments, and reflected each individuals personality. People spoken with during the inspection stated they are very happy with their bedrooms. The home provides an environment that reflects normal family life. There are adequate rooms to enable everyone to have their own personal space. All people using the service have single rooms with good access to family style bathrooms across all floors. Several communal areas are used for joint activities and each bedroom has sufficient room for personal hobbies. People using the service are supported in maintaining their rooms to a high standard of cleanliness and safety. It was evident during the inspection that daily living tasks are completed with people using the service and that no activity is undertaken without their involvement. There is a family size kitchen that is large enough for Care Homes for Adults (18-65 years) Page 24 of 32 Evidence: people who use the service to assist or sit comfortably and be part of meal preparations. The dining area can accommodate all of the people living at the home where meals are eaten as a family. There is a maintenance system in place and satisfactory fire and environmental health reports were available to ensure it was a safe environment. Care Homes for Adults (18-65 years) Page 25 of 32 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . Staff skills and recruitment practices fully ensure that the needs of people who use the service are protected. Evidence: In reviewing the files of support workers it was noted that all contained evidence that recruitment check had been undertaken. The files contained application forms, two references, identity checks and an enhanced criminal record bureau disclosure. Discussions with support workers on duty demonstrated that they have received the training needed in order to perform effectively within their roles. One person however said that their induction training had been delayed due to a manager vacancy but it had now been completed. The induction process for new employees is detailed and runs over a 3-6 month period to ensure new staff receive sufficient information before fully undertaking their role unsupervised. The AQAA confirms that five out of the eleven staff have achieved National Vocational Qualifications at level 2 or above and that a further 45 are currently on the course. Mencap are introducing personal development files to encourage development and to be ready for the implementation of registration with the General Social Care Council. Mandatory training is up to date with support workers confirming that there is good access to ongoing training. Regular supervision is also available for staff that now felt Care Homes for Adults (18-65 years) Page 26 of 32 Evidence: supported by the acting manager although only temporary whilst a new manager is appointed. Care Homes for Adults (18-65 years) Page 27 of 32 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The service continues to be run in the best interests of people who use it. Evidence: The current management arrangements are a part time acting manager with support from the deputy manager. This has been a difficult period, but despite this most monitoring systems have been maintained and people who use the service are in the main safe. There are regular house meetings with people who use the service and they are supported and encouraged to be involved in the running of the home as far as possible. There is a Quality Assurance system including a monthly audit of all areas of the home by the service manager that informs the continuous action plan identifying any shortfalls. There are effective systems in place for health and safety monitoring, there were no concerns identified at this inspection. The fire records were seen and showed there were regular tests and there is a system in place to ensure maintenance is kept up to date. Care Homes for Adults (18-65 years) Page 28 of 32 Evidence: Care Homes for Adults (18-65 years) Page 29 of 32 Are there any outstanding requirements from the last inspection? Yes  No  Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 30 of 32 Requirements and recommendations from this inspection Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No Standard Regulation Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations Care Homes for Adults (18-65 years) Page 31 of 32 Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 32 of 32 - 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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