Care Home: Godfrey Olson House

What the care home does well The service is very focussed around the needs of the people who live in the home and people living there feel that they are in control of their own lives. The service aims to ensure that people have the lifestyles they choose and that they have the support to maintain those lifestyles. It provides a very good environment for people to live in where they have the independence of their own flats along with the support from staff and the opportunity to socialise with other people living in the home. What has improved since the last inspection? The service has responded to the three requirements and one recommendation highlighted in the previous inspection report. This has involved updating the complaints procedures, appointing a new manager, ensuring staff have health and safety training and updating the Induction Programme for staff. Further improvements are being made to care planning and risk assessments processes. What the care home could do better: There is one requirement ni this reporting relating to the need to ensure that planned support and supervision sessions for staff occur on a regular basis. There were other improvements highlighted with the Manager, which she had already identified as requiring improvement. These were ensuring that all staff training is up-to-date and fully implementing the quality assurance system so that it shows exactly how the service consults with people living in the home and how the results of that consultation are translated into improvements for the service. CARE HOME ADULTS 18-65 Godfrey Olson House Yonge Close Eastleigh Hampshire SO50 9ST Lead Inspector Nick Morrison Unannounced Inspection 14 January 2008 11:00 th Godfrey Olson House DS0000012171.V357950.R03.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 Godfrey Olson House DS0000012171.V357950.R03.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. Godfrey Olson House DS0000012171.V357950.R03.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Godfrey Olson House Address Yonge Close Eastleigh Hampshire SO50 9ST 023 8062 9610 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) www.scope.org.uk SCOPE Care Home 6 Category(ies) of Physical disability (6) registration, with number of places Godfrey Olson House DS0000012171.V357950.R03.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th June 2003 Brief Description of the Service: Godfrey Olsen house is a small care home set in a large apartment building on the outskirts of Eastleigh. The home provides personal support and accommodation for six younger adults with physical disabilities and is owned by SCOPE. The building is owned by Swaythling housing association. The home comprises of four separate ground floor flats. There is also a small communal garden and allocated parking spaces including disabled parking are available. Annual fees for residency and care at the home are in the region of £35,000. Godfrey Olson House DS0000012171.V357950.R03.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This report represents a review of all the evidence and information gathered about the service since the previous inspection. This included a site visit that occurred on 14th January 2008 and lasted five hours. During this time we toured the premises, looked at the files of everyone living in the home and spoke with four of those people. We also spoke with three members of staff and the Manager. All records and relevant documentation referred to in the report was seen on the day of inspection. We have also considered all the information gathered in relation to the service since the previous inspection. The quality rating for this service is 2 stars. This means the people who use this service experience good quality outcomes. What the service does well: What has improved since the last inspection? What they could do better: There is one requirement ni this reporting relating to the need to ensure that planned support and supervision sessions for staff occur on a regular basis. There were other improvements highlighted with the Manager, which she had already identified as requiring improvement. These were ensuring that all staff training is up-to-date and fully implementing the quality assurance system so that it shows exactly how the service consults with people living in the home and how the results of that consultation are translated into improvements for the service. Godfrey Olson House DS0000012171.V357950.R03.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Godfrey Olson House DS0000012171.V357950.R03.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 Godfrey Olson House DS0000012171.V357950.R03.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 benefit from having their needs and aspirations assessed prior to moving into the home. EVIDENCE: The home requires a full care management assessment for each person before they move into the home. In addition to this, the home does it’s own comprehensive assessment. Records showed that all assessments were in place prior to the person moving in and that the Manager of the home had met with people at their previous residence to carry out the home’s assessment. Godfrey Olson House DS0000012171.V357950.R03.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from having clear care plans and risk assessments in place and from being supported to make their own decisions EVIDENCE: Individual care plans were in place for each person living in the home and were clearly related to the initial assessment and the ongoing information the home had gathered on each person over time. The Manager had identified that the current care plans were in need of updating and that the format needed to be improved in order for them to be effective. The plans were brief about the kind of support that people needed and, for example, stated “needs help transferring”. The Manager had begun the process Godfrey Olson House DS0000012171.V357950.R03.S.doc Version 5.2 Page 10 of updating the plans with clearer information and guidance about exactly what staff needed to do in supporting the person to transfer. Each care plan was recorded against through the daily reports that were recorded twice a day after each shift. People living in the home were supported to go on holiday and there were clear care plans and risk assessments in place for each person going on holiday. Each person had a review once a year and relatives, care managers, day service staff and service users were involved in these and were able to contribute to the care planning process. Risk assessments had also been identified as an area that needs improving and work had begun on this too. Risk assessments were used to promote independence and support people living in the home to be involved safely in the activities they wanted to do. The Manager is clear that she needs to complete the work on updating and improving all the care plans and risk assessments. Service users spoken with were clear that they were supported to make their own decisions about their lives. This included day-to-day decisions about what they wanted to eat and what activities they took part in as well as being able to make decisions about future plans. They said that staff were available to help with decision making, but they were clear that their decisions were their own. Staff spoken with demonstrated an understanding of the need to help people make decisions rather than make decisions for them. Godfrey Olson House DS0000012171.V357950.R03.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 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from having their rights respected and from balanced and nutritious meals. They also benefit from having the opportunity to engage in a wide range of activities both inside and outside of the home. EVIDENCE: Some people living in the home attend a local day service situated a couple of miles from the home. This service provides a range of activities based on people’s individual needs and interests. Service users spoken with said they valued the day service and felt they were able to choose activities they enjoyed as well as having the opportunity to try new activities. Godfrey Olson House DS0000012171.V357950.R03.S.doc Version 5.2 Page 12 Through care plans, staff induction and policies there was an emphasis in the home on people being supported to make use of the local community. People living in the home were involved in a range of different activities based on their own choices, preferences and individual needs. The staff rota is also organised around the individual activities people are involved with, in order to ensure that staff support is available for those activities as necessary. Examples of activities included colleges, a local dance group, hydrotherapy, local shops, churches and pubs. People living in the home told us they felt they were as busy as they wanted to be and were supported to be involved in the kind of activities they were interested in. Staff support in using the community was, as far as possible, focussed on increasing independence for people so that they might be able to use local facilities independently at some point. Two of the people living there already use the local community independently. People living in the home were supported to maintain contact with their friends and families. Records were kept of visits from families and of people going to stay with families. People were also supported to maintain contact with their families over the telephone and staff assisted them to make telephone calls if necessary. People were also supported and encouraged to have their friends visit them at the home. Observation throughout the inspection visit showed that staff were aware of the need to ensure that the rights of people living in the home were upheld and respected. This was emphasised through staff induction and ongoing training as well as through the policies and stated aims of the service. People living in the home told us they thought their rights were protected at all times. Some staff had recently undertaken advocacy training and independent advocacy services were used by some people living in the home. Food in the home was organised on an individual basis. People living there bought their own food and cooked it, or had it cooked for them, in their individual flats. They planned their meals around individual choices and preferences, but also with some input from staff around healthy options. People sometimes have a communal meal on a Sunday and usually have a take away meal on Saturdays. Godfrey Olson House DS0000012171.V357950.R03.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from having their healthcare needs met and are protected by the home’s medication policies and practices. EVIDENCE: Care plans contained information on how people preferred to be supported with their personal care. The files of people living in the home demonstrated that healthcare needs were monitored and that people were supported to use healthcare services as necessary. There were comprehensive records relating to each person’s health. Each person’s healthcare needs were monitored and recorded on a regular basis. Where people had used healthcare services there were records detailing the time and date, the reason why they attended and any outcomes as a result of the consultation. Staff in the home liaised closely with healthcare professionals in the interests of people living in the home. Service users spoken with said staff always supported them to use healthcare services whenever necessary. Godfrey Olson House DS0000012171.V357950.R03.S.doc Version 5.2 Page 14 The system for administering medication in the home was clear and was stated in the home’s policies. Staff spoken with who were involved in administering medication said they had received good training and demonstrated that they had a good understanding of medication issues. Medication records were clear and up-to-date and all medication was stored appropriately and safely. There was a comprehensive system in place for monitoring medication with regular checks and crosschecking to minimise the possibility of any errors occurring. Godfrey Olson House DS0000012171.V357950.R03.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service users benefit from having their views listened to and are protected by the home’s policies and practices EVIDENCE: There had been a requirement from the previous inspection that the registered person must ensure that an investigation into any complaint received is carried out and a response to the complaint is given to the complainant within 28 days. This related to a complaint to the Regional Manager that had been made prior to the previous inspection. Since that time there had been no new complaints and so no opportunity for the home to demonstrate whether or not the requirement might have been met. The home has updated the complaints procedure since the previous inspection and the Manager was aware of the policy and the need to respond to all complaints appropriately. There was a complaints log in place to track any complaints and the response made to them by the home. People living in the home told us they were aware of the complaints procedure and how to use it. They said they felt the service would be very responsive to Godfrey Olson House DS0000012171.V357950.R03.S.doc Version 5.2 Page 16 complaints if there were ever a need to make one. They also said that were responsive to their needs and their requests on a daily basis, which meant that there was no need to make a formal complaint. The home has good policies and procedures in place for dealing with allegations or suspicions of abuse. Staff spoken with had some knowledge of their own rights and of abuse issues. Records showed that staff had received training in protecting vulnerable adults. Staff in the home had to have some involvement in handling the money of some people living in the home. Each person’s money was kept in a locked cash-tin in a locked drawer in his own room. Each person was always present for any transaction involving their own money and there were always two members of staff present as well. All transactions were well recorded and the records demonstrated that mistakes were avoided through careful application of the procedures and regular checks being in place. Godfrey Olson House DS0000012171.V357950.R03.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service Service users benefit from living in a clean, comfortable and safe environment. EVIDENCE: The home is divided into four separate flats and each person has a key to their own flat. Each person is able to choose how their flat looks and is involved in making decisions about the décor in their own flats. People living in the home are supported to keep their own flats clean and staff support them with this where necessary. All the flats seen during the inspection visit were clean. From talking to people living in the home it was clear that they had received some instruction in health and safety and cleanliness issues. They were aware of the need to keep their flat clean and the reasons for this. Infection control procedures were in place and staff were aware of their responsibilities. Godfrey Olson House DS0000012171.V357950.R03.S.doc Version 5.2 Page 18 There was a call alarm system in the home, which people said was effective and they also said that staff were very good in responding to it. Observation on the day of the inspection visit confirmed this. The laundry was communal for all the people living in the home. It was accessible and people were supported to be involved in their own laundry where possible. The laundry area was clean and well managed. Infection control procedures were in place in the home and staff had received training in controlling infection. The communal areas of the home were clean throughout. Infection control could be improved through the use of paper towels instead of ordinary hand towels and the Manager has acknowledged this and undertaken to introduce paper towels. Godfrey Olson House DS0000012171.V357950.R03.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 and 35 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Service users benefit from being supported by adequate numbers of staff and are protected by the home’s recruitment policies and practices. Staff supervision and training had not occurred as regularly as it should have done. EVIDENCE: Service users spoken with spoke highly of the staff and said they respected them. Staff spoken with said the training was very good and that they found it informed their practice. They also said they were able to choose courses from the training calendar that they wanted to find out more about as well as attending courses that were necessary for them. Training records showed that training updates had not always been delivered over the past year and some staff were overdue some training. The Manager Godfrey Olson House DS0000012171.V357950.R03.S.doc Version 5.2 Page 20 was aware of this and had a spreadsheet with all the gaps in training recorded and a plan to ensure that the gaps were addressed as soon as possible. Staff in the home were skilled in communicating with the people who lived there and had a good understanding of their needs and issues relating to disabilities. Throughout the site visit they interacted very well with people living in the home. Records showed that staff support and supervision sessions had been irregular over the past year. The manager acknowledged that this had been a difficulty and is clear that it needs to be addressed. Staff spoken with said that the Manager and senior staff were available and supportive. There were at least two staff on each shift in the home, sometimes three depending on what activities people needed support with on each day. Staff said the amount of staffing was sufficient to meet the needs of the people living in the home and people living in the home said they felt there were sufficient staff on duty. At night there was just one member of staff on duty. Recruitment records demonstrated that staff are not employed in the home without all necessary checks being in place, including references, Criminal Records Bureau check and POVA First check. Godfrey Olson House DS0000012171.V357950.R03.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 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home is now being well managed with a commitment to ensuring that the service is responsive to the needs of people living there. The Quality Assurance system is currently incomplete and so it is not clear that the views of people using the service underpin the development of the service. EVIDENCE: There was a requirement from the previous inspection that a manager must be appointed and must submit an application to the Commission for registration. A new manager has been appointed and she has assured us that her application to become the Registered Manager is currently be dealt with by the Provider. Godfrey Olson House DS0000012171.V357950.R03.S.doc Version 5.2 Page 22 The new manager has begun the process of identifying and addressing the issues that need to be addressed in the service. She is using the reports from the Provider’s monthly visits to the home as a basis for an action plan. The requirements from the previous inspection report have been addressed and other issues identified in this report, such as staff training and improving the quality assurance system, have been identified and plans put in place to address them. Service users spoken with said they felt that it was their home and that they were in control of what happened there. They said the Manager and staff listened and responded to them through house meetings, informal discussions and meetings with keyworkers. The quality assurance process in the home is being developed and is focussed on the people living in the home and will use their feedback as the basis for improvements to the service. Further work is necessary in order to ensure that there is a detailed system with a clear audit trail of what issues have been identified, who has been involved in identifying them and what actions are to be taken in response. Examination of the fire logbook demonstrated that it was kept up-to-date. There were effective systems in place for monitoring and managing health and safety issues in the home. Good records were kept of all health and safety issues including fire, appliance servicing, substances hazardous to health, accidents and electrical testing. There was a requirement from the previous inspection that Staff must have training in health and safety areas including moving and handling and fire safety that follow the current guidance from the relevant organisations. Records of this training must be kept up to date. This requirement has now been met. All staff received initial training in health and safety as part of their induction as well as regular updates. Godfrey Olson House DS0000012171.V357950.R03.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 2 33 X 34 3 35 2 36 2 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 2 X 2 X X 3 X Godfrey Olson House DS0000012171.V357950.R03.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. 1 Standard YA36 Regulation 18 (2) (a) Requirement The Manager must ensure that all staff receive regular support and supervision and that records are kept. Timescale for action 31/03/08 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 Godfrey Olson House DS0000012171.V357950.R03.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Oxford Office 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU 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 Godfrey Olson House DS0000012171.V357950.R03.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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