This is the latest available inspection report for this service, carried out on 8th January 2009.
CSCI found this care home to be providing an Excellent service.
The inspector found there to be outstanding requirements from the previous inspection
report. These are things the inspector asked to be changed, but found they had not done.
The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.
Inspecting for better lives Random inspection report
Care homes for adults (18-65 years)
Name: Address: Church Road Respite Service Church Road Respite Service 52-54 Church Road Thornton Cleveleys Lancashire FY5 2TX three star excellent service The quality rating for this care home is: The rating was made on: 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. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Pauline Caulfield Date: 0 8 0 1 2 0 0 9 Information about the care home
Name of care home: Address: Church Road Respite Service Church Road Respite Service 52-54 Church Road Thornton Cleveleys Lancashire FY5 2TX 01253829373 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) : Lancashire County Council care home 6 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 6 The registered person may provide the following category of service only: Care Home only - Code PC to service users of the following gender Either whose primary care needs on admission to the home are within the following category Learning Disability Code LD The maximum number of service users who can be accommodated is : 6 Date of last inspection Brief description of the care home This home is owned by Lancashire County Council and is operated by Lancashire County Social Services. It is registered with the Commission for Social Care Inspection (CSCI) to accommodate up to six adults of both sexes who have a learning disability. The home does not offer permanent accommodation, but offers a respite service for over a hundred people in the Wyre area. The home is situated in Thornton and is close to local amenities such as shops and public transport. The home was previously two semi-detached houses that have been converted into one building that has two lounges, a conservatory, kitchen and three bathrooms. All bedrooms are for single Care Homes for Adults (18-65 years)
Page 2 of 10 Brief description of the care home accommodation and there are two bedrooms on the ground floor and four bedrooms are on the first floor, none of which have any en-suite facilities. Two bathrooms are situated on the first floor and both provide a bath with shower, whilst on the ground floor there is an assisted bathroom. There is a garden at the rear of the property that over looks a primary school playing field. The information contained in the homes Statement of Purpose/Service User Guide is included in the information provided to prospective users of the service and their families. This written information explains the care service that is offered, who the management and staff are and what the person using the service can expect if he or she decides to stay at the home. The information is written and designed to include a picture story so that all users of the service can clearly understand the information provided. Information received on 8th January 2009, showed that the fees for an over night stay were nine pounds and ninety four pence. In addition vouchers provided for allocated short stays by social services are needed for each stay. Care Homes for Adults (18-65 years) Page 3 of 10 What we found:
The reason for this inspection was to check that the excellent 3 star rating given at the last key inspection is still valid and that nothing has changed. We looked at all the key standards. The outcome is as follows and shows that the excellent 3 star rating is still valid. We case tracked two residents. This included looking at their care records and the environment they live in, talking to them and to the staff supporting them and observing staff interactions with them. This is not to the exclusion of other residents who were also spoken to. We looked at two people who use Church Road short breaks service. One person we looked at was making the transition from Childrens to adults services. Staff have been trained to meet these needs prior to the service user staying at Church Road. There was a meeting taking place looking at the care and support needed during short stays. The service user has had several short visits to the home. The first with a relative also visiting to be available to explain any care needs to staff. Following this the service user will have an overnight stay then regular short breaks at Church Road. All relevant professionals have been involved in the transition to adults services. We briefly met some of the professionals involved who were very positive about the service Church Road provided. We also spoke to the service users relative who was in Church Road for the meeting. She said how good the service was. She was already confident that staff could meet any care needs and said she was pleased with the service offered. People using the service who we case tracked had detailed pre admission assessments and staff were aware of their needs. From these detailed person centred plans were in place. Where possible, service users are involved in the changes and own the documents. These had all relevant details such as health and support needs and what the person likes and dislikes and who the person likes to come in the home with. Where possible friendship groups have short breaks at the same time, so they can enjoy activities together on their holiday. There are detailed reports made several times a day on each visit. This includes a record of the meals each person has as well as care and support given, activities undertaken and any health or other issues. People using the service are encouraged to make choices and routines are flexible with staff encouraging them to make decisions, with support as needed about what they want to do. Risk assessments are in place. People using the service have access to the local doctor if they need to have medical attention and are out of their own GPs catchment area. Staff have found the local GPs very supportive when their services have been needed. There was no medication in Church Road during the inspection as the people using the service during the inspection did not take any medication. However the medication procedure was seen and records in use were seen. These were satisfactory with clear entering of medication and disposal of medication, appropriate signing and storage of medication. Care Homes for Adults (18-65 years) Page 4 of 10 Each person using the service is involved in regular activities of their choosing and the one of the people who was staying at Church Road said how much she liked it there. People using the service are encouraged to try new and different activities to see if they like them. Routines in Church Road are flexible and people using the service can choose when they get up and go to bed and whether they want to join in any activities. Meal times are flexible. Staff are familiar with each persons likes and dislikes and meals are planned together where possible. The evening meal was being prepared during the inspection. Each person using the service chose the meal they wanted to eat with guidance if needed. Photographs of a variety of meals, snacks and drinks are routinely used to assist with choosing meals for anyone who needs help. There is a detailed complaints procedure with an easy to read version available. There have been no complaints but staff chat to people using the service and their relatives/carers regularly. Staff contact relatives/carers before each visit to check there have been no changes to care or any concerns and after each visit, that everything has been satisfactory. This helps with any concerns and little problems dont become bigger ones. Staff keep detailed records of all transactions where people using the service are unable to look after their own money. Staff have received safeguarding adults training, so that they have an understanding of the action to be taken if they are alerted to a safeguarding issue. We toured Church Road short break service and found the environment clean, tidy, homely and well maintained. The communal areas are comfortable and homely. Bedrooms are pleasantly decorated and people using the service can bring their personal belongings in with them to make their surroundings feel more familiar. Where possible people using the service, stay in the same bedroom each visit, unless they choose to change rooms. Aids and adaptations are in place to help residents get about more easily and to be as safe and as independent as they can be. Specialist mobility aids were seen as we were touring the building. Plans are ongoing for the respite service to move to a new purpose built short break service. Work is ongoing with this. Staff have seen the building as it has been built and have have been involved in plans for the internal structure. Service users are aware of the plans and have been involved in discussions about the new building. It is due to open in less than eighteen months. Residents spoken to said the staff were nice and good. We observed staff interaction with people who use the service. Staff interaction was very frequent, staff were chatty and friendly. A lot of the staff have worked in the home for several years and there is only a small staff turnover. This ensures that staff are familiar with people using the service and they know the people caring for them. Staff rotas showed sufficient staff on duty. Staff Care Homes for Adults (18-65 years)
Page 5 of 10 felt that there were sufficient numbers of staff on duty to provide good and individual care. There was only one new members of staff in post. Some records are kept in Church Road. Appropriate checks had been made before the member of staff started working at Church Road. This assists in providing staff who are suitable to work with vulnerable adults. All staff had received an induction. All new staff commence Learning disability qualifications (LDQ) modules soon after commencing working in Church Road. Other longer term staff are encouraged to complete LDQ modules as places come available to update their skills and ensure they are aware of current good care practice, as well as attending training for other aspects of care including moving and handling and food hygiene. Elaine Jackson is the registered manager. She has completed the Registered manager award (RMA), and National vocational qualifications (NVQ 4), which are advanced national awards in care and management. She has also completed the introduction to management certificate. She ensures that she updates her skills and knowledge so that she is familiar with any developments in care practice. Staff feel well supported by Ms Jackson as well as by senior staff. Staff spoken to said she is always willing to listen. Systems are in place for quality assurance. There are regular staff meetings and issues discussed affect care in practice. There are also regular visits by senior managers but reports of these meetings are not completed and must be so all involved have appropriate information about the home. The fire risk assessment is in place and up to date. There are regular fire alarm and emergency light checks. Staff have regular fire safety and moving and handling training and appropriate health and safety checks are in place. What the care home does well:
The people using the service at Church Road are well cared for. We observed staff with service users. They were polite and friendly chatting as they went about their duties. Staff meet prospective service users frequently to assess their care and support needs before they have overnight stays. Detailed person centred plans and risk assessments are in place and have the information needed to support serve users effectively. These are regularly reviewed with the people who use the service and their relatives input and the information in place is up to date. People who use Church Road are encouraged to make choices and routines are flexible. Staff encourage them to make decisions with support as needed about what they want to do. Medication is managed appropriately making sure medication is checked in and out and administered safely. Church Road short breaks service is clean, tidy, homely and well maintained. Care Homes for Adults (18-65 years) Page 6 of 10 Staff recruitment is robust and safe and staff induction and training is good. This helps protect residents from people who should not work with vulnerable people and keeps staff skills and knowledge up to date. The manager is knowledgeable and keeps up to date with current practice. Staff said that she is supportive and approachable. What they could do better: 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 2. Care Homes for Adults (18-65 years) Page 7 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action 1 37 26(2)(c ) The representative of the registered provider must complete a report following their monthly unannounced visit to the home, a copy of which is to be kept in the home. 30/06/2007 Care Homes for Adults (18-65 years) Page 8 of 10 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 Requirement 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 Requirement Timescale for action 1 37 26 The representative of the registered provider must complete a report following their monthly unannounced visit to the home, a copy of which is to be kept in the home. So all involved are aware of how the short breaks service is being managed and the views of those who use the service and those who provide care to people using the service. 02/02/2009 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 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 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 © (2009) 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 10 of 10 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
