Inspection on 08/12/09 for Tavy Road (11)

This is the latest available inspection report for this service, carried out on 8th December 2009.

CQC found this care home to be providing an Excellent service.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Tavy Road (11) 22/02/06

Tavy Road (11) 31/08/05

Tavy Road (11) 19/10/04

Tavy Road (11) 24/05/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 17/02/2010.

Key inspection report Care homes for adults (18-65 years) Name: Address: Tavy Road (11) 11 Tavy Road Anfield Liverpool Merseyside L6 2PN     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this full review a ‘key’ inspection. Lead inspector: Peter Cresswell     Date: 0 8 1 2 2 0 0 9 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. 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. that people have said are important to them: They reflect the things 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. Care Homes for Adults (18-65 years) Page 2 of 19 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. 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 mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 19 Information about the care home Name of care home: Address: Tavy Road (11) 11 Tavy Road Anfield Liverpool Merseyside L6 2PN 01512635993 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: wwwPSS.org.uk Personal Service Society care home 3 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 mental disorder, excluding learning disability or dementia Additional conditions: 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 categories: Mental disorder, excluding learning disability or dementia - Code MD The maximum number of service users who can be accommodated is: 3 Date of last inspection Brief description of the care home Tavy Road is a purpose-built bungalow which is currently home to three people with mental health problems. One of the residents is over the age of 65. Tavy Road is run by PSS, a major voluntary organisation based in Liverpool, and the building itself is owned by Cosmopolitan Housing - a housing association. The home is part of PSSs `Bradley Scheme of services for people with mental health problems. The present manager was registered in 2005. 11 Tavy Road was built in 2001 and is part of a small estate of new properties in Anfield, close to bus routes and local facilities. All of the residents have single bedrooms and they share a dining kitchen, lounge, garden and Care Homes for Adults (18-65 years) Page 4 of 19 Over 65 0 3 Brief description of the care home bathroom. The furnishings and decoration are high quality and the bungalow is well maintained. The home is fully accessible to wheelchair users and has assisted bathing facilities. Care Homes for Adults (18-65 years) Page 5 of 19 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: three star excellent 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 peterchart Poor Adequate Good Excellent How we did our inspection: This inspection included a visit to the home that we made without giving any advance notice. We talked to the member of staff on duty and both of the residents who were in at the time. We also spoke to the service manager who called in with some information that we needed. The manager completed an Annual Quality Assurance Assessment for us. This sets out how the home feels it is performing and also gives us some statistical information. We looked around the home and examined care plans, medication, training records and safety records. Care Homes for Adults (18-65 years) Page 6 of 19 What the care home does well: What has improved since the last inspection? 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 7 of 19 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 8 of 19 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Tavy Roads procedures make sure that people are thoroughly assessed before they are admitted, protecting the interests both of the new and existing residents. Evidence: One new person has been admitted to Tavy Road since we last visited. The person was properly assessed using the owners well established procedures. The new resident was introduced gradually to the home and the other people who live there. The process was carried out sensitively and the new resident is now settled in the home . Care Homes for Adults (18-65 years) Page 9 of 19 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The homes detailed, regularly reviewed care plans and risk assessments give staff the information they need to care for the people who live in the home. Evidence: We looked at the care plans and files for two of the three residents. They are detailed and set out how the persons needs are to be met by staff. The plans are fully reviewed every year but are also reviewed by the manager and staff every week and in two-monthly meetings with the resident. Reviews that we looked at were signed by the resident. Risk assessments are in place and we observed one being put into action when one of the residents was going out alone to the local shops. The people who live at Tavy Road play a full part in the life and running of the home and talk to the staff about everything that affects them. Files are stored securely in the office/sleep in room. Care Homes for Adults (18-65 years) Page 10 of 19 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are able to take part in the activities and lifestyle that they choose. Evidence: The people who live in the home have the daily routines and activities that they choose. Some go out very little; others go out unaccompanied to various places. One person attends a day centre and also helps out at a local day centre for older people. The residents choose their own food, with support and guidance where they need, for instance a special diet. They help out around the home to the best of their abilities. For instance there was a dish washing rota on the wall of the kitchen/diner and everyones name was on it. Care Homes for Adults (18-65 years) Page 11 of 19 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff understand the needs of the people who live in the home. Residents health care needs are well met. Evidence: Staff provide any personal care that is needed in private and details of what is needed is set out in the care plans. Everyone is registered with a local GP and the residents receive all the specialist and community health care that they need. We checked the medication records and everything was accurately recorded and safely stored. The home has well established procedures for coping with death and dying. Care Homes for Adults (18-65 years) Page 12 of 19 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. Residents are protected from the risk of abuse by the homes polices and practices. Evidence: The owners, PSS, have well established procedures for dealing with safeguarding issues and complaints. No such issues have arisen since we last visited. Care Homes for Adults (18-65 years) Page 13 of 19 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. Tavy Road provides a clean, homely, spacious and comfortable environment for the people who live there. Evidence: Tavy Road was specially designed and built as a small care home for three people. It is fully accessible to wheelchair users, though as it happens none of the current residents do use wheelchairs. We looked all round the home and all of it was clean, tidy and well maintained. When bedrooms are redecorated people choose their own colour scheme and decor. All of the rooms are well furnished and reflect the occupants personality. A conservatory has been built since we last visited and the residents make very good use of it. When we visited two of them were sitting in it enjoying a pre breakfast cigarette. It is the only area of the home where smoking is permitted, a restriction that the residents support. The conservatory needs an extractor fan to be fitted to keep the atmosphere as smoke free as possible. Residents eat their meals in the bright kitchen/diner. Care Homes for Adults (18-65 years) Page 14 of 19 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. Residents welfare benefits from having staff who are well trained and supported. Evidence: The staff team is very stable and experienced. No new staff have been recruited in the last year apart from someone who came in from another home run by PSS. Her recruitment records were in order and the owners have well established procedures for recruiting staff and ensuring that they are suitable. Three of the staff now have NVQ2 or better; this is the appropriate qualification for care staff. Recent training has included safeguarding, health and safety and lone working. PSS has a well established training programme and staff told us that they are encouraged to go on courses; these issues are discussed in one to one supervision. Staff receive one to one supervision with the manager regularly. These supervision sessions are used to identify any issues at work, training needs and areas for personal development. The home does not use agency staff and all staff are well known to the residents, helping to create a sense of safety and security. Care Homes for Adults (18-65 years) Page 15 of 19 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 excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home is well managed, providing a safe environment for the people who live there. Evidence: The manager of Tavy Road is well qualified and experienced. She has helped to create a welcoming and informal atmosphere in the home. Residents are plainly at ease and told us that they feel able to raise issues with any member of staff. One told us they had come on in leaps and bounds since moving to the home. Senior managers visit the home without notice regularly to check standards and talk to the residents. Relevant safety certificates were in place and fire records were up to date. Any financial records are properly kept in the home. Care Homes for Adults (18-65 years) Page 16 of 19 Are there any outstanding requirements from the last inspection? Yes £ No R 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 17 of 19 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 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 1 24 There should be an extractor fan in the conservatory to get rid of excessive cigarette smoke and therefore enhance the health of the residents and the staff. Care Homes for Adults (18-65 years) Page 18 of 19 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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) Care Quality Commission (CQC). 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 CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 19 of 19 - 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!