Inspection on 07/06/05 for 1 Alexandra Street

This inspection was carried out on 7th June 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

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

1 Alexandra Street 21/05/08

1 Alexandra Street 06/06/06

1 Alexandra Street 01/11/05

1 Alexandra Street 01/11/05

1 Alexandra Street 07/01/05

1 Alexandra Street 28/06/04

1 Alexandra Street 19/01/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1 - 3 Alexandra Street Stone Stafford Staffordshire ST15 8DQ Lead Inspector Berwyn Babb Announced 07 June 2005 12:15 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 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 Stationary 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. 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 1 Alexandra Street Address Stone Stafford Staffordshire ST15 8HL 01785 615510 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) RMP Care Miss Lorraine Lawton Care Home 6 6 Category(ies) of LD registration, with number of places 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 7 January 2005 Brief Description of the Service: 1-3 Alexandra Street is an end of terrace house and its adjoining neighbour, in a quiet residential district in the northern quadrant of the township of Stone. The two properties have an interlinking door on the ground floor, and provide a total of six single rooms, one of which is on the ground floor. The properties open onto the pavement at the front, but at the rear there are enclosed yards, with separate gardens across the communal “backs”, that serves several of the properties in this row.Both houses have a kitchen, and there are three communal areas where resident service users can associate. There is a staff sleeping in room with a fireproof cabinet for secure storage.The home is registered for the accommodation of 6 younger adults who have a learning disability, and seeks to meet their assessed needs in a domestic style of setting, with no outward signs that this is in fact a care home. 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. What the service does well: What has improved since the last inspection? What they could do better: There have been no requirements or recommendations made as a result of this announced inspection 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 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. 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2 and 4 On the evidence gathered from care plans, from observation, and from talking to residents, management and staff, it was deemed that those standards assessed had been met. In particular residents confirmed the quality of the pre admission assessment procedure and had visited the home and been reassured that it was able to meet the assessed needs. EVIDENCE: The inspector examined the care plan of the most recent resident. This showed that his social worker had contacted the home with a care management assessment of his needs, and a representative of the home went to meet him at his then home. After discussions he came to visit Alexandra Street and meet the staff and other residents, and decided he would like to move in on a trial basis. He made several other visits, felt that he liked the other men, and eventually moved in on a provisional admission, actually exploring his feelings about being made a permanent resident for nearly 12 months before making the final commitment. He has been able to retain very close links with his parents, and they exchange visits on a regular basis. 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, and 10 On the evidence gathered from discussion, direct observation, and examination of care plans which revealed appropriate measures arranged and recorded for the maintenance of the health of residents, these standards were deemed to be met. Dignity was observed in the respect shown to residents by staff. EVIDENCE: The inspector examined several Personal Care Profiles that demonstrated to him that they had been generated using a Person Centred Planning approach. These contained aims and goals for each individual in relation to their assessed areas of need, and the general need for social fulfilment that is common to us all. Much discussion took place with some residents about a new Day Service that had commenced on the day of the inspection, and which had involved new risk assessments and care plans to enable them to be independent in their access of this facility located about 1.5 miles along a busy road. This had involved 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 Page 10 walking the route with members of staff on several previous occasions and input over traffic awareness, but was preferable to the men against the use of taxis taking them door to door as suggested by the centre, which they felt would disable them rather than enable them. They said they had enjoyed the walk and gave every indication of wanting to make a success of this new, and more localised venture. They all participated in the inspection, and said they understood what was being written about them. They also said they knew that the other files that contained information about them, were be kept securely and not shown to anyone who was not formally involved in their care. 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13,15,16, and 17 On the evidence gathered from care plans where visits to and visits by residents were recorded, and from talking to the residents, management and staff, it was deemed that those standards assessed were being met. Dignity was observed to be respected, and meals to be the choice of residents. EVIDENCE: The inspector spoke to several men who attended various centres of therapeutic employment, including one who had made a shrewd decision to forego straight monetary payment for deferred rewards that allowed him to partake in a chosen leisure pastime he would otherwise not be able to afford. Several of the men attend main-stream sporting facilities to participate in keep fit exercise on a regular basis, as well as using the library and shops and local pubs both for a drink and for meals out. Arrangements for staffing demonstrated that an important role for staff is to enable and facilitate the men to participate in evening and weekend activities, 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 Page 12 and the inspector was taken into discussions about this years holidays that were in the planning stage, and causing much excitement. One person was very proud of the involvement of his family in the social activities undertaken by the home, and was also pleased that his girlfriend was able to come and have a meal with him. Other men also had relationships and these were monitored and appropriate advice and guidance given, and risk assessments put in place to ensure the protection of both parties. One man held the inspector in animated conversation about the routines that each individual subscribed to, and he and other displayed their bedrooms, to which they have keys for privacy from each other if desired, but with over ride keys held by staff in case of an emergency. Towards the end of the inspection, preparations were being made for an evening meal, the complexity of which would have taxed a professional chef as each man was having something different according to choice. They stated that they all helped to plan for and carry out a big shopping trip to a supermarket About once a week, using local shops for individual items in between. 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 and 20 On the evidence gathered from care plans, from observation, and from talking to the residents and staff, it was deemed that those standards assessed had been met. In particular, discussion, direct observation, and examination of care plans revealed appropriate measures arranged and recorded for the maintenance of the health of residents. Dignity was observed in the respect shown to residents by staff. M. A. R. sheets and medication systems were found to be without fault. EVIDENCE: Most of the time the men at 1-3 Alexandra Street are independent with respect to personal care, and what intervention they do require was said to be confined to prompting and encouragement. Rising and retiring times were seen to be flexible unless determined by attendance at a place of occupation, some of which were located at a distance and involving fixed journeys and prompt readiness to travel. Medication is monitored and stored by the staff, and the inspector was able to observe records of induction training to equip staff with the necessary expertise to undertake this role. 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and23 On the evidence gathered from care plans, from observation, and from talking to residents, and staff, it was deemed that residents knew about and were confident with the complaints procedure, and staff training records and discussion showed a high commitment to adult protection. EVIDENCE: The inspector discussed with several members of staff the rights of residents to have their rights and their personhood protected, and felt that their responses demonstrated a robust attitude towards the protection of vulnerable adults. Those residents who commented on this particular aspect of their care referred back to previous periods of their lives and to memories of much less caring advocates, and made comparisons favourable to Alexandra Street 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 27, 30 On the evidence gathered from visual observation of the premises and from maintenance and cleaning records, and from talking to the residents about their privacy and dignity when using the bathroom, and the freshness of the facility, it was deemed that those standards assessed were being met. EVIDENCE: As stated earlier, the home is in a quiet residential quarter of Stone, and has been formed from two adjacent terraced houses with an interconnecting door at ground floor level There is one ground floor and five first floor bedrooms, all single, and non with en-suite. There are three communal rooms plus two kitchens [one recently refitted and very desirable], with sufficient bathroom and toilet provisions. The inspector was impressed with the spacious and pleasantly refurbished showering facilities. One of the directors spends most of his time maintaining the environment and upgrading areas by turn, and the residents are fortunate to have someone with such high standards devoting himself to improving their home. 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 Page 16 It was also stated earlier that the men undertake much of the domestic chores as part of their planned programmes, and their effort had been commendable in presenting two elderly terraced cottages at such a high level of cleanliness without any hint of odour. 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 34, and 35. On the evidence gathered from the amount of one to one input with residents recorded in care plans, from training schedules of input based on British Institute for Learning Disability best practice, from observation of staff working with residents , and from talking to the residents, management and staff, it was deemed that those standards assessed were being met. EVIDENCE: The Care Manager of this home facilitates the training for the whole of the local group of homes under the proprietorship of R. M. P. Care, and bases her best practice on the recommendations of the British Institute for Learning Disability. Two members of staff confirmed that the process of their recruitment and induction training had been true to the company’s policies and the requirements of these standards, and their, and the managers conversations demonstrated that they had levels of knowledge about the needs and conditions of the residents to meet their assessed needs appropriately. 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 Page 18 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38, 42, and 43. On the evidence gathered from care plans and sundry other documents made available to the inspector regarding the ethos of the home, and from observation of practices being adhered to in the home, and from talking to the residents, management, and staff, it was deemed that those standards assessed were being met. EVIDENCE: The ethos of the proprietors and manager has ensured that they provide a comfortable home in a domestic style of environment that allows residents to be part of a local community and live valued and fulfilled lives in which they are assisted to maximise their potential. Examination of care plans established that risk assessments were not only recorded to justify limiting certain actions, but to enable residents to be assessed for input of encouragement, information, and training, that would enable them to expand the scope of their activities. 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 Page 19 The C. S. C. I. Has received a letter from the homes accountants stating that this is a viable business that operate through sound management and thus it is concluded that this will continue to provide a stable home for those resident in it. 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 Page 20 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 4 x 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 3 4 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 4 x x 4 x x 4 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 x 3 Standard No 31 32 33 34 35 36 Score x 4 x 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 - 3 Alexandra Street Score 3 x 3 x Standard No 37 38 39 40 41 42 43 Score x 4 x x x 3 3 CS0000005072.V184063.R01.doc Version 1.30 Page 21 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations 1 - 3 Alexandra Street CS0000005072.V184063.R01.doc Version 1.30 Page 22 Commission for Social Care Inspection Stafford Office - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 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. 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