Inspection on 26/01/06 for 1 Empire Road

This inspection was carried out on 26th January 2006.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

1 Empire Road 15/12/08

1 Empire Road 25/01/07

1 Empire Road 14/09/05

1 Empire Road 12/01/05

1 Empire Road 07/07/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 1 Empire Road Torquay Devon TQ1 4LA Lead Inspector Sam Sly Unannounced Inspection 9.45 26 January 2006 th 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 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 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 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. 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 1 Empire Road Address Torquay Devon TQ1 4LA 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) 01803 326215 Parkview Society Limited Mr Osbond Care Home 1 Category(ies) of Learning disability (1) registration, with number of places 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th September 2005 Brief Description of the Service: 1 Empire Road was initially registered, and continues to provide care for one resident with a learning disability. The service is tailored to meet the specific needs of this resident and there is no further admissions planned. The home is situated in a residential area of Torquay, within walking distance of some shops, and within driving distance of the town centre. There is a double bedroom, a staff office/sleep-in room, a shower room, bathroom, lounge, quiet lounge, and kitchen. Outside is a small garden to the rear. The Owners are a local registered charity the Parkview Society that runs several care homes in the Devon area. 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection was unannounced and took place on a weekday in January between 9.45am – 12.30pm. There was one carer with the resident that morning. The resident who lives at 1 Empire Road contributed to the visit. Evidence was collected by examining care and health and safety records, as well as discussion with the carer and observation of interaction with the resident. A tour of the premises was made, and the Inspector went for a walk with the carer and resident to the local park to observe the kind of activities the resident did. What the service does well: What has improved since the last inspection? What they could do better: 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 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 6 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 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 7 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 the following standard(s): EVIDENCE: None of the standards were inspected as the registered provider reached the required standard at the last Inspection and no issues arose that would have indicated further investigation. 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 6&9 The resident can be sure that staff are aware of his goals and care needs, and are supporting him to be as independent as possible. EVIDENCE: The care plan and risk assessment were detailed and included goals that had been set a few years ago. Daily records showed that these goals were regularly met, which suggested the goals were now part of the resident’s everyday care plan and perhaps some new goals should be considered. The resident’s plan is reviewed regularly and his day activity provider holds separate reviews. The care plan was not in an accessible format. 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 13, 14 & 15 The resident leads an active, stimulating, interesting life, which includes regular family contact. EVIDENCE: The resident attends a day service provided locally four days a week, and has one day at home as well as the weekends. It was his day off on the day of Inspection. The day revolved around what the resident wanted to do. In the morning after a leisurely breakfast we went for a walk to a local park, and visited a shop. In the afternoon the resident said he wanted to go to a pub. The carer said he would be taken out in the car for a drive, possibly another walk and a visit to the pub. Records showed that the resident did a lot a social and leisure activities both at home and with the day service he attended. It had recently been the resident’s birthday and a celebratory meal had been shared with family. The resident regularly visits, and keeps in contact with his family by phone. Due to the 1:1 staffing levels at 1 Empire Road, the resident has full control of what he wants to do. The staff encourage him to walk regularly as well to keep healthy. 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 10 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 20 The medication procedures and practices in the Home protect the resident. EVIDENCE: The staff team manage and administer the resident’s medicine, and procedures for the receipt, storage, administration and disposal of medication were being adhered to. The carer said staff had now received training on medication practices. 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 12 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 the following standard(s): EVIDENCE: None of the standards were inspected as the registered provider reached the required standard at the last Inspection and no issues arose that would have indicated further investigation. Staff had either received or had dates to receive Adult Protection training. 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 13 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 the following standard(s): EVIDENCE: The environment was clean, well decorated and well maintained. None of the standards were inspected as the registered provider reached the required standard at the last Inspection and no issues arose that would have indicated further investigation 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 14 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): EVIDENCE: None of the standards were inspected as the registered provider reached the required standard at the last Inspection and no issues arose that would have indicated further investigation 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 15 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 The resident’s health and welfare is protected through safe working practices, however there is no quality assurance system to show that the Owners are continually monitoring and improving the services provided. EVIDENCE: The registered manager was not at the Home on the day of Inspection, so the Inspector was unable to assess his competency and qualities, however, the home was running smoothly and there were no management issues identified. There was no evidence that a comprehensive Quality Assurance system had been implemented at 1 Empire Road. There were however checks and monitoring through maintenance checks, visits by the Owners and health and safety checks. Staff files were unavailable so evidence could not be seen to confirm staff had undertaken mandatory health and safety training, although this had happened at the last Inspection. 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 16 The fire procedures were being adhered to and an accident book was kept up to date. Records were kept of electrical, gas and other health and safety checks. Water temperatures were restricted and there were checks in place to control the risk of Legionella. 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 17 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 X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 1 Empire Road Score X X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 2 X X 3 X DS0000018408.V252811.R01.S.doc Version 5.0 Page 18 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 YA39 Regulation 24 Requirement The Home must have a quality assurance system that is underpinned by the views of the resident, his representatives, and stakeholders. A report should be developed annually that is available for CSCI and other interested people that shows how the home has developed, and what still needs to be done to improve the quality of care. Timescale for action 15/03/06 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 2 Refer to Standard YA1 YA6 Good Practice Recommendations The residents contract should be completed and signed, and copies of the revised Statement of Purpose and Service User Guide sent to the Commission. The use of multi-media formats (digital photos, symbols, line drawings) should be investigated to communicate his care plan and other currently written information to the resident and would increase decision-making and choice. DS0000018408.V252811.R01.S.doc Version 5.0 Page 19 1 Empire Road Staff should find out more about Person Centred planning, receive training in Total Communication and consider purchasing a computer. 3 4 5 6 YA32 YA34 YA35 YA36 New goals should be considered for the resident. 50 of staff should have at least NVQ 2 by 31st December 2005. There should be a format for recording staff interviews and decision making about employment. There should be a training and development plan for the staff team, which includes specialist as well as mandatory training. Regular supervision should take place. 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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. Extracts may not be used or reproduced without the express permission of CSCI 1 Empire Road DS0000018408.V252811.R01.S.doc Version 5.0 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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