Inspection on 04/11/08 for 1 Williams Street

This inspection was carried out on 4th November 2008.

CSCI found this care home to be providing an Good 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

1 Williams Street 14/11/06

1 Williams Street 31/10/05

1 Williams Street 08/06/05

1 Williams Street 10/11/04

1 Williams Street 28/06/04

1 Williams Street 09/02/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

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Polesworth Group 70 Long Street

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Polesworth Group 64 Long Street

Extracts from inspection reports are licensed from CQC, this page was updated on 05/02/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: 1 Williams Street 1 Williams Street Fenton Stoke on Trent Staffordshire ST4 2JG     The quality rating for this care home is:   two star good service 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. Lead inspector: Wendy Grainger     Date: 0 4 1 1 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. the things that people have said are important to them: They reflect 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. 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 26 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) 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. www.csci.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 26 Information about the care home Name of care home: Address: 1 Williams Street 1 Williams Street Fenton Stoke on Trent Staffordshire ST4 2JG 01782746361 Telephone number: Fax number: Email address: Provider web address: williamst@choiceshousing.co.uk Name of registered provider(s): Name of registered manager (if applicable) Mr John Christopher Richardson Type of registration: Number of places registered: Choices Housing Association Limited care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: 1 - Learning Disability minimum age 26 years 1 - Learning Disability minimum age 43 years Date of last inspection Brief description of the care home William Street is a purpose built residential bungalow standing in its own grounds, the service is operated by Choices. The service is situated in Fenton, with easy access to the main towns of Hanley and Longton, and is in walking distance to local shops,a post office, public houses, take aways and newsagents. All Primary Health care facilities are within four a four-mile radius of the home. The service provides care for people whose primary features were learning disability. The fees for the service were four hundred and fourty one pounds to nine hundred pounds. The fee information was included in Care Homes for Adults (18-65 years) Page 4 of 26 Over 65 6 6 1 1 Brief description of the care home the service users guide. The fee applied at the time of the inspection. The reader may wish to obtain up to date information from the service Care Homes for Adults (18-65 years) Page 5 of 26 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: two star good 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: The overall quality rating for this service is 2 star. This means that the people who use the service experience good quality outcomes. One inspector carried out this unannounced key inspection on one day between 8:45 and 17:30 hours. The service completed an Annual Quality Assurance Assessment (AQAA). This is a selfassessment tool, which was used as part of the key inspection. The completion of the AQAA is a legal requirement and it enables us to see how well the service focuses on the outcomes of people to make sure that their needs are being met. The AQAA also gives us some numerical information about the service. We received completed Have your say surveys from people who use the service and staff. We collated the information from these surveys and used this for our inspection. Care Homes for Adults (18-65 years) Page 6 of 26 We spoke to a number of people to find their views about what it is like to live at the service. We looked around the premises to see the standard of comfort and safety. We looked at the menus and the kitchen area to assess their standard in terms of meeting peoples needs. 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 set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 26 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 9 of 26 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 adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Not all people received an assessment before they were offered a place People dont always have the opportunity to visit the service before they move in to help them decide if it will be suitable for their needs. Evidence: The services completed Annual Quality Assurance Assessment document provided limited evidence on the manner in which people who use the service were admitted to the service. The most recently admitted person had not been assessed by the manager. Information verbally had been provided by an Occupational therapist. The person was from another home within the company, who to assist him to settle had sent staff to be with him on a daily basis. We spoke to the person who told us that he was happy and the staff were nice.We are concerned that the care manager had not been consulted when the person who had moved into the service had been deteriorating for a short time, then admitted as an emergency.The Have your say survey could do better told us that to ensure placements were right and did not disrupt others an assessment should be completed Care Homes for Adults (18-65 years) Page 10 of 26 Evidence: We were told and evidenced in the Statement of Purpose that the service does not accept emergency placements, but found out that the service had taken in someone as an emergency.We looked at two care plans including the new admission. whilst the new persons plan was not as streamlined as it could be, this will be addressed if the person remains at the service. Records showed us that professional agencies were available to the service for consultation. Reports were detailed and were used in an effective manner to support the lifestyle of the individuals. The recently updated and colourful Statement of Purpose was available to each person and visitors to the home. Care Homes for Adults (18-65 years) Page 11 of 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported appropriately by maintaining comprehensive care plans and risk assessments and by involving individuals in their care planning. Evidence: We were told and it was evidenced that the care plans were detailed and comprehensive based on the persons individuals needs, this included risk assessments, social plan, involvement with other agencies. We discussed with the managerthat there was a need to review the risk assessment for one person in respect of a bed guard and to monitor and ensure that it remained correctly fitted. We spoke to a relative during the inspection; he was extremely complementary about the service and the care his son received I am always made welcome the staff are always cheerful polite and helpful We observed the interactions between the staff and the people who use the service; each contact was relaxed and comfortable for all concerned. Care Homes for Adults (18-65 years) Page 12 of 26 Care Homes for Adults (18-65 years) Page 13 of 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person who uses this service has a life style that has been developed to make sure it meets their expectations and needs. Evidence: People who use the service have been encouraged to develop interests and continue with their chosen lifestyles. A full and active social life was experienced by the people who use the service. This was confirmed and evidenced during the inspection. Where activities and a luncheon club as part of the persons life style had been arranged these continued. People who use the service told us on their return after the activity that they had just been to; that they had enjoyed the craft session. They also told us that staff support them in other interests.For example Short weekend holidays had been taken during the year. The people who use the service were in the main reliant on the staff to act as escorts, Care Homes for Adults (18-65 years) Page 14 of 26 Evidence: for holidays and breaks away from the service. The AQAA stated that the service would like to expand on the community facilities open to them in the community, this is not always possible but we were told this is an on going project. We were told by people who use the service that the food is good staff however were unaware that the new person did not like liver as identified in his care plan; an alternative was to be prepared for the following day, to suit him. The menus were monthly and provided a balanced varied diet, dietary needs and weight were monitored. Care Homes for Adults (18-65 years) Page 15 of 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported to ensure their physical, health and emotional needs are met. Evidence: People who use the service receive personal support to make sure that their needs and capabilities are considered at all times. Privacy was evidenced during the inspection with staff knocking on doors before entering the bathroom and personal bedrooms. Arrangements were in place for the continued health care from other professional agencies. The care manager and AQAA confirmed as did a relative that people who use the service attend appointments at the hospital, chiropody, dentist, and optician, transport is provided to these appointments. We identified that medication was secured appropriately. Medication records seen were satisfactory. The service had policies and procedures plus staff training and guidance on how to maintain mediation safely to ensure that people who use the service were protected. We highlighted to the manager and a staff member a co-intracation for one tablet prescribed to the new person. They gave assurance that this would be addressed. No Care Homes for Adults (18-65 years) Page 16 of 26 Evidence: person who used the service had the ability to self-administer their medication. We looked at two care plans including the new admission. whilst the new persons plan was not as streamlined as it could be, this will be addressed if the person remains at the service. Records showed us that professional agencies were available to the service for consultation. Reports were detailed and were used in an effective manner to support the lifestyle of the individuals. We were told and staff confirmed that they had received training in the safe handling of medication. when we asked about a contraindication in respect of one prescribed medication for the new person; staff and the manager agreed were not aware of the need to monitor certain liquids in respect of this medication. This was discussed and will be made aware to the staff team. We were told that the company had experienced problems gaining accredited medication training but it was being researched into. The recently updated and colourful Statement of Purpose was available to each person and visitors to the home. Care Homes for Adults (18-65 years) Page 17 of 26 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. Processes were in place to make sure that peoples views are heard and acted upon and that they are protected from harm and abuse. Evidence: Information received in documents sent to us identified that there had been one complaint received by the management. Records were provided to us that the issue had been addressed by the registered care manager. We were told that the issue had been withdrawn as a complaint and the other person accepted it was a communication issue between the service and facilites available. There have been no issues raised with us or with the safeguarding team since the previous inspection in 2006. People spoken with and completed Have your say surveys confirmed that each person was aware of the procedure for making a complaint. One relative on the day told us the staff here go the extra mile to look after people Records for staff training identified that staff were aware of the need to protect people who use the service from any form of abuse. Care Homes for Adults (18-65 years) Page 18 of 26 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. People who use the service live in a comfortable, hygienic and homely environment. Evidence: Located at the end of a small road the bungalow overlooks a road and is ideally positioned to access the nearby town. We saw that the service was exceptionally clean, well designed and decorated. One room was dull in decoration this we were told was the person choice; it is however planned to redecorate this room with the consultation with the person. We were told that there were plans for more internal decoration for 2009. We saw that the external facade had been re painted. We looked at peoples bedrooms, one in the company of the occupant who took us to show us hisfootball things for the club he supports. Other bedrooms were extremely personalised to suit individual tastes bathing and toilet facilities were located near to the communal areas. No bedrooms have en-suite facilities. The wash hand basin in the single toilet near the front door was loose and required attention. Staff need to be aware of the necessity not to leave incontinence pads on top of cupboards in toilets. This was rectified during the inspection. Care Homes for Adults (18-65 years) Page 19 of 26 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. A committed and experienced staff team support the people who use the service. Evidence: We spoke to staff on duty. The staff and thier completed Have your say surveys and staff records all confirm that robust recruitment procedures are in place this means that the people who use the service are protected from unsuitable staff working within the service. Training records were seen by us and evidenced that training was current and on going. The service has exceeded the 50 percent of staff with a National Vocational Qualification levels two or three. Staff turn over in the previous twelve months has been low with two staff leaving employment. People who use the service are supported on a daily basis, transport is provided for them to go events and appointments. From observations and from speaking to the staff, it was clear that the staff have a good knowledge of peoples individual needs and preferences. Two individual visitors were seen and spoken with they spoke highly of the staff and management and the care they provide. From the personal training records seen and forwarded to us. Recruitment was robust and all checks and references were in place prior to employment. There were sufficient staff on duty to meet the needs of the people who use the Care Homes for Adults (18-65 years) Page 20 of 26 Evidence: service. Staff were seen to engage with individuals during the inspection in a warm and professional manner. Care Homes for Adults (18-65 years) Page 21 of 26 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People benefit from a well-organised service, which is operated by experienced and dedicated manager and staff. Evidence: With the exception of one weeks fire testing we found that fire training, prevention and contingency planning in the event of an emergency were detailed and provided needed information for the staff to act accordingly. We were told by one person that he hates the bells when they are tested The service operates in the best interests of the people who use it. People are encouraged to be as independent as possible, having every opportunity to experience the community and enjoy a social life. The manager has been in the caring profesion for a number of years. He has a number of qualifications including the Registered Managers Award, NVQ level four, qualification as a moving and handling trainer; and asessor for the National Vocational Qualification A1. Information provided in the AQAA states that equipment, electrical and portable Care Homes for Adults (18-65 years) Page 22 of 26 Evidence: equipment were serviced and tested in line with guidelines. Care Homes for Adults (18-65 years) Page 23 of 26 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 24 of 26 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 2 No person should be admitted to the service without a full assessment of his or her needs. Consultation with the person and or their representative should take place. The registered person has confirmed in writing to the person who uses the service that the service can meet their needs. The registered person has obtained a copy of the assessment Ensure that staff and management read the leaflets contained in the prescribed medication in respect of any new medication received in to the service. The registered person shall ensure that all sanitary ware is secured and made safe for the people who use the service. The registered mananger should ensure in the absence of the person responsible for testing the fire system weekly, that someone is delegated to take the responsibility 2 20 3 4 27 40 Care Homes for Adults (18-65 years) Page 25 of 26 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 26 of 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. 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!