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Inspection on 14/11/05 for 100 Sefton Road

Also see our care home review for 100 Sefton Road for more information

This inspection was carried out on 14th November 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home continues to provide a home and a family lifestyle for residents, all of whom at present do not have any contact from any other family members. Mr & Mrs Jackson encourage residents to be included in the community as much as possible and to choose their leisure activities in the way that suits them. Mrs Jackson will act on her resident`s behalf in accessing health services and their benefit rights.

What has improved since the last inspection?

The home has continued to support the social needs of the people who live there. Mrs Jackson has sought out suitable day care placements from the social services departments. Two of the three residents are now attending suitable day care the third resident is still enjoying his part time job. The social worker involved in their cases spoke well of the service that Mr and Mrs Jackson provide to their residents.

What the care home could do better:

It is recommended that Registered Providers should achieve National Vocational Training to level 4.

CARE HOME ADULTS 18-65 100 Sefton Road 100 Sefton Road Morecambe Lancashire LA3 1UD Lead Inspector Mrs Gwen Miller Unannounced Inspection 14th November 2005 10:00 100 Sefton Road DS0000009926.V265015.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 100 Sefton Road DS0000009926.V265015.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. 100 Sefton Road DS0000009926.V265015.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 100 Sefton Road Address 100 Sefton Road Morecambe Lancashire LA3 1UD 01524 424436 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) Mrs Hannah Jackson Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places 100 Sefton Road DS0000009926.V265015.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th September 2005 Brief Description of the Service: 100 Sefton Rd. is registered to accommodate up to three residents of both sexes, with a mental disorder. The service was instigated as the large hospitals were closing, during which time the local Social Services introduced a ‘Boarding Out Scheme’ to provide a homely environment for people in the community. Mrs Hannah Jackson, the registered provider, owns the property and provides support and guidance to her residents with the assistance of her husband. The house is situated in a residential area in the West End of Morecambe, it is close to shops, community facilities and the promenade.A small front garden has seats and is used by those who wish to smoke.Residents spend their time watching television, listening to the radio and at present, two residents attend a day centre, one has a part time job.Each resident has their own bedroom, there are also two lounges and a dining area for their use.Health care services are accessed when required as well as Community Psychiatric Nurse support. 100 Sefton Road DS0000009926.V265015.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one morning. The findings of this report are based on discussion with Mr and Mrs Jackson, observation of daily living patterns of the residents, viewing paper work and a tour of the building. Two residents were spoken with, the inspector’s opinion was that they were well cared for and they regard their accommodation as a family home. In this report, reference is made to “case tracking,” which is following a person’s care needs from initial assessment, through care plan reviews, until the present time, this “tracking” showed that Mrs. Jackson is aware of her residents’ individual needs and habits What the service does well: What has improved since the last inspection? What they could do better: It is recommended that Registered Providers should achieve National Vocational Training to level 4. 100 Sefton Road DS0000009926.V265015.R01.S.doc Version 5.0 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. 100 Sefton Road DS0000009926.V265015.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection 100 Sefton Road DS0000009926.V265015.R01.S.doc Version 5.0 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 the following standard(s): 3,4,5 Prospective residents are provided with sufficient information to ensure that their needs will be met and their placement is secure. EVIDENCE: Mrs Jackson has set up care plans which are reviewed and signed by the residents. Case tracking showed that specialist psychiatric services play a major part in such care planning. From discussion and observation, the inspector was able to establish that the needs of residents were being met with the level of support provided by Mrs Jackson. All three residents were initially admitted on a trial basis by the social services department on a temporary basis. Then after two months, both Mrs Jackson and residents were able to assess if the placement was appropriate to meet their needs., thereafter, the social service finance department changed its contract terms to a permanent placement. Mrs Jackson is provided with a contract from social services for each resident and she has a contract between her home and the resident, in line with the requirements of this Standard. 100 Sefton Road DS0000009926.V265015.R01.S.doc Version 5.0 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 the following standard(s): 6,8 The residents are supported in such a way by the registered provider, that they are enabled to choose their daily lifestyle whilst being a part of the family home. EVIDENCE: Case tracking showed that care plans cover all aspects of personal, social and health care needs and gave a true account of the needs of the individual resident. Residents are able to access shops and clubs in the local community by themselves, the aim is for them to be independent, with Mrs Jackson providing support and guidance. The inspector found that all who live at 100 Sefton Rd., are involved in the daily running of the house and act as a family group. The inspector also noted a very informal and relaxed atmosphere where the views and choices of residents are consulted . 100 Sefton Road DS0000009926.V265015.R01.S.doc Version 5.0 Page 10 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): 15,16,17 Residents are part of a family run home so therefore have family relationships. Mrs Jackson offers choices in food to provide variety and enjoyment at mealtimes. EVIDENCE: Photographs around the home show that residents are encouraged to form and maintain relationships with others. The inspector observed that residents have unrestricted access to all areas of the home and there are no rules that would restrict independence, choice or freedom of movement. The current residents do not have keys to the front door or their rooms, although keys are available, risk assessments relating to this are on file.. Residents do not appear to have understanding of their right to hold keys, nor do they wish to. Mrs Jackson is fully aware of her resident’s like and dislikes and meals are provided to suit these. Residents said the food was good. 100 Sefton Road DS0000009926.V265015.R01.S.doc Version 5.0 Page 11 Records are kept of resident’s health and well-being and of the meals served 100 Sefton Road DS0000009926.V265015.R01.S.doc Version 5.0 Page 12 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): These standards were assessed on the previous visit. EVIDENCE: 100 Sefton Road DS0000009926.V265015.R01.S.doc Version 5.0 Page 13 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): 22,23 Mrs Jackson has a good knowledge and understanding of Adult protection issues, which protects her residents from abuse. EVIDENCE: Following a recent incident related by one of her residents, Mrs Jackson had contacted and obtained professional help to remedy her resident’s distress, Mrs Jackson has now put in measures to further protect her resident in the community setting. Mrs Jackson continues to be well aware of the need to protect vulnerable adults from abuse, including verbal abuse and “labelling” by others in the community. She will not tolerate her residents being discriminated against and protects them from those who do so. 100 Sefton Road DS0000009926.V265015.R01.S.doc Version 5.0 Page 14 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): This standard was assessed on the previous visit. EVIDENCE: 100 Sefton Road DS0000009926.V265015.R01.S.doc Version 5.0 Page 15 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): There are no staff employed at the home. EVIDENCE: 100 Sefton Road DS0000009926.V265015.R01.S.doc Version 5.0 Page 16 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): 39,41 The home’s record keeping, policies and procedures ensure that practices promote and safeguard the health, safety and welfare of the residents. EVIDENCE: Residents are fully involved with the daily activities of the home and are able to contribute to decisions made. Health care professionals, district nurses, psychiatric nurses and social workers have regular contact with the home so they are able to measure the success in achieving the aims, objectives and statement of purpose of the home. As mentioned previously in this report, comments received from a social worker involved with the residents, were most positive. Accurate individual finance records are kept for each resident, these have appropriate signatures for monies received. Records are safely stored. 100 Sefton Road DS0000009926.V265015.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 3 3 3 Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x 3 x 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 x 14 x 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 100 Sefton Road Score x x x x Standard No 37 38 39 40 41 42 43 Score x x 3 x 3 x x DS0000009926.V265015.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. 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 YA37 Good Practice Recommendations The manager should achieve NVQ level 4 in Care and Management by 2005 100 Sefton Road DS0000009926.V265015.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 100 Sefton Road DS0000009926.V265015.R01.S.doc Version 5.0 Page 20 - 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. 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