Inspection on 19/02/07 for 100 Sefton Road

This inspection was carried out on 19th February 2007.

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

100 Sefton Road 14/11/05

100 Sefton Road 06/09/05

100 Sefton Road 16/11/04

100 Sefton Road 25/05/04

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

CARE HOME ADULTS 18-65 100 Sefton Road 100 Sefton Road Morecambe Lancashire LA3 1UD Lead Inspector Mrs Gwen Miller Unannounced Inspection 19 February 2007 10:30 th 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 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.V315982.R01.S.doc Version 5.2 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.V315982.R01.S.doc Version 5.2 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.V315982.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th November 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, one resident attends 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. At the time of visit (19th February 2007) the information given to the Commission for Social Care Inspection showed that the fees for care at the home are from £338 per week. 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of this home has been carried out over the period since the previous inspection November 2005. This is to give an overall picture of Sefton Rd. using evidence and information gathering, in the form of a pre inspection questionnaire, letters to and from the home during that period and comment cards from residents, these were completed with the assistance of their social worker. Verbal comments from her are included in this report. The inspection also included a site visit to the home which was completed in half a day and a further visit the following week to interview residents as they were both away from the home on the 19th February 2007. At the time of inspection, two residents were accommodated at the home. Case tracking (whereby the inspector focuses on a small number of residents and examines their care, from admission to the present time) of both residents, was carried out. At the time of the visit, two residents were accommodated at the home. Part of the visit included looking at daily notes and information about the home and residents. The inspection included a tour of the premises. What the service does well: What has improved since the last inspection? Mrs Jackson continues to provide a good quality service for her residents. 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 Page 6 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. The summary of this inspection report can be made available in other formats on request. 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 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.V315982.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1,2,4. Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Good information is in place which allows people to make informed choices whether or not the home will meet their needs. Full assessments are carried out to ensure the home can look after them and give the right sort of care. EVIDENCE: The registered provider (Mrs Jackson) has produced a Statement of Purpose and Service User Guide which gives any prospective resident and their funders, a realistic description of the facilities and services offered by Sefton Rd, which is run as a family unit. Comments from social services included “ The home is welcoming and has a homely atmosphere –not institutional” Residents are admitted to the home following a visit with their social worker involved in their placement. Mrs Jackson stated that the current residents would be consulted as to the suitability of any prospective resident as and when a vacancy occurs. 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 Page 9 An assessment of need is provided by the social services department prior to a trial period to see if the home meets the needs of the resident and if the resident likes the home. Mrs Jackson said that both her current residents were admitted on a two month trial basis thereafter the social services finance department issued a permanent contract for each resident. Case tracking showed that specialist psychiatric services play a major role in both assessment and subsequent care planning for each resident. 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents are supported in such a way by the registered provider, that they are enabled to choose their daily living pattern. EVIDENCE: Case tracking showed that care planning cover all aspects of personal, social and health care needs and are reviewed monthly and signed by the resident to confirm their involvement. Comments from social services were that Mrs Jackson “knows her clients inside out” and “can tell you in detail about all her residents”. All comment cards confirmed that residents are able to choose how to spend their days. One resident goes to work voluntary five days per week, the other resident attends day centre twice weekly, this is the choice of each resident. 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 Page 11 Both residents said they enjoyed going to these. Both residents are encouraged and supported to be independent as much as possible in their choices of lifestyle, however Mrs Jackson is aware of the risks involved, case tracking showed that risk taking policies were on each file. Residents have their own bankbook and rent books, and with the support of Mrs Jackson, manage their own finances. Case files are kept within the provider’s living quarters, she is aware of the need for confidentiality of sensitive information contained in them. 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The provider supports residents’ links with the community so that they can take part in social opportunities. EVIDENCE: Mr & Mrs Jackson run their home as a family unit and do not employ any staff, therefore it is their sole responsibility to encourage resident’s to develop social, emotional and communication skills. Although there is little interaction between residents, Mrs Jackson does endeavour to instigate conversations between them and with her own family members. Mrs Jackson has a philosophy of doing things with rather than for her residents to encourage their independent living skills. She encourages her residents to use the local amenities and keep in touch with the outside world. 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 Page 13 Mrs Jackson feels there is a lack of suitable clubs in the area so any outings arranged by resident’s day care or work place, are supported. Shopping trips into Morecambe are enjoyed and purchases including their costs, are recorded on behalf of each resident so they always know how much money they have left. Residents have the rights to visitors, see them in private or not at all. Residents have unrestricted access to all areas of the home and there are no rules that would restrict independence, choice or freedom of movement. Records of meals are kept and Mrs Jackson is well aware of resident’s likes, dislikes and dietary restrictions. Meals are taken together as a family group and whilst meals are taken at a similar time each day, any changes in routine are catered for. One resident tends to work irregular hours, therefore his evening meal has to be flexible. Residents said the food was good and they enjoyed dinner times. 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Mrs Jackson has a good understanding of her resident’s preferences and needs, this means that they are well supported. Health care and medication is well managed, this promotes good health. EVIDENCE: Both residents are very individual and dress according to their choice, personality and age, this is acknowledged and encouraged by Mrs Jackson. They are also very different in their emotional needs therefore the type and level of support has to be flexible, the resident’s social worker commented that Mrs Jackson always takes account of individual needs. Case tracking showed that appropriate support is given in accessing health care services. In keeping with equality and diversity, Mrs Jackson ensures that her residents are not discriminated against by their disability or age, and they receive the same health services as others living in the community. Referrals are made for psychiatric assessments when needed and to other agencies when specialist help is required. 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 Page 15 At present none of the residents have chosen to self administer their own medication, however records of medicines and other prescribed drugs, including slow release drugs administered by medical staff, are recorded well. 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Mrs Jackson has a good understanding of Adult Protection Issues, which protects residents from abuse. EVIDENCE: All comments cards confirmed that residents knew who to complain to if they were not happy. Mrs Jackson continues to be well aware of the need to protect vulnerable adults from abuse, this also includes verbal abuse and “Labelling” from some people in the community. In keeping with Equality and Diversity, she will not tolerate her residents being discriminated against and protects them from those who do so. There have been no complaints received by the Commission for Social care Inspection since the previous inspection. A full account of charges and payments is kept and resident’s spending monies are signed for and recorded up to date. 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,25,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The furnishings and décor at Sefton Rd. create a homely environment to live in. EVIDENCE: Residents share this family home with Mr & Mrs Jackson with frequent visits from their family members. The home continues to be run in very informal manner. It is warm, comfortable and provides a homely, safe environment. Both residents have their own bedrooms which are heated to their choice and have door locks, at present, no residents use these. Mrs Jackson encourages her residents to personalise their rooms. Both residents said they liked their bedrooms, one added he kept it tidy. All bedrooms have a washbasin and the family bathroom is used by all living in the house. There are plenty of toiletries and towels for everyone’s use. 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 Page 18 The residents have their own rear lounge where they may eat, this is furnished with TV, easy chairs and dining facilities, residents are encouraged to use a further lounge upstairs. Smoking is not allowed inside the home but there are seats outside at the front of the home, for those who choose to smoke. Mrs Jackson keeps the home clean, tidy and well personalised with photographs and memorabilia of her family members. 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): There are no staff employed at this home. EVIDENCE: 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is managed properly which ensures that practices promote and safeguard the health, safety and welfare of the residents. EVIDENCE: Mrs Jackson has many years experience as a carer for the ‘boarding out scheme’ and has developed skills and knowledge to provide a good quality of care for her client group, she also has experience of working as a nursing assistant at Lancaster Moor Hospital. Comments from the resident’s social worker were “Mrs Jackson is completely trustworthy “ and “has resident’s interests at heart “ 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 Page 21 The residents are involved with the daily activities of the home and are able to contribute to decisions made. One resident commented “its alright living here”. Once again, on this visit, the inspector found that all reasonable precautions are taken to ensure the Health and Safety of the residents. Mrs Jackson has developed policies and procedures to safeguard the well being of her residents. The home has appropriate fire precaution equipment, which is checked regularly and residents are made aware of safety procedures. Thermostatically control devices are on all water outlets used by the residents. First aid provision is kept in the kitchen together with an accident book. All appliances are regularly serviced. 100 Sefton Road DS0000009926.V315982.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 3 2 3 4 5 CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 X 3 X 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 3 ENVIRONMENT Standard No Score 24 3 25 3 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 DS0000009926.V315982.R01.S.doc LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 Score PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 100 Sefton Road Score X X 3 X 3 X 3 X X 3 X Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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.V315982.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 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 © 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.V315982.R01.S.doc Version 5.2 Page 25 - 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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