Inspection on 06/09/05 for 100 Sefton Road

This inspection was carried out on 6th September 2005.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

100 Sefton Road 19/02/07

100 Sefton Road 14/11/05

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 Gwen Miller Unannounced 6 September 2005 th The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 100 Sefton Road F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 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 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 (3) registration, with number of places 100 Sefton Road F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 Page 4 SERVICE INFORMATION Conditions of registration: Registered for 3 persons with mental disorder excluding learning disability or dementia Date of last inspection 16th November 2004 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 F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one morning and was unannounced. The findings of this report are based on the inspector’s observations of the home, discussion with Mr and Mrs Jackson, and from viewing paper work and basic policies, which have been introduced by Mrs Jackson. One resident was at home; she was spoken with very briefly before she chose to move elsewhere. She did however say she was “OK”. From this and from previous inspections, where all residents were observed and spoken with, the overall opinion of the inspector is that residents are well cared for and regard their accommodation as a family home. Throughout the 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 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, by 2005 100 Sefton Road F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The full report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 100 Sefton Road F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 100 Sefton Road F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2 The Home’s Statement of Purpose and Service User Guide provide residents and prospective residents with details of the home enabling them to make an informed choice. EVIDENCE: The home has produced a service user guide and a statement of purpose, which provides prospective residents with sufficient information to make an informed choice. Copies of these were found in resident’s case files. Residents are admitted to Sefton Rd. following a visit with the social worker involved in their placement. An assessment of need is provided by the social worker and Mrs Jackson uses her own assessment format, which will be used for any future placements. Mrs Jackson has 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 F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,9 The residents are supported in such a way by the registered provider, that they are enabled to choose their daily lifestyle. EVIDENCE: From inspection of the home and through observation, the inspector found that Mrs Jackson frequently asks her residents for their choices and views, through this she assists them in the planning of their daily routines. The inspector noted that all three residents choose how to spend their day in very different ways. One goes to work, the other two go to day care one day a week. One person prefers to stay indoors and knit, whilst another likes to go to the local shop. Mrs Jackson is aware of the risks involved in encouraging her residents to be independent, case tracking shows that risk taking policies are now on each person’s file. Residents have their own bankbooks and with the support of Mrs Jackson, manager their own finances. 100 Sefton Road F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 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 standard(s) 12,13 Links with the community are good and support resident’s social opportunities. EVIDENCE: One resident still enjoys his part time job at the local hospital, this involves delivering laundry to the homes in Lancaster, this keeps in touch with the local community he also attends a local club on a Monday night. The hospital organiser also arranges trips out which he enjoys. One resident particularly enjoys visits to the local hairdresser and shopping trips are recorded and enjoyed by all the residents. Although there is little interaction between residents, Mrs Jackson does encourage conversations both with each other and with members of her family. 100 Sefton Road F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 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 standard(s) 18,19,20 Mrs Jackson has a good understanding of her resident’s support needs, this is evident from the positive relationships which have been formed. Health care and medication is well managed promoting good health. EVIDENCE: At present, all residents are self-caring but Mrs Jackson is available to provide support and guidance. All three residents are very individual, and dress, style hair, etc., in accordance with their choice, personality and age. Through discussion with Mrs Jackson and by looking at care plans during case tracking, the inspector found that appropriate support is given in accessing health care services. Formal records relating to health issues are kept in case files, At present none of the residents living at the home 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 F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 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 standard(s) 23 Mrs Jackson has a good knowledge and understanding of Adult Protection issues, which protects residents from abuse. EVIDENCE: Mrs Jackson continues to be well aware of the need to protect vulnerable adults from abuse, this also includes verbal abuse and ‘labelling’ from others in the community. She will not tolerate her residents being discriminated against and protects them from those who do so. Records of charges and payments and those of resident’s spending monies are kept up to date and recorded well. 100 Sefton Road F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 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 standard(s) 24,30 The homely décor and furnishings of the home create a pleasant environment to live in. EVIDENCE: All residents share the family home with Mr & Mrs Jackson with frequent visits from their family members. The home is run very informally and is comfortable, warm and provides a homely safe environment. All residents have their own bedrooms which are heated and have door locks, at present, no residents use these. Mrs Jackson encourages her residents to personalise their rooms All bedrooms have a washbasin and the family bathroom is used by all, there are plenty of toiletries for everyone’s use. The residents mainly use the rear lounge which is away from the road noise and is comfortable with TV, easy chairs and dining facilities. 100 Sefton Road F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 Page 14 One resident prefers to sit outside at the front of the home as she enjoys her cigarettes. Mrs Jackson keeps the entire home clean, tidy and well personalised with photographs and memorabilia of her family members. 100 Sefton Road F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: There are no staff employed at the home 100 Sefton Road F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 38,42 The home is managed properly which ensures that practices promote and safeguard the health, safety and welfare of the residents. EVIDENCE: Mrs Jackson has 32 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. The inspector was satisfied that all reasonable precautions are taken to ensure the health and safety of the residents. Mrs Jackson has 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 fire safety procedures. 100 Sefton Road F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 Page 17 There are thermostatically controlled devices on all water outlets used by the residents. Appropriate first aid provision is kept in the kitchen and an accident book to record any accidents. All appliances are regularly serviced. 100 Sefton Road F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 Page 18 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. Where there is no score against a standard it has not been looked at during this inspection. 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 3 3 x x x Standard No 22 23 ENVIRONMENT Score x 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 100 Sefton Road x 3 3 Standard No 31 32 33 34 35 Score x x x x x Version 1.20 Page 19 F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc 14 15 16 17 x x x x 36 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score x 3 x x x 3 x 100 Sefton Road F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 Page 20 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 Regulation none 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 YE37 Good Practice Recommendations The manager should achieve NVQ level 4 in Care and Management by 1st April 2005 100 Sefton Road F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 Page 21 Commission for Social Care Inspection Area Office, 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 F57 F09 S9926 100 Sefton Road V222365 230505 Stage 4.doc Version 1.20 Page 22 - 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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