Inspection on 23/11/05 for 11 Bacup Street

This inspection was carried out on 23rd 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.

Other inspections for this house

11 Bacup Street 07/06/07

11 Bacup Street 31/05/05

11 Bacup Street 14/12/04

11 Bacup Street 10/08/04

11 Bacup Street 08/03/04

11 Bacup Street 21/10/03

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 11 Bacup Street 11 Bacup Street Moston Manchester M40 9HF Lead Inspector Steve O`Connor Unannounced Inspection 23rd November 2005 10.30a 11 Bacup Street DS0000021701.V268095.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 11 Bacup Street DS0000021701.V268095.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. 11 Bacup Street DS0000021701.V268095.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 11 Bacup Street Address 11 Bacup Street Moston Manchester M40 9HF 0161 681 9455 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) North West Community Services (GM) Limited Sharon Louise Dixon Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 11 Bacup Street DS0000021701.V268095.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. A maximum of 3 service users with learning disabilities (excluding mental disorder and dementia) may be accommodated. The service must,at all times,employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 31st May 2005 Date of last inspection Brief Description of the Service: 11 Bacup Street is a residential care home providing 24-hour care and accommodation for 3 persons with learning disabilities who may also have additional disabilities. The Manchester Methodist Housing Association owns the building. The North West Community Services, contracted by Manchester City Council, provide the day-to-day and managerial support. The home is situated in the Moston area of North Manchester and is close to local amenities and transport routes. The home is a purpose built bungalow sited on a residential street. All bedrooms are single occupancy. Communal and kitchen areas are large enough to allow a person with high mobility needs access to all these areas. At the rear of the house is a well-maintained garden. 11 Bacup Street DS0000021701.V268095.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 23rd November 2005. During the inspection, time was spent talking with the manager and staff on duty and examining people’s files, records and the homes policies and procedures. The inspection also included a tour of the building. The three people who live at the home have little verbal communication and so although they were not able to express their views directly, time was spent observing how staff talk to and support people. The Commission for Social Care Inspection (CSCI) had not received any complaints about the home since the last inspection. Work had been carried out to complete the few requirements and recommendations identified as a result of the inspection in May 2005. As this inspection only looked at a very limited number of standards this report must be read together with the previous and any future reports to gain a full picture of how the service is meeting the needs of the people living there. What the service does well: An area that the home continues to do well, was the way that people and staff interact with each other. An example was shown where a person who needed help with personal care and using a hoist was supported by staff who talked to the person telling them exactly what they are doing and notice the person’s communication to see that they are working in the right way. The home has continued to show that it does well is in providing people with the opportunities and support they need to take part in meaningful social and leisure activities, throughout the year, both in the home and out in the local community. The home is always willing to try new things and the staff team are encouraged to be more independent and spontaneous in the way they work with people and the activities offered. The last inspection report acknowledged how the home has taken seriously the Government’s White Paper ‘Valuing People’ in developing a care planning system that places the person at the very centre of the way of working. The home has continued to do this and has further developed how it identifies people’s changing needs and goals so that the staff team can focus on what is important to the person and not to the service. The home is commended on the work of the whole staff team in this area. 11 Bacup Street DS0000021701.V268095.R01.S.doc Version 5.0 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 11 Bacup Street DS0000021701.V268095.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 11 Bacup Street DS0000021701.V268095.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): EVIDENCE: These standards had been assessed during the previous inspection. 11 Bacup Street DS0000021701.V268095.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 The home had assessed and identified people’s changing needs and recorded these through the care planning process. EVIDENCE: The previous inspection recommended that the home further develop the care planning review process. Every month the staff team meet to discuss how people are progressing and to identify any changes to their needs and goals. Annual care management multi-disciplinary reviews were also undertaken. This action met the recommendation and overall the homes care planning and review process and systems were to be commended. 11 Bacup Street DS0000021701.V268095.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): 12, 13 and 17 The home offered people with valued and meaningful opportunities to participate in in-house and community activities. EVIDENCE: The care plan reviews had recorded activities that people had participated in and also identified new activities and opportunities that people may enjoy. The home had gained additional funding to spend on transport to ensure that people were not reliant on public transport during the winter months. Staffing levels were being maintained that provided people with the support they require to access valued community and in-house activities. The home maintained good supplies of fresh fruit and vegetables. Other food stores were in good supply. Meals are based on people’s likes and dislikes with individual choices offered. All meals were recorded on a daily basis. For people who require additional support with their meals the home has the practice guidance and equipment required. 11 Bacup Street DS0000021701.V268095.R01.S.doc Version 5.0 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20 The home’s medication administration policy, procedures and systems were sufficient to safeguard people’s health and wellbeing. EVIDENCE: The medication administration system was checked and found to be clear and accurate. 11 Bacup Street DS0000021701.V268095.R01.S.doc Version 5.0 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 23 The home had the policies, procedures and systems in place to protect people from and abuse. EVIDENCE: The previous inspection report recommended that the home make Adult Protection training part of its core induction which the home has introduced. 11 Bacup Street DS0000021701.V268095.R01.S.doc Version 5.0 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The home provides people with an environment that is safe, clean, well maintained and decorated. EVIDENCE: Although there had not been any formal agreement between the home and the housing association, that owns the building, the two parties were in regular contact in relation to the maintenance, upkeep and decoration of the home. It is therefore recommended that a formal agreement for the planned maintenance and decoration of the home be developed. The home was still maintained and decorated to a high standard and plans were being made to further personalise people’s bedrooms and create a stimulating and individualised environment. The washing machine had been further repaired and was operating satisfactorily. This action met the requirement from the previous inspection. 11 Bacup Street DS0000021701.V268095.R01.S.doc Version 5.0 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 The home provides the training and access to qualifications required to provide a competent staff team. EVIDENCE: The home provides staff with a core induction training and training events based on the Learning Disability Award Framework. Of the staff team, two have passed and four are currently taking the NVQ level 3 award. Skills for Care have introduced a new Induction programme for all social care staff. It is recommended that the home review its induction programme to ensure it meets the Skills for Care requirements when they become compulsory in September 2006. 11 Bacup Street DS0000021701.V268095.R01.S.doc Version 5.0 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 The home has the policies, procedures and systems in place to maintain people’s health and safety. EVIDENCE: The fire logs were checked and showed that regular inspections were taking place. All fire, electric and gas equipment and hoists had an up-to-date service. COSHH and RIDDOR regulations were being upheld. The home has a full health and safety policy and procedures and staff had received training. 11 Bacup Street DS0000021701.V268095.R01.S.doc Version 5.0 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 4 X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 4 13 4 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 11 Bacup Street Score X X 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000021701.V268095.R01.S.doc Version 5.0 Page 17 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 YA24 Good Practice Recommendations It is recommended that a formal agreement for the planned maintenance and decoration of the home be developed. It is recommended that the home review its induction programme to ensure it meets the Skills for Care requirements when they become compulsory in September 2006. 2 YA32 11 Bacup Street DS0000021701.V268095.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 11 Bacup Street DS0000021701.V268095.R01.S.doc Version 5.0 Page 19 - 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!