Inspection on 13/03/06 for 11 Beechpark Avenue

This inspection was carried out on 13th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

11 Beechpark Avenue 19/02/07

11 Beechpark Avenue 15/12/05

11 Beechpark Avenue 07/03/05

11 Beechpark Avenue 02/08/04

11 Beechpark Avenue 16/02/04

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 Beechpark Avenue Northenden Manchester M22 4BL Lead Inspector Richard Dankwa Unannounced Inspection 13 March 2006 12:00 th 11 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 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 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 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 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 11 Beechpark Avenue Address Northenden Manchester M22 4BL 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) 0161 945.6265 St Bonaventures Trust Arcon Housing Association Ltd Mrs Angela Paton Lappin Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 11 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 13th December 2005 Brief Description of the Service: 11 BeechPark Avenue is a care home registered to provide personal care and accommodation for 3 adults with learning disabilities aged between 18 to 65 years of age. The registered provider is St Bonaventures Trust. The house consists of 3 single bedrooms, a staff sleep-in room, lounge, dining area, kitchen, bathroom and a toilet. There is a utility room attached to the house for laundry. The home is wheelchair accessible with external ramps. The house is a detached building with a paved frontage and a landscaped garden to rear and side. It is set in a quiet residential street with houses of a similar type. It is well located for transport links by road and bus. The home is close to local shopping facilities. 11 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that took place on the 13 March 2006. The Team Leader was present during the inspection. The residents were also present during the inspection and the opportunity was taken to speak to them. The paperwork kept at the home was also looked at. The areas identified during the last inspection as needing improvements has been carried out. Other areas requiring improvements were identified during this inspection visit. The previous report should be read together with this one to get a better picture of the care being provided by the home, as the Commission for Social Care Inspection did not look at all the standards during this inspection. What the service does well: What has improved since the last inspection? The home has put in place the necessary procedures to enable them find out from the residents and their relatives what they think of the service being provided. 11 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 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. 11 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 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 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 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): 1. Prospective residents are given all the necessary information about the home to help them make a decision whether to use the services of the home. EVIDENCE: There was a Service User Guide and a Statement of Purpose in place but they needed updating. These documents were issued to all prospective residents and their representatives to help them make a decision whether to use the services being offered at the home. The Service user Guide was detailed and was compiled in a manner that is easy to read and understand. The home must ensure that these documents are updated on a regular basis. 11 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 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): 10. The home has systems and arrangements in place to maintain confidential information about the residents. EVIDENCE: The home had a policy in place regarding the need to maintain confidentiality at all times. Residents’ care plans were kept secure at all times. The residents and their representatives have access to their care plans. The staff are aware of the confidentiality policy and the circumstances when information given to them in confidence must be shared with their manager or others. 11 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 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): 11. The residents have the opportunities for personal development and are supported to do so. EVIDENCE: One of the residents was being enrolled at the local library. The residents attend Adult Training Centres to improve their skills and learn new ones. Residents’ care plans indicated that they received specialist input from other professionals and specialist trained staff. Some of the residents attend a Saturday club. Activities at the Saturday club includes playing cards with friends, playing cricket, drawing and colouring, puzzles and a Catholic services. 11 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 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): 21. There are policies and procedures in place for managing ageing, illnesses and death of a service user. EVIDENCE: There is a policy in place regarding the management of the deaths of residents that informs the staff to support the residents with sensitivity and respect, ensuring that their dignity is maintained at all times. The Team Leader said that the wishes of the resident will be respected regarding this matter however it was not documented in the care plans what their wishes and preferences are. The home should ensure that individual requests and preferences are documented in their individual care plans to ensure their wishes are met. 11 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 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): The commission did not look at these outcomes as they were fully met during the previous inspection visit. EVIDENCE: 11 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 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): 25, 26, 27, 28, 29. The bedrooms suit the lifestyles of the residents and they promote their independence. The bathroom and the toilets provide privacy and meet individual needs. The residents have access to the necessary equipment to promote their independence. EVIDENCE: The residents’ bedrooms were nicely decorated and personalised to suit their lifestyles. The residents are encouraged to have personal possessions in their bedrooms. There are no shared bedrooms and each bedroom has a hand washbasin. The home has adequate bath and toilet facilities for the residents’ that promoted their privacy. The home had comfortable indoor and outdoor communal areas for the residents to enjoy. The residents did not need specialist equipment to maintain their independence however there were handrails in the toilet for the residents to use. 11 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 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): 31, 33, 36. The staff are aware of their roles and responsibilities. An effective staff team support the residents. The staff are supported and they receive supervision that enables them to do their work appropriately. EVIDENCE: The staff spoken to during this inspection visit were aware of their roles and responsibilities at the home. Job descriptions were given to all staff members when they start employment at the home. Copies of the job descriptions are kept on staff files. The staff duty roster indicated that the home ensures that adequate staffing levels are maintained at all times to provide and maintain good quality care. There was a low rate of staff turnover and sick leave amongst staff. The home holds regular staff meetings. The home ensure that the staff receive supervision to enable them to do their work efficiently and appropriately. A development plan is in place for all staff and this is discussed during 1:1 supervisions. 11 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 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): 38, 39, 40, 41, 43. The home is managed well. The interests of the residents are safeguarded by the home’s policies and procedures. EVIDENCE: The staff spoken to indicated that the manager leads the team well. They also said that the manager is well organised and they find her approachable. The home is conducting surveys to find out what the people using the service think of it. The area manager visited the home on a monthly basis to audit the care being provided. The home had policies and procedures in place that ensured that the interest and rights of the residents were safeguarded. The policies and procedures examined complied with current standards. The staff had access to up to date policies and procedures that allowed them to support the residents appropriately. The residents and their representatives had access to these policies and procedures. The Team Leader said that the policies and procedures were being updated. 11 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 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 Standard No Score 1 2 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 X ENVIRONMENT Standard No Score 24 X 25 3 26 3 27 3 28 3 29 3 30 X STAFFING Standard No Score 31 3 32 X 33 3 34 X 35 X 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X 3 LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X 2 X 3 3 3 3 X 3 11 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 Page 17 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. 1. Standard YA1 Regulation 6 Requirement The registered person must ensure that the Statement of Purpose and the Service User Guide are updated on a regular basis. Timescale for action 01/06/06 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 YA21 Good Practice Recommendations Individual care plans should contain the preferences and request of residents in the event of their death. 11 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 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 Beechpark Avenue DS0000029483.V278855.R01.S.doc Version 5.1 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. 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