Inspection on 07/02/07 for 12 Florence Street

This inspection was carried out on 7th 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

12 Florence Street 14/11/05

12 Florence Street 21/04/05

12 Florence Street 02/11/04

12 Florence Street 02/11/04

12 Florence Street 02/11/04

12 Florence Street 02/11/04

12 Florence Street 07/07/04

12 Florence Street 07/07/04

12 Florence Street 07/07/04

12 Florence Street 07/07/04

12 Florence Street 01/03/04

12 Florence Street 01/03/04

12 Florence Street 01/03/04

12 Florence Street 01/03/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Trevaylor Manor

Honeybourne House

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

CARE HOME ADULTS 18-65 Florence Street 12 Florence Street St Budeaux Plymouth Devon PL5 1QL Lead Inspector Jane Gurnell Unannounced Inspection 7th February 2007 13:30 Florence Street DS0000003429.V302616.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 Florence Street DS0000003429.V302616.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. Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Florence Street Address 12 Florence Street St Budeaux Plymouth Devon PL5 1QL 01752 298425 NO FAX 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) Michael Batt Foundation (Valued Life Projects) Mr Brian Colin Roy Stokes Care Home 3 Category(ies) of Learning disability (3), Mental disorder, registration, with number excluding learning disability or dementia (3) of places Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Learning disabled adults some of whom may have a mental disorder Age 18-60yrs Date of last inspection 14th November 2005 Brief Description of the Service: 12 Florence Street is a care home providing personal care (if required) and accommodation for three people, aged 18 - 60, with learning disabilities, who may also have mental health issues. It is owned by the Michael Batt Foundation (Valued Life Projects) which is a not for profit organisation providing services for people with a range of needs who required support and care to live in the community. The home was opened in 2000 and is an end of terrace, two storey property, located in the residential area of St Budeaux in Plymouth. All the homes bedrooms are single and are on the 1st floor. None of these have en suite facilities. There is a bathroom and toilet on each floor. Each service user has their own lounge room on the ground floor and a further lounge room provide a staff sleeping-in room. The service users share the large kitchen/diner. There is a garden at the rear of the property. All areas are accessible to the service users. The weekly fees for this service are calculated on an individual basis depending upon the service user’s support needs. Information relating to the services provided by the Michael Batt Foundation can be obtained from their Head Office at Third Floor, Poseidon House, Neptune Business Park, Cattedown, Plymouth, PL4 OSJ, telephone number 01752 310531. Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and undertaken during the afternoon of 7th February 2007. Brian Stokes the Registered Manager was present. The inspector spoke to 2 service users and the staff member of duty, made a tour of the building and examined documents relating to the support of the service users, the management of their money and the fire safety system. A visit was made to Michael Batt Foundation’s head office on 12th February 2007 to examine the confidential documents relating to the admission of newly referred service users and also staff recruitment. What the service does well: The house is comfortable, warm and very clean. Residents are given money to buy their own food. Residents cook their own meals. Residents have enough things to do to be happy. They can go to college and are helped to find a job. There are always enough staff to help. The resident’s get all the help they need. Each resident can have their room just as they want it. The staff know how to help people and the staff do their best. If a resident has a problem it is easy to get help. The staff are safe to be with. Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 6 If you want to live there the staff will tell you about what it is like. The staff are good at helping people to move in and be happy. 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. The summary of this inspection report can be made available in other formats on request. Florence Street DS0000003429.V302616.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 Florence Street DS0000003429.V302616.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, 3 and 4. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home’s pre-admission processes ensure that prospective service users are provided with information about the home as well as having the opportunity to experience life in the home prior to admission, so enabling them to make a properly informed decision. EVIDENCE: There have been no admissions to the home since the last inspection. However, from examination of records relating to newly admitted service users in two other Michael Batt Foundation homes, it was evident that the preadmission process thoroughly explores the prospective service user’s support needs and that each person is enabled to visit the home on several occasions to meet with the other service users and staff. The Foundation provides a Service User Guide in different formats, such as pictorial and on audiotape, depending upon each prospective service user’s needs and abilities, thereby enabling them, with the support of visits and explanations to make an informed choice about the suitability of the home. Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users are enabled to participate in, and make decisions about, all aspects of their lives. Confidentiality is respected. EVIDENCE: Observation and discussion with service users showed that they participate in all aspects of life in the home. The service users said that they are supported individually to plan their daily activities and commitments. The service users are provided with a weekly budget to buy their own food and they each prepare their own meals. The staff were fully aware of the needs of each service user and these are clearly documented in each service user’s support plan ensuring that the support provided by staff is done so in a consistent manner. Any restrictions on choice or freedom had been agreed with the service user and other people involved in the person’s care: any restrictions in place were made to protect Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 10 the service user’s health and safety and recognises the service user’s responsibility towards others. Discussions with service users confirmed that they were aware of why these agreements were in place. The attitude and approach of the staff team promoted independence by encouraging and enabling service users to do as much as possible for themselves. Service users were expected to pay for personal items and public transport and the records relating to this were clearly maintained for ease of auditing. The organisation provided additional money for leisure activities. Discussion with the Registered Manager, as well as observation, showed that confidentiality was understood and respected, for example, one service user asked that his personal records not be shown to the inspector, although he was happy to talk about his experiences in the home. Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 11 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): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users can learn life skills, attend work placements, participate in any community and leisure activities, choose their own daily routines and enjoy a healthy diet of their choice. EVIDENCE: Information in support plans, as well as talking with service users, showed that they were enabled to live as full a life as they wished to and had opportunities for personal development. One service user said that he was being assisted to live more independently and make decisions for himself. He said that with this support he was looking forward to moving to live in his own flat. Service users were encouraged to participate in all the domestic activities in the home and to take part in leisure activities of their choice. Service users were encouraged and enabled to find and keep paid employment; one service Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 12 user explained that he went to a local college and also had a part-time job. The home did not provide transport as service users are encouraged to use public transport wherever possible. However, occasionally staff cars are used, for which service users are expected to make a contribution towards the cost of petrol. It was evident, through observation during the inspection, that service users felt very ‘at home’ and were empowered to make decisions. Service users confirmed that they could make their own meals, drinks and snacks and chose the menu: as noted above each service user is provided with a budget to enable them to be independent with their meals. There were locks on a kitchen cupboard and the refrigerator due to the needs of one of the service users who was aware of this and in agreement with it: the other service users had their own keys to these locks. Contact with relatives and friends was encouraged and there were no limitations in place regarding visitors to the home. Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 13 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 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive support in the way, and at the time, that they want and need. Health care needs are addressed as soon as they are identified. EVIDENCE: Service user’s support plans provided information about personal, emotional and health care needs. These plans are written very clearly and describe the goals the service users have for themselves and how staff should support them ensuring consistency. Incidents of inappropriate behaviour as a result of service user anxiety were documented and monitored by the Team Leader, who is a member of the senior management team, to identify if further support and guidance is necessary to overcome these difficulties. Service users are offered support from other healthcare professionals such as nurses and psychologists from the Community Learning Disability and Mental Health Teams, to enable them to express their concerns, to deal with situations that make them angry and to develop more appropriate coping strategies. Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 14 Through observation it was clear that timings were flexible and the choice of the service user. The 2 service uses spoken to spoke highly of the home and their relationship with the support staff, saying that they were happy. A monitored dosage system for medication was being used and none of the service users were self administering. Medication was locked away safely and records pertaining to its administration were kept. Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 15 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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are protected from abuse, neglect and self-harm. Service users can be confident that the Registered Provider always deals with complaints seriously and any concerns from service users are listened to and acted upon immediately. EVIDENCE: Neither the home nor the Commission for Social Care Inspection have received any complaints regarding the service since the last inspection. The home has a complaints procedure and the service users said that they could talk to any of the staff if they had any concerns. They said they met regularly with the Registered Manager to talk about the day-to-day running of the home and anything that other issues they wished to. The management and staff team were aware of adult protection issues and have received training ensuring they are aware of their responsibilities should they suspect a service user it at risk of abuse. Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 16 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, 26, 27, 28 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the environment is satisfactory, providing service users with a comfortable and homely place to live. EVIDENCE: The home was comfortable, safe and clean. Redecoration and refurbishment is ongoing and there are plans to replace the flooring in the kitchen as it is torn where the washing machine and fridge/freezer have been moved, renew some of the service users’ lounge room furniture, as well as to make repairs to the side of the building due to damp. Each service user had a single bedroom on the 1st floor, none of which had en suite facilities or wash hand basins. Service users confirmed they did not need wash hand basins in their bedrooms. The Registered Manager has previously confirmed that wash hand basins would be fitted in service users’ bedrooms if requested. Bedrooms were individually furnished and contained many Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 17 personal possessions. Bedroom doors did not have appropriate locks but service users confirmed this was not an issue. The Registered Manager confirmed that locks would be fitted if requested and subject to a risk assessment. Service users confirmed that they had chosen the décor and furnishings for their bedrooms. Each service user had their own lounge rooms that were individually furnished and decorated and contained many personal possessions, including pets such as birds. A further lounge room on the ground floor and a bedroom on the first floor provide sleeping-in facilities for staff with service users having access to the lounge room during the day. The service users share the large kitchen/diner. Infection control practices were satisfactory and items of personal protective equipment, such as disposable gloves, were available. Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 18 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): 31, 32, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Recruitment procedures are robust, service users’ needs are met by high staffing levels and service users benefit from well supported and supervised staff. EVIDENCE: The Foundation has a department that ensures recruitment practices are safe. A sample of staff files were examined and showed a robust recruitment procedure. All the required information was available, including Criminal Record Bureau checks and 2 written references, ensuring as far as possible only suitable staff are employed. Regular staff meetings and individual supervision sessions took place and addressed the principles and values of the Foundation, staff performance and training and development needs, as well as day-to-day support issues. The Foundation has a designated staff member to coordinate and arrange training to maintain an overview of what the organisation requires, as well as ensuring that individual staff members receive the training they need. Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 19 The Registered Manager and staff members confirmed that staff were expected to attend relevant training on topics such as social role valorisation, person centred planning, human development, adult protection, conflict management and emergency first aid, ensuring they have the skills and confidence to support the service users on a day-to-day basis and also at times of crisis. The majority of staff are either enrolled in or have completed the Learning Disability Award Framework (LDAF), a nationally recognised qualification. Staffing rotas were available in the home showing that there were three staff on duty, with two sleeping-in staff member at night. Sleeping accommodation for staff was provided on the ground and first floors. There is an ‘on call’ system whereby members of the management team are available both in and out of office hours and the staff members spoken with confirmed that this system worked well. Florence Street DS0000003429.V302616.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, 38, 39, 40, 41, 42 and 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management approach is open, inclusive and positive, providing clear leadership and guidance. Empowerment and enablement of service users is the focus of the organisation. Service users’ rights, health, safety and welfare are protected and promoted. EVIDENCE: The Registered Manager has gained an National Vocational Qualification at level 4 as well as the Registered Manager’s Award. He is enrolled on the Learning Disability Awards Framework’s “Humanistic Approach to Support” course, a course that follows a person-centred philosophy of care and support. Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 21 Monthly provider visits were being carried out and copies of the reports sent to the Commission for Social Care Inspection. These reports demonstrate the Foundation’s commitment to providing high quality services. Records relating to health and safety issues, such as risk assessments and the fire log book were available and up to date. The Registered Manager confirmed that all staff had attended training in fire safety awareness and emergency first aid, ensuring they have the knowledge and skills to respond to emergencies. Florence Street DS0000003429.V302616.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 3 3 4 3 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 3 3 3 3 Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 23 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. Refer to Standard Good Practice Recommendations Florence Street DS0000003429.V302616.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 Florence Street DS0000003429.V302616.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. 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!