Inspection on 15/05/06 for 122 Scorer Street

This inspection was carried out on 15th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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

122 Scorer Street 23/01/06

122 Scorer Street 08/11/05

122 Scorer Street 21/03/05

122 Scorer Street 11/08/04

Similar services:

Hillside

Applegarth

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Chestnut Grange Care Home

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

CARE HOME ADULTS 18-65 122 Scorer Street 122 Scorer Street Lincoln Lincs LN5 7SX Lead Inspector Mr Doug Tunmore Key Unannounced Inspection 15th May 2006 10:00 122 Scorer Street DS0000052443.V293411.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 122 Scorer Street DS0000052443.V293411.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. 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 122 Scorer Street Address 122 Scorer Street Lincoln Lincs LN5 7SX 01522 804167 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) Adrian O`Brien Rachel Amiee O`Brien Adrian O`Brien Care Home 2 Category(ies) of Learning disability (2) registration, with number of places 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection Brief Description of the Service: 122 Scorer street is a care home providing personal care and accommodation for 2 service users who have autistic spectrum disorders. It is owned by Mr and Mrs OBrien, with Mr Adrian OBrien being the registered manager. The home is located in a residential area a two-minute walk from the high street and town centre of Lincoln. The home has been registered since May 2004.The home is a two storey terraced house with a courtyard style garden. There is road parking outside the front of the home. The current scale of charges at this home is £1312. 50 per week. 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took into account any previous information held by CSCI including the homes previous inspection reports, their service history, the homes pre-inspection questionnaire and residents questionnaires sent to the home by the Commission prior to this inspection. The site inspection consisted of case tracking a sample of the resident’s records and assessing his care. The inspector spoke with the resident who was being case tracked and joined him for lunch. The inspector also spent time with one member of staff and the registered manager/owner. A partial tour of the home and a review of a sample of the records was also included. What the service does well: What has improved since the last inspection? No requirements or recommendations were made in the homes last inspection. The home continues to look to enhancing the resident’s skills through in-house daily living skills training. They also actively encourage and support work experience and training opportunity placements in the community. The resident is actively encouraged to maintain close links with his family and friends. The home undertakes regular training to keep them up to date with current care practices. 122 Scorer Street DS0000052443.V293411.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. 122 Scorer Street DS0000052443.V293411.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 122 Scorer Street DS0000052443.V293411.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): 2 The quality outcome in this area is excellent. This judgement has been made using available evidence including a visit to this service. The resident benefits from a comprehensive care assessment process that involves social workers. EVIDENCE: A review of all information available prior to this inspection and evidence seen at previous inspections in the residents files showed that the home does not admit residents without a care assessment being undertaken. Prospective residents are also written to by the home confirming that they can meet the residents care needs or not. Evidence was also available to show that a comprehensive care assessment process that involves social workers was also undertaken. The homes statement of purpose sets out the care assessment procedure for this home. A questionnaire returned to The Commission by the resident showed that he received information about the home prior to admission and he also had a contract setting out the terms and conditions for living in this home. 122 Scorer Street DS0000052443.V293411.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): 6,7,8 & 9 The quality outcome in this area is excellent. This judgement has been made using available evidence including a visit to this service. The resident is empowered by being included in the continuous assessment of his personal goals. Individual needs are promoted and documented appropriately. Risk assessments are undertaken jointly with the resident. EVIDENCE: A review of all information available prior to this inspection and previous key inspections carried out at this home has evidenced that the resident is actively involved in all aspects of his care plans. Care plans seen at previous inspections showed that they had been signed to confirm that the resident agrees with the care being provided. The homes diary was seen and showed that daily contact notes are kept which a singed by the resident and used as a talking point at the end of the day. Care plans seen at previous inspections showed that they are reviewed on a regular basis and reflect the changing needs of the resident. The homes statement of purpose states that ‘reviews will be held at least six monthly, 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 Page 10 depending on the individual circumstances of the resident’. This document also empowers both the resident and his relatives/representatives to attend this meeting if they so wish. The residents risk assessments, reviews and care plans were updated on the 01/04/06 and signed by the resident agreeing to the risks identified and/or the change in his care plan and how this might effect his daily living. From the documentation and from discussion with the resident, it was clear that he was fully aware of the plan, the changes, why it had changed and the goals towards which he was working. The resident commented that he attends a work placement in the community and is supported in this by carers from the home. The home funding authority questionnaire was provided for the information of CSCI and showed that the home is rated highly with regard to overall performance. The residents questionnaire showed that he always receives the support and care that he needs. 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 & 17 The quality outcome in this area is excellent. This judgement has been made using available evidence including a visit to this service. The resident has a busy and varied lifestyle with opportunities to engage in a range of leisure activities within the community. Social activities are available and the resident is supported in visiting his family and friends. Work and further education programmes are undertaken. EVIDENCE: The home has forwarded a copy of the residents family questionnaire which evidences that his relatives give a five star rating for the attitude of staff to them. Their comments were that ‘Scorer Street care is excellent, exemplary in every respect, our son has made remarkable progress since March 05’. They also felt that they had regular contact with their son. The home forwarded their activity programme, which showed that the resident has a wide and stimulating programme of activities. He attends further education and also attends the Pelican Trust where he works in the printing section. He has a number of hobbies such as an allotment and plays golf on a 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 Page 12 regular basis. The activities programme was reviewed on the 27/03/06 and was signed and agreed by the resident, the key worker and the provider. The homes pre-inspection questionnaire also lists recreational activities and educational facilities available to the resident. The residents questionnaire evidenced that activities are always arranged by the home that he can take part in. The resident confirmed that he was currently saving for his holiday in Scarborough for three days and would be supported by his key worker. The funding authorities satisfaction questionnaire shows that the home scored well on the delivery of programmes. The homes chores chart has also been provided by the home prior to this inspection. This document showed the daily living skills programme the resident undertakes which includes, going shopping, preparing meals, undertaking his own personal hygiene with prompts and those tasks which enable the resident to become as independent as possible. The resident’s questionnaire showed that staff act on what he says and that staff are available when he needs them. The resident has a key to his room and the front door. The providers confirmed that they provide appropriate guidance and support to the resident with regards to managing his finances, work and leisure pursuits within and outside of the home. During past inspections and this inspection it was noted that that the resident and staff engage in social dialogue as equals. The homes menu was seen and demonstrated that a wide and varied menu is available within the home. The resident’s likes and dislikes are recorded and the weekly menu is discussed with the resident with changes made when required. The resident’s questionnaire stated that ‘the food is excellent, better that anywhere else that I have been’. The provider commented that she has undertake an advanced diploma in nutrition which has enabled her to provide highly nutritional meals. 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 & 20 The quality outcome in this area is good. This judgement has been made using available evidence including a visit to this service. The resident receives personal support in line with his assessed needs. The health care needs of the resident are met. EVIDENCE: The resident is a very able person who can manage his daily life with prompts given by his carers when required. Previous inspections showed that the resident has a self-care plan, which evidenced those aspects of his personal care where he required prompts. The providers are sensitive to the needs of the resident in relation to set routines, which give him security and confidence in continuing to maintain his high level of independence. The resident has been assessed as not being able to self medicate. On the day of the inspection it was found that an accurate record had been kept of medication given to the resident. The pharmacist visited on 06/06/05 who carried out training as well as inspecting the administration of medication. No requirements were made. The home is carrying out medication training with North Lincolnshire College who visit the home to assess their progress. 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 Page 14 The resident’s file showed that he receives the health care input that he requires. During discussions with the manager he confirmed that the resident has a local GP and that a full medical has been undertaken. In the event of an accident or illness, staff will contact the family immediately. Two minor accidents had been recorded in the accidents book and the daily notes. However, the home does not use body maps to chart any bruising or abrasion that might have occurred due to an accident. The resident confirmed that he had seen his GP and chiropodist recently. The residents questionnaire also confirmed that he receives all the medical care he needs. 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 The quality outcome in this area is excellent. This judgement has been made using available evidence including a visit to this service. The home has a robust complaints procedure and adult protection policies and guidance. EVIDENCE: The inspection of this home in November 05 showed that the homes complaints procedures and policies were reviewed on the 04/10/05. The homes pre-inspection questionnaire showed that no complaints have been made since the last inspection dated January 06. The resident’s questionnaire evidenced that the resident knows how to make a complaint. The appropriate adult protection information was in place for the information of care workers. This included the Lincolnshire Adult Protection Guidance, and DOH No Secrets document. The homes training profile was seen and showed that safeguarding vulnerable adults training had taken place on the 16/10/05 and 07/02/06. The resident’s questionnaire showed that he knows who to speak to if he is unhappy. 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 &30 The quality outcome in this area is excellent. This judgement has been made using available evidence including a visit to this service. The home is well maintained, comfortable and homely. The home is clean and tidy with a pleasant smell throughout the home. EVIDENCE: The homes pre-inspection questionnaire gave details of changes to the premises since the last inspection. The home has arranged for a new bathroom suite to be fitted on the 23/05/06 and a new shower has been installed on the 11/04/06. A tour of the home was undertaken, taking in the toilets, bathrooms, shower and communal areas. It was found that all bedrooms had locks on doors as did toilets so as to ensure the privacy and dignity of residents. The resident showed the inspector around the home and his bedroom. His room had been personalised and contained all the electronic games/computer and television that young men require. The resident also confirmed that he spends time at weekends cleaning and organising his bedroom. 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 Page 17 The relatives questionnaire gave high marks for the accommodation provided, which included all areas of the building. A tour of the home by the inspector found it to be clean and smelt fresh. 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 & 35 The quality outcome in this area is excellent. This judgement has been made using available evidence including a visit to this service. Residents are protected by robust recruitment practices. Staff are trained to carryout their jobs. EVIDENCE: The homes organisational chart has been received by the Commission and gave dates when both employed staff and volunteers had POVA First Checks and Criminal Record Bureau checks. The inspection undertaken in November 05 evidenced that recruitment practices were in place and two staff files contained all of the documentation required by law. The manager confirmed that no new staff had been employed since the last inspection. The home has obtained the General Social Care Councils pack relating to the registration of care workers, their responsibilities and the philosophy of the Care Council for all social care homes. The manager stated that he has given a copy to all care workers. The homes training record was seen as part of the information sent to the Commission prior to this inspection. The training record identified that all care workers had undertaken statutory training in 2005 and 2006. All care staff 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 Page 19 have also undertaken the homes induction training as well as The National Training Organisation for Social Care (TOPSS) training induction course. The home also evidenced that they have 50 of their staff trained to NVQ (National Vocational Qualifications) level 2. 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 The quality outcome in this area is excellent. This judgement has been made using available evidence including a visit to this service. The manager is qualified, competent and of good characters to carryout his duties. Records seen show that residents’ health and general welfare and safety are promoted. The home ensures that that the residents have the opportunity to voice their views and opinions. EVIDENCE: The registered manger has some twenty years experience in working with people with a learning disability in different settings. This has enabled the manager to acquire a wide range of knowledge and expertise. The training record identified that the manager is currently undertaking the Registered Managers Award. 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 Page 21 The residents files showed that he has signed all documentation relating to the care he receives. The residents stated that he joints in all discussions about his care and what placements and activities he undertakes. Appropriate checks are carried out to ensure the safety of residents. There are a range of policies and procedures available in the home relating to fire safety and fire risk assessments. There was also evidence in the homes pre –inspection questionnaire that fire alarm and fire drills are carried out. Care staff also receive fire training as part of the homes initial training and as a regular training event. The homes induction training shows that ‘policies and procedures are read and signed by staff and that they inform practice’. The residents also evidenced through certificates that he had undertaken fire training and food hygiene training. The homes pre-inspection questionnaire showed that, gas safety inspections have been carried out, electrical wiring checks, and portable electrical equipment checks. The home has risk assessments for windows on the first floor. 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 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 x 2 4 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 4 23 4 ENVIRONMENT Standard No Score 24 4 25 x 26 x 27 x 28 x 29 x 30 4 STAFFING Standard No Score 31 x 32 4 33 x 34 4 35 4 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 4 4 4 x LIFESTYLES Standard No Score 11 X 12 4 13 4 14 4 15 4 16 4 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 3 4 x 3 x 4 x x 3 x 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 Page 23 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 YA19 Good Practice Recommendations The home should consider the introduction of body maps so as to chart and bruises or abrasions accrued due to an accident. 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 Page 24 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN 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 122 Scorer Street DS0000052443.V293411.R01.S.doc Version 5.1 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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