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Inspection on 23/01/06 for 122 Scorer Street

Also see our care home review for 122 Scorer Street for more information

This inspection was carried out on 23rd January 2006.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The needs of the resident are met at this home. The resident was on home leave at this time of this inspection. Evidence was seen in the residents files that he undertook a number of activities and work placements plus computer training in the community. At the last inspection he confirmed that he had no concerns about the home or the staff who were seen as very supportive. It was clear from discussion with the providers and evidence in the residents files that a number of positive initiatives are undertaken to enable the resident to live an independent life as far as possible.

What has improved since the last inspection?

The home has addressed the three recommendations made at the 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.

What the care home could do better:

The home provides holistic care provision for one resident who lives at this home. No requirements or recommendation were made at this inspection.

CARE HOME ADULTS 18-65 122 Scorer Street 122 Scorer Street Lincoln Lincs LN5 7SX Lead Inspector Mr Doug Tunmore Unannounced Inspection 23rd January 2006 10:15 122 Scorer Street DS0000052443.V278279.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.V278279.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.V278279.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 Mental disorder, excluding learning disability or registration, with number dementia (2) of places 122 Scorer Street DS0000052443.V278279.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th November 2005 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. 122 Scorer Street DS0000052443.V278279.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced. The main method of inspection used was called case tracking, which involved the tracking of the care of a resident who was absent at the time of the inspection, the checking of his records and discussion with the care manager/provider. The providers were very helpful and were very open to the inspection process. A partial tour of the premises was undertaken. What the service does well: What has improved since the last inspection? What they could do better: The home provides holistic care provision for one resident who lives at this home. No requirements or recommendation were made at this inspection. 122 Scorer Street DS0000052443.V278279.R01.S.doc Version 5.1 Page 6 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.V278279.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.V278279.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 resident benefits from a comprehensive care assessment process that involves social workers. EVIDENCE: The home carries out a care assessment with prospective residents either prior to admission or after admission, depending on circumstances. Care needs assessments had been carried out by a social worker prior to admission. A letter was available on file confirming that the home could meet this residents needs and giving basic details of the home. The providers confirmed that a two-week assessment was undertaken in the home before it was decided that the home could meet this residents needs. 122 Scorer Street DS0000052443.V278279.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 The resident is empowered by being included in the continuous assessment of his personal goals. EVIDENCE: The resident has an individual, detailed care plan which he signs in acknowledging that he has been involved in his care plan and agrees with the outcome. Care plans are reviewed on a regular basis and reflect the changing needs of the resident. From the documentation and from discussion with the providers it was clear that they involve the resident in the processes of his care plans and changes of those goals towards which they are working. The residents risk assessments and reviews had also been 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. 122 Scorer Street DS0000052443.V278279.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): 12, 13, 14, 15 & 16. 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 he is supported in visiting his family and friends. Work and further education programmes are undertaken. EVIDENCE: Family and friends are encouraged to visit at any reasonable time. The resident is supported to maintain contact through visits and telephone calls. At the time of this inspection the resident was staying with his family in Scotland, which was facilitated by the providers. An old friend from a previous placement sometimes visits the home and at weekends the residents goes to his friend’s house for a few hours. As part of the daily living skills programme the resident goes shopping and is involved in preparing meals with supervision. 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. 122 Scorer Street DS0000052443.V278279.R01.S.doc Version 5.1 Page 11 Past inspections of the home has noted that that the residents and staff engage in social dialogue as equals. Care plans seen showed that the resident attends an accredited computer-training course 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 regular basis. 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. 122 Scorer Street DS0000052443.V278279.R01.S.doc Version 5.1 Page 12 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 & 20 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. His self-care plan was seen and showed those aspects of his personal care where he required prompts. The residents daily living skills programme showed those tasks, which he needs to complete on a daily and weekly basis. Comments made by the providers showed that they were aware of 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 health care file documented when the resident had seen his GP or other health care professional. 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 and a medication transfer sheet was available for his medication whilst he is in Scotland. The pharmacist visited on 06/06/05 who carried out training as well as inspecting the administration of medication. 122 Scorer Street DS0000052443.V278279.R01.S.doc Version 5.1 Page 13 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.V278279.R01.S.doc Version 5.1 Page 14 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 key outcomes were assessed at the last inspection. EVIDENCE: 122 Scorer Street DS0000052443.V278279.R01.S.doc Version 5.1 Page 15 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 The home is well maintained, comfortable and homely. EVIDENCE: A partial 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 homes maintenance file was seen and showed that regular work is carried out. The providers confirmed that in the coming year the hall and landing is to be redecorated as is the kitchen, utility room and the two bedrooms. The resident will be involved in choosing the colour scheme. 122 Scorer Street DS0000052443.V278279.R01.S.doc Version 5.1 Page 16 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 & 33 Staff are trained to carryout their jobs. Staff are aware of their roles in working with residents. EVIDENCE: 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 provider demonstrated that this document had now been included in the homes policies and procedures. The homes training plan was seen and found to be up to date. The training record identified the manager and those care workers who had undertaken statutory training in 2004 and 2005. The manager is undertaking the Registered Managers Award and his wife is to apply for National Vocational Qualifications (NVQ) level 4 in care. One carer and a volunteer are undertaking NVQ level 2 as is the resident in the near future. The homes training profile showed that a number of training events have been planned for 2006, including training specific to autism and mandatory training. 122 Scorer Street DS0000052443.V278279.R01.S.doc Version 5.1 Page 17 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): The key outcomes were assessed at the last inspection. EVIDENCE: 122 Scorer Street DS0000052443.V278279.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. 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 x 23 x ENVIRONMENT Standard No Score 24 3 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 4 33 3 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x x x x LIFESTYLES Standard No Score 11 x 12 4 13 3 14 4 15 4 16 3 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 x 3 x x x x x x x x 122 Scorer Street DS0000052443.V278279.R01.S.doc Version 5.1 Page 19 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. 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 YA12 Good Practice Recommendations The home should discuss and include in the care plan the wishes of a resident who wishes to stay in during the evening. This needs to relate to other assessments made by his social worker. The homes should make available to all staff the General Social Care Councils philosophy of care which includes care workers’ responsibilities. 2. YA32 122 Scorer Street DS0000052443.V278279.R01.S.doc Version 5.1 Page 20 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.V278279.R01.S.doc Version 5.1 Page 21 - 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. 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