Inspection on 08/11/05 for 122 Scorer Street

This inspection was carried out on 8th November 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

122 Scorer Street 15/05/06

122 Scorer Street 23/01/06

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 Doug Tunmore Unannounced 08 November 2005 13:10 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 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 Stationary 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 C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 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 Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Adrian OBrien, Rachel Aimee OBrien Adrian OBrien Care home only 2 Category(ies) of MD Mental disorder (2) registration, with number of places 122 Scorer Street C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 21 March 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 O’Brien, with Mr Adrian O’Brien 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 C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 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 one resident who was in residence at the time of the inspection and tracking the care he receives through the checking of their records, discussion with them and the care staff and observations of care practice. The care manger/provider, staff and resident were very open to the inspection and made it a very enjoyable experience for the inspector. A partial tour of the premises took place. What the service does well: What has improved since the last inspection? What they could do better: The home undertakes regular training for its care workers. However, the home now needs to include National Vocational Training (NVQ) level 2 for 50 of their staff. The resident has requested to stay in more in the evenings, this needs to be reviewed and the outcome added to the care plan. 122 Scorer Street C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 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 C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 122 Scorer Street C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 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 standard(s) The above standards were not inspected. EVIDENCE: 122 Scorer Street C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 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 standard(s) 7 & 9 Individual needs are promoted and documented appropriately. Risk assessments are undertaken are empowering. EVIDENCE: The resident has an individual, detailed care plan. This care plan had been reviewed on a regular basis and reflected the changing needs of the resident and had also been signed and dated by the resident. 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. Risk assessments and reviews had also been signed by the resident agreeing to the risk identified and/or the change in his care plan and how this might affect his daily living. The resident commented that he attends a work placement in the community and is supported in this by carers from the home. 122 Scorer Street C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 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 standard(s) 12 The home offers a busy and varied lifestyle with opportunities to engage in a range of leisure activities and work experiences in the community. EVIDENCE: The homes weekly activity sheet was seen and showed that a one day work placement is undertaken at the Allenby Centre in the printing room. This is planned to change to two days in 2006. A learn direct computer training course is also undertaken by the resident on Tuesday and Wednesday afternoons. Outings are also seen to be undertaken to museums, Doncaster Market and shopping for groceries as part of the planned daily living skills programme. The home also has an allotment, which is tended by the resident with the support of care workers. The resident confirmed that he undertook a wide range of activities, including going for a drink at night with his carers to a local pub. However, he also said that sometimes he would sooner stay in and not go out. 122 Scorer Street C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 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 standard(s) 19 Residents health care needs are met. EVIDENCE: 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. A psychiatrist assessment has also been undertaken and was available on file. In the event of an accident or illness, staff will contact the family immediately. No accidents have been recorded since the last inspection. The resident confirmed that he has a dentist appointment in the near future. 122 Scorer Street C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 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 standard(s) 22 & 23 The home has a robust complaints procedure and adult protection policies and guidance. EVIDENCE: The homes complaints procedures and policies were seen and had been reviewed on the 04/10/05. No complaints have been made since the last inspection. 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. Discussion with staff showed that they had a clear understanding of what adult abuse was and what action they would take if it came to their attention. The homes training file was seen and showed that adult protection training was undertaken on the 16/10/05. The resident expressed the view that ‘the staff are approachable but there are disagreements which are resolved through discussion’. 122 Scorer Street C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 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 standard(s) 30 The home is clean and tidy with a pleasant smell throughout the home. EVIDENCE: 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. The chores chart was seen and identified those daily living skills undertaken by the resident in keeping his room clean and tidy. He is also paid £15.00 a week out of the homes budget as an incentive in continuing his daily living skills tasks. A tour of the home by the inspector found it to be clean and smelt fresh. 122 Scorer Street C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34 & 35 Residents are protected by robust recruitment practices. Staff are trained to carryout their jobs. Staff are aware of their roles in working with residents. EVIDENCE: Recruitment practices were in place and two staff files contained all of the documentation required by law. The home was unaware of 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 would contact the GSCC and obtain the required pack for the information of the home. The homes training plan was seen and found to be up to date. The staff at this home consists of the providers Mr & Mrs O’Brian and a deputy manager and one full time staff. The training record identified the manager and those care workers who had undertaken statutory training in 2004 and 2005. The manager has undertaken the Registered Managers Award and his wife is to start a Certificate in Management course in December 05. All care staff have undertaken the homes induction training as well as The National Training Organisation for Social Care (TOPSS) training induction course and are also undertaking TOPSS foundation training in January 2006. The deputy manager 122 Scorer Street C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 Page 15 has NVQ (National Vocational Qualifications) with the full time worker being enrolled on NVQ training in October 2005. 122 Scorer Street C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 42 Appropriate checks are carried out to ensure the safety of residents. EVIDENCE: There are a range of policies and procedures available in the home relating to fire safety and fire risk assessments. There was also evidence 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’. Certificates were available showing 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 C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 3 Standard No 11 12 13 14 15 16 17 x 2 x x x x x Standard No 31 32 33 34 35 36 Score x 2 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 122 Scorer Street Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 Page 18 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. 1. 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. 3. YA32 122 Scorer Street C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 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 C53-C04 S52443 122ScorerStreet V243366 091105 Stage 4.doc Version 1.40 Page 20 - 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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