Inspection on 12/01/07 for 127 Longdon Road

This inspection was carried out on 12th January 2007.

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

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 15 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

127 Longdon Road 22/10/07

127 Longdon Road 02/03/06

127 Longdon Road 12/01/06

127 Longdon Road 09/03/05

127 Longdon Road 11/08/04

127 Longdon Road 10/03/04

127 Longdon Road 17/10/72

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 127 Longdon Road 127 Longdon Road Knowle Solihull West Midlands B93 9HY Lead Inspector Julie Preston Announced Inspection 12 January 2007 10:00 th 127 Longdon Road DS0000004533.V306639.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 127 Longdon Road DS0000004533.V306639.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. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 127 Longdon Road Address 127 Longdon Road Knowle Solihull West Midlands B93 9HY 01564 775979 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) Sunny Mount (Knowle) Limited Anthony Parker Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 2nd March 2006 Brief Description of the Service: 127 Longdon Rd is a 5 bedroom, semi-detached house owned by the Sunny Mount (Knowle) Limited. The home is situated approximately ¾ mile from the centre of Knowle. The house is domestic in scale but has been extended and adapted to meet the needs of the residents. Accommodation and support is currently provided for 4 people with learning disabilities. All the people living there have their own single bedrooms and there is a room for one member of staff, providing sleepin night time cover. Downstairs there is an open plan lounge / dining area and additional dining facilities in a fairly spacious kitchen. One service user’s accommodation is also situated on the ground floor level. There is a ramp to facilitate access to the front of the house. However, the house is not adapted to the needs of people who use a wheelchair. With the exception of one individual’s accommodation, people living in this house need to be able to manage stairs. There is a private garden situated to the rear of the property. Information is shared with service users within monthly house meetings and some policies have been adapted to make them easier for service users to understand. The fees charged to service users range from £397.28 to £428.40 per week, of which contributions are made according to individuals benefit entitlement. Additional charges are made for transport, toiletries and hairdressing, which service users pay for from their personal allowances. Sunny Mount (Knowle) Limited provide each service user with £100 per annum to be spent on clothing and £150 per annum towards the cost of a holiday. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This fieldwork was announced and took place over one day and was the home’s first key inspection for the year 2006 to 2007. The visit was announced as there are no staff on duty during the day because service users go out to centres and work. The inspector wanted to make sure that staff and service users were at home so she could talk to them. The registered manager and House Leader were present at this visit and answered questions about the running and management of the home. The inspector looked round the home and talked to service users about what it is like to live there. Records that explain how to care for service users, help them stay safe and healthy were looked at. The way medicines are stored and given to service users was examined. There were no immediate requirements as a result of this visit. What the service does well: What has improved since the last inspection? Staff have developed a way of finding out the needs of new service users before they move into the home. This also helps the service user be sure that their needs can be met. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 6 Care plans and risk assessments have been reviewed and are more detailed so that staff understand how to meet service users needs and help them stay safe. Service users have keys to lock their bedrooms and keep their belongings safe and private. Service users buy their own toiletries (before these were bought by the staff). This gives service users more choice. Staff have had training to understand how to protect service users from harm from each other. 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. 127 Longdon Road DS0000004533.V306639.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 127 Longdon Road DS0000004533.V306639.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 5 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Prospective service users do not have accurate information to enable them to make an informed choice about whether to live in the home. EVIDENCE: The service users living in the home have done so for over twelve months and there have been no new admissions within this period. The home has developed a procedure for assessing the needs of prospective service users referred to the home, which encourages trial visits and overnight stays so that the individual has a range of opportunities to decide whether they want to live there. There was a statement of purpose available, which needed slight updating to accurately reflect the number, qualifications and experience of staff working there so that any prospective service users have accurate information about the home. The home has not produced a service user guide to enable prospective service users to have access to information which describes the services and facilities provided in a format that meets their communication needs so that they can make an informed choice about whether to live in the home. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 9 Two service users records were sampled. Both included a contract with the service provider. One contract had not been reviewed since 2005 and referred to the service users placement at a previous address. Action needs to be taken to make sure service users have accurate information about their stay in the home. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 10 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 in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There is a good system in place for care planning and risk assessment that involves consultation with service users to enable individual needs to be met and independence promoted. The management of service users finances could place individuals at risk of financial harm. EVIDENCE: Two care plans were sampled at this visit. Both described service users assessed needs and had been recently reviewed to reflect changes in individual’s needs so that staff had clear information about how to provide support to service users. It was evident that service users had been consulted about the content of their care plans. In one case, a service user had decided not to pursue aromatherapy sessions, which had been listened to and respected by the staff team. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 11 Care plans were noted to be linked to individual risk assessments, which identified controls in place to minimise known hazards and promote service users independence, such as travelling independently. Staff were able to clearly describe the support they give to service users which was consistent with the care plans and risk assessments sampled. Regular monthly house meetings are held. Service users described some of the issues that had been discussed at the meetings such as planning activities, holidays and redecoration of the home. One service user said, “We got brochures to see where we wanted to go and chose where we all wanted to go”. From observation of care practice and from the comments received by service users during this visit it was clear that they have many opportunities to contribute to the running of the home and use their skills to do so. Service users said “I lay the tables for tea, it’s my job, I like it”, “I make my sandwiches for work every day”, “My bedroom needs redecorating, I’ve told the staff and its getting done”. All service users at Longdon Road need support to manage their finances. Two sets of records were sampled at this visit. Several issues of concern were raised as a result. The registered providers invoice service users each quarter for expenditure on transport, day care facilities and chiropody. The last record was dated June 2006, which meant that service users had not made payments for over six months and would be facing a large bill. Records that showed service users contribution towards taxi fares did not evidence who had made each journey and all contributions were for the same amount. Upon examination of one quarter’s records it was possible that service users had been overcharged by £21.29 for the period. A letter was sent to the registered manager after this visit requiring that these matters be addressed and the risk of service users being placed in a position of financial harm investigated. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 12 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 in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are consulted about their lifestyles and their independence in the home and community is promoted. EVIDENCE: Service users attend local day centres and work placements during weekdays and made positive comments about their experiences there, saying, “I like doing flower arranging and karaoke”, “I like the staff and I see friends”. Care plans sampled showed that service users leisure and social interests had been considered as part of the planning process. Service users commented that they discuss activities in house meetings and have opportunities to go out with staff to do things they enjoy. From discussion with service users and staff it was evident that individuals are supported to keep in touch with their friends and relatives; visiting family members overseas and in the UK. Some service users attend evening social clubs to meet up with their friends and pursue their leisure interests. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 13 Service users have keys to their bedroom doors, to enable them to keep their rooms private and secure. Staff at the home promote service users independence by encouraging the development of life skills according to individuals’ strengths and needs. As a result, service users have opportunities to take part in cooking, shopping, domestic tasks, such as cleaning and gardening. Menus sampled showed that a range of food is offered consisting of fresh produce and service users “favourites” such as cooked Sunday breakfasts. Food supplies were observed to be plentiful and all service users commented that they had a choice of meal and were involved in menu planning and food shopping. No service users require specific diets, although staff have explored providing appropriate meals where individuals cultural heritage could indicate that this may be in keeping with the person’s needs. Since the last visit, staff have begun to record food consumed by service users to demonstrate that a nutritious and varied menu is offered for their health and well being to be maintained. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 14 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 in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. There are satisfactory systems in place to meet service users personal and healthcare needs. Medicines management needs to improve so that service users receive their medication in a planned and safe manner. EVIDENCE: Staff described service users as having good skills to manage their personal care, which was reflected in the care plans sampled. The assistance needed for each person had been clearly recorded within the plan and reviewed on a regular basis to ensure the information was accurate and consistent with the individual’s needs. Service users now have opportunities to go out and buy their own toiletries, as at the last visit it was noted that these items had been bought in bulk, therefore restricting individual choice. Daily records sampled described service users choosing the time they go to bed at night; this was further confirmed after speaking to service users when 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 15 they returned from their daytime activities. One service user said that he often listened to music on his headphones late at night and that no one had a problem with this. The health care records sampled showed that service users had visited the GP, dentist, and psychologist and received chiropody at home as necessary. The contact had been documented so that staff were aware both of the reason for the appointment and the outcome. Staff had clearly made referrals to healthcare professionals where service user’s physical or emotional needs were assessed to have changed. Records showed that staff had taken appropriate action to safeguard service users health. There are no service users that administer their own medication. This is done by staff, some of whom have received training from the pharmacist to do so safely. The home provides satisfactory secure storage for service users medicines. Windridges, the pharmacy, supply the medication to the home using the monitored dosage system in blister packs. The Medication Administration records (MAR) cross-referenced with the blister packs indicating that medication had been given as prescribed. Some PRN (as required medicines) are prescribed. Written protocols had not been developed to describe the circumstances under which such medicines should be offered so that service users receive their medication in a planned and safe way. This is required for the protection of service users. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 16 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 in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There are procedures in place for service users to make complaints if they have any. There are systems in place to protect service users from harm and abuse. EVIDENCE: No complaints have been received about the home in the last twelve months. Service users are aware of their right to raise concerns and know whom to approach if they wish to do so. One person said, “I’d speak to X (staff), I always do if I get fed up”. Service users have access to information about the procedure for making complaints. This was observed to be presented by use of plain language and photographs, which service users said they could understand. From sampling monthly house meeting records, it was evident that concerns and complaints are on the agenda at each meeting. The home uses the joint guidance issued by Solihull Primary Care Trust and Solihull Adult Social Services Department. As the two organisations have now merged to form the Solihull Care Trust, staff believed it was likely that a new policy would be issued, however in the meantime they would continue working with the 2005 guidance. The registered manager had developed a flow-chart that showed how staff should respond to incidents of alleged or suspected abuse. Staff were able to 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 17 describe circumstances under which they had made referrals to protect service users, which were consistent with the guidance issued within the adult protection policy. Records were seen to confirm that this had taken place and that guidelines had been issued by psychology services, which had been implemented in the home for the protection of service users. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 18 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 in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a pleasant and comfortable home, which meets their needs and promotes their independence. EVIDENCE: 127 Longdon Road is situated in a residential area of Knowle, close to local amenities such as shops, places of worship, leisure facilities and public transport links. One service user said, “It’s good that I can get a bus from here and walk to the shops”. The home is domestic in style and looks no different to others in the road. There are four bedrooms, one of which is on the ground floor with a private toilet and shower. The first floor has a communal bathroom, which is shared by three service users and is appropriate to their needs. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 19 There is a ramp and fitted handrails at the front of the home, otherwise there are no adaptations to the premises, which makes it unsuitable for people with mobility difficulties. Bedrooms and hallways are currently being redecorated; service users commented that they had taken part in some of the work themselves, which they had enjoyed. One service user said that he told staff he wanted to change the layout of furniture in his bedroom, which they had helped him to do. The communal areas include a lounge/dining room with sufficient space for service users to relax and have meals. There is a large kitchen that leads to a laundry room. At the last visit requirements were made that a risk assessment be completed with regard to carrying soiled linen through the kitchen to avoid unnecessary risks to service users health. This had been done. The home was clean and warm on the date of this visit, creating a pleasant environment for service users to live in. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 20 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, 34, 35, 36 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Service users are supported by a caring team of established staff who have good understanding of their individual needs. It is not evident that all staff have received training and supervision to enable service users needs to be consistently met. The home operates a robust system of recruiting staff for the protection of service users. EVIDENCE: The staff team at Longdon Road is small and staff work alone overnight. Concerns were raised at the last visit that service users’ opportunities to go out during evenings and weekends were restricted due to low numbers of staff available to help them. This had been somewhat resolved, as a new member of staff had been appointed to replace a full time member who had left the home. However, it remains that during weeknights, between 4pm and 7am the following day one member of staff is responsible for working with all four service users. This level of support does not demonstrate that service users have ample opportunities to take part in evening activities that are reflective of their age and leisure interests. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 21 It was positive to note that staff have developed a lone worker policy to reduce the risk of service users health and safety being compromised during times when one member of staff is on duty. A service user explained that he was learning to use the telephone to contact the “on call” worker or emergency services in the event that there was a problem overnight in the home. The inspector queried whether the service user felt this was too much responsibility and was told it was not and that he’d never had to use the phone in an emergency before. From observation of the interaction between staff and service users, it was apparent that good relationships had been made. Upon arrival home from their day placements all service users sought out the member of staff on duty to talk about their day and have a cup of tea. One service user said, “We always do this”. Service users said of the staff team, “Lovely ladies” and “The best”. The two members of staff present at this visit demonstrated detailed knowledge of service users needs and clearly know them well. Two staff files were examined. Both contained evidence that satisfactory checks had been made of the person’s suitability to work within the home prior to their appointment for the ongoing protection of service users. Staff training records identified that some training is outstanding, in Basic Food Hygiene, Adult Protection and Fire Safety Awareness. This training must be provided to all staff so that service users health and well being is promoted and maintained. Staff receive formal supervision from the House Leader. The records sampled did not evidence that regular contact took place to enable the person’s performance to be monitored and their training needs identified. This was particularly noticeable for the House Leader who had not received formal, recorded supervision from the registered manager since February 2006. Considerable improvement needs to take place so that service users benefit from a well supervised and trained team of staff. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 22 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, 41, 42 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Management of the home is improving, although there are some elements of health and safety practice that do not always fully protect the well being of service users. EVIDENCE: The registered manager is not based at Longdon Road; however there is a full time House Leader who manages the day-to-day running of the home. The House Leader has completed her NVQ 3, Assessors Award and a Certificate in Supervisory Development. It was clear from discussion with service users and staff that the House Leader demonstrates effective managerial skills and is approachable and knowledgeable about her role. There is no system of quality assurance in place to ensure that service users views are sought to measure the success of the home in meeting its stated aims and objectives. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 23 This is an outstanding requirement from the last inspection and the home must consider how to implement quality assurance in a way that is reflective of service users needs. The House Leader confirmed that a representative from the registered provider makes regular, unannounced visits to the home to comment on the standard of care provided and makes a report of each visit. Unfortunately, the reports were not available for inspection as they were stored at Sunny Mount (another registered care home within the Sunny Mount (Knowle) Limited group). It was noted that other records relating to 127 Longdon Road were stored at Sunny Mount, including the gas and electrical safety maintenance certificates. It is recommended that these records be retained at Longdon Road so that they are available for inspection. The fire risk assessment, reported to be kept at Sunny Mount and not available for examination at this visit must be retained at Longdon Road so that staff have access to information about the promotion of service users safety. Records relating to service users care were generally well organised and accurate, with one exception. Daily records sampled described a service user as “playing up” and “having a tantrum”. This is not respectful to the person and is a value judgement with no factual accuracy and therefore unhelpful. Health and safety records were examined which showed that the fire alarm system had been tested and serviced on a regular basis to make sure that it is working. The home conducts six monthly fire drills so that service users and staff have an opportunity to practice evacuation in the event of an emergency. According to the records sampled, portable electrical appliances had not been tested for safety since October 2005. The registered manager commented that he would arrange testing after this visit. Staff were able to describe some of the things they do to promote service users health and well being such as testing hot water to make sure there is no risk of scalding accidents. Records were seen to confirm this. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 X 4 X 5 2 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 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 1 3 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 2 X 2 2 X 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 25 YES 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 YA1 Regulation 4 Schedule 1 Requirement The statement of purpose must be updated to accurately reflect the number, qualifications and experience of staff working in the home. The home must produce a service user guide and give a copy to each service user. The information must be presented in a way that is accessible to service users. Each service user must have an up to date contract that explains the terms and conditions of living in the home. The registered manager must investigate each service user’s expenditure on taxi fares for the period 1/4/06-30/6/06 and make reimbursements according to the DS0000004533.V306639.R01.S.doc Timescale for action 01/03/07 2 YA1 5 01/03/07 3 YA5 5(1)(c) 01/03/07 4 YA7 13(6) 25/01/07 127 Longdon Road Version 5.2 Page 26 5 YA7 13(6) 6 YA7 17(2) Schedule 4(8) 7 YA20 13(2) 8 YA33 18(1)(a) 12(1)(a,b) outcome of the investigation. There must be a robust system of recording service users income and expenditure that enables the reader to determine when and where money has been spent. Invoices for payment of extra fees must clearly explain the nature of each item for payment and must be submitted to service users without unreasonable delay. Written protocols must be developed and implemented for service users taking PRN medicines in accordance with guidance issued from the GP. The registered manager must review staffing levels within the home to ensure that service users needs are met at all times. Unmet from last inspection on 2/3/06. 20/02/07 20/02/07 20/02/07 01/03/07 9 YA35 13(6)18(1)(a,c)(i) Staff must receive training in adult protection. Unmet from last inspection on 2/3/06. 01/03/07 10 YA35 18(1)(a,c)(i) Staff must receive training in Basic Food Hygiene and Fire Safety Awareness. DS0000004533.V306639.R01.S.doc 01/03/07 127 Longdon Road Version 5.2 Page 27 11 YA36 18(2) 12 YA39 24(1-3) There must be arrangements in place to provide formal supervision to all staff at least six times a year. The registered provider must establish a system for the review of the quality of care provided at the home. Unmet from last inspection on 2/3/06. 20/02/07 01/03/07 13 YA41 12(4)(a) 14 YA42 23(4) 15 YA42 13(4)(c) 23(2)(c) Records that relate to service users care must be factually accurate and respectfully written. A fire risk assessment must be developed and implemented to ensure that fire safety precautions, escape routes and the procedure for response to the fire alarm sounding are clearly documented. The assessment must include the arrangements to move individual service users. Staff must have access to this information. Portable electrical appliances must be tested for safety at least once a year. 12/01/07 20/02/07 20/02/07 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 28 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 YA41 Good Practice Recommendations The registered manager should consider storing records that relate to maintenance of equipment and reports from the registered provider, at the home and not at Sunny Mount. 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 29 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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 127 Longdon Road DS0000004533.V306639.R01.S.doc Version 5.2 Page 30 - 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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