Inspection on 27/09/05 for 13-15 Darlington Road

This inspection was carried out on 27th September 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

13-15 Darlington Road 21/02/08

13-15 Darlington Road 30/11/06

13-15 Darlington Road 06/01/06

13-15 Darlington Road 30/11/04

13-15 Darlington Road 11/05/04

Similar services:

Sunny Bank (P.R.S.) Ltd

Ashwood Court Unit 1

Thornton Lodge

Alfred House Residential Care Home

Barkerhouse Road (123)

Fernhaven

Thames House

Creative Support

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

CARE HOME ADULTS 18-65 13/15 Darlington Road Community Restart Team 13/15 Darlington Road Kirkholt Rochdale Lancashire OL11 2LL Lead Inspector Tracey Devine Unannounced Inspection 27th September 2005 11.00a 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 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 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 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. 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 13/15 Darlington Road Address 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) Community Restart Team 13/15 Darlington Road Kirkholt Rochdale Lancashire OL11 2LL 01706 865202 KEVIN.ELLIS@ROCHDALE.GOV.UK Rochdale MBC Kevin Ellis Care Home 3 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (3) of places 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Within the total number of 3 places, there can be up to 3 service users in the category MD. That the service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 30th November 2004 Date of last inspection Brief Description of the Service: The Community Restart team is a local authority service, which provides a range of housing support services to people with enduring mental illness and/or significant mental health problems. Within this housing range, the service offers 3 crisis/emergency/respite beds at 13/15 Darlington Rd, Rochdale for persons suffering with a mental disorder between the ages of 18 years – 65 years. This house is the only registered facility of the service. The house is situated close to the centre of Rochdale and provides 3 single bedrooms, together with lounge/diner, quiet lounge (1st floor), kitchen, and 2 bathrooms. Owing to its layout the house is not suitable for service users who may have difficulty with mobility or who need the use of a wheelchair. Darlington Rd is staffed 24 hours per day. A garden is available to the rear of the property, and parking spaces are provided to the front of the home. 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place on 27TH September 2005 by 1 Inspector. The inspection started at 11.00am and finished at 3.00pm – a period of 4 hours. The home is only a small home and accommodates up tot 3 residents at any one time. At the time of this inspection, there were only 2 residents living at the home, with only 1 present during this inspecton. Time was spent time talking with this resident to see what they thought of the home and the staff, time was also spent talking with the Manager and 1 other member of staff and some records were looked at. The particular areas looked at on this inspection were: how residents are admitted to the home, how their needs are met, what support they receive, if they know how to complaint, the environment and whether it is well maintained and suitable, and how the manager manages the home in terms of leading and communicating with staff. What the service does well: What has improved since the last inspection? What they could do better: The manager needs to make sure that a record of what is discussed at staff meetings is kept, this will demonstrate that the manager keeps staff informed of developments to the service, and listens to their views. 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 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. 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 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 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 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 assessment process in place provides staff with the information they need to satisfactorily meet residents needs. EVIDENCE: Everyone admitted to the home whether as an emergency or planned respite, receives an assessment of their needs prior to admission. A copy of this assessment is forwarded to the home by the care co-ordinator, although if the placement is an emergency one, on occasion this information may arrive at the same time as the person. Staff at the home have in place an assessment form, which is completed by staff at the point of contact with the referrer, usually via the telephone. This allows staff to determine if the placement is a suitable one and a decision is made by staff as to whether they can accept the person. The assessment form completed by staff covers the nature of the illness, presenting problems, physical health, medication, social/emotional support available from family, and any risk factors are identified. The resident in the home at the time of this visit confirmed he had had his needs assessed prior to the placement, and this assessment was evidenced on his file. 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 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, 9 Care plans identify the needs of the resident and how staff are to meet them. This ensures that a consistent approach is adopted ensuring that the staff group collectively meet residents needs. Residents are supported in making decisions about their life, and links with the community are good, enriching residents and equipping residents with daily living skills. EVIDENCE: 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 Page 10 Each resident has a plan of care drawn up with them on their admission, or shortly afterwards. The timing of drawing together a care plan with resident involvement can vary depending on the mental health of the resident. The care plan identified aims, goals, plan of action and evaluation. A number of care plans were looked at and generally (with the exception of 1) were of a good standard, and contained relevant information including the progress of the resident. The Manager had already addressed the issue of the care plan which had been poorly completed. One resident spoken with had little awareness of his care plan or how it have been drawn up, this was later discussed with the Manager, and it was identified that the normal process had been gone through. The Manager agreed to speak with the resident, and reacquaint him with the contents of his care plan and his progress. Risk assessments are undertaken and are held with the care plan. Identified risks include a plan of how to manage the risk. This element is also included formally with the care plan. Link workers are assigned to each resident and in the main they have responsibility for ensuring that the care plan is regularly reviewed, and for maintaining contact with the care co-ordinator. Residents are encouraged to regain and retain control of their lives and this involves making decisions for themselves with the support as necessary from staff. Areas to be worked on are identified in the Plan of Care. Residents are encouraged to make links with the local community and participate in local independent advocacy/self advocacy groups such as Making Space, Tenant Representatives, and MIND. 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 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): EVIDENCE: None of the key standards were assessed on this occasion. looked at on the next inspection. They will be 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 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, 19, 20 Residents are encouraged and supported to maintain their independence in all aspects of their physical and mental well being. The health needs of residents are well met with evidence of good multi disciplinary working taking place. EVIDENCE: Residents admitted to the home generally are physically able to take care of their own personal care, although staff may prompt and encourage service users in the promotion and maintenance of personal hygiene. In the main residents generally remain in contact with their normal GP. Should a GP not wish to remain involved in their care whilst they are at the home, arrangements would be made for service users to join a local GP practice. Other mental health professionals remain involved in a residents well being whilst they are at the home, and there was evidence of this. A medication policy/procedure is in place, which makes reference to selfmedication. Residents are encouraged through a risk management framework to self medicate and lockable space is provided in bedrooms to ensure safe storage of medication. 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 Page 13 The storage facilities in place and recording systems in place for controlled drugs were satisfactory. All staff involved in administering medication have received appropriate training in medication. 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 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): 22, 23 The home has good systems in place for ensuring that all residents are provided with the knowledge (and if necessary the support) to make a complaint, this ensures that residents are listened to and their complaints acted upon. In the main, the arrangements in place for the Protection of Vulnerable adults ensure that residents are protected from possible risk of harm or abuse. EVIDENCE: The home has numerous complaint procedures in place and on display. The main one is issued by Rochdale Council and clearly identifies how a person may make a complaint. This leaflet is also produced in urdu and Bengali. In addition the home displays information on how to access the complaints procedure in relation to services provided by the local Primary Care Trust, and also offers access to an advocacy service should they wish for support. The resident spoken with said he “had no complaints to make”, and was aware of the various posters around the home which gave information on how to complain. The home works to the Interagency Guidelines on the Protection of Vulnerable Adults, and a copy of the documentation is held in the office and clearly accessible to all staff. The Manager has displayed on the wall in the office, a flowchart of the procedure to be followed. 3 staff have undertaken training on Adult abuse, and a number of training sessions are due to be held which will encompass all staff on the Protection of Vulnerable Adults. 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 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, 25, 26, 27, 28, 29, 30 The standard of the accommodation is good, providing residents with an attractive and homely place to live, with systems in place for respecting privacy and dignity. EVIDENCE: The premises are two semi detached houses converted into one dwelling. Residents accommodation consists of 3 single bedrooms, 2 bathrooms (one shared with staff), lounge/dining area, a quiet lounge (1st floor) which may also be used as a prayer room, and kitchen including washing machine. Other parts of the house provide office facilities and sleeping in room for staff. The house is pleasantly decorated and furnished to a reasonable standard. It is homely in design, and has a comfortable feel to it. Locks are provided to all bathroom and bedroom doors ensuring privacy for residents and staff. Residents may bring items of a personal nature with them for their bedrooms, and this generally varies on the nature of the placement – a resident staying on planned respite will generally bring some of their possessions for the duration of their stay, a person admitted in crisis is less likely to bring their possessions. 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 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): EVIDENCE: None of the key standards were assessed on this occasion. They will be inspected at the next inspection. 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 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): 37, 38, 39 The manager is supported well by the senior staff in providing a clear leadership throughout the home with all staff. The systems for resident consultation are good with a variety of evidence that indicates that residents views are both sought and acted upon. EVIDENCE: The Registered Manager has been managing the home now for several years, and has systems in place for the effective supervision of staff, and the staffing of the home. Staff spoken with were confident in their abilities to manage the home in the absence of the manager, and in making decisions about the support to be provided to residents. Staff meetings take place regularly, this was supported by discussion with staff, although the minutes of the meetings were not up to date. Residents are asked their views on the home and the service provided, through different forums. Questionnaires, tenant forums, use of independent 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 Page 18 advocacy. The resident spoken with said he felt able to speak to staff, and would air his views on the service if asked. 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 Page 19 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 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 13/15 Darlington Road Score 3 3 3 X Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X X X DS0000034553.V251672.R01.S.doc Version 5.0 Page 20 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 YA38 Good Practice Recommendations Staff meetings should be minuted, and a copy kept available for inspection. 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 13/15 Darlington Road DS0000034553.V251672.R01.S.doc Version 5.0 Page 22 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!