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Inspection on 06/01/06 for 13-15 Darlington Road

Also see our care home review for 13-15 Darlington Road for more information

This inspection was carried out on 6th 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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

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 home continues to offer a flexible and supportive service to people with enduring mental health problems. Darlington Rd is well managed and has a consistent, experienced staff team. The home is small and homely in design, and staff have a clear view in how to support and enable service users. Systems are in place for asking service users what they think of the home, and all comments are taken seriously.

What has improved since the last inspection?

The Inspector asked that staff meetings were minuted. Minutes of staff meetings are necessary as they demonstrate the communication between staff and management, and shows what type of things are discussed and if matters are resolved. New working practice and forthcoming training is also discussed at staff meetings. The inspector evidenced minutes of a recent staff meeting held since the September inspection.

What the care home could do better:

The management need to make sure that records supporting the servicing of equipment in the home are in a location known to all staff. Information on staff training must be sent to the Commission so that the Commission can be sure that staff who work at the home do receive training relevant to their role. The home should have staff meetings 6 times per year. This means that staff keep up to date with any matters affecting the home, and have the opportunity to discuss matters with management in a formal setting.

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 6th January 2006 10:30 13/15 Darlington Road DS0000034553.V274687.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 13/15 Darlington Road DS0000034553.V274687.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. 13/15 Darlington Road DS0000034553.V274687.R01.S.doc Version 5.1 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.V274687.R01.S.doc Version 5.1 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. 27th September 2005 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.V274687.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place on 6th January 2006 by 1 Inspector. The inspection started at 10.30am and finished at 11.45 – a period of 1.25 hours. The inspector arrived at the home without informing them of the visit – this is called an unannounced inspection. At the time of the this inspection, the home was not accommodating any service users, and had not done so for some weeks. As such there was only one member of staff was on duty. This is the second inspection the home has had this year (April 05 – March 06). On this occasion, the inspector looked at the (key) standards, which were not looked at on the first inspection. The home currently does not have a registered manager in place, with the previous one having resigned his position in December 2005. Whilst the Commission has agreed to the interim management arrangements in place whilst recruitment to this position is undertaken, the Registered Provider needs to make sure that an application for registration of a new manager is made within 6 months of the registered manager having resigned his position. This is considered a reasonable amount of time for successful recruitment to this position. What the service does well: What has improved since the last inspection? The Inspector asked that staff meetings were minuted. Minutes of staff meetings are necessary as they demonstrate the communication between staff and management, and shows what type of things are discussed and if matters are resolved. New working practice and forthcoming training is also discussed at staff meetings. The inspector evidenced minutes of a recent staff meeting held since the September inspection. 13/15 Darlington Road DS0000034553.V274687.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 13/15 Darlington Road DS0000034553.V274687.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 13/15 Darlington Road DS0000034553.V274687.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): EVIDENCE: The key standard in this section was assessed on the inspection of 26th September 2005. Please refer to the report of 26th September 2005 for details. 13/15 Darlington Road DS0000034553.V274687.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): EVIDENCE: The key standards in this section was assessed on the inspection of 26th September 2005. Please refer to the report of 26th September 2005 for details. 13/15 Darlington Road DS0000034553.V274687.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, 15, 16 ,17 The home supports service users in their lifestyles as determined by their mental and physical well being. EVIDENCE: Service users are encouraged to retain links with their families, life in the community, interests and hobbies whilst they stay at Darlington Rd. Any particular interests or activities which are identified as part of the care plan as needing staff involvement are supported. Generally, participation in any aspect of lifestyle is very much dependent on the service user’s mental and physical well being whilst they live at Darlington Road. Families and friends are encouraged to visit their relative, and positive relationships are promoted. All service users and visitors to the home are asked to respect the rights of other people living at the home. Service users are encouraged to retain cooking and budgeting skills and staff provide support in this area as identified through the care plan. Service users 13/15 Darlington Road DS0000034553.V274687.R01.S.doc Version 5.1 Page 11 determine their own diet, and control their own budget. Emergency food supplies are available for anyone admitted to the home in an emergency. 13/15 Darlington Road DS0000034553.V274687.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): EVIDENCE: The key standards in this section was assessed on the inspection of 26th September 2005. Please refer to the report of 26th September 2005 for details. 13/15 Darlington Road DS0000034553.V274687.R01.S.doc Version 5.1 Page 13 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): EVIDENCE: The key standards in this section was assessed on the inspection of 26th September 2005. Please refer to the report of 26th September 2005 for details. 13/15 Darlington Road DS0000034553.V274687.R01.S.doc Version 5.1 Page 14 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): EVIDENCE: The key standards in this section was assessed on the inspection of 26th September 2005. Please refer to the report of 26th September 2005 for details. 13/15 Darlington Road DS0000034553.V274687.R01.S.doc Version 5.1 Page 15 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): Staff are suitably experienced (and generally known to service users) ensuring that they have a good understanding of the needs of the service users. Staff are vetted prior to commencing at the home which protects service users from possible risk or harm. EVIDENCE: Staff who work at Darlington Rd are experienced support workers within mental health. Most people usually commence work at the home having had some previous experience of working in the mental health field either through the NHS, supported living, hostel work, charity work etc. As well as working at Darlington Rd, it is common for staff to move around all aspects of the Community Restart team and work in the other projects operated by the team. This allows staff to build up their skills in all areas, and acquaints them with service users who live in the other projects but who may from time to time access the Darlington Rd facility. Darlington Rd is staffed 24/7 by a minimum of 1 support worker. Depending on the number of service users in the facility, and their needs, the number of staff on duty can vary. 1 person is on waking night duty with a support worker on “sleeping in” duty as well. 13/15 Darlington Road DS0000034553.V274687.R01.S.doc Version 5.1 Page 16 Staff meetings are held, although minutes did not evidence these taking place 6 times in a year. Staff are recruited in line with Rochdale Council’s fair recruitment and selection policy. A minimum of 2 references and a CRB check are undertaken and in place prior to anyone starting at the home. Unfortunately, the staff member present during this inspection did not have access to staff training records. As such the inspector is unable to comment on the training provided to the staff team. The service manager must send a breakdown of the staff team who work at Darlington Rd to the Commission which demonstrates the training (dates) each staff member has undertaken. 13/15 Darlington Road DS0000034553.V274687.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): 37, 39, 42 The systems in place for consulting service users are good, with evidence that service users views are listened to and acted upon. EVIDENCE: The registered manager resigned his position and left the home in December 2005. Arrangements are in place for the management of the home whilst a new registered manager is recruited. The systems in place for running the home effectively are being maintained. The forums for service users to voice their views about the Community Restart Service, and the Darlington Rd facility continue to exist through workshops with MIND, use of advocacy service, reviews etc. The home was clean, and hazard free on the day of this inspection. Servicing records confirming annual service dates for gas, and electrical equipment could not be found. Such servicing has always been undertaken in the past, and although the information could not be found, this is not to presume it has not 13/15 Darlington Road DS0000034553.V274687.R01.S.doc Version 5.1 Page 18 been done. The Service Manager needs to confirm the dates of the gas and electrical appliance servicing with the Commission. 13/15 Darlington Road DS0000034553.V274687.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 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 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X 3 X 3 X X 2 X 13/15 Darlington Road DS0000034553.V274687.R01.S.doc Version 5.1 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. 1 Standard YA35 Regulation 18 Requirement Timescale for action 31/01/06 2 YA42 13 A record of the training undertaken by each staff member employed at Darlington Rd must be supplied to the CSCI. A record of the dates of the 31/01/06 servicing of the gas appliances and the electrical appliances must be supplied to the CSCI. 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 held at a minimum 6 times per year. 13/15 Darlington Road DS0000034553.V274687.R01.S.doc Version 5.1 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.V274687.R01.S.doc Version 5.1 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. 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