Inspection on 23/01/06 for 134 Blurton Road

This inspection was carried out on 23rd January 2006.

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

The inspector 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

134 Blurton Road 23/02/09

134 Blurton Road 29/01/07

134 Blurton Road 14/09/05

134 Blurton Road 01/03/05

134 Blurton Road 09/12/04

134 Blurton Road 20/11/03

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

CARE HOME ADULTS 18-65 134 Blurton Road Blurton Stoke-on-Trent Staffordshire ST3 2DG Lead Inspector Sue Jordan Unannounced Inspection 23rd January 2006 10:00 134 Blurton Road DS0000008254.V280353.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 134 Blurton Road DS0000008254.V280353.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. 134 Blurton Road DS0000008254.V280353.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 134 Blurton Road Address Blurton Stoke-on-Trent Staffordshire ST3 2DG 01782 775050 01782 313508 highcross.house@craegmoor.co.uk 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) Strathmore Care Services Ms Barbara Ann MacBryde Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 134 Blurton Road DS0000008254.V280353.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 14th September 2005 Brief Description of the Service: 134 Blurton Road is a semi-detached property in a residential area of Blurton, Stoke -on -Trent. The home is managed by Craegmoor Healthcare Services. The property is an ordinary house, which is in keeping with other properties in the immediate area and provides the service user group with accommodation based upon the principals of normalisation. The home provides accommodation for up to three service users who have a degree of learning disability, who are striving to live an independent life style. All three of the service users have part time local employment and/or attend the local college. The residents are supported by the staff from Highcross, a larger residential care home just across the road. The accommodation consists of one ground floor and two first floor bedrooms, a bathroom, lounge and kitchen diner. A further bedroom situated on the first floor is used as a staff sleeping in room. 134 Blurton Road DS0000008254.V280353.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second inspection of this service during 2005/2006. It took place over three hours and consisted mainly of checking the requirements carried over. The methodologies used were discussions with the manager, the scrutiny of relevant records and informal consultation with one of the residents. For a complete overview of the service delivered at 134 Blurton Road, this report needs to be read together with the one following the inspection on 14/09/05. What the service does well: What has improved since the last inspection? The Statement of Purpose is now available to the residents and staff. All of the staff have now completed the ‘Safe Handling of Medicines’ distance learning course. The organisation, Craegmoor, has now developed a whistle-blowing procedure, as previously required. 134 Blurton Road DS0000008254.V280353.R01.S.doc Version 5.1 Page 6 A maintenance plan has been developed for 2006. The staff files now contain all of the required elements and are well organised. Each member of staff now has a Criminal Records Bureau disclosure. The manager is now being supervised regularly by her line manager and reports being well supported. Two previous requirements regarding fire safety have been addressed. 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. 134 Blurton Road DS0000008254.V280353.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 134 Blurton Road DS0000008254.V280353.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): 1, 2 The Statement of Purpose is now available to the residents and staff allowing them the opportunity to check that the Home is delivering the services within. EVIDENCE: There have been no new residents and therefore no referrals or the subsequent assessments. Care management reviews vary between the Local Authorities. The manager has contacted Stoke-on-Trent City Council and she confirmed that their social workers have now started to attend annual reviews. At the last inspection in September 2005 The Statement of Purpose was not available and the staff did not appear to be aware of this document. The Statement of Purpose was available at this visit and the manager reported regular review of it. The review date on the document was February 2005. The manager was recommended to include staff and residents in the review in 2006. 134 Blurton Road DS0000008254.V280353.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 9 The care plans continue to reflect the needs of the residents and risks are carefully assessed, ensuring that the staff are aware of how to support them with an emphasis on independence. EVIDENCE: The care plans continue to reflect the needs of the residents and risks are carefully assessed. The manager reported that the care records were reviewed at the end of December 2005, within key worker meetings. Most of the service users are able to access the community independently, using local transport and amenities. One of the residents has recently worked through a programme, which means that he will soon be able to do the same. This was completed in stages, ending in staff shadowing. 134 Blurton Road DS0000008254.V280353.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): 11, 12, 13, 14 The residents continue to be keenly involved in community activities. EVIDENCE: All of the residents have a work placement and attend local colleges. The parents’ group continues with its fundraising and they have recently acquired new computers for the residents. Each resident has a full and energetic activities plan and one of the residents explained her busy and full life-style. Although a number of the activities are accessed with the residents from Highcross, there are individual opportunities for the residents to meet new, non-disabled people, extending their network of friends. 134 Blurton Road DS0000008254.V280353.R01.S.doc Version 5.1 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 the following standard(s): 19, 20 The residents are supported to access medical health services, as required. EVIDENCE: Health needs are closely monitored and that the residents are supported to access the appropriate medical services. All of the staff have now completed the ‘Safe Handling of Medicines’ distance learning course. 134 Blurton Road DS0000008254.V280353.R01.S.doc Version 5.1 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 the following standard(s): 22, 23 The protection of the residents has been enhanced by the introduction of a whistle-blowing procedure. EVIDENCE: There have been no complaints made to The Home or the Commission for Social Care Inspection. The organisation has developed a new complaints procedure and there is a service specific appendix. The manager was recommended to develop accessibility to making a complaint and the possibility of a ‘suggestions box’ was discussed. All of the staff have a Criminal Records Bureau disclosure and training in Protection of Vulnerable Adults was delivered at the beginning of 2005. The organisation has created new training manuals, which include Adult Protection. This is to be delivered to staff in January and February. The organisation, Craegmoor, has now developed a whistle-blowing procedure, as previously required. 134 Blurton Road DS0000008254.V280353.R01.S.doc Version 5.1 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 the following standard(s): 24 The Home provides a comfortable environment for the residents. EVIDENCE: A maintenance plan has been developed for 2006, as previously required. Following consultation one of the residents is moving into another bedroom. 134 Blurton Road DS0000008254.V280353.R01.S.doc Version 5.1 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 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): 31, 33, 34, 35, 36 The consistent staff team are regularly supervised and receive adequate and appropriate training. Well-maintained personnel files, containing the required information, now support this. EVIDENCE: There have been no recent changes to the staff team. The last member of staff recruited commenced in October 2004. Many of the staff have worked at Highcross and therefore support the residents at 134 Blurton Road for many years, which provide the residents with consistency. New job descriptions have been developed, which will be the focus of future supervision and appraisal. The staff files now contain all of the required elements and are well organised. Each member of staff now has a Criminal Records Bureau disclosure. Contained within the staff files seen was evidence of regular staff supervision. However, Craegmoor have produced a new performance management system, which allows for six formal supervision sessions per year and an annual appraisal. The managers have received training as to how to deliver the new system and the staff have been provided with their booklets, which include target setting. The manager reported that appointments have been made to start the new supervision formats at the end of January 2006. The manager is now supervised by her line manager and they too will use the new system. The 134 Blurton Road DS0000008254.V280353.R01.S.doc Version 5.1 Page 15 manager now feels well supported by the organisation, in particular her line manager. Discussions indicate that regular staff meetings are held. Training records are also well maintained and generally mandatory courses are provided appropriately. The organisation, Craegmoor has produced new training manuals, which cover a range of subjects, including Infection Control, Fire, COSHH, Food and Hygiene, Health and Safety, Equal Opportunities and Protection of Vulnerable Adults. The manager and a member of staff are both trained to train manual handling. The manager reported that she intends to deliver the training in January and February 2006. Any gaps in individual staff training requirements should then be covered. This will be checked at the next Commission for Social Care Inspection visit. All of the staff have completed the ‘Safe Handling of Medicines’, distance learning course. The organisation has developed a new induction, however it leans towards care of the elderly and it advised that induction continues to be linked to the Learning Disability Awards Framework. 134 Blurton Road DS0000008254.V280353.R01.S.doc Version 5.1 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 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 residents and staff benefit from robust management systems. These need to be supported by appropriate policies and procedures. EVIDENCE: The manager is now being supervised regularly by her line manager and reports being well supported. Management systems within The Home are robust, including staff supervision and record keeping. The residents are encouraged to be involved in the decision making in The Home. The approach within the Home is of encouraging independence and there is evidence of daily consultation. The majority of the families are actively involved in The Home and facilitate fundraising. The residents and their families are also included in reviews. 134 Blurton Road DS0000008254.V280353.R01.S.doc Version 5.1 Page 17 Where necessary the policies and procedures should relate to care of Adults with a Learning Disability. Two previous requirements regarding fire safety have been addressed. Fire training is provided regularly to the residents and the staff and the advise of the fire department sought with regard to personal furnishings and the need for fire retention properties. It was agreed that following appropriate risk assessment and safety procedures in the Home, ‘normal’ domestic furniture is perfectly adequate and safe. 134 Blurton Road DS0000008254.V280353.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 3 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 X 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 x 3 X 3 3 2 3 x 134 Blurton Road DS0000008254.V280353.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? Yes 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 YA40 Regulation 17, 12 Requirement Policies and procedures must be accessible to staff, which relate to and are specific to the service delivered at the Home. Previous Requirement. Timescale for action 01/04/06 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 YA1 Good Practice Recommendations It is recommended that the residents be involved in reviewing, developing and understanding the Home’s policies, procedures, Statement of Purpose and Service Users’ Guide. It is recommended that the manager extend accessibility to complaint making by the addition of a ‘suggestion’ box It is recommended that staff induction continue to be linked to the Learning Disability Awards Framework. 2 3 YA22 YA35 134 Blurton Road DS0000008254.V280353.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 134 Blurton Road DS0000008254.V280353.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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