Inspection on 10/03/06 for 13a Green Lane

This inspection was carried out on 10th March 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

13a Green Lane 04/12/06

13a Green Lane 15/08/05

13a Green Lane 14/10/04

13a Green Lane 24/04/04

13a Green Lane 29/06/03

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 13a Green Lane 13A Green Lane Leigh Wigan Greater Manchester WN7 2TL Lead Inspector Jeanette Ashcroft Unannounced Inspection 10 March 2006 15:00 th 13a Green Lane DS0000035964.V266861.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 13a Green Lane DS0000035964.V266861.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. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 13a Green Lane Address 13A Green Lane Leigh Wigan Greater Manchester WN7 2TL 01942 673511 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) Wigan Council Social Services Department Jennifer Ann Mills Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The home is registered for a maximum of 5 service users to include:up to 5 service users in the category of LD (Learning Disability) The service should at all times employ a suitably qualified and experienced manager who is registered with the CSCI The Registered Manager must spend a proportion of their working hours each week on site to have a clear present in the home, to oversee the running of the home, and supervision of care staff on the premises, to include weekends and times when the service users are presence in the home. This must be reflected on records maintained in the premises. Staffing levels are to be calculated in accordance with the Residential Forum Staffing Guidance (Older People and Younger Adults) by 1 April 2004. 15th August 2005 4. Date of last inspection Brief Description of the Service: 13a Green Lane is a Local Authority care home, providing a short term break service for five people, over the age of eighteen, who have a learning disability. The home is situated in Leigh close to local shops and amenities. The home is set back from the road and is reached via a long driveway, there is parking to the front of the home and gardens to the side and rear. There are five bedrooms, a kitchen, lounge, lounge/dining room, shower room and two bathrooms with toilet facilities. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place between 3.00pm and 6.00pm. At the time of the visit two support workers were on duty and they were present throughout. The Registered Manager was on annual leave. Managerial support was available from another service in the vicinity. At the time of the visit there were four people using the service, one of whom has lived there for over two years. The other people were staying at the home for a few days to a week. They had all used the service before. During the visit the inspector met the people who were staying at Green Lane and was able to talk to them and the support workers for a few hours. The inspector examined some records and documentation and observed practices and interactions between staff and service users at the home. What the service does well: All service users and their family carers are able to visit the service before deciding to use it. There is a good assessment and planning process that helps to ensure that service users know that the service can meet their needs. Service users are given an individual written contract detailing the terms and conditions of the service. This is available in an accessible and user-friendly format using easy words and pictures. Information about the service’s policies and procedures is also available in user-friendly formats. Service users and representatives are kept informed of developments in the service and are consulted about matters affecting them. Regular service user’s meetings take place. Notes from the meetings indicated that discussions are held about a range of issues including menus, activities, décor, complaints procedures and access to personal information. Information about service users is kept in the home in a locked cupboard. Support workers appear to understand the importance of confidentiality. Service users are able to take part in a range of activities, including leisure activities whilst staying at the home. Activities are planned around the preferences of the people who are staying at the home. The service does not have a set routine. It is flexible enough to meet the differing needs and preferences of the people who stay there. People are supported to continue with the regular daily activities that they are involved in when not using the respite service. Service users are supported to maintain relationships with their family and friends whilst staying at the home. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 6 The service has policies and procedures to ensure that medication is managed and stored safely. The service is able to provide care for people who are ill with the support and involvement of relevant health care services. There is a clear complaints procedure that is provided to all service users and their representatives. People can be confident that their views are listened to and acted upon. All service users have their own bedrooms. Some of the bedrooms have specialist moving and handling equipment. There are two bathrooms and toilets, providing a suitable degree of privacy for service users. There is a good range of specialist equipment for people with specific physical disabilities. The Inspector observed relationships between staff and service users during the inspection visit. These were seen to be respectful, open and natural. Support workers treated people as individuals and communicated well with everyone. Support workers said that they had received a range of training whilst working at the service. What has improved since the last inspection? 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 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 7 contacting your local CSCI office. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 8 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 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 9 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): 3, 5 The assessment process and the opportunities for trial visits help to ensure that service users and their representatives know that the service can meet their needs. Service users and their representatives are given an individual written contract detailing the terms and conditions of the service. EVIDENCE: The Terms and Conditions document is presented in a user-friendly format using easy words, pictures and colour. It sets out clearly what people can expect from the service. Every service user and their representative are given their own copy of this. This is good practice. Care plans and individual risk assessments are available for every person that uses the respite care service. These indicated that service users and their representatives are involved in planning their support and care. Plans are reviewed each time a person visits the service to incorporate any changes to their needs and support preferences. Regular contact is maintained between the service and relatives/representatives during a respite visit. Care plans demonstrated that specialist services are involved in assessing and planning to meet people’s needs. They are available to provide support staff with training and ongoing advice. For example, some people require PEG 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 10 feeding and specific moving and handling techniques. It is evident that the support workers have received sufficient training and support to enable them to undertake these tasks confidently. At the time of the inspection visit, the people using the service had a very diverse range of needs and support preferences. The support workers were able to adapt their communication style and general approach to reflect this and to ensure that people were viewed as individuals. One service user has lived at the home for over two years. This is not appropriate given that the service is designed to be a respite facility and not a permanent home. It is evident that attention has been given to finding more suitable accommodation for this person. A number of introductory visits have been made to a new home and it is likely that the person will be moving there in the near future. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 11 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): 8, 10 Service users are given the opportunity to participate in the day-to-day running of the service during their short stay visits. Information held about service users is kept secure and handled appropriately. EVIDENCE: Information about the service’s policies and procedures is available in userfriendly formats. This is good practice. Service users and representatives are kept informed of developments in the service and are consulted about matters affecting them. Family carers are encouraged to give feedback about their experiences of having contact with the service. Support workers gave the Inspector several examples of how their feedback has been used to influence care practices. The Comments and Compliments file contained lots of positive feedback and compliments from family carers and representatives. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 12 It was positive to note that regular service user’s meetings take place. The notes from the meetings indicated that discussions are held about a range of issues including menus, activities, décor, complaints procedures and access to personal information. This is good practice. Information about service users is kept in the home in a locked cupboard. Support workers appear to understand the importance of confidentiality. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 13 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, 14, 15 Service users are able to take part in age, peer and culturally appropriate activities, including leisure activities. They are supported to continue with their regular daily activities during short stays at the home. Service users are supported to maintain relationships with their family and friends during short stays at the home. EVIDENCE: Whilst staying at the home service users are encouraged to take part in daily routines and in planning the activities that they are going to do. During the week most people go to day services where they access educational, vocational and employment opportunities. People often stay in on week-day nights. At weekends activities are planned around the preferences of the people who are staying at the home. The service does not have a set routine. It is flexible enough to meet the differing needs and preferences of the people who stay there. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 14 Support workers told the Inspector that they support people to go to the local pubs and shops, and out for day trips. Activities are planned for individuals and groups of people if they share the same interests. Public transport is used, as the home does not have its own transport. At times this can restrict the range of activities that people can engage in. Service users are supported to continue with any activities they would normally do when they are not staying at the respite service. Service users are supported to maintain links with their family and friends during their stays at the service. Family members are able to phone the home or to visit if they like. From the Inspector’s discussions with support workers it was evident that they have close links and relationships with family carers of all the service users. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 15 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): 20, 21 The service has policies and procedures to ensure that medication is managed and stored safely. The service is provided for short stays only. It is unlikely that it will care for people who are dying. The service is able to provide care for people who are ill with the support and involvement of relevant health care services. EVIDENCE: On arrival at the home, service users give their medicines to the support workers so that they can check and record what they are using and when it should be taken. Medicines are kept in a locked cupboard in the staff room. Only staff who are trained in medication procedures are allowed to deal with medicines. Service users are able to look after their own medicines following a risk assessment. At present there are no service users who choose to look after their own medicines. The support workers told the Inspector about some incidents when service users had become ill during their short stays at the service. It is evident that appropriate specialist health care had been sought and that the service users 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 16 and their family carers had been satisfied with the way they had been cared for. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 17 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 There is a clear complaints procedure that is provided to all service users and their representatives. People can be confident that their views are listened to and acted upon. EVIDENCE: The service has a clear and accessible complaints procedure that sets out the timescales within which complaints will be dealt with. The procedure is given to all service users and their representatives when they first start to use the respite care service. The manager explains the procedure to them and reinforces it at service users meetings. In discussions with support workers it was evident that the views and concerns of service users and their representatives are listened to and acted upon. Ongoing dialogue is encouraged about all matters related to the service to prevent problems from developing. A record is kept of all issues or complaints made by service users, along with the details of any action taken and the outcome. This was shown to the Inspector. No complaints had been received by the service at the time of the inspection. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 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): 25, 26, 27, 29 All service users have their own bedrooms. Some of the bedrooms have specialist moving and handling equipment. There are two bathrooms and toilets, providing a suitable degree of privacy for service users. There is a good range of specialist equipment for people with specific physical disabilities. EVIDENCE: The service has five single bedrooms, each with suitable facilities including storage space, wash hand basin, TV aerial point, and a lockable space. The ground floor rooms have specialist facilities for people with physical disabilities. Service users are encouraged to choose their own room and to bring personal items from home with them. Bedrooms are regarded as private space where people can spend time alone if they wish to do so. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 19 The home has been decorated throughout since the last inspection. The home has two bathrooms and toilets. These are located conveniently within the building, one on each floor. Specialist equipment is provided in one of the bathrooms for people with physical disabilities. Bathrooms have suitable locks on the doors. Water temperatures are monitored in order to minimise the risk of scalding. All of the support workers have been trained to use the specialist moving and handling equipment. The equipment is for use by people whose needs have been assessed by qualified people and their care plans give specific instructions about this. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 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, 34 Service users are supported by staff that are well trained and supervised. There are robust recruitment policies and practices that provide protection for service users. EVIDENCE: The Inspector observed relationships between staff and service users during the inspection visit. These were seen to be respectful, open and natural. Support workers treated people as individuals and communicated well with everyone. Support workers said that they had received a range of training whilst working at the service. This included Food Hygiene, Moving and Handling, Communication, Physical Interventions and specialist learning disability training (LDAF). Some of the support workers have completed NVQ Level 2 and others are working toward this. This is good practice that helps to ensure that service users have a staff team that is competent and capable of meeting their needs. One of the support workers described the recruitment process that she had gone through approximately 6 months ago. This involved completing an 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 21 application form, attending an interview providing references and having a CRB clearance. At present there is no service user or family carer involvement in the recruitment process. This is an area of development that the service could consider. There is a minimum of two members of staff on duty at all times. The Registered Manager also works on the rota, thus providing direct supervision for the support workers. This is good practice. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 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): 39 The views of service users and their representatives are sought and are used to influence the review and development of the service. EVIDENCE: The manager carries out an annual quality assurance exercise whereby all family carers are invited to complete a questionnaire about their views of the service. The manager said that around 30 of people return the questionnaire and that their comments are used to influence future plans for the service. The manager also holds a coffee meeting for family carers twice each year. These provide an opportunity for an informal meeting with the manager and other family carers to discuss the service and other general issues. This is good practice. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 23 Meetings are held with service users to seek their input into service development and to provide an opportunity to give their views about their experiences of it. Service users and family carers have access to CSCI inspection reports and contact details. These are kept at the service for people to read whenever they wish to do so. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 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 x 2 x 3 3 4 x 5 4 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 x ENVIRONMENT Standard No Score 24 x 25 3 26 3 27 3 28 x 29 3 30 x STAFFING Standard No Score 31 x 32 3 33 x 34 3 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x 3 x 3 LIFESTYLES Standard No Score 11 x 12 3 13 x 14 3 15 3 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 3 3 X X 3 X X X x 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 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 YA2 Regulation 14 Requirement Appropriate accommodation must be found for a resident who has been living at the home for over two years Timescale for action 30/06/06 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 YA34 Good Practice Recommendations Service users and their representatives should be supported to be involved in staff selection. 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 26 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 13a Green Lane DS0000035964.V266861.R01.S.doc Version 5.1 Page 27 - 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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