Inspection on 29/06/05 for 14 Gerrards Terrace

This inspection was carried out on 29th June 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

14 Gerrards Terrace 02/05/07

14 Gerrards Terrace 06/12/05

14 Gerrards Terrace 27/10/04

14 Gerrards Terrace 08/06/04

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 14 Gerrards Terrace 14 Gerrards Terrace Carleton Blackpool FY6 7NB Lead Inspector Janet Spink Announced 29 June 9:00 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 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 Stationary 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. 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 14 Gerrards Terrace Address 14 Gerrards Terrace Carleton Blackpool FY6 7NB 01253 291966 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Northern LIfe Care Limited Mrs Belinda Patrick CRH Care Home 4 Category(ies) of LD Learning Disability 4 registration, with number of places 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 27 October 2004 Brief Description of the Service: 14 gerrard terrace is one of four small homes in Blackpool area that is owned by UBU (formally Northern Life Care). It is registered to provide care to four adults who have alearning disability. It is situated in Carleton close to the local shops, oublic transport and other community facilities in the area. The property is a large detached dorma bungalow that accommodates all residents in single accommodation. Three bedrooms are on the ground floor and one is on the first floor. The home has two bathrooms - one on each floor, and there is a lounge, dining room and garden area. 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was announced and was conducted over five hours. It consisted of case tracking a resident, discussions with staff, observation of staff interaction with residents, discussions with the registered manager and viewing some documentation. What the service does well: What has improved since the last inspection? What they could do better: Three of the care staff have completed NVQ (National Vocational Qualification) level II in care, but this could be improved to ensure that 50 of staff achieve this. Improvements should be made to the environment to ensure that the bathroom is upgraded. In addition the maintenance plan should address ways in which the garden area to the side of the home can be accessible to the residents. 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 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. 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 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 standard(s) These standards were not assessed on this occasion as there have been no new admissions for a number of years. EVIDENCE: 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 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 standard(s) 6, 7, 8 and 9 All individuals have comprehensive plans of care ensuring staff have clear guidance regarding their needs and aspirations. EVIDENCE: The inspector viewed the care plan for one resident, which confirmed that staff have clear guidance about his specific needs in relation to mobility, communication, social needs, personal care, diet etc. The home has a system in place where the plans are reviewed approximately five times a year. Two of these will involve social workers and family as well as the staff from the home. All appointments to other health care professionals such as the GP or Occupational Therapist are recorded in daily notes. The gentleman who was being case tracked has little verbal communication, however staff were able to demonstrate that they have good understanding of his non-verbal communication. He was able to make his needs known when he became agitated and wished to go out instead of being involved in the inspection. Staff responded to this appropriately and assisted him to go out. 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 Page 10 Care plans include assessing risk such as the use of the vehicle and accessing the kitchen. 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 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 standard(s) 11,12,13,14,15 and 16. Opportunities for development and community participation are addressed in care plans. EVIDENCE: The inspector spoke to two staff members who were very clear that their role is to encourage independence and promote personal development. An example of this is where one gentleman used to use a wheelchair at all times, and now does not use one at all. This has been the result of the commitment of staff to work closely with the GP to review medication and encourage the gentleman to be confident. Staff are aware that their role is to enable the residents rather than “do for” them. Residents were seen to be encouraged to take responsibility for some housework as much as they are able, and are actively involved in shopping, cooking and preparing meals. 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 Page 12 Since the last inspection social activities have increased ensuring that residents’ hobbies and interests are maintained. Individual holidays have been arranged, one man is going swimming each week with his advocate, one is now attending church on a weekly basis and one is dog walking. There were no relatives present during the inspection, but it was evident in review documentation that relatives are involved in their lives. Staff assist residents to visit their families, and equally relatives are welcome in the home at any time. 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 Page 13 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 standard(s) 18,19, and 20 Each resident has “support specifications” giving clear and detailed guidance to ensure staff are aware of the best way to meet personal and healthcare needs. EVIDENCE: The inspector viewed the support specification in relation to assisting a gentleman to bathe. This was clearly written and provided staff with detailed guidance on how much assistance and support he needs. Other support specifications include promoting continence, assisting with feeding and dressing. The Occupational Therapist has been involved to advise the staff regarding the best way to assist with bathing and has provided some equipment for this. The documentation and discussions with staff confirmed that the home ensures physical, emotional and health needs are met. Medication practices were observed during the inspection and were found to be managed in a professional and safe manner. Staff have received training in safe practice and handling of medication. 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 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 standard(s) These standards were not assessed on this occasion. EVIDENCE: 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 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 standard(s) 24,25,26,27,28,29 and 30. The home provides a comfortable environment where residents are safe and comfortable. It is clean and airy, and bedrooms are personal to each individual ensuring their preferences and choices are reflected. EVIDENCE: The four gentlemen have their own bedrooms each of which reflect their own choices and preferences. Photographs, books, CDs and sensory equipment is in place for them. Two gentleman use wheelchairs and their bedrooms are spacious enough to accommodate this. The home has a lounge, dining room and kitchen. The bathroom on the ground floor has an assisted bath, however this is not ideal for one man who does not like the bath despite having had the OT to assess, advise and provide an aid to assist him. The registered manager is to address this with the company to ensure that the maintenance plan intends to upgrade the bathroom so all people accommodated have a bathing facility they are comfortable with. 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 Page 16 The home has garden areas to both sides, however only one is accessible for the residents. The maintenance plan should address ways in which the garden can be used by the four residents. 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31,32,33,34,35 and 36 Staffing levels are sufficient to meet the needs of the residents. Recruitment is carried out in a professional manner ensuring the safety of the residents. Training continues to be a high priority providing staff with the knowledge and skills required to carry out their roles. EVIDENCE: The staff rota was viewed and staff were spoken to (including a member of staff who works nights) and this confirmed that staffing meets the needs of the people accommodated. On occasions there are six staff on duty to ensure that individual activities can be met even if a ratio of 2 staff is needed to one resident. The most recently appointed member of staff was not on duty at the time of the inspection, however documentation was available to show that all police checks and references had been obtained prior to employment. Induction records were seen and confirmed that new members of staff undertake LDAF (learning Disability Award Framework) induction and foundation within the first six weeks. Other training provided by the company includes First Aid, continence promotion, epilepsy, health and Safety, Fire and abuse procedures. 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 Page 18 There are three members of staff who have NVQ level II and 3 are working towards this. This means that 30 of staff currently have this qualification. 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37,38 and 43 The registered manager is competent and experienced ensuring that staff have clear direction and leadership when assisting the residents accommodated. EVIDENCE: The registered manager has twelve years experience of managing registered and supported living services for adults who have a learning disability. She has NVQ level IV in management and RNMH. She has achieved the D32/33 NVQ assessors award and D34 Internal verifiers award as well as completing a substantial amount of other relevant courses. The management approach is open and supportive and regular house meetings are held with residents. In addition staff meetings and 1-1 support sessions are a regular feature in the home. 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 Page 20 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 x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 x Standard No 31 32 33 34 35 36 Score 3 2 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 14 Gerrards Terrace Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x x 3 F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 Page 21 no 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 24 Regulation 23 Requirement The maintenance plan must be developed to ensure the bathroom is appropriate to the needs of service users. The maintenance plan must address the inaccessibility of the garden to ensure it is approprite to the needs of the service users. Timescale for action 26/08/05 2. 24 23 26/08/05 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 32 Good Practice Recommendations It is recommended that 50 of the staff team achieve NVQ level II in care. 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 Page 22 Commission for Social Care Inspection Area Office, Unit 1 Tustin Court Port Way Preston PR2 2YQ 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 14 Gerrards Terrace F57 F09 S9886 Gerrards Terrace V180909 290605 Stage 4.doc Version 1.30 Page 23 - 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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