Inspection on 06/12/05 for 14 Gerrards Terrace

This inspection was carried out on 6th December 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 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

14 Gerrards Terrace 02/05/07

14 Gerrards Terrace 29/06/05

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 Carleton Blackpool Lancashire FY6 7NB Lead Inspector Ms Janet Spink Unannounced Inspection 6th December 2005 9.30 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 14 Gerrards Terrace Address Carleton Blackpool Lancashire FY6 7NB 01253 895883 01253 895883 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) Northern Life Care Limited T/A U.B.U. Mrs Julie Elizabeth Ferguson Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The service is registered to accommodate a maximum of 4 service users in the category LD. 29th June 2005 Date of last inspection Brief Description of the Service: 14 Gerrard’s 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 a learning disability. It is situated in Carleton close to the local shops, public 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 DS0000009886.V251951.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over two hours. It consisted of discussions with staff, observation of staff interaction with residents and viewing documentation. What the service does well: What has improved since the last inspection? The number of staff that have achieved a relevant care qualification has improved since the last inspection as over 50 of the team now have this. There have been some improvements to the building as two bedrooms have been decorated and the kitchen has been refurbished. 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 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. 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): These standards were not assessed on this occasion as there have been no new admissions for a number of years. EVIDENCE: 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 9. EVIDENCE: There has been no change to care planning arrangements since the last inspection. Person Centred Plans ensure that staff have clear guidance about 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. Staff demonstrated an understanding of service users’ wishes. They had good knowledge of gestures and other non-verbal communication. Risk assessments remain in place to ensure service users are safe and these include assessment of using the vehicle, bathing and accessing the kitchen. 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 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): These standards were not assessed on this occasion. EVIDENCE: 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 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): These standards were not assessed on this occasion. EVIDENCE: 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 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 and 23 The home ensures that service users are aware of their rights and has a complaints procedure. Systems are in place to reduce the risk of abuse. EVIDENCE: The manager has made sure that all service users and/or their relatives have had a copy of the complaints procedure, which is in the Statement of Purpose. This is in pictorial format. The four people accommodated would probably not make a formal complaint, but staff are aware of behaviour changes and gestures that may indicate a person is not happy with something. There are opportunities on a daily basis for service users to make their wishes and opinions known, as well as the more formal service user meetings and reviews. Staff are given some guidance around “Awareness of abuse” through National Vocational Qualification (NVQ) in care and through Learning Disability Award Framework (LDAF). This will go some way to ensure residents are protected from abuse. 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 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 and 27. The home provides a comfortable environment where residents are safe and comfortable. Service users would benefit from having a bathroom that suits all their needs. EVIDENCE: Two of the bedrooms have been decorated since the last inspection. The kitchen has also been refurbished. The bathroom on the ground floor has a hydraulic bath that can be lowered and a changing table. This aids two service users, however this is not ideal for one man who does not like the bath despite having had the Occupational Therapist to assess, advise and provide an aid to assist him. This has been addressed with the company to ensure that the maintenance plan includes the upgrade of the bathroom so all service users have a bathing facility that suits their needs. There is a spacious lounge and dining room that provides easy access for people who use wheelchairs. The home has photographs, pictures and CDs etc throughout creating a comfortable home that is domestic in character. 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 Page 14 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 four service users can use the garden. The home was clean and suitable infection control systems are in place to ensure service users and staff are safe when assisting with personal care. Laundry facilities are situated in an area where soiled clothing does not have to be taken through the kitchen, and the washing machine has a sluice facility. 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 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): 32,33, and 35 Staffing levels are sufficient to meet the needs of the residents. Training continues to be a high priority providing staff with the knowledge and skills required to carry out their roles. EVIDENCE: This inspection was unannounced and there were two members of staff on duty for the four service users who were at home. The duty rota showed that there should have been four staff working but two were off due to sickness. This had implications for the service users on the day, but generally staffing levels are high and are sufficient to ensure service users can pursue individual activities. The home has achieved the target of having 50 of care staff having National Vocational Qualification (NVQ) in care as six of the eleven care staff have achieved this award. Other staff have enrolled to do this. All staff have completed the Learning Disability Award Framework (LDAF). Other training provided by the company includes First Aid, continence promotion, epilepsy, health and Safety, Fire and abuse procedures. 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 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): 37,38 and 42 The home is well managed and run in the best interests of the service users. There is good leadership, guidance and direction to ensure that they receive consistent care. The home is well maintained to ensure the safety of service users and staff. EVIDENCE: The manager of the home was not on duty at the time of the inspection, but staff told the inspector that they felt supported by her. They receive regular 11 formal supervision, and a record is kept of this. 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. 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 Page 17 The Inspector was provided with documentation in relation to maintaining a safe environment. This included a current electrical installation safety certificate, water temperature checks and servicing of hoists. 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 x x 3 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 x x 2 x x 3 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 3 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 14 Gerrards Terrace Score x x x x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 3 x DS0000009886.V251951.R01.S.doc Version 5.0 Page 19 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 YA24 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 appropriate to the needs of the service users. Timescale for action 31/03/06 2. YA24 23 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 14 Gerrards Terrace DS0000009886.V251951.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, 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 DS0000009886.V251951.R01.S.doc Version 5.0 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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