Inspection on 26/01/06 for 15 Osborne Road

This inspection was carried out on 26th 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 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

15 Osborne Road 01/02/07

15 Osborne Road 08/09/05

15 Osborne Road 10/02/05

15 Osborne Road 29/06/04

15 Osborne Road 17/02/04

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 15 Osborne Road 15 Osborne Road St Annes Lancashire FY8 1HS Lead Inspector Lesley Plant Unannounced Inspection 26th January 2006 3:15 15 Osborne Road DS0000010025.V259805.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 15 Osborne Road DS0000010025.V259805.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. 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 15 Osborne Road Address 15 Osborne Road St Annes Lancashire FY8 1HS 01253 712547 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) www.unitedresponse.org.uk United Response Mr Stephen Turner Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th September 2005 Brief Description of the Service: 15 Osborne Road is a small care home for adults with learning disabilities, registered for three people. The well-established national charitable organisation United Response is the registered provider. The home is a detached two-storey house, with an excellent range of communal living space and good access to local services and amenities. The organisation provides a vehicle to enable individuals to take part in leisure activities and access amenities. The staff team provide support in all aspects of daily living according to assessed needs and as identified via the care planning process. People are supported and encouraged to develop their independence and take part in all aspects of community living. The service adopts an active support approach, in a stable environment, which enhances opportunities for personal growth and development. The staff team are supported by an experienced management team and an organisation, which clearly values its employees, and the people they support. 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced, started at 3.15 pm and took place over two hours. The inspector spent time with and spoke to the two people living at the home. Both have complex needs, including specific sensory and communication needs and are unable to complete comment feedback cards. The inspector spoke to the two staff on duty and viewed care records and some of the written policies. Further information regarding systems for care planning was obtained via a telephone call to the team manager. Although none were returned, comment cards were left at the home inviting relatives to provide feedback about the service provided. Key standards not assessed at this inspection will have been addressed at the previous inspection on the 8th September 2005. What the service does well: What has improved since the last inspection? Each person has an individual support plan, detailing the practical support required. These are now being reviewed at least every six months. The consistent staff approach and improved behaviour patterns for one individual, has resulted in increased attendance at college. 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 Page 6 Staff training courses are now available at a local venue, in the past these were held at the regional office in Leigh. Staff consider this to be an improvement to arrangements. 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. 15 Osborne Road DS0000010025.V259805.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 15 Osborne Road DS0000010025.V259805.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): None of the above standards were assessed at this inspection. EVIDENCE: 15 Osborne Road DS0000010025.V259805.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 and 9 Individual support plans are regularly reviewed and issues of risk are addressed. EVIDENCE: Each person has a named key worker and records show that a monthly internal review of each person living at the home takes place. This looks at health, medication, food, diet, moods, behaviour, activities and community presence and is a good overview of what has taken place. Each person also has an individual support plan, detailing the practical support required. These had recently been reviewed and staff confirmed that the organisation’s policy is to review each support plan at least every six months. The team manager explained that there would be an annual review with the family and social worker, which will consider long-term goals and future plans. The internal monthly reviews and the six monthly support plan review provide good opportunities for any changes in practical needs to be addressed. However, there is little evidence of longer term planning taking place. The person centred method of care planning would ensure that people living at the home have support to achieve longer- term goals and dreams, and would also provide an opportunity for all supporters, including relatives, to work together. Person centred planning is particularly important for the two people living at 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 Page 10 the home, as they cannot easily communicate their goals and aspirations. Staff training in this area would be beneficial. Each person has an individual support plan, which includes any area of risk or vulnerability. The organisation has a missing persons policy and there are also individualised procedures regarding the people currently living at the home. Staff sign all risk assessments. 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 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 the following standard(s): 12, 13 and 16 Individuals are involved in a range of meaningful activities, including household activities, which promote personal growth and independence. EVIDENCE: The two people living at the home, both have complex needs, including specific communication needs and challenging behaviour, which limit opportunities for employment. However, individuals are involved in a range of appropriate activities and staff work hard to help people to grow and develop skills. Set activities include college attendance, swimming and drama classes. The consistent staff approach and improved behaviour patterns for one individual, has resulted in increased attendance at college. The daily handover sheets show which staff member is supporting each person with set activities, such as college attendance. Each person also has a weekly chart detailing pre-arranged activities for that week. Records show that individuals are supported to access a range of community facilities. On the day of this inspection one person had just returned from visiting the library and the other from attending college. The home has its own vehicle provided by the organisation. The rotas show that there are at least two staff on duty each 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 Page 12 day, to enable individual activities to take place. One person requires the support of two staff for certain activities. Excellent support is provided to ensure that individuals are fully involved in the day-to-day routines of the home. Good records are kept, with staff completing ‘keeping track’ sheets, showing the level of involvement in activities such as, cooking, setting the table, doing laundry etc. All household activities are arranged around the needs of the people living at the home. Each file contains guidance and protocols for supporting individuals with household activities, such as watering the plants. This full involvement in the running of the home helps to instil pride and develop feelings of ownership. Independence in daily routines is supported and actively promoted at all times. Staff have built up close working relationships with the people living at the home and promote choice and independence within their day-to-day work. During inspections the level and quality of interaction is always of a high standard, with staff clearly being committed to respecting people’s rights and responsibilities regarding daily routines. The excellent range of communal space within the home allows for individuals to spend time alone, should they choose to do so. 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 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 the following standard(s): 18 and 19 Personal care is provided in the way individuals prefer. Health care needs are met. EVIDENCE: Both people living at the home require support with maintaining personal care. The staff have got to know individuals extremely well and understand their needs and preferences. Each person has an ‘intimate and personal support’ assessment and the file viewed showed that this had recently been reviewed. Files show that individual protocols and guidance are in place, regarding such activities as bathing and teeth cleaning. Key workers have special responsibilities, such as helping individuals to purchase clothing of their choice. The daily handover sheet viewed detailed which member of staff is responsible for certain tasks including providing personal care and administering medication. Times for going to bed and getting up are flexible, according to the needs and preferences of each individual. A medical profile is completed for each person, providing details of past illnesses; allergies etc and staff sign to confirm that they have read this information. Staff keep good records of all health care appointments and outcomes. For one person this has included a recent medication review and dental appointments. All staff have signed the guidance provided by the dentist. There is good evidence that staff are working closely with the GP in 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 Page 14 relation to medication changes and possible seizures, with monitoring sheets being completed. The internal monthly review sheets include a health update. Healthy meals are provided and records of weight are kept. 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 Page 15 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 Procedures are in place to enable concerns to be raised. Policies, procedures and staff training promote the protection of people at the home. EVIDENCE: There is a complaints procedure in place. A pictorial version has been produced to aid the understanding of individuals living at the home. A copy of this was seen on each file. There have been no complaints since the last inspection. Training regarding abuse and protection is part of the core-training programme for all staff. The two members of staff on duty explained that they have both attended this course and that abuse is also addressed within NVQ programmes. There are written policies regarding, the prevention of harm, whistle blowing, challenging bad practice at work, acceptance of gifts, challenging behaviour and physical intervention. A copy of the ‘No Secrets’ in Lancashire document is available to guide staff should concerns be raised. Staff also undergo training regarding physical and verbal aggression by service users. United Response is an umbrella organisation regarding Criminal Records Bureau clearance and all staff obtain this clearance at enhanced level prior to commencing in their post. Clear procedures, agreed practices and regular monitoring are in place for supporting individuals with their finances. 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 Page 16 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): None of the above standards were assessed at this inspection. EVIDENCE: 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 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 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): 34 and 35 Recruitment practices are thorough and promote the protection of those living at the home. Individual and joint needs are met by appropriately trained staff. EVIDENCE: There have been no new staff appointments for some time. United Response has well-established recruitment procedures in place, which are supported by appropriate policies and guidance and is an umbrella organisation for Criminal Records Bureau clearance. Two written references are obtained for each staff member and all staff receive terms and conditions of employment and a copy of the General Social Care Council Code of Practice and Conduct. New appointments are subject to a six-month probationary period. There is a rolling programme of core training completed by all staff. The staff on duty explained that these courses are now available at a local venue, as in the past this programme was held at the regional office in Leigh. The staff consider this to be an improvement to arrangements. This rolling programme includes first aid, health and safety, food hygiene, people moving people, medication, sexuality, mental health, the way people work and prevention of harm (abuse) training. The team manager for the home would be responsible for the induction of new staff and there is a set induction programme in place. Staff are undertaking in depth communication training aimed specifically at meeting the needs of the two people currently living at the home. Individual training records are maintained for each staff member. Not all of the team 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 Page 18 have attended training regarding person centred planning. It is recommended that this be addressed, in order to strengthen the care planning processes at the home. 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 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 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 and 39 The home is well run and there are quality-monitoring systems in place, which take into account the views of relatives. EVIDENCE: The registered manager was not on duty at the home during this inspection. The registered manager has many years experience, has recently completed the Registered Managers Award and is working towards gaining the NVQ level 4 in Care. Under the current arrangements the registered manager is responsible for four United Response care homes in St Annes. Although the team manager carries out much of the day-to-day management duties, it is important that the registered manager takes a proactive role in the management of the home. Feedback is gained from relatives as part of the natural day to day duties of staff. Records are kept of contact with relatives. The registered manager carries out ‘spot checks’ at the home and a formal monthly visit by a manager within the organisation also takes place, with reports being sent to CSCI. These checks monitor finances, activities, health and safety, and risk 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 Page 20 assessments. Relatives are also invited to reviews, which give good opportunities to gain feedback about the service provided. United Response has achieved the Investors in People Award and there is an annual service plan, which states objectives, goals, action and timeframes for outcomes. 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 3 35 3 36 X 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 X 12 3 13 3 14 X 15 X 16 4 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X 2 X 3 X X X X 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 Page 22 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. Standard Regulation Requirement Timescale for action 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 YA6 Good Practice Recommendations The person centred method of care planning would ensure that people living at the home have support to achieve longer- term goals and dreams, and would also provide an opportunity for all supporters, including relatives, to work together. Staff should undergo training in person centred planning. The registered manager should achieve Level 4 NVQ in care. 2 3 YA35 YA37 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 Page 23 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 15 Osborne Road DS0000010025.V259805.R01.S.doc Version 5.1 Page 24 - 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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