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Inspection on 04/07/05 for 156 Eccleshall Road

Also see our care home review for 156 Eccleshall Road for more information

This inspection was carried out on 4th July 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The residents in this home encouraged to be a part of Mr and Mrs Wilson`s family unit. They are included in family events such as parties, meals and family gatherings. Residents are also encouraged to be as independent as possible and to be involved in work and education. A service user said she was `happy` living at the home and that her boyfriend could visit when he wanted and was `made welcome`. There was one service user in the home at the time of the inspection the relationship between the manager and the service user was positive and relaxed. The home is comfortable and homely with a number of pets which the service users enjoy spending time with. The manager is well organised with good systems of recording, safety checks and staff training.

What has improved since the last inspection?

There were no requirements or recommendations at the last inspection.

What the care home could do better:

There were no areas identified at this inspection, which required improvement.

CARE HOME ADULTS 18-65 156 Eccleshall Road Stafford Staffordshire ST16 1JA Lead Inspector Wendy Snell Unannounced 4 July 2005 13:00 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. 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 156 Eccleshall Road Address Stafford Staffordshire ST16 1JA 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) 01785 604222 Mrs Patricia Ann Wilson Mrs Patricia Ann Wilson CRH 2 Category(ies) of LD (2) registration, with number of places 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 23 September 2004 Brief Description of the Service: 156 Eccleshall Road is a care home for two adults with mild learning disabilities. The aim of the home is to ptrovide care in a family setting. There are two service users living at this home. The propert is a large semi detached house on the main road leading into Stafford. It has three floors and a cellar. The service users sleep on the first floor and the second floor provides private accommodation for Mr and Mrs Wilson. The cellar is used as an office and trhe laundry is in an out house close to the kitchen. The home is well looked after and looks like the other properties in the area. It is within walking distance of Stafford but there is also a bus route. The home is very well furnished and comfortable. There is a very large rear garden with attractive gardens and patio areas as well as having room for a number of anilmals including a dog, rabbits, guinea pigs, ducks, geese and hens. The manager (and owner) provides care with the help of her daughter. Mr wilson looks after the maintenance and some catering. 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on a Monday afternoon over a period of 3 hours. The manager and one service user were spoken with. One service user’s care files; maintenance and staffing records and the accommodation were inspected. What the service does well: 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 contacting your local CSCI office. 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 Page 6 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 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 Page 7 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) 2 The home has clear assessments of service users’, which enable staff to support them appropriately. EVIDENCE: One service user’s care file was inspected a comprehensive care management assessment was in place. The manager demonstrated a good understanding of the service user’s assessed needs and who they should be met. The service user was spoken with and was aware that a social worker had completed an assessment. 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 Page 8 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 & 9 There are good care plans and risk assessments in place, which provide staff with the information they need to meet service users needs. Service users are supported to make their own decisions about how they live their lives. EVIDENCE: One service user’s files were inspected. A care plan was in place that was comprehensive and based on the assessed needs highlighted in the assessment document. The plan explained how each objective should be met. Some of the objectives in the plan were discussed with service user who confirmed that what was recorded in the plan takes place. There was documentary evidence that reviews had taken place. The service user said she attended these. Communication between the home and other agencies was clearly recorded. There was evidence that risk assessments were in place based on day-to-day activities set out in the service users plan. The service user stated that she felt safe at the home and that she was able to talk to the manager about things that worried her. The manager had appropriate policies and procedures in place relating to personal safety. 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 Page 9 The service user said that she is able to do most things on her own and that the manager helps her with the things that she finds more difficult. She said that she is able to make choices and decisions but likes to talk to the manager about some of the decisions she makes. 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 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 standard(s) 12, 13, 15 & 16 Service users are supported to have fulfilling lifestyles in and outside the home. EVIDENCE: The service user is involved in a variety of work and leisure activities throughout the week all of which are recorded within her plan. The service user said she liked the different things that she does throughout the week. She demonstrated a good understanding of the area of Stafford in which she lives and works and of the facilities available. There were a number of certificates and awards within the service user’s care file that she has earned through the work she does. Through this she has made a number of links in the community. The service user spoke about her boyfriend who visits her every night at home. She said that he is made welcome when he visits her and that they are able to spend private time together. Through her work she meets other people away from the home and has also socialised with them. There was evidence that the manager sensitively supports service users to maintain their relationships. Good advice regarding relationships was evident. 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 Page 11 The service user said she has a key to the front door but does not want a key to her bedroom. The manager stated that the two service users generally respected each other’s privacy and did not go into each other’s rooms without permission. The service user said that she had her own routine but confirmed that she was encouraged to be independent. The service user said she helped with some domestic tasks like ironing and tried to keep her room tidy. She also liked looking after the cat and guinea pigs. Daily living skills were recorded within the service users plan. 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 Page 12 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) 19 & 20 There are appropriate healthcare systems in place, which provide service users with good support in this area. EVIDENCE: There was information within the service user’s file relating to healthcare needs and appointments. There was also supplementary information relating to healthcare issues. The manager said that she regularly talks to the service users about their health issues or worries. Information within the care file indicated that appropriate advice and guidance is sought from health care professionals. A service user said that the manager goes with her to attend appointments if she needs support. Medication was stored safely. There was certificated evidence that the manager and staff had attended appropriate training. There was also evidence that the manager has been working closely with the pharmacist in setting up a monitored dose system of medication administration. Appropriate policies and procedures were in place. 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 Page 13 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) 22 & 23 Appropriate systems are in place to listen to service users and to act where necessary to protect them from harm. EVIDENCE: There was information within the service user’s file on how to make a complaint. The home has a complaints policy. The manager said she had not had to use the policy because there have not been any complaints. A service user said that she has never had to complain because the manager sorts out any problems. The manager said that there have been no adult protection issues. The manager was aware of the procedures to follow if a disclosure were to be made to her. The home has appropriate policies relating to physical intervention although the manager said that this is never needed. There were appropriate missing person procedures. Service user’s monies and financial affairs were not checked at this inspection. A service user said that she felt safe and ‘was happy’ living at this home. 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 Page 14 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 The standard of the environment within this home is good providing service users with an attractive and homely place to live. EVIDENCE: The home is comfortable and well furnished and provides the two service users with a ‘homely’ environment in which to live. The service users rooms are personalised with photographs and personal possessions. A service user said that she had brought with her some of the things she had in her bedroom. She said she was ‘happy’ and that she ‘preferred’ living at this home than one she had previously lived in. Service user bedrooms do not have en-suite facilities but there is a large bathroom and toilet on the same floor. There is also a toilet on the ground floor. The home has a large garden that is divided into a number of areas patio, garden, vegetable plot and animal area. There is outdoor seating and dining area with a barbeque. 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 35 Staff are appropriately trained to support the service users in the home. EVIDENCE: There was certificated evidence that training has taken place for both the manager and the one member of staff. The training included medication, first aid, manual handling, fire, health and safety, food handling and various other courses. The staff member has also completed NVQ2. 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 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 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) 42 Health and safety of service users are promoted through safe working practices within this home. EVIDENCE: The manager was aware of safe working practices. There was evidence of regular servicing of the gas and boiler system. The manager also stated that she has a 24-hour maintenance contract for gas, electricity, and water and for the freezer and cooker within the home. There was documentation, which showed that regular fire system tests and drills take place. Appropriate risk assessments were in place. An accident book was examined and a discussion of appropriate storage of accident sheets took place. An up to date insurance certificate was in place. 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 Page 17 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 3 x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 4 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 156 Eccleshall Road Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x x x 3 x E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 Page 18 NA 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 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 Good Practice Recommendations 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 Page 19 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 156 Eccleshall Road E51-E09 s.5079 156 Eccleshall Road Unannounced v.236142 4.06.05 Stage4.doc Version 1.40 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!