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Inspection on 08/12/06 for 156 Eccleshall Road

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

This inspection was carried out on 8th December 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.

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 Service Users are totally accepted within Mrs Wilson`s family. They are included in all family activities, holidays and celebrations. The home is very comfortable and welcoming. Each room had signs of Christmas with a large array of beautiful decorations and Christmas ornaments. The Service Users had assisted Mrs Wilson to decorate the home the previous night. The manager continues to keep excellent personal records regarding the Service Users and all documentation required by the standards. Relevant staff training had been completed.

What has improved since the last inspection?

Mr Wilson had gained a certificate in Food hygiene. No other improvements were required.

What the care home could do better:

No issues for improvement were noted.

CARE HOME ADULTS 18-65 156 Eccleshall Road 156 Eccleshall Road Stafford Staffordshire ST16 1JA Lead Inspector Mrs Joanna Wooller Key Announced Inspection 8 December 2006 09:00 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 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 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 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. 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 156 Eccleshall Road Address 156 Eccleshall Road Stafford Staffordshire ST16 1JA 01785 604222 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) Mrs Patricia Ann Wilson Mr Peter Wilson Mrs Patricia Ann Wilson Care Home 2 Category(ies) of Learning disability (2) registration, with number of places 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th February 2006 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 provide care in a family setting. There are two service users living at this home. The property is a large semi-detached house on the main road leading into Stafford. It has three floors and a cellar. The service users sleep in the two bedrooms on the first floor and the second floor provides private accommodation for Mr and Mrs Wilson. The cellar is used as an office and the laundry is in an outhouse close to the kitchen. The home is well maintained and in appearance 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 pleasantly furnished and very comfortable. There is a very large attractive rear garden with patio areas as well as having room for a number of animals 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 attends to the maintenance of the home and some catering tasks. 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The manager was present in the home for the inspection however both Service Users were out in the community but they had completed feedback information for the inspector. One Service User commented ‘ They were very happy living in the home’. The inspection was very smooth with all assistance being given by the manager to ensure the standards could be evidenced as being met. 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. The summary of this inspection report can be made available in other formats on request. 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Individual assessments were recorded prior to admission to the home. EVIDENCE: Each Service User had individual detailed records to ensure their needs were identified prior to admission. Social workers and the manager review this information at the time of the Service Users placement review. 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 6, 7, and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The home has concise assessments completed for each service user, which enables the staff to support them appropriately. EVIDENCE: During the inspection both service user’s care file was inspected and the inspector evidenced comprehensive care management assessments that were in place for both individuals. The manager demonstrated a good understanding of the service user’s assessed needs and how they should be met. Social worker reviews were evident within the care records, including risk assessments and individual care plans with reviews. 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 Page 9 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 12, 13, 15, 16 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The Service Users have been encouraged to develop their own life style in the community with the manager’s support and guidance. EVIDENCE: The Service Users have developed busy lifestyles within the local community partaking in appropriate leisure and daytime activities. Friendships have been encouraged and respect and encouragement have been paramount for the Service Users and provider. Service Users receive a balanced and wholesome diet considering their individual likes and dislikes through careful meal planning. One Service Users has been following a healthy eating plan linked with regular exercise classes. 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 18, 19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The manager depending on their individual needs supports the Service Users. All emotional and physical needs are identified, documented and evidenced as being met. Service Users are protected by the homes medication policies and procedures. EVIDENCE: The manager continues to work on a one-to-one basis with the service users every day and therefore has a very good understanding of their individual needs. She is fully aware and has documented their different routines of each of the service users and these routines are accommodated within the day-to-day running of the home. The service users are encouraged to remain as independent as possible. Both Service Users attend day services and voluntary work placements on a regular basis, as well as taking part in leisure activities in the community. 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 Page 12 The manager continues to seek additional advice and guidance for one service user who is experiencing some behavioural difficulties. The manager and her daughter continue to provide the staff cover for this home, which provides consistency of care for the service users. The manager was advised to include Service Users written consent within the care plan with regard to support, which is given for administration of medicines. 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 22 and 23 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service Users have ample opportunity to express their views and they are protected from abuse, neglect and self-harm. EVIDENCE: All areas required by this standard were evidenced as being understood, well documented and staff had completed the appropriate training. No issues had been previously raised. 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 24 and 30 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service Users live in a very homely and safe environment, which is clean and hygienic. EVIDENCE: The home was seen to be very clean and hygienically kept. It was very 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 many personal possessions. Service user bedrooms do not have en-suite facilities but there is a large bathroom and toilet on the same floor. 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 Page 15 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 a dining area with a barbeque. The home is well-maintained and all electrical goods and services are supported by contracts to ensure prompt repair or replacement. 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 32 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Dedicated well-trained staff support the Service Users. EVIDENCE: The provider/manager continues to support the Service Users in their home and have many years of experience in working with adults with learning disabilities and previous management experience in this area. The manager supports the service users on a daily basis and she has a good understanding of the needs of the service users within the home. The manager is motivated and committed to ensuring that the service users receive the support they need within and outside of the home. The manager’s daughter also supports the service users and is NVQ2 trained in care and has a good understanding of the Service Users needs. 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): Standards 37, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Service Users do benefit from living in a well run home. The health, safety and welfare of the Service Users are promoted and protected. EVIDENCE: Quality assurance systems were discussed with the manager. There was evidence that a system was in place, which included an annual report outlining areas to be improved, and timescales. There was also evidence that the views of the service users had been sought. Completed questionnaires were seen some with pictorial symbols. 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 Page 18 The best interests of the Service Users are considered at all times and their health safety and welfare are paramount to the manager and her family. 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 Page 19 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 3 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 Page 20 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 YA20 Good Practice Recommendations To include actual written consent from each Service User relating to medication support within the care plan. 156 Eccleshall Road DS0000005079.V322533.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 DS0000005079.V322533.R01.S.doc Version 5.2 Page 22 - 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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