Inspection on 16/02/07 for Watford Road (16)

This inspection was carried out on 16th February 2007.

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

Watford Road (16) 17/01/06

Watford Road (16) 20/05/05

Watford Road (16) 07/12/04

Watford Road (16) 24/06/04

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Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Watford Road (16) 16 Watford Road Anfield Liverpool Merseyside L4 2TR Lead Inspector Andrea Morris Key Unannounced Inspection 16 February 2007 14:30 X10015.doc Version 1.40 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 Watford Road (16) DS0000025139.V300277.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 Older People. 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. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Watford Road (16) Address 16 Watford Road Anfield Liverpool Merseyside L4 2TR 0151 263 6107 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) Personal Service Society Pauline Lynes Care Home 3 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (3) of places Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. One unnamed service user over 55 years old, within the overall number of 3 places. 17th January 2006 Date of last inspection Brief Description of the Service: 16 Watford Road is terraced house in the Anfield area of Liverpool that provides accommodation and personal support for three males over the age of 65 years old that have dementia. All accommodation is provided in single bedrooms. There is sitting room and a kitchen/diner on the ground floor. Two of the bedrooms are situated on the first floor and one on the ground floor. The home has a walk in shower on the ground floor and bathroom on the first floor. Toilets are located on the ground and first floor. To the rear of the property there is a small patio garden, which is easily accessible to the residents. The home is staffed twenty- four hours a day. A seven-day holiday is included in the weekly fees and staff support the residents to access community facilities and maintain and develop new interests/hobbies. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out unannounced, during the inspection the inspector met with several service users and staff. A tour of the home was made. A selection of documentation was looked at including care files, staff files, training records, complaints log, fire records, certificates relating to health and safety and policies and procedures. What the service does well: What has improved since the last inspection? What they could do better: There have been no requirements made in this report. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 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. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5, 6 The outcome is assessed as good This judgement has been made using all available evidence including a visit to the service. All service users are assessed prior to being offered a place, this ensures that a service user’s needs can be met. EVIDENCE: The home has a statement of purpose and service user guide that is up to date and in a format appropriate to the service users needs. There has been no new admissions since 2006, however the policy and procedure for admission was discussed and found to be appropriate. All service users prior to being offered a place are assessed for their needs, this is done through being visited by the manager or other suitably qualified person and then allowing the potential service user to visit the home on initial short visits, then for longer visits building up to an over night stay. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 9 Once a service user has made the decision to move in they are able to select their own personal effects and move in where their care needs are planned with them. Each service user is in receipt of a written contract that clearly determines the terms and conditions of residency. Service users families are able to visit openly, they are able to have private visits in the service users room or if they prefer use the communal areas. Staff access information and advise from other healthcare professionals as required and this is fully documented in the care file of the service user. The home does not provide intermediate care. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11 The outcome for this area is assessed as good. This judgement has been made using all available evidence including a visit to the service. Care plans and risk assessments are formulated to ensure care needs are met and the service users receives appropriate and safe care. EVIDENCE: Care files were seen and found to be well recorded, all aspects of care were detailed to ensure staff had a good understanding of each individual service user. Staff regularly reviews care files on an at least 8 weekly system and any additional information received is also recorded. Service users are able to participate if they wish in the review process and the formulation of change of care as required. There are detailed risk assessments in place for all service users these are also kept under review. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 11 The home has an adequate policy on care of the dying. Medication is well managed and records are maintained to a good standard. Staff receive training in administration of medication. Stock is adequate and all medication received in to the home and leaving the home is recorded. Service users who spoke with the inspector stated they were very happy with their care they felt they were treated ‘ top class’. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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, 14, 15, 16 The outcome for this area was assessed as good. This judgement has been made using all available evidence including a visit to the service. Meals are wholesome and nutritious thus providing service users with a balanced diet and ensuring their needs are being met. EVIDENCE: Meals are planned with the service users, all meals are recorded and alternative options are available. Service users are able to participate in meal preparation if they choose to. All meals are home cooked and found to be varied. Service users are able to maintain any social interests they have, activities include days out, lunches or evening meals out. Some service users attend day centres and one attends an art class. There are in house activities also including games, TV and music. There was noted to be a good rapport between service users and staff. Visitors are able to attend the home openly, they can also stay for a meal if they choose. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 13 Service users are able to maintain their own religious beliefs and are provided with support from staff if they choose. Service users are able to visit friends and family if they choose to, however most at present receive visits at the home as per their choice. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18 This area is assessed as good This judgement has been made using all available evidence including a visit to the service. All staff receive training in adult protection, this assists in promoting safety for all service users in the home. EVIDENCE: The home has a copy of the Liverpool ‘No Secrets’ adult protection policy. All staff receive an outline of training during the induction period and then attend a more in depth full day training on the subject at the next available training session. There have been no referrals to Adult protection since the last inspection. The home has a satisfactory complaints system, there is a book to record complaints received by visitors or staff and a pictorial system is used for service users if they wish to communicate any complaints they may have. All complaints received are investigated and the outcome recorded. Service Users are able to receive their post unopened. Information on independent advocacy agencies is displayed in the home. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 20, 21, 22, 23, 24, 25, 26 The outcome for this area is assessed as good. This judgement has been made using all available evidence including a visit to the service. The home is well maintained and provides a homely and pleasant environment for all who live in it. EVIDENCE: Since the last inspection a new shower room has been created in the ground floor bathroom. The upstairs bathroom is maintained to a high standard. Each service user has their own room and are actively encouraged to bring in personnel effects. One service user has sky TV fitted as per their choice. Bedrooms are large in size and enable a service user to be able to have private time if they choose. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 16 The communal areas are maintained to a good standard, the lounge is homely and has comfortable sofa and chairs. The kitchen is well equipped with the necessary equipment to enable a comfortable lifestyle to be maintained for all service users. During the tour of the home it was noted the home was maintained to a high standard and it was found to be clean and free from any unpleasant odours. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 The outcome is assessed as good This judgement has been made using all available evidence including a visit to the service. Staff receive regular training to ensure care practices are safe and service users are protected from potential harm. EVIDENCE: The homes rotas were viewed and seen to be staffed appropriately. Staff are skill mixed to ensure all persons in the home are safe. The home currently has vacancies for staff and requires to use regular relief staff however these staff are introduced into the home and work along side regular staff. Staff are in receipt of regular training. The home has a training plan that covers all mandatory training and other appropriate training for the whole year. Staff training records were seen and found to be well maintained. Staff receive regular supervision from their line manager. These supervision sessions are recorded and held securely in their files. All staff receive an in depth induction which is recorded and requires regular communication with their line manager. It covers all aspects of care in the home and monitors practices on a regular basis. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 18 Staff personnel files are held at Head Office however there are records within the home to demonstrate all staff are appropriately checked against the CRB (Criminal Records Bureau) register. All staff are issued with a copy of their job description that details their roles and responsibilities. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36, 37, 38 The outcome for this area is assessed as good This judgement has been made using all available evidence including a visit to the service. The home is well managed and staff receive guidance and leadership from a competent manager, thus assisting in providing good standards of care. EVIDENCE: The manager is registered with the Commission for Social Care Inspection, she has a number of years of experience and provides the staff with guidance to ensure care needs are safe and independence of service users is promoted. The manager has completed her NVQ in management. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 20 There are bi- monthly staff meetings held in the home to ensure all staff are aware of new changes to care and to monitor and review care practices in conjunction with the homes policies and procedures. The home has up to date policies and procedures, these are kept under review by either the staff or head office. All documentation is held securely in locked cabinets in compliance with the Data Protection Act 1998. Certificates relating to Health and Safety were seen and all found to be in date. Certificates from the Commission for Social Care Inspection were displayed in the main entrance area along with the insurance liability certificate. Fire records were found to be maintained to a good standard. Staff receive fire evacuation training at regular intervals. Service user finance records were maintained to a good standard and money held was securely managed with good systems of protection against any potential abuse. Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 3 3 X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 22 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Liverpool Satellite Office 3rd Floor Campbell Square 10 Duke Street Liverpool L1 5AS 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 Watford Road (16) DS0000025139.V300277.R01.S.doc Version 5.2 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. 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!