Inspection on 17/08/06 for 17 Ella Bank Road

This inspection was carried out on 17th August 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

17 Ella Bank Road 08/05/08

17 Ella Bank Road 02/07/07

17 Ella Bank Road 25/10/05

17 Ella Bank Road 11/03/05

17 Ella Bank Road 14/07/04

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Ella Bank Road (17) Heanor Derbyshire DE75 8PA Lead Inspector Steve Smith Announced Inspection 17th August 2006 02:00 Ella Bank Road (17) DS0000019979.V306861.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 Ella Bank Road (17) DS0000019979.V306861.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. Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ella Bank Road (17) Address Heanor Derbyshire DE75 8PA 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) (01773) 760806 United Response Vacant Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th February 2006 Brief Description of the Service: 17 Ella Bank Road is a detached house situated on a residential road on the outskirts of Heanor. Residents are provided with adequate accommodation and single rooms. There is a rear garden. Ella Bank Road offers personal and social care to people with a severe learning disability with associated conditions that may include autism, sensory disability or challenging behaviour. Activities are planned to meet individual needs. The charges made for a room at Ella Bank Road range from £1136.54 to £1205.31 a week, dependent on the disability needs of the Resident. Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place in just over 3 hours. Discussion was held with Acting Manager and staff. The Residents accommodated at Ella Bank Road chose not to speak with the inspector during this visit, so it was not possible to establish their views about living there. The records of one Resident were ‘case tracked’, the process used to help determine how the service meets the needs of individual residents. A number of records were examined, and the bedroom of one Resident was looked at and all public areas of the Home were examined. What the service does well: What has improved since the last inspection? Since the last inspection, in February 2006, the management of the Home have met all of the Requirements and Recommendations made at that time. For example: Care plans are now reviewed at six monthly intervals. Medication procedures have been improved to better protect Residents. Safeguarding adults training has been undertaken, which provides better protection for Residents. Staff have received Fire Safety training, and better Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 Page 6 records are maintained of the general training of the staff. This supports that staff have received training to assist them to care for people living at Ella Bank Road. 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. Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 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 Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 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): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. All new Residents moving to the Home would be appropriately assessed by the Acting Manager prior to their admission, to ensure that their needs could be met. EVIDENCE: The Acting Manager said that the group of Residents staying in the Home changed hardly at all from year to year. Ella Bank Road was basically the home for the Residents for as long as they needed it, which of course could be for many years. Referrals, when they were received, came mainly from Social Services Departments and the Acting Manager said that placing authorities always provided adequate information on potential new Residents. However, no self-funding Residents were currently placed in the Home, but should this be necessary, the Acting Manager would conduct his own assessments of the self-funding potential Residents. All Residents referred through Social Services Departments or Health Authorities were assessed by the Acting Manager prior to the beginning of their placement. Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 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, 7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People living in the home were supported to take responsible risks as part of their development. EVIDENCE: The Acting Manager said that staff respected Residents rights, allowing for the need for staff to provide considerable support to each Resident. He also explained that an independent Advocate purchased from a private agency, could be provided for a Resident, should the need arise. However, at the time of this inspection he said that this had not been necessary. Staff spoken to were able to demonstrate how Residents assisted in the purchase of food and other shopping needed in the Home. All Residents needed assistance to purchase items for themselves, and a record was maintained of this on behalf of each Resident. Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 Page 10 During the inspection, Residents arrived back from the day centres they had attended. Despite Residents limitations they were able to take themselves to their bedrooms. Staff demonstrated that Residents had control over entry to their bedrooms, and how the risk assessment of each Resident controlled the degree of independence each Resident had in this respect. Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 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, 15, 16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Links with the local community were good and supported and enriched Residents social opportunities. EVIDENCE: The Acting Manager explained that Residents were supported to take part in valued, fulfilling activities each day, supported by staff of the Home or the staff at the day centres Residents attended. In the evenings and weekends Staff in the Home assisted Residents to take part in such things as 10-pin bowling, swimming, roller-skating and attendance at local shops, the cinema, public houses and leisure centres. The Acting Manager explained that Residents, with considerable assistance from senior managers, had purchased a vehicle to enable them to be transported to social activities in the area. Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 Page 12 Residents’ care plans detailed each Resident’s ability to assist with housekeeping tasks, and these were updated by staff when necessary. Staff also explained how they supported Residents with benefits and financial issues, whenever these arose. The Manager and staff were able to describe how Residents were supported to maintain links with friends and relatives. For example, one Resident regularly travelled to see relatives. Friends apparently often visit the Home and took part in the same activities as the Residents As already described, staff only entered Residents bedrooms with the agreement of the Resident, where this agreement could be provided. All bedroom doors were provided with a lock that could be operated from both the inside and outside of each bedroom by the Resident. All mail to Residents was opened with the Resident. Menus were examined and were found to provide varied meals. Where possible Residents were encouraged to assist in the preparing of meals, under close supervision. Staff explained that Residents could decide were to take their meals, whether in the dinning room, lounge or in their own bedrooms. Where necessary, the weight of Residents was monitored to assist Residents in maintaining good levels of health. Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 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, 19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ personal needs were well met, ensuring that their privacy, dignity and independence were maintained. The system of administering medication was good, and arrangements were in place to ensure Residents medication needs were met. EVIDENCE: Although Residents ability is limited, staff said that they try to allow each Resident to lead during the occasions when personal support was provided to them. This personal support was said to be always provided in private. Staff said that Residents could choose the time they went to be bed, and at the weekends could choose the time they chose to get up. During the week Residents needed to be up and ready to go to their day centres in time for the arrival of day centre’s bus, and staff said they needed to assist Residents with timing to make sure they were always ready. Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 Page 14 Staff said that they assisted Residents with personal hygiene needs and with choosing clothing appropriate for each day’s activities. Staff assisted Residents to maintain good health, and to access NHS facilities when needed. The medication procedures have improved since the last inspection. The procedures followed within the Home were examined, and a good system was found to be in operation. Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 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 & 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There was a satisfactory complaints procedure in place, with some evidence that relatives feel that their views were listened to and acted upon. The safeguarding adults policies and procedures provided meant that Residents were well protected. EVIDENCE: The Residents Guide details the complaints procedure that operates within the Home. However, Residents were unable to make a complaint, but the Acting Manager said that Residents relatives had all been given a copy of the complaints procedure. No complaints had been made since the last inspection, in February 2006. The Acting Manager said that a procedure to ensure that Residents were protected from abuse was in place. The Acting Manager also had a Whistle Blowing policy and had the relevant information on the Public Interest Disclosure Act of 1998, and on the Department of Health guidance ‘No Secrets’. He said that all allegations and incidents of abuse would be followed up and action would, if necessary, be taken. The policies and practices ensured that physical or verbal aggression by Residents was understood by staff and that staff would only intervene as a last resort to protect the Resident, other Residents or staff. Satisfactory policies and procedures to deal with Residents money and financial affairs were in place. The Acting Manager Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 Page 16 said that the Home had a policy to inform staff that they could not benefit, in any way, from Residents wills. Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Ella Bank Road was well maintained throughout, providing all Residents with a safe, comfortable environment in which to live. EVIDENCE: The communal areas were viewed during this site visit. These areas were well maintained and met the needs of the current resident group. One Resident agreed for the inspector to view their bedroom during this site visit. This bedroom was well presented, and had been personalised by the Resident. Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 Page 18 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): 33, 34 & 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Adequate staffing was provided consistently to meet the needs of current Resident group. EVIDENCE: Sufficient staff hours were provided to meet the care needs of Residents living in the Home. The recruitment details of staff employed at Ella Bank Road were not available for inspection. However the Acting Manager said that two references were always obtained and that all staff would have completed a satisfactory police check. He also said that staff were employed in accordance with the code of conduct set by the General Social Care Council and that copies of this were given to all new staff. The Acting Manager said that a training and development plan set out by the Agency’s Area Training and Development Officer was in place. He also said that all staff received more than the required five days training per year. Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 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 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Satisfactory management systems were provided, thus Residents benefited from a well run and managed establishment. EVIDENCE: The Acting Manager completed his training to achieve an NVQ level 4 in Management and Care early in 2005. The Acting Manager said that staff do not have to physically assist Residents to move, although they had undertaken courses in the safe moving of objects, via a Moving and Handling course. All staff had also undertaken training in Fire Safety, Food Hygiene, First Aid and Infection Control. During the inspection the Acting Manager was recommended to arrange for one person per shift to become a qualified First Aider. Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 Page 20 The Acting Manager said that the three Residents had been risk assessed to determine their vulnerability and measures had been put in place to provide protection where necessary. All necessary legislation, such as Health and Safety at Work Act 1974, and the Manual Handling legislation of 1992 had been complied with. Risk assessments had been carried out for all safe working practices in the Home, including a written statement of the policy, organisation and arrangements for maintaining safe working practices. Ella Bank Road (17) DS0000019979.V306861.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 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 X 33 3 34 2 35 3 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 X X X 3 X Ella Bank Road (17) DS0000019979.V306861.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. 1 Standard YA34 Regulation 17 Requirement Staff files must be available in the home for inspection at any time. Timescale for action 31/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. Refer to Standard YA37 YA42 No. 1. 2. Good Practice Recommendations The Acting Manager should submit an application for registration as manager to the Commission. One staff member per shift should be trained to be a First Aider. Ella Bank Road (17) DS0000019979.V306861.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Ella Bank Road (17) DS0000019979.V306861.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. 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