CARE HOME ADULTS 18-65
2 Frederick Street Stockton-on-Tees TS18 2BF Lead Inspector
Derek Stow Unannounced Inspection 22 February 2006 11:30
nd 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION
Name of service 2 Frederick Street Address Stockton-on-Tees TS18 2BF 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) 01642 607142 01642 618518 www.reallifeoptions.org Real Life Options Miss Karen Allan Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION
Conditions of registration: None. Date of last inspection 7th October 2005 Brief Description of the Service: Number 2 Frederick Street is a modern purpose-built single storey property situated close to Stockton town centre. Accommodation is provided in three single bedrooms, none having an en-suite facility but all meeting the spatial requirements of the National Minimum Standards. Communal facilities comprise: bathroom/WC, separate WC, kitchen, lounge, dining room. The home is situated close to Stockton town centre. Number 2 Frederick Street is registered to provide accommodation for three adults with a learning disability. 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This Unannounced Inspection started at 11-30 A M and lasted for four hours. The Acting Deputy Manager was very helpful in ensuring that the inspection was a positive experience for both residents and staff. The inspector had lunch with the service users and staff, looked around the home as well as speaking to two care staff, the acting deputy manager and looking at records. This inspection looked at those key standards, which were not examined at the last inspection in October 2005. A very positive inspection where there were no issues identified as requiring improvement action. 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. 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 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 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 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 the following standard(s): 2. Resident’s needs and likes are assessed, planned for and acted upon. EVIDENCE: The three service users who live at Frederic Street had all lived there for eight years and detailed and comprehensive medical and social assessments were in place, which were undertaken by relevant professionals. Residents care plans were detailed and demonstrated that that they were based on the assessment and were subject to regular review. Daily recording and observation confirmed that residents’ needs and likes are the focus of staffs daily work. 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 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 the following standard(s): 6,7 & 9. Individual plans reflect the needs and likes of the residents; their views are sought with additional input from relatives, advocates and other professionals. Risk assessments are in place relating to all aspects of functioning to ensure lives are fulfilled and risks are minimised. EVIDENCE: All three residents of Frederic Street have complex and multiple needs and are without verbal communication. Observation of care routines and examination of records supports the view that staff make great and imaginative efforts in communicating with the residents to determine their wishes. One resident has a box of articles, which includes for example a fork to indicate food, a mug for a drink and a car key to indicate going out in the car and some shampoo to indicate bath-time. Two residents have involved relatives and all have the involvement of independent advocates who attend reviews and sign agreement to plans. Detailed risk assessments were examined and these support of all aspects of daily living. 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 Page 9 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): 16 & 17 Residents are supported and encouraged to take part in the daily tasks and routines within the home and enjoy a healthy and varied diet. EVIDENCE: The three staff on duty on the day spoke of their passionate commitment to individuality in offering care support to the residents and explained that each resident had individual quality time based on their individual activity programme. All three residents are encouraged to and participate in some way in tasks such as taking their washing to the machine, taking rubbish to the bin and tidying their room. The inspection started at 11-30 a.m just as a staff member was preparing a lunch which was chicken casserole, with brussel sprouts, carrots, mixed vegetables and mashed potato. Lunch was of a high quality and enjoyable and menus supported the view that a healthy and varied diet is ensured. Staff know residents likes and dislikes and this is supported by information in the care practice statement. 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 Page 10 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. Service users receive personal support in a way that is identified that they prefer and enjoy. The healthcare needs of the service users are assessed and met. EVIDENCE: The meeting of the residents care needs in an individual, flexible and personalised way was evidenced by observation of the care given by staff on the day of inspection and supported by the recorded evidence in the care practice statement and daily recording. Each resident has their own G.P with appropriate input from community nursing services, psychology and psychiatry as well as other specialist support services. 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 Page 11 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): EVIDENCE: This section was not looked at during this inspection as the key Standards were satisfactory at the last inspection in October 2005 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 Page 12 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): EVIDENCE: This section was not looked at during this inspection as the key Standards were satisfactory at the last inspection in October 2005 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 Page 13 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): EVIDENCE: This section was not looked at during this inspection as the key Standards were satisfactory at the last inspection in October 2005 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 Page 14 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): 39 & 42 Service users are at the heart of the quality monitoring systems at 2 Frederic Street and the health, safety and welfare of service users is actively promoted and protected. EVIDENCE: Several quality assurance systems are in place focussing mainly on care planning; review; regulation 26 visits; involvement of relatives; advocates; annual survey and the Annual commissioning review. In addition there is a full programme of health and safety checks. A number of health and safety records were examined to confirm that up to date maintenance/checks and records were in place relating to gas safety, water temperature, fridge temperatures, environmental health and legionella. It is recommended that health and safety would be further enhanced and evidenced if bath water temperatures were checked weekly and recorded. 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 Page 15 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 X 23 X ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 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 X 13 X 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 X X x x 3 X X 3 x 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 Page 16 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. 1. Refer to Standard 42 Good Practice Recommendations It is recommended that health and safety would be further enhanced and evidenced if bath water temperatures were checked weekly and recorded. 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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 2 Frederick Street DS0000000037.V273397.R01.S.doc Version 5.1 Page 18 - 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!
