Inspection on 10/05/07 for 20 Burlington Road

This inspection was carried out on 10th May 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

20 Burlington Road 03/10/05

20 Burlington Road 07/07/05

20 Burlington Road 16/11/04

20 Burlington Road 27/07/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 20 Burlington Road 20 Burlington Road South Shore Blackpool Lancashire FY4 1JR Lead Inspector Mr Kevan Royston Unannounced Inspection 10th May 2007 09:30 20 Burlington Road DS0000010059.V339613.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 20 Burlington Road DS0000010059.V339613.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. 20 Burlington Road DS0000010059.V339613.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 20 Burlington Road Address 20 Burlington Road South Shore Blackpool Lancashire FY4 1JR 01253 345980 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 Marilyn Christine Wilson vacant post Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 20 Burlington Road DS0000010059.V339613.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 3rd October 2005 Brief Description of the Service: 20 Burlington Road is a care home registered to accommodate three young Adults with a Learning Disability. The two residents living at the home when this inspection took place have lived with the owner for over 20 years. The home is run as a normal domestic household. Both residents participate in all normal family activities. Both residents have their own individual rooms with evidence of personal hobbies and interests in the personalisation of their rooms. The home is situated in the South Shore area of Blackpool and is convenient for all local amenities. There is a statement of Purpose/Service user Guide, which is given to all prospective residents/relatives. This written information explains the care service that is offered, who the owners are and what the resident can expect if he or she decides to live at the home. The fees at the home are £311.00 per week. There are no additional costs. 20 Burlington Road DS0000010059.V339613.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit undertaken over a period of 3.5 hours commencing on the 10/05/07. The Inspector spoke to the homeowner and two of the residents. As part of the inspection process the inspector used case tracking as a means of assessing some of the National Minimum Standards. The process allows the inspector to focus on a small number of people living at the home. All records relating to these persons are examined and the rooms they occupy are looked at. Prior to the visit the homeowner completed a survey form, which provided information about how the home is run. Comment cards were sent out prior to the visit to three residents all were returned expressing their thoughts and views of what living at the home is like. There are no staff employed, this is a family run home and the owner lives on the premises. A tour of the premises was undertaken with a resident. Examination of the homes documentation, policies and procedures formed the basis of the inspection process. What the service does well: All three residents have a daily programme through education, social preferences and day centres, which are chosen by the individuals with the homeowners support to encourage independence, choice and pursue their interests. Two residents discussed their daily routines and said, “I go to the Red Cross and have done first aid courses”. And, “I enjoy the day centre and buying music DVD’s”. The homeowner spoken to said, “They do entirely what they enjoy doing”. Two residents were able to describe how decisions are made about family holidays and their choices and how they are made. One resident spoken to said, “We always choose where we are going”. Another said, “We have been to Paris and Spain we chose them”. 20 Burlington Road DS0000010059.V339613.R01.S.doc Version 5.2 Page 6 The residents live in a family environment with two of the residents living with the owner for over twenty years and all are regarded as members of the family. They are involved in decision making about the running of the home and their own lifestyle. One resident said, “I love living here”. Another said, “I helped us move in and sort the house out”. Relatives of the residents are invited to stay over when visiting and this happens regularly. The homeowner spoken to said, “Yes relatives do stay over for a couple of nights it’s a big house and plenty of room”. One resident said, “My family come and stay with me sometimes”. 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. 20 Burlington Road DS0000010059.V339613.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 20 Burlington Road DS0000010059.V339613.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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The admission and assessment process is clear and precise to make sure the care needs of the residents are met. EVIDENCE: The records of one resident were examined and had comprehensive assessment information recorded in detail to ensure a thorough care plan could be developed. The written assessments seen confirmed there is involvement of the residents other professionals and where possible relatives, so that the health, social interests and welfare needs are identified and recorded. Discussion with the homeowner confirmed a clear understanding of the assessment process with support from the social worker and when spoken to said, “She came to stay for a short time but loved it here”. And, “The social worker has been very helpful”. 20 Burlington Road DS0000010059.V339613.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. 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. Residents are supported to pursue an independent lifestyle with identified risks monitored and reviewed. EVIDENCE: The homeowner cares for the residents as part of the family and helps to meet the needs of the individuals and there is recognition of supporting people to make choices in their daily lives, which will positively help them in what they choose to do. A resident said, “I enjoy going to the red cross for an evening I chose to go there”. The daily records clearly described the level of support and assistance provided to one resident with his decision-making to ensure his choices are his own. Discussion with the resident clearly informed the inspector he was able to describe his involvement in planning and helping to support homeless children project in EL Salvador. When spoken to he said, “We have been sorting things 20 Burlington Road DS0000010059.V339613.R01.S.doc Version 5.2 Page 10 out in the charity shop”. Another resident spoke about how he enjoyed the day centre and said, “There is always lots to do”. The records for the residents clearly described their health need to ensure there welfare is being monitored. Resident’s care was recorded with good risk assessments. Examination of care plans confirmed they are now being reviewed regularly to monitor any changes. 20 Burlington Road DS0000010059.V339613.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. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Opportunities for development and community participation are good to ensure residents have opportunities for personal development. EVIDENCE: Discussion with the homeowner and residents said they were happy with arrangements in place for receiving their visitors and residents are encouraged by the owner of the home to maintain contact with their family and friends and they stay over at the home regularly. One resident said, “Its great when my family stay over”. Another said, “I see family a lot”. Records examined confirmed the owner of the home was recording contact between the residents and their family and friends. Residents have a range of activities available to them, which included television, music, videos and board games. At the time of the visit the residents and homeowner were getting ready to go out. Activities are arranged 20 Burlington Road DS0000010059.V339613.R01.S.doc Version 5.2 Page 12 to suit each individual wishes and abilities, so that nobody feels they are being left out. One resident spoken to said, “We are going into town after I like that”. Both residents said they were provided with the choice of spending time on their own or in the lounge areas and the owner respected their privacy. The homeowner said, “They are free to go where they want around the home but I always knock on their doors before entering it only right”. This was observed during the site visit when meeting the residents. Observation of the kitchen found they’re to be plenty of fresh food available in the fridge and cupboards to ensure the dietary needs of the residents are met. One resident said, “The food is great we choose what to eat”. Residents are encouraged to make contact in the community. This is done through day care facilities, as well as residents being encouraged to go out independently as there risk assessment and daily programme indicates on their records. The homeowner said, “If needed when they are out and need picking up I do”. 20 Burlington Road DS0000010059.V339613.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. JUDGEMENT – we looked at outcomes for the following standard(s): 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. Residents health care is taken seriously and needs are closely monitored ensuring health issues are met. EVIDENCE: There is evidence the home has good access to specialist healthcare services in individual records examined, for the benefit of residents using the service, so that their healthcare needs are met. Two residents spoken to said they were happy with the support at the home and decide themselves when to go to bed or have a bath and would speak to the owner if they were not well. It was evident talking to the homes owner and residents this is a family run home with routines flexible and the residents making there own decisions on how to run there lives. Medication practices were safe and records are kept ensuring residents health is maintained. The homeowner spoken to said, “Only I look after the medicines and if I am not available the district nurse would call if needed”. 20 Burlington Road DS0000010059.V339613.R01.S.doc Version 5.2 Page 14 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): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The arrangements for recording and reporting of complaints are good ensuring people feel listened to. The homeowner has a good knowledge and understanding of safeguarding adult issues, which protect residents from abuse. EVIDENCE: The home has a detailed complaints procedure, which has been made available to the residents. One residents spoken to said, I have been here twenty years and never complained”. There have been no complaints since the previous inspection. The home has a procedure in place for dealing with safeguarding adults so that everyobne knows what they should do should an allegation or suspicion of abuse be noted. 20 Burlington Road DS0000010059.V339613.R01.S.doc Version 5.2 Page 15 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): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The environment is safe and clean maintained to a good standard providing comfortable surroundings for the residents. EVIDENCE: A tour of the home with one of the resident’s found the building to be clean and tidy. Observation walking around the premises confirmed the decoration and furnishings are maintained to a high standard ensuring the residents live in pleasant and safe surroundings. New doors have been fitted with some decoration completed, which provides pleasant surroundings. One resident who has football posters all over his room and is a keen fan said, “I decorated my room with pictures and Blackpool photos”. Bedrooms are individually decorated and furnished. . All rooms had good lighting and personalised by the families and residents to make it feel homely. 20 Burlington Road DS0000010059.V339613.R01.S.doc Version 5.2 Page 16 The lounge and dining areas have been decorated and furnished for the comfort of residents. The home also has a games room with fruit machines and football game. 20 Burlington Road DS0000010059.V339613.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. These standards were not assessed, as there are no staff employed at the home. EVIDENCE: These standards were not assessed, as there are no staff employed at the home. 20 Burlington Road DS0000010059.V339613.R01.S.doc Version 5.2 Page 18 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): 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. The home is well managed and run in the best interests of the residents. EVIDENCE: The homes owner approach is relaxed so that there is no formality in the dayto-day management of the home. Residents are encouraged to follow their individual routines supported by the owner and her family. As previously discussed in this report two of the three residents have lived with the owner of the home for over twenty years and live as members of the family. The home is run as a normal family household and quality assurance systems are in place but are informal. Discussion with two residents confirmed they are involved in 20 Burlington Road DS0000010059.V339613.R01.S.doc Version 5.2 Page 19 normal family decision-making and their views are listened to. One resident spoken to said, “I am very happy living at the home”. The home is well maintained and procedures are in place to ensure the safety and welfare of the residents is maintained and they are protected. 20 Burlington Road DS0000010059.V339613.R01.S.doc Version 5.2 Page 20 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 4 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 N/A 32 N/A 33 N/A 34 N/A 35 N/A 36 N/A 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 X 3 20 Burlington Road DS0000010059.V339613.R01.S.doc Version 5.2 Page 21 No 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. Refer to Standard Good Practice Recommendations 20 Burlington Road DS0000010059.V339613.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Lancashire Area Office Unit 1 Tustin Court Portway Preston PR2 2YQ 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 20 Burlington Road DS0000010059.V339613.R01.S.doc Version 5.2 Page 23 - 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!