This inspection was carried out on 3rd October 2005.
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.
CARE HOME ADULTS 18-65
20 Burlington Road 20 Burlington Road South Shore Blackpool Lancashire FY4 1JR Lead Inspector
Mr Wesley Cornwell Unannounced Inspection 3rd October 2005 06:00 20 Burlington Road DS0000010059.V252003.R01.S.doc Version 5.0 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.V252003.R01.S.doc Version 5.0 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.V252003.R01.S.doc Version 5.0 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 Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 20 Burlington Road DS0000010059.V252003.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 7th July 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. 20 Burlington Road DS0000010059.V252003.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over two hours. The inspector spoke to the owner and both resident’s living at the home. A full tour of the premises was undertaken with one resident. 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. 20 Burlington Road DS0000010059.V252003.R01.S.doc Version 5.0 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 20 Burlington Road DS0000010059.V252003.R01.S.doc Version 5.0 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): These standards were not assessed. EVIDENCE: 20 Burlington Road DS0000010059.V252003.R01.S.doc Version 5.0 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): Residents are supported to pursue an independent lifestyle with identified risks monitored and reviewed. EVIDENCE: The daily records clearly described the level of support and assistance being provided to one resident with his decision-making. The resident informed the Inspector they had recently been involved in a local charity walk for Alzheimer’s disease and had volunteered to be a steward. The resident was able to describe their level of involvement in planning the day and was very excited about this. The resident said, “I had a list explaining what I was expected to do and what I should do if any emergencies happened. It was good fun and I had a great day”. 20 Burlington Road DS0000010059.V252003.R01.S.doc Version 5.0 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): 15 and 16 Visiting arrangements at the home are informal and family and friends of residents are encouraged to maintain contact ensuring personal relationships are maintained. Routines within the home are flexible and are arranged to ensure residents are respected. EVIDENCE: Both residents said they were happy with arrangements in place for receiving their visitors and were encouraged by the owner of the home to maintain contact with their family and friends. One resident said, “I see my family and friends all the time. I have just attended my brothers wedding and had a brilliant time”. Daily records confirmed the owner of the home was recording contact between the residents and their family and friends”. Both residents said they were happy with the routines within the home and these were being arranged around their individual and collective needs. One resident said, “We are very lucky living here. 20 Burlington Road DS0000010059.V252003.R01.S.doc Version 5.0 Page 10 We both have our own rooms with all our own personal possessions and want for nothing”. 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. 20 Burlington Road DS0000010059.V252003.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 and 20 Promotion of health is taken seriously and personal support is provided in a flexible and sensitive manner. EVIDENCE: Both residents said they were happy with the level of support they receive within their daily routines and could make their own decision when to bath, retire to bed and get up in the morning. At the time of this inspection one resident had a health problem, which had been identified by the homes owner and appropriate action was being taken to resolve the problem. The resident was able to describe theri healthcare needs to the Inspector and said they had recently seen an appropriate specialist about their condition and had an appointment for a follow up visit later in the year. 20 Burlington Road DS0000010059.V252003.R01.S.doc Version 5.0 Page 12 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 and 23 Arrangements for complaints are handled well and taken seriously ensuring the resident feels listened to. Procedures for dealing with and reporting abuse were satisfactory ensuring people are adequately protected. EVIDENCE: The home has a detailed complaints procedure, which has been made available to the residents. Both residents informed the Inspector they were happy living at the home and had never had cause to make a formal complaint. The home has a procedure in place for dealing with allegations of abuse. 20 Burlington Road DS0000010059.V252003.R01.S.doc Version 5.0 Page 13 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, 25, 26, 27, 28 and 30 The home has a planned maintenance and renewal programme for the redecoration and refurbishment of the home to ensure the resident lives in a comfortable, homely and safe environment. EVIDENCE: Both resident’s bedrooms have been decorated and personalised to their own choice. One resident who is keen football fan had posters and bedding of his favourite football team. Both residents had their own TV and music systems and said they enjoyed spending time in their own rooms. 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. Both resident’s said they enjoyed the games room. It was observed during the inspection the home was clean and hygienic 20 Burlington Road DS0000010059.V252003.R01.S.doc Version 5.0 Page 14 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): These standards were not assessed. . EVIDENCE: 20 Burlington Road DS0000010059.V252003.R01.S.doc Version 5.0 Page 15 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): 37,39 and 42 The home is well managed and run in the best interests of the residents. EVIDENCE: As discussed previously in this report both 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 both residents confirmed they are involved in normal family decision-making and their views are listened to. One resident was able to describe how decisions are made about family holidays and his involvement in these. Significant events confirming both residents are encouraged to pursue leisure and educational interests and make their own decisions about their lifestyle had been recorded. The home is well maintained and procedures are in place to ensure the safety and welfare of both residents is promoted and they are protected. Hot water temperatures were checked and found to deliver water at a safe temperature in line with health and safety guidelines.
20 Burlington Road DS0000010059.V252003.R01.S.doc Version 5.0 Page 16 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 2 X X 3 X Standard No 24 25 26 27 28 29 30
STAFFING Score 3 3 3 3 3 3 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score N/A N/A N/A N/A N/A N/A CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
20 Burlington Road Score 3 X 3 X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 3 X DS0000010059.V252003.R01.S.doc Version 5.0 Page 17 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. 1 Standard YA6 Regulation 15 Requirement Care plans must be reviewed at least ever six months and updated to reflect any changing needs of residents. Timescale for action 05/12/05 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.V252003.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1 Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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