CARE HOME ADULTS 18-65
20 Burlington Road 20 Burlington Road South Shore Blackpool FY4 1JR Lead Inspector
Wesley Cornwell Announced 7 July 2005 10:00 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 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 Stationary 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 F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION
Name of service 20 Burlington Road Address 20 Burlington Road South Shore Blackpool FY4 1JR 01253 345980 Telephone number Fax number Email 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 CRH 3 Category(ies) of LD (Learning Disability) 3 registration, with number of places 20 Burlington Road F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 16 November 2004 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 and not a residential care home. 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 F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was announced and took place over three 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?
There have been improvements made to the environment since the last inspection with a number of rooms having double glazed windows fitted. Both residents said they were happy with the improvements. The owner of the home has completed a first aid course. 20 Burlington Road F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 Page 6 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 F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 20 Burlington Road F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 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 standard(s) These standards were not assessed during this inspection EVIDENCE: 20 Burlington Road F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 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 standard(s) 6, 7 and 8 Promotion of residents health, personal and social care is taken seriously and closely monitored to ensure they are met. EVIDENCE: An individual care plan has been produced for both residents to ensure all aspects of their health, personal and social care needs are met. Both residents had been involved in setting out the care plan, which had identified their personal choices in respect of opportunities for personal development, contact with family and involvement in leisure activities. One resident was able to describe to the Inspector how a change in his health had been identified by the homes owner and the action taken by the home to resolve the problem. Both residents confirmed they are involved with decision making within the home as normal family members and their views are listened to. One resident said, “We have recently returned from a holiday in Whitby. We looked at the brochures together and were able to say where we wanted to go. We had a great time and are hoping to go back”.
20 Burlington Road F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 Page 10 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 standard(s) 12, 13, 14 and 17 Education and employment opportunities are promoted to ensure the residents have opportunities for personal development. Meals are well managed and provide daily variation for person living in the home. EVIDENCE: The home encourages both resident’s to pursue education and employment opportunities and these are described within the care plan. Both residents attend a local day centre three days a week and are able to pursue leisure interests and education opportunities. One resident said, “I like attending the centre. I like cooking and gardening and can also go on the Internet to see how Blackpool Football Club are doing. I’m a big fan. I go to all the home games”. The Inspector observed a certificate on the residents bedroom wall confirming he had recently completed a British Red Cross Basic First Aid Course. The resident said he had enjoyed attending the course but the best thing was being presented with his certificate at Blackpool Football Club. The resident said he had a brilliant day. 20 Burlington Road F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 Page 11 Discussion with both resident’s confirmed they did not have any special dietary needs and enjoyed the food made available to them. One resident said, “We all eat together as a family. I like helping in the kitchen it’s fun”. 20 Burlington Road F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 19 Promotion of health is taken seriously. The resident’s welfare is closely monitored and health needs were met. EVIDENCE: 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 his healthcare needs to the Inspector and was aware a referral had been made to an appropriate specialist. 20 Burlington Road F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 Page 13 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 standard(s) These standards were not assessed during this inspection EVIDENCE: 20 Burlington Road F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 Page 14 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 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: Since the last inspection the owner of the home has made improvements to the environment with a number of bedrooms having new double glazed windows fitted. 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 F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 Page 15 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standards were not assessed during this inspection. EVIDENCE: 20 Burlington Road F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 Page 16 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 41 Records required by regulation are not stored securely ensuring the protection of residents. EVIDENCE: At the time of this inspection care plan records that had recorded the daily routines of both residents and significant events in their lives were unavailable for inspection. The owner of the home informed the Inspector the records were being retained in a lockable cupboard but the key had been misplaced. The owner was reminded of her responsibility to ensure records are available for inspection at all times and are secured safely. 20 Burlington Road F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 Page 17 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
ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10
LIFESTYLES Score 3 3 3 x x
Score Standard No 24 25 26 27 28 29 30
STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 x 3 x 3 x x 3 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 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
20 Burlington Road Score x 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x 1 x x F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 Page 18 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. 1. Standard 41 Regulation 17 Requirement The registered proprietor should ensure records required by regulation are stored safely and available for inspection at all times. Timescale for action 7th July 2005 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 Good Practice Recommendations 20 Burlington Road F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Area Office, 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
© 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 F57 F09 S10059 Burlington Road V208627 070705 Stage 4.doc Version 1.40 Page 20 - 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!
