Inspection on 24/10/05 for 20 Longton Road

This inspection was carried out on 24th 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

20 Longton Road 06/02/08

20 Longton Road 27/04/06

20 Longton Road 30/11/04

20 Longton Road 17/05/04

Similar services:

Polesworth Group 68 Long Street

10 Whitfield Avenue

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

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

CARE HOME ADULTS 18-65 20 Longton Road Stone Staffordshire ST15 8DQ Lead Inspector Mr Berwyn Babb Unannounced Inspection 24th October 2005 10:00 20 Longton Road DS0000005091.V263833.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 Longton Road DS0000005091.V263833.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 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 20 Longton Road Address Stone Staffordshire ST15 8DQ 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) 01785 615477 RMP Care Mr Paul Stevenson Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 21st April 2005 Brief Description of the Service: The home is a terraced house that adjoins another home owned by the Proprietors. The appearance of the home is in keeping with the surrounding properties and as such does not present itself as a care setting. The location of the home provides for good access to public transport systems and is within walking distance of the town centre. The home is managed by one of the proprietors. The Home provides for three younger adults with a learning disability. The accommodation is provided on two floors and consists of a lounge/dining area, kitchen and ground floor bathroom. There are three single bedrooms on the first floor. There is an enclosed courtyard to the rear of the property that leads to a grassed garden. The home is staffed to the assessed needs of the service users and it has been agreed that a member of staff should do sleep in duty in the adjoining home, and the alarm call in No 20 be diverted to arouse that member of staff in No. 21 at night. The aims and objectives of the home are to provide a small comfortable home which is staffed to meet individual service users needs and enable development and integration into the local community. 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was undertaken to conclude the 2005/2006 inspection program, with the aim of completing the examination of all those standards identified in the methodology as requiring to be reported upon once in each twelve-month period. Some core standards may be repeated, together with a selection of other standards that observation and discussion indicated during the inspection. Initially, two residents were present in this semi-staffed unit, and a carer from the adjacent staffed unit joined them, when the third resident returned to the home. The manager attended for the latter part of the inspection and freely gave invaluable assistance. The care of and for the residents matched the documented assessments and Personal Care Plans, and demonstrated a commitment to maximising the potential of each individual. The consequences of Risk Assessments all had positive goals, seeking through education, training, staff assistance, or medical intervention, to enable a resident to achieve something or maintain a current ability, choice, or lifestyle, rather than to limit their activity. All three residents actively engaged with the inspection process, and thanks are extended to them for making it such a client-focused experience. The only criticisms that will be found in the following report relate environmental issues, such as minor areas of the decoration. The registered proprietors had done much to modernise and upgrade the property, with the ironic consequence of highlighting those areas remaining to be processed. The age of the building makes for original woodwork that is covered in many coats of paint, and thus difficult to match in quality of finish with those areas where renewal has taken place. What the service does well: 20 Longton Road provides the nearest fit possible to an independent domestic model of living, firmly located within a local community, and some residents have used this as a stepping-stone to moving on to supported accommodation. Two of the current residents were encouraged by this, and were actively considering their own long-term future along these lines. 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 Page 6 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 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 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 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 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): 4 Conversation with two residents, verified by reading their personal care plans, demonstrated that they had been fully involved in the assessment of their needs, and in meeting both staff and other residents, before agreeing that this is where they would like to live. EVIDENCE: The inspector spoke at length with the resident who had been last to enter the home, and to a lesser extent with one of the other residents, and verified what they had told him from the assessment documents in their personal care plans and the ongoing daily records. These demonstrated that prospective residents had made initial visits, stayed for tea and later stayed for a sleep over, and had been able to make choices and decisions about the decoration of the room that they were considering. The residents confirmed that they had been asked about, and had given their opinion on their feelings of coming to the home, and were satisfied that these had been a prime factor in the success of their placement. 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 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): 9 Observation and discussion with residents and staff confirmed that training, monitoring, education, and support were provided to enable them to undertake activities that would otherwise have presented as being a risk. EVIDENCE: The care of, and for the residents, matched the documented assessments and Personal Care Plans, and demonstrated a commitment to maximising the potential of each individual. The consequences of Risk Assessments all had positive goals, seeking through education, training, staff assistance, or medical intervention, to enable a resident to achieve something, or maintain a current ability, choice, or lifestyle, rather than limit their activity. Examples seen included the use of public transport from an unfamiliar area after intensive staff input in familiarisation, monitoring, and review, and the arrangements for an expansion of staff on duty to enable the continuation of a chosen lifestyle, following an escalation in the risk presented attendant on a change in that resident’s circumstances. 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 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 the following standard(s): 11 and 17. Personal care plan recording and anecdotal evidence from residents, showed that they were able to make, and have respected, choices appropriate to their ages, culture, gender and religious beliefs, in line with their personal likes and dislikes. EVIDENCE: In an extended interview with one of the residents, the inspector learned of the arrangements in place for her to visit members of her family on different days of the week, and to be able to socialise and have a meal with them, and also to attend the church of her choice. Following suitable risk assessments, she travelled independently to both these family visits, and to college, where she was doing educational study, and to a work placement in a nearby town. She confirmed that she had similar freedom to visit friends, and had entertained friends and family members to tea at the home. The social activities that she chose to engage in were age appropriate, as were the food choices of both she and the other two residents, who had joined the inspection by this time. 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 Page 11 Because of the intimate nature of the home, they are all involved in making the shopping list, and took turns in assisting with the actual shopping itself. The inspector was able to see how they reached a consensus about some things, and that where a compromise could not be agreed, they would prepare individual items for themselves with or without the assistance of staff. They also discussed their various likes for take away or eating out, including a visit to local pubs, cafes and restaurants, and for choosing to have a pizza night, or a Chinese night, or an Indian night, when they would purchase food to be brought in ready prepared. 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 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 the following standard(s): 18, 20, and 21. The well-being and good health of residents was seen through examination of personal care plans, and discussion with both residents and staff, to be of the highest importance in this home. EVIDENCE: Residents assured the inspector that they received assistance from staff who were appropriate to their choices and especially their gender. They said they felt that they were able to talk to staff in private about their personal needs, and this included feeling very supported in the area of emotional care. The inspector was distressed to learn from the manager that the provision that well man and well woman clinics in the area was still problematic, and very dependant on whichever surgery the residents had chosen, or been assigned to by the PCT. The residents confirmed the evidence of the care plans that they were able to choose their rising and retiring times, and whether they would have a bath, and when they would do that. They also stated that they had and used locks on their bedroom doors, and that there was an appropriate lock on the bathroom door. Recording showed that they had regular access to chiropody, opticians and dentists, and discussion with the management showed there were no problems with obtaining these services. 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 Page 13 The management also confirmed that when necessary they were able to access professional support for more specifically targeted learning disability issues, through the CPN service, and the local outreach team from New Burton House in Stafford. One resident managed her own medication and was able to show the inspector the locked metal cabinet in which she keeps, this situated in her wardrobe. Both she, and one of her colleagues, confirmed the training that had been given to members of staff to ensure that they were able to monitor this correctly. The inspector discussed with one resident the extent of her knowledge and choices regarding the time of her own demise, and she confirmed that this had been discussed with her by staff in a sensitive and reassuring way, and that her views on how she wished to be treated in a terminal illness had been recorded in her care plan, together with her funeral wishes. 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, and 23. Two separate conversations, one with a resident and one with a member of staff, confirmed the robustness of the complaints procedure, and the culture of seeking to protect vulnerable adults. EVIDENCE: The residents present were able to correctly identify who they should approach if they had anything that they wished to complain about, and further they knew who then to approach if they felt their complaint had not been properly dealt with. Leaflets on how to make a complaint were observed to be freely available in the home, as they have been on every occasion that this inspector has visited an RMP Care home. In a formal interview concerning the subject of abuse, the inspector was able to discuss with one resident how the organisation had responded to an allegation of abuse, and her satisfaction with the directions and procedures, The way that these had been implemented, satisfied the inspector in turn, that RMP operated a caring culture where abuse would not be tolerated, and if discovered, would initiate robust intervention to eradicate it, using the guidelines laid down in the locally agreed policy on the protection of vulnerable adults. 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 The parts of this home that have already been a subject to a “makeover” present exceptionally well. However, the proprietors need to be diligent to ensure that the rest of the property does not start to look dowdy by comparison. EVIDENCE: It was a requirement of the last report that the area at the top of the stairs leading to the cellar should be decorated to make it suitable for the use to which it was being put, i.e. for the location of the chest freezer. When revisited on this inspection, this area still did not come up to the expected standards of cleanliness and decoration. It was of further concern to the inspector that when descending the cellar steps, he discovered combustible material again being stored directly beneath a ventilation shaft that leads to the pavement above. The potential hazard in this practice had already been discussed at a previous inspection, as a possible cause of fire. Examination with the residents of their bedrooms provided them with the opportunity to request provision of TV aerial for one, and of a wall bracket for a TV for another, this to release more surface space for that residents use, for 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 Page 16 the securing of a set of tie back purchased with the recently renewed bedroom curtains and for the carpet to be made safe on the landing. The kitchen and bathroom were well fitted out and clean, with evidence of tidy management in the kitchen storage units. The other communal areas of lounge, and dining room, were both clean and comfortably furnished, with the renewal of carpet for both these rooms and curtains for one of them. Work was being undertaken to put in an adjoining door between the dining room and the house next door, which has recently been purchased to form an extension to this registration. Residents told the inspector that they were responsible for the cleanliness of the home and the tidiness of their own rooms, and in general this was a credit to them. The earlier mentioned area at the top of the cellar stairs would not come within their remit, nor similarly would the area of landing wall at the top of the stairs which needs repainting as does the landing ceiling. Otherwise the level of cleanliness and hygiene control of the individual bedrooms, communal areas, and kitchen and bathroom/toilet, were well up to standard, especially considering the age of this building. Externally the property is in close proximity to a very busy main road, making it very difficult to keep clean, though the white painted brickwork surrounding the front door do highlight the problem. 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, and 36. Residents at 20 Longton Road were seen to be benefiting from flexible arrangements for the deployment of suitably trained, qualified staff. EVIDENCE: The inspector was able to discuss with staff their training and development in terms of providing the service to residents, and with residents, the service that they received from staff, and the way this complemented their needs and chosen lifestyles. In addition to this, he was party to discussion between all of the residents and the manager and other staff members, in respect of future staffing arrangements to meet the differing requirements being provided for in the extended 20 Longton Road. They discussed their proposals to retain the existing building number 20 for low dependency residents, with a concomitant low staffing ratio, and the provision of two places in the adjacent property for people with a higher need for supervision and assistance, as determined by their care management assessment. Residents appeared pleased and reassured by being included in this forward planning, and in being reminded of the rationale behind the deployment of staff within the home. 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 Page 18 In discussion with one resident evidence was uncovered of the flexible use of staffing to enable both individual and group social activities, sometimes in conjunction with residents from other local RMP care homes, not only for one off events and day trips, but also for holidays. The RMP care training manager was not available during this inspection, thus records of training received and planned for the near future were not viewed. Training for the administration of medication had already been identified earlier during this inspection. This had been cascaded to all staff working in the home. 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 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): 39 and 42. This home is adequately managed to provide an acceptable environment for those residents for whom it is registered. EVIDENCE: Two residents discussed with the inspector the way that they were included in conversations about the running of the home, and that they felt valued by this, and thought that their responses were valued. One such discussion had been promoted during the day, as a comment made by a staff member in regard to future staffing arrangements had not been fully understood, and at their request the manager sat down with the residents, and was at pains to ensure that they were a party to all her considerations. In discussion with the residents, and from observation of risk assessment in the personal care plans, the inspector was able to gather a picture of the steps being taken to ensure the safety and welfare of all those people who live and work at 20 Longton Road. He saw copies of servicing documents for the gas 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 Page 20 central heating, manufacturers advice and safety sheets regarding irritant or harmful substances, a history of work undertaken to promote the environmental and personal safety of residents, both in relation to specific activities and in their daily living in the home, and viewed records of the steps taken to ensure safety from the danger of fire. He was also able to confirm with the care manager, that her staff were receiving sufficient mandatory training to equip them with the knowledge necessary, to carry out their duties without perceived risk to their own health, safety, or well being. The accountants of RMP Care have furnished the CSCI with a letter confirming that the business is being so managed as to safeguard the places of residents in the home through adequate fiscal probity. 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x 4 x Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score x x x 4 x Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X 3 LIFESTYLES Standard No Score 11 4 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 20 Longton Road Score 3 X 3 4 Standard No 37 38 39 40 41 42 43 Score X X 3 X X 3 X DS0000005091.V263833.R01.S.doc Version 5.0 Page 22 Are there any outstanding requirements from the last inspection? Yes 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 24 Regulation 23 Requirement It is a requirement of this report that the area at the top of the stairs leading to the cellar should be decorated to make them suitable for the use to which they were being put, i.e. for the location of the chest freezer. This work had been completed by the time of the follow up visit on the 4 November 2005. It is a requirement of this report that no combustible material be stored in the cellar in any position that might be in danger of ignition via the former coal s Chute to the pavement. This requirement had been actioned before the end of the inspection. Timescale for action 04/11/05 2 24 23 [4] a 24/10/05 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 Page 23 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 24 Good Practice Recommendations The registered person is recommended to be diligent to ensure that routine decoration is not neglected in the push to upgrade, renew, or make over, other parts of the home. 20 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 Page 24 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Longton Road DS0000005091.V263833.R01.S.doc Version 5.0 Page 25 - 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!