Inspection on 19/02/07 for 20 Oulton Road

This inspection was carried out on 19th February 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 Oulton Road 09/01/06

20 Oulton Road 17/01/05

20 Oulton Road 21/09/04

20 Oulton Road 09/02/04

20 Oulton Road 27/08/03

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 20 Oulton Road Stone Staffordshire ST15 8DZ Lead Inspector Mrs Wendy Grainger Key Unannounced Inspection 19 February 2007 20 Oulton Road DS0000005095.V324969.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 Oulton Road DS0000005095.V324969.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 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 20 Oulton Road Address Stone Staffordshire ST15 8DZ 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 615486 RMP Care Mrs Dorothy Tarpey Care Home 5 Category(ies) of Learning disability (5) registration, with number of places 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th January 2006 Brief Description of the Service: The home is a double fronted town house set in a residential street within walking distance of the town centre and it’s amenities. It is in keeping with similar properties and does not present itself as a care home. It provides care for five younger adults with a learning disability, on two floors. There is a communal lounge, dining room, and domestic kitchen, two single bedrooms, and a toilet and shower room, together with the staff sleep in bedroom, plus conservatory on the ground floor. The last named is also available in the daytime as quiet/private space for residents, or residents and their visitors. On the first floor, there is a bathroom and three single bedrooms, one having an en suite toilet. There is a courtyard area to the rear, which has access to another home owned and managed by the same providers, and to Old Road. The stated 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. From the information provided in the pre inspection questionnaire the current fees for the home were £427-£798. 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was completed during the afternoon/early evening on the 19 February 2007. A further visit on the afternoon of the 20th February was made to complete a final check on records held centrally. The inspector was assisted by the residents, staff and providers to gather information for the report for the initially visit. Comments from the residents, information provided in the pre inspection questionnaire, records documents and reports will be included. The commission had received four relative comment cards and two residents written comments, which will be reflected in the report. What the service does well: The providers had created with the residents personality a domestic family style home, where residents were part of a larger group of residents who reside in other homes in the group The style of management was relaxed demonstrating her commitment to the residents well being. Comments received from relatives identified that they had not reason to raise a complaint. One person felt that they would prefer a more private space to visit their relative. One relative felt that their relative, who had been resident for a number of years and “was very lucky to have found such accommodation. The ethos of the home is very important and continues as from day one. The level of care is beyond the call of duty be it medical, social, psychological. Communication is good with the home but above all my relative is happy”. Two residents had sent their opinions to the commission, both were happy and would know who to go to if they had a problem. The residents verbally confirmed this during the inspection. Relatives live in a comfortable modern designed home, the providers have a rolling programme for the upgrading and refurbishment of the home. 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. 20 Oulton Road DS0000005095.V324969.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 Oulton Road DS0000005095.V324969.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): 1,2,3, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. There had been no new admission for sometimes, any person seeking a placement could access the appropriate information. Residents were provided with an easy read document to make an informed choice. EVIDENCE: The statement of purpose contained the relevant details sufficient for any person seeking accommodation to make an informed choice. The document had been individualised for 20 Oulton Road, with generic details of the company. Residents were provided personally with an easy read document for them retain. The home had had a vacancy for sometime, the providers had not advertised the room. A new person would have to be compatible with the present group. 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 9 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 10 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): Standards reviewed were 6,7,8,9 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. The personal care plans seen were current and reflected change and involvement of the individual. Residents life style were supported by the management and staff, calculated risks were part of a person daily routine. From observations during the inspection it was obvious that each resident was drawn into decisions made with them or on their behalf. EVIDENCE: . 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 11 Samples of two care plans were evidenced with the agreement of the residents. Each plan was individualised and recognised the personality and complex needs of the person. Residents from the evidence seen were consulted and encouraged to be involved in their care plan. This consultation was obvious during the inspection. Staff explained to the residents at home who the inspector was because I was unknown to them. The plans were evidenced to be reviewed on a regular basis; any changes to the skills achieved were recorded. The information for the support required for the residents to achieve goals was clearly defined. In the event of a new member of staff being employed, care and support of individuals could continue. It was an extremely pleasant experience to read a personal daily report written by one of the residents. Management and staff encompassed the residents into the inspection, life continued as normal during the visit. 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 12 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): Standards 11,12,13,14,15,16,17 Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Residents were fully supported in their chosen life style. Personal development was promoted. A menu based on resident choice and balanced diet was prepared daily. EVIDENCE: Residents were supported and encourage to engage in activities that they had an interest in. college in the nearby town of Stafford was an option for residents; one resident attends college independently, via the public transport system. 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 13 The care manger had a discussion with the residents in respect of a holiday later in the year. In 2006 the group had gone to a holiday camp; it was proposed this year that a holiday abroad may be an option. The residents chose to holiday in England. Arrangements will be made later. From the time spent with the residents and from discussions with the staff and manager it was evidenced that the residents were included in the wider community life. Contact was maintained with families and friends; one resident had not returned from her weekend with family. One resident had a special friend; all support had been given to their relationship; with advice and guidance provided. Daily chores and routines continued, one resident prepared the potatoes for the evening meal; the evening staff completed the meal of curry and wedges. The atmosphere during the visit was relaxed and friendly, staff and management interacted with the residents this provided the inspector with an insight to the daily life style of the home. Residents were asked by the staff to escort the inspector round the home and to if they agreed to show the inspector their bedrooms. From evidence in the care plans and discussions it was promoted to develop skills that all the residents kept their rooms clean and communal areas tidy. The menus were completed following a meal, residents choice and other commitments would determine the times and meal of the day. Records of meals prepared provided sufficient information to judge that meals were home cooked and with resident’s involvement. No specialist meals were required; one-person dietary needs were monitored to ensure her good health continued. 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 14 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): Standards 18,19,20 were reviewed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements were in place for the continued health care from other professional agencies. Suitable procedures were in place for the independent administration of medication. EVIDENCE: Each of the residents were had their health care met by a general practitioner local to the area. Other specialists maintained further contact and support. Where necessary district nurses were approached for advice and any equipment necessary. Residents attended surgery/clinics appropriate to their health needs. 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 15 Residents spoken with told the inspector that they were “looked after by the staff” they confirmed that they were aware of who to tell if they felt unwell. From the inspection of the medication records one resident part selfadministers her medication. The records for this were exemplary and a credit to her and the staff that support her in this practice. Other records for the administration of medication were current. The storage of medication was within a locked cupboard within the kitchen. The staffs need to monitor the temperature of the kitchen in respect of certain medication that may be prescribed. 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 16 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): Standards 22, 23 were reviewed. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents had access to the complaints process in a format that meets their particular needs. Residents were protected from any form of abuse from the robust recruitment system and training provided for the staff. EVIDENCE: The manager and provider told the inspector that the home had had no complaints raised against the home or care. Management encourage relatives to approach them in the event they had a problem. It would be discussed and addressed where appropriate at a time convenient to the family. Residents confirmed that they were very aware of who to tell if they had a complaint. The complaints procedure evidenced at the time of the inspection had been printed into various formats to enable rather than disable an individual. The staff were recruited following the robust procedures used by the management. Staff at the time of the inspection confirmed that their mandatory and additional training required to meet and recognise the needs of 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 17 the resident group was current. Staff records sampled also confirmed this practice 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 18 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): Standards reviewed were 24,25,26,27,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents were provided with a homely, well maintained, comfortable environment. EVIDENCE: Following the previous inspection the providers and management have arranged for the kitchen work to be completed. This area was modern in style of an excellent size, where residents could assist staff if applicable. The lounge while there was one area that needed a slight paint job, the new leather suite was tasteful in colour and size. Residents told the inspector that they liked and it was comfortable. 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 19 The inspector was escorted independently by each resident to view his or her bedroom. Each one had been personalise to suit each personality and choice. Bedrooms were of a high standard in furnishings and fitting, fresh net curtains and linen was observed. The inspector was informed that new nets had been purchased and would be hung when ready. Prior to the inspection commencing the provider and one resident had been to choose bedroom furniture for another bedroom in the group. The dining room off the lounge was part of the focal part of the home where one resident spent time with the inspector and staff completing a jigsaw. The bathroom on the first floor had been totally refurbished since the previous inspection. With the exception of the shower that had a slight leak it was in use for the residents. The one resident on the ground floor had the option of his own en-suite shower facility. Throughout the home exceptional standards of hygiene was observed, this was a credit to the staff and residents. The provider recognised that the home as all homes require decorating over a period of time. This was built into the programme of refurbishment and decorating. 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 20 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): Standards 31,32,33,34, Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had robust procedures in place for the employment of new staff. Residents were protected via the on going training to promote an effective staff team. EVIDENCE: From the discussions with the manager, provider and member of staff the following day the inspector was assured that the training provided promoted an effective staff team. One of the staff had a number of advanced qualifications, which enables the managers to ensure staff undertaking the training were supported appropriately. A sample of the staff records were evidenced, this included new staff and longer existing staff, the records evidenced the appropriate police checks prior 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 21 to employment. For the longer serving staff there was a need to update the records including a current photograph on file for the staff employed. Staffing levels were flexible to meet the needs of the residents and their commitment to colleges etc. a member of the staff team and or manager would be available at the home during the day. One person was on duty from 5pm with a sleep in duty over night. The provider has provided the commission with evidence of training the staff had undertaken during 2006. Staff confirmed their training was current and that supervision of their training and development was ongoing. 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 22 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): Standards reviewed were 37,38,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Resident’s life styles benefit from the operational management for the home. Staff were experienced and competent to deliver quality support and care. EVIDENCE: The resident’s well being was promoted by the experience of the staff employed by the company. 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 23 Management had robust recruitment procedures, from the records sampled the provider agreed to ensure that all the relevant information in Schedule 2 was on file, i.e copy of a birth certificate and current photograph on all the files. The ethos of the home was reflected in the records, integration, and comments from residents and relatives. The residents rights were protected by the staff and the training provided, which included the homes policies available in the home. Records at the time of the inspection confirmation from the residents and information in the pre inspection questionnaire; confirmed that the practices and procedures for the weekly testing and fire drills were current. The home had a fire risk assessment, discussed was the need to have a contingency plan in the event of an emergency. As the group have a number of home this would not be a problem in the short term. 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 24 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 3 2 3 3 3 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 3 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 3 3 3 X LIFESTYLES Standard No Score 11 4 12 3 13 4 14 3 15 3 16 3 17 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 4 X X 3 3 3 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 25 N/A 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. 1. Refer to Standard YA34 Good Practice Recommendations To ensure that all the required elements are on file to correspond with Schedule 2 20 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 Oulton Road DS0000005095.V324969.R01.S.doc Version 5.2 Page 27 - 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. 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