Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 09/01/06 for 20 Oulton Road

Also see our care home review for 20 Oulton Road for more information

This inspection was carried out on 9th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

This service continues to provide a domestic model of care where five younger adults with a learning disability are enabled to be as much a part of the local community as is possible, and to fulfil as many of there goals and choices as they can.

What has improved since the last inspection?

The lounge dining room and stairs had been painted with the exception of some gloss painting that was scheduled for the day following this inspection. The bedroom of one resident had been redecorated following smoke damage, and the wardrobe had been repositioned and lower wattage wall light bulbs fitted. Daily visual observation of the room was agreed with the care manager.

What the care home could do better:

Further re-decoration was discussed, with the priority being to finish the kitchen, but as this entails the fitting of a "Combi" boiler to replace the existing system, warmer weather would be desirable for the 24-36 hour period needed for this work. Attention can then be given to the upstairs bathroom, where the providers envisage replacing the current rather "tired" conventional domestic set up, with a modern dual alternative facility, incorporating, toilet, washbasin, bath, and separate shower unit. The Quality Assurance tool recommended in the previous report was discussed again, and hopefully, a better understanding of its function was arrived at. The Registered Care Manager has now undertaken to generate a file/folder/book, in which to record the views of partner agencies and significant others, on the subject of how they perceive the home to be meeting it`s stated aims and objectives, in respect of meeting the assessed and developing needs of the residents it serves.

CARE HOME ADULTS 18-65 20 Oulton Road Stone Staffordshire ST15 8DZ Lead Inspector Mr Berwyn Babb Unannounced Inspection 9th January 2006 11:30 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 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.V275201.R01.S.doc Version 5.1 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.V275201.R01.S.doc Version 5.1 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.V275201.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th August 2005 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 ammenities . 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” conservatory, on the first 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. 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was arranged to complete the 2005/2006 inspection cycle. The report uses the current unannounced format, and concentrated on those standards identified by the Commission as key and needing to be assessed once each year, that had not previously been inspected. Some key standards may have been repeated, as were other standards that became relevant as the inspection progressed. The inspector found the home to be warm and clean, with one resident being assisted to do a jigsaw, and another out with a member of staff, having morning coffee in town. All other residents were engaged in their daytime occupations of college, training, or attending the rural project. He spent time with the Registered Care Manager, and members of staff, one relative, and all residents, and found them all to be satisfied with the running of the home. Care plans demonstrated that residents were having their assessed needs met in the most dynamic way to enhance their independence, dignity, and quality of life. Discussion, especially with one resident, confirmed this view, and demonstrated pride and “ownership” of their home. What the service does well: What has improved since the last inspection? The lounge dining room and stairs had been painted with the exception of some gloss painting that was scheduled for the day following this inspection. The bedroom of one resident had been redecorated following smoke damage, and the wardrobe had been repositioned and lower wattage wall light bulbs fitted. Daily visual observation of the room was agreed with the care manager. 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 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 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 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.V275201.R01.S.doc Version 5.1 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): 1 The key standard, standard 2 had been assessed as satisfactory at the previous inspection of 30th August 2005, and from this inspection it was determined that the Statement of Purpose was sufficiently informative to allow prospective service users to determine that the home could meet their assessed needs. EVIDENCE: The inspector did two things to determine that the home was meeting this standard. The first was to survey the amended Statement of Purpose, to ensure that this included all the recent changes that have taken place to enlarge the facility from a three bedded to a five bedded home, including extra communal environmental facilities as well as individual bedrooms. He was also privileged to meet with a parent of one of the established residents, who confirmed that she and her daughter had been able to find out everything they needed to about the home, before progressing arrangements for her to come and live there. 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 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): 7 Key standards 6 and 9 were favourably commented upon in the previous inspection report of 30th August 2005, and from this inspection it was deemed that residents received the assistance they need in order to make decisions about their lives. EVIDENCE: The inspector reviewed a number of care plans chosen at random, and these demonstrated a very positive use of the risk assessment process of identifying a problem, identifying a plan in respect of that problem, implementation of the plan, any necessary training, any necessary monitoring, any necessary trials, and a review of reassessment of the activity, with a view to enabling residents to increase the range of their activities, rather than to limit them. An example taken from one of the care plans read, was that the resident was at danger whilst out walking on the pavement of stepping out into the road inappropriately, due to lack of awareness of the danger of traffic. Attempts at education and training have not proved beneficial in this case, so the minimum limitation applicable to her safety have been implemented, and she now agrees to link arms with a member of staff whilst out walking. 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 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): 11,12,13,16,17 Key standard 14 was reported upon favourably in the previous inspection report of 30th August 2005 and from this inspection it was deemed that residents continued to experience a lifestyle that met their personal developmental needs, maintained their presence in the local community, and ensured that in their daily lives in the home, they could be responsible for those areas they were capable of undertaking, and that their rights were not infringed. EVIDENCE: The inspector spoke to one parent who confirmed to him that since entering the home, her relative had been able to develop not just her practical skills, through training and education, but also as a person, through the benefits of the interaction with the group of staff who work in the home and other residents. 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 Page 11 Discussion with this lady, residents, and with staff, and from what was written in care plans, a picture of choice and ability led engagement in education and employment opportunities was built up. This included some of the youngest residents travelling considerable distances, and engaging in quite challenging programmes, in competition with other young people who do not share there’s or any other disability. Other residents were attending college courses for numeracy and literacy, as well as for vocational interests, and others benefited from attending the nearby rural project. Discussion and entries in care plans confirmed a wide range of community and social links, including attendance at the local swimming pool, fitness club, pubs and restaurants for meals out, use of take away services, attendance at the local library, use of local taxi services, and visits to the local parks, garden centres, and other places of entertainment. Staff rotas demonstrated that flexible care hours were used to provide extra assistance during the evenings, so that residents could engage in a range of entertainment activities, or visits to friends. Observation of resident’s activities during the course of inspection, together with records taken from their personal care plans, demonstrated that they assisted with such things as cooking and cleaning their rooms, tidying the communal areas, and undertaking identified parts of the laundry process. Staff were observed to respect their privacy and dignity and not to enter their rooms without prior permission, and to talk with them, and never to each other behind their head about them. According to the outcomes of risk assessments or choice, some residents had a key to the front door, and others did not. In one of the care plans reviewed, the inspector was able to observe the use of appropriate pictorial methods of advice to the residents in respect of eating healthy as an essential part of managing her condition. 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 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): 19,20 Key standard 18 was assessed satisfactorily at the previous inspection of 30th August 2005, and from this inspection it was determined that residents were receiving support for their physical and emotional needs, and that proper procedures were in place for the storage, administration and recording of medication. EVIDENCE: Reference to resident’s personal care plans demonstrated that their healthcare needs were being met both within the home, and in conjunction with local health care professionals at various clinics, surgeries, and hospitals outside the home. There was evidence of visits to the home for input and advice by doctors, district nurses, continence advisors, and members of the learning disability support team. There were appropriate charts on the care plans to record such things as blood pressure, weight, diet, incidents of seizures, and personal hygiene, together with a record of tertiary health care from such people as chiropodists, opticians, and dentists. 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 Page 13 The inspector also noted in one care plan the arrangements made for that resident to manage some of her medication, and then proceeded to examine the medication administration record, which was without omission or mistake. He reviewed the measures for the storage and control of medication, and felt these to be in line with the practice recommended by the Royal Pharmaceutical Society for homes of this nature. 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 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 Standard 23 was satisfactorily reported upon after the inspection of 30th August 2005 and from this inspection it was deemed that residents had an appropriate and an accessible complaints procedure, that was readily available, and produced in a format that enhanced its accessibility to them. EVIDENCE: The inspector noticed that the excellent leaflet reported upon after the last inspection was still available to residents sited conveniently around the home, and that this was in word and picture form as was consistent with the needs and abilities of the residents. The inspector undertook a formal in depth interview with a member of care staff who is responsible for organising the training for RMP Care, and she explained how becoming aware of residents concerns, and assisting them to express these, formed a module in every employees induction training. She went onto comment that discussion about issues surrounding abuse, and the rights of residents to complain, were regular items on agendas of staff meetings, as well as forming a key module in the appraisals that she undertook with each member of staff annually. 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 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): 24,30 Work continues to improve the standard of the environment in this home and following the recent alteration re-painting has taken place in the dining area, landing and stairs. As noted earlier, the next urgent priority is to be to complete the kitchen, so that the attention of the maintenance director can be given over to a complete revamp of the upstairs bathroom. EVIDENCE: As stated earlier the lounge, dining room and stairs have all been repainted with the exception of some gloss paint that was schedules for the day following this inspection. The bedroom of one resident had been redecorated following smoke damage, and the wardrobe had been repositioned and a lower wattage light bulb fitted to the wall light. It has been agreed with the care manager that visual observation will be undertaken in the room of this resident, at least once per day to ensure that there are no further incidents of discarded clothing being placed over light fitments. With the agreement of the resident, this is to be entered as a separate risk assessment and protocol on her care plan. 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 Page 16 Further redecoration was discussed with the priority of being to finish the kitchen, but this as this entails the fitting of a combi boiler to replace the existing system, warmer weather would be desirable for this work to be completed. When this has been done attention must then be turned to the upstairs bathroom, where the provider envisages replacing the current “tired” conventional domestic setup, with a modern dual alternative facility, incorporating toilet, washbasin, bath, and a separate shower unit. Repainting of the inner landing and a further bedroom was programmed for the Friday following this inspection, and this work will have been completed by the time this report is published. Whilst extensive comment has been made above about the need to complete the extensive refurbishment of this home, this should not detract from the hard work being done by everybody to keep the premises clean, tidy, and hygienic. During the course of the inspection programmes and routines were observed in operation, such as dusting, floor mopping, regular waste disposal, wiping work surfaces, tidying away of clothes, and washing of hands. 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 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): 35 The measures in place to ensure an experienced and skill mix of staff, and to regularly update training, were deemed to meet the differing needs presented by residents. EVIDENCE: The inspector engaged in prolonged discussion with the member of staff responsible for training in RMP Care, and established with her the schedule she was using for the provision of initial and refresher training of all mandatory subjects, together with the measures used to access and cascade specialised information pertinent to those people who have a learning disability, either directly from, or to the standards set by the British Institute of Learning Disability. This latter ensured that all training was to LADAF accredited standards. Discussion with other members of staff about the courses that they had undertaken, and the training that had been provided for them, confirmed what the training manager had stated. 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38 Key standards 39 and 42 were reported upon satisfactorily after the inspection of 30th August 2005 and from this inspection it was deemed that the approach of RMP managing the home created an open, positive and inclusive atmosphere. EVIDENCE: The inspector undertook an in depth interview with a member of staff, during which she told him of her amazement when talking shop with colleagues at outside training events, to learn that not all organisations were as driven for the needs and care of their resident’s, as the one she was working for. She stated that any ideas or suggestions made by members of RMP staff, were readily and openly discussed by the providers and as long as they were seen to be in the best interests of residents, every effort was made to initiate them. 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 Page 19 In discussion about the recruitment procedures she stated that as well as their own internal policies, new starters were sought via the job centre, thus ensuring compliance with all equal opportunity legislation. She and other members of staff gave the inspector to understand that working for RMP Care felt more like being members of an extended family, whose main concern was to promote the well being and quality of life of its residents, than to be the employees of a commercial organisation. 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 3 2 X 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 4 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X X X LIFESTYLES Standard No Score 11 4 12 4 13 3 14 X 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 4 3 X X 4 X X X X X 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 Page 21 Are there any outstanding requirements from the last inspection? No 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 YA24 Good Practice Recommendations The providers are advised to urgently progress redecoration, with the priority being given to finishing the kitchen. Attention should then be directed to the upstairs bathroom, where replacing the current rather “tired” conventional domestic set up, with a modern dual alternative facility, incorporating, toilet, washbasin, bath, and separate shower unit, as discussed, would greatly enhance resident’s enjoyment of bathing. 20 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 Page 22 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 Oulton Road DS0000005095.V275201.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!