Inspection on 21/02/06 for Richards House

This inspection was carried out on 21st February 2006.

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

Richards House 08/05/07

Richards House 05/11/04

Richards House 15/04/04

Similar services:

Littledale Hall Therapeutic Community

Bennett House

Padgate House

Mary & Joseph

Westcliffe House

Hamer Cottage

Turning Point (Hoole Road)

Stanfield House

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOME ADULTS 18-65 Richards House Richards House 23 Townley Street Middleton Manchester Greater Manchester M24 1AT Lead Inspector Bernard Tracey Unannounced Inspection 21st February 2006 09:30 Richards House DS0000025534.V268819.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 Richards House DS0000025534.V268819.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. Richards House DS0000025534.V268819.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Richards House Address 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) Richards House 23 Townley Street Middleton Manchester Greater Manchester M24 1AT 0161 653 4662 0161 653 4662 Turning Point Ms Janice Barnardo Care Home 5 Category(ies) of Past or present alcohol dependence (5), Past or registration, with number present drug dependence (2) of places Richards House DS0000025534.V268819.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 5 service users to include: up to 5 service users in the category of A (Alcohol dependent) under 65 years of age; up to 2 service users in the category of D (Drug dependent) under 65 years of age. The service should employ a suitably qualified and experienced manager who is registered with the CSCI. 28th June 2005 2. Date of last inspection Brief Description of the Service: The service, which is run by the national charity, Turning Point, aims to provide a “supportive substance free environment where residents can examine their lives to date, reach a greater understanding of their substance misuse and develop ways of achieving changes. The residential project comprises the main ‘first-stage’ house at 23 Townley St which provides 5 places. There are also two ‘second-stage’ properties within walking distance of Richards House. All properties are located close to the centre of Middleton, and provides good access to transport links, shopping areas and leisure facilities. Referrals are accepted from all areas of the United Kingdom and service users’ duration of stay is usually between 6 and 12 months, depending on available funding. As part of the project’s philosophy, service users participate in a range of individual and group activities, including: one-to-one support; relapse prevention; stress/anxiety management and relaxation. Alternative therapies such as auricular acupuncture, aromatherapy and Indian head massage are also available to service users. Richards House DS0000025534.V268819.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit was unannounced and it took about two and one half hours to complete. During this time, the Inspector spoke with five of the service users and one ex service user. The inspector also spoke with the Registered Manager and two of project workers. The Inspector examined a selection of documents including records of complaints and compliments received at the project, staff files and training records. Also, he looked at the communal parts of the accommodation. The Inspector did not examine all of the Standards on this occasion. Consequently, the reader is asked to read the previous Inspection Report to get a full picture of how the home is performing, in those areas covered at the last inspection, although a summary of the previous findings is included under the relevant headings. What the service does well: What has improved since the last inspection? What they could do better: The project should continue to improve the home’s environment through a planned programme of replacement of fabrics furniture and re decoration. Richards House DS0000025534.V268819.R01.S.doc Version 5.1 Page 6 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. Richards House DS0000025534.V268819.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 Richards House DS0000025534.V268819.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): The key standards were examined at the last inspection Service users are provided with a Statement of Purpose and Service User Guide that give up to date information about the services the home provides and enables the residents to make an informed decision in respect of admission to the home. Assessment of individual need is made before each resident moves into the home to ensure that the home can provide the care needed by the individual. Potential service users are able to visit the project prior to admission and are provided with sufficient introductory information for an informed choice to be made prior to admission. EVIDENCE: The key standards were examined at the last inspection on the 28th June 2005. All of the key standards were met Richards House DS0000025534.V268819.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): The key standards were examined at the last inspection There is a clear and detailed care planning system in place that includes residents’ involvement and provides the staff with the information needed to meet the needs of the residents. The arrangements in place ensure that the residents’ physical and emotional health care needs are being adequately met and that confidentiality is maintained. The project supports the resident’s participation in decision-making through involvement in all aspects of the home which assists the individual in achieving a sober and acceptable independent lifestyle. EVIDENCE: The key standards were examined at the last inspection on the 28th June 2005. All of the key standards were met Richards House DS0000025534.V268819.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): The key standards were examined at the last inspection As a part of the treatment programme the project aims to increase the confidence of residents in making significant lifestyle changes. Residents are encouraged and supported by the staff to acquire new skills and to live more independently through access to community and leisure facilities. The dietary needs of residents were well catered for enabling them to exercise choice and control over what they eat. EVIDENCE: The key standards were examined at the last inspection on the 28th June 2005. All of the key standards were met Richards House DS0000025534.V268819.R01.S.doc Version 5.1 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The key standards were examined at the last inspection The healthcare needs of the individual service user are assessed prior to admission. Staff support service users to manage their own healthcare and to access NHS community facilities, thus ensuring the persons health is reviewed and maintained. Residents are expected to manage their own medication, within the home’s policies, as part of taking responsibility for their own welfare. EVIDENCE: The key standards were examined at the last inspection on the 28th June 2005. All of the key standards were met Richards House DS0000025534.V268819.R01.S.doc Version 5.1 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 23 A robust complaints system is in place at Richards House that ensures that any concerns raised by residents are acted upon and dealt with to their satisfaction. Appropriate policies and procedures are in place, which offer protection to residents from harm or abuse. EVIDENCE: The manager told the inspector that complaints or concern are taken seriously and acted upon. The home keeps detailed records of complaints and concerns raised by residents. The records include details of the issue, the investigation process and a detailed record of the outcomes. The complaints policy had good information on each stage of the complaints procedure. A monthly summary of complaints is sent to the Head Office. Residents are given a handbook on admission, and the complaints procedure is included in this. A resident told the Inspector that they felt secure in the knowledge that if they had a complaint it would not be ignored. Residents said they were aware of how to complain and were happy with how concerns are dealt with. There is no evidence to suggest that residents are any other than safe and properly protected from undue risk. Richards House DS0000025534.V268819.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 25 26 27 28 30 A tour of the home confirmed that the home was well maintained, clean and free from any offensive odours. Service users thought the home was a safe and comfortable place in which to live. EVIDENCE: The home had a planned maintenance and renewal programme for the redecoration and refurbishment of the home. Since the last inspection all of the bedrooms had been provided with new carpets and where necessary replacement bedroom furniture. The residents all said that they were happy with their bedroom. Five residents spoken to were very pleased with their individual rooms and said that they had ‘brought in a number of personal possessions to make them feel more homely’. All bedrooms were fitted with door locks and lockable storage space to ensure resident’s valuables were kept safe. S taff have a master key, which could be used to gain access in an emergency. There are two bathrooms in the house, both of which were centrally heated. The residents could be assured of privacy, as there is a lock on the door. In addition to their personal accommodation the residents have access to shared space in the lounge and separate kitchen/dining room. Richards House DS0000025534.V268819.R01.S.doc Version 5.1 Page 14 The kitchen has a large table and breakfast bar with chairs and can be used at any time by the residents. Turning Point also have two other properties within walking distance of Richards House. Anyone who wishes, and is assessed as suitable, can move into one of the properties following their stay at the project. One of the residents from one of these premises was spoken with during the inspection. He spoke very highly of the staff and the support he had received from them to enable him to reach this point and no longer be dependent on others. Richards House DS0000025534.V268819.R01.S.doc Version 5.1 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 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 36 Recruitment and selection procedures were satisfactory, safeguarding residents living at the home. Provision of ongoing training both external and in-house provided a trained and competent workforce who were both motivated and knowledgeable. EVIDENCE: An induction and foundation course, which met National Training Organisation (NTO) specification, was provided for new members of staff. All new members of staff were supervised throughout the induction period. The Project is staffed in a manner which is designed to promote the service users’ ability to be independent and to be responsible for themselves. The service users consider the deployment of staff to be appropriate to their needs. The Inspector notes that the arrangement has worked well in the past and that it seems to continue to do so. The home had a comprehensive recruitment policy and procedure. Inspection of three staff files showed that the registered manager followed the procedure, and ensured the interview process, POVA/Criminal Record Bureau (CRB) checks, written references, health checks and past work history were all obtained and satisfactory before the person started work. Richards House DS0000025534.V268819.R01.S.doc Version 5.1 Page 16 As Criminal Record Bureau disclosures on staff are held at Turning Point’s head office, a record of the unique reference number and the outcome of the check is supplied for the staff file to provide the evidence that the check has been received and is satisfactory. All of the project workers meet periodically with the Registered Manager to review their work. The Registered Manager has a detailed knowledge of the work undertaken by each project worker and of how well this meets the needs of the individual service users. This is an example of good management practice. Turning Point has a staff training and development programme and the home has a designated budget for this purpose. In addition to induction and statutory training the staff receive training specific to the needs of the service users. This also includes training on the safe storage administration and recording of medication. Training and qualification certificates were held on the staff files examined. The staff were also receiving supervision by the manager on a monthly basis. This was being recorded and any training needs or requests were being considered. The staff had also signed a supervision contract, which again was held on their file. Richards House DS0000025534.V268819.R01.S.doc Version 5.1 Page 17 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 Service users’ are confident that their views and opinions about the conduct of the treatment programme are ascertained and that they are valued by the staff. EVIDENCE: The manager successfully completed her Diploma in Social Work (DIPSW). She has undertaken the NVQ4 registered managers award and obtained the assessors qualification. She has a wealth of experience with this client group and has worked within the Turning Point organisation for the past 11 years. She is committed to training and has undertaken many of the mandatory training courses for managers i.e. recruitment/selection, equality/diversity, POVA, dignity in the workplace. The manager says she is committed to ensuring that the service users’ needs were well met and this is reflected in the standard of care provided. Feedback from service users and staff was positive with regard to her management style, stating she was “approachable and fair, as are all of the staff”. She had an “open door” policy whereby staff, or service users seek her out at any time if Richards House DS0000025534.V268819.R01.S.doc Version 5.1 Page 18 the matter could not wait until the community meeting. Staff are described as “approachable” and “really supportive” by the service users. Richards House DS0000025534.V268819.R01.S.doc Version 5.1 Page 19 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 X 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 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 X 30 3 STAFFING Standard No Score 31 3 32 4 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X 3 X X X X Richards House DS0000025534.V268819.R01.S.doc Version 5.1 Page 20 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. 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. Refer to Standard Good Practice Recommendations Richards House DS0000025534.V268819.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office Turton Suite Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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. 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