Inspection on 20/05/05 for 21 Longton Road

This inspection was carried out on 20th May 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 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

21 Longton Road 12/05/06

21 Longton Road 13/10/05

21 Longton Road 30/11/04

21 Longton Road 17/05/04

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 21 Longton Road Stone Staffordshire ST15 8DQ Lead Inspector Berwyn Babb Announced 20 May 2005 11:45 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 21 Longton Road Address 21 Longton Road Stone Staffordshire ST15 8DQ 01785 615505 01785/615515 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Mrs Rosemary Jean Hulme CRH 5 Category(ies) of Learning Disability [5]. registration, with number of places 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 30th November 2004 Brief Description of the Service: The home is an end terraced house property set within walking distance of the centre of the market town of Stone. 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.The Home provides care for up to five younger adults with a learning disability. The accommodation is on two floors and consists of a lounge, large kitchen, utility room, toilet and bathroom, plus an en suite bedroom on the ground floor. There are four single bedrooms on the first floor. There is an enclosed courtyard to the rear of the property that leads to a grassed garden as well as giving access to Cross Street.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. 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The friendliness of residents, staff, and management, and their participation in the inspection process was a very welcome feature. The variety of activity of the residents and the promotion of their individuality and individual lifestyles was extremely evident, as was their response to residents from other R. M. P. homes locally, who appeared to be treating each as members of an extended family, visiting and sharing each others homes on their own volition. The proprietors were still working hard to bring the whole of the property up to current environmental standards whilst it continues to be occupied by the residents, and it was a little disappointing that something one of the residents had requested at the previous inspection had not yet been achieved. Discussion of various current aspects of resident’s needs and aspirations confirmed the commitment of those connected with providing care, to protect and enable each resident to live as much as a member of the wider community as can possibly be achieved. What the service does well: What has improved since the last inspection? In response to the requirement in the lst report, the Care Manager/Proprietor has approached local G. P.’s for their opinion on the quality of the service provided. [Responses to be forwarded to C. S. C. I. When they have been received]. 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 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. 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3, and 4. On the evidence gathered from care plans, from observation, and from talking to the residents, management and staff, it was deemed that those standards assessed had been met. In particular, resident’s aspirations and needs were observed to be known, planned for, and acted upon. EVIDENCE: As well as talking to all the residents who were at the home on the day of the inspection, the inspector examined care plans and discussed various aspects of assessed needs with the staff on duty, and felt that the regular review of initial assessments positively indicated any changes in either need or personal choice, and responded to accordingly. The care plans provided ample evidence for substantial pre-admission work being done with social workers and prospective residents through the Care Management process to enable them to be in possession of maximum information about the home before deciding whether it was the right place for them or not. This included a tailored program of introductory visits, starting with a short informal look around, with extended further visits leading to overnight or longer stays, and a trial period of anything up to a year, before final commitment was made to become a permanent resident. 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 Page 9 As on previous inspections, the Care Manager/Proprietor wished to include the rider that where a persons current situation or any part of their condition or make up indicated that a prolonged introductory period would be counter productive, then arrangements would be made in line with that individuals assessed needs. 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, and 8, On the evidence gathered from care plans, from observation, and from talking to the residents, management and staff, it was deemed that those standards assessed had been met. In particular, service users were seen to be a part of the ongoing process of running the home. EVIDENCE: Those residents who had the capacity to do so spoke knowledgably about their reviews, and about processes involved [sometimes long winded and frustrating to them, as in the many months it has taken to negotiate funding and transport for some day service provisions] whereby staff at the home were able to initiate services or access specialist advice and services, to facilitate their assessed and recorded personal choices. An example of individual choice in action observed on the day, was the gentleman who felt that he did not want to have a cooked tea with the others, and arranged to have a sandwich tea later, when he felt more ready for it. 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 Page 11 Rather than commenting on the opportunities given to residents to participate in the day to day running of the home, it would be more appropriate following observation of this extremely dynamic group of residents, to comment on the opportunities they gave for staff to participate. There were several deviations from the expected program for the late afternoon and evening as a result of choices made by residents, and staff were seen to be working hard to accommodate these, but commented that this was usual, and that a skeleton program was in place only as a starting point from which to accommodate the lifestyle of the individual residents. This inspection did not cover the involvement of residents in long term planning, and that will be explored fully at a later date. 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13, 14, and 17. On the evidence gathered from care plans, from observation, and from talking to the residents, management and staff, it was deemed that those standards assessed had been met. In particular, residents engage in the local community, occupy their time appropriately, and engage in a range of leisure activities. Meals and mealtimes reflected individual choices. EVIDENCE: There was evidence from both observation and talking to residents that they see no distinction between themselves and others in the local community. They access local shops and pubs and the library, and the nearby leisure centre, and when travelling further apart, take advantage of a range of transport facilities, both public and provided by the home. In the care plans examined and from conversation it was apparent that residents had widely differing hobbies, but often came together for swimming and keep fit and meals out, though not exclusively. Mealtimes were observed to be very flexible, and residents spoke of their input into the weekly shopping planning and purchasing, so they could have those 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 Page 13 items which they preferred. Examination of the kitchen storage facilities revealed that those items purchased were of good quality, and stored in sufficient quantity to overcome any possible interruption of supply. 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 and 20. On the evidence gathered from care plans, from observation, and from talking to the residents, management and staff, it was deemed that those standards assessed had been met. In particular health needs were shown to be assiduously observed, as were the protocols for medication administration. EVIDENCE: Examination of care plans provided plenty of evidence to support residents health needs being properly assessed and met. Links were evident with all necessary main stream and specialist services, and also with a range of tertiary services to ensure regular maintenance of eyes, feet, teeth and hearing. All current residents were receiving assistance and monitoring with some if not all of their medication, and a review of the storage arrangements identified an element of personal control, in that they were stored in metal lockable receptacles. Medication administration sheets were examined without finding anything to cause concern 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22 and 23 On the evidence gathered from care plans, from observation, and from talking to the residents, management and staff, it was deemed that those standards assessed had been met. In particular service users were consulted on every aspect that they could appropriately process, and policies and practices of the organisation were formulated to provide the most positive protection to the vulnerable adults in the home. EVIDENCE: The inspector was able to talk to some residents about how they made their views and concerns known, and they were all confident about how to express themselves. The complaints book was set out in the appropriate manner, recording outcomes and satisfaction as well as the complaint, and had no recent entries of note. Members of management and staff interviewed all had a wide understanding of the basics of adult protection, but also had very specific knowledge about the discrete needs of each of their residents for protection from abuse. 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 Page 16 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, and 30 There were some minor areas of concern with the environment that have resulted in requirements and recommendations, but were massively outweighed by the general presentation of this domestic style of home. EVIDENCE: The proprietors have been required to either provide radiator guards, radiators with low surface temperatures, or a risk assessment of the system to demonstrate that when the central heating is running at maximum capacity, the surfaces do not exceed 43 degrees centigrade. They have also been required to ensure that there are appropriate light shades in all resident’s bedrooms unless a risk assessment determined that this would be counter productive to their condition. The proprietors have also been required to provide shelves for the resident who had asked for them at the last inspection, and to ensure that his bedroom furniture is of merchantable quality. Following the inspection recently of the adjoining home, the proprietors have been recommended to carry out an assessment of their cellar [which was not in use or accessible on the day of this inspection] to ensure that it does not present any fire hazards. 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 Page 17 Inspection of the environment was made with the Care Manager/Proprietor who had her annual improvement plan with her, and those areas designate for redecoration, refurbishment, or renewal excluded, the home was clean, hygienic, and free from odours. 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 On the evidence gathered from care plans, from observation, and from talking to the residents, management and staff, it was deemed that the standard assessed had been met. EVIDENCE: On the day of the inspection the staff on duty were observed to be able to deal with all the assessed needs and instant requirements of the residents, and the home benefits from being part of a small group that often plays together, by which means the staff of the other homes are all well known to the residents. This means that if there is ever a need to re-arrange a shift, it can usually be covered by someone who is not a stranger to the residents, and vice versa. 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 40, 42, and 43. On the evidence gathered from care plans, from observation, and from talking to the residents, management and staff, it was deemed that those standards assessed had been met. EVIDENCE: Because the radiator observed to be unguarded was in the bathroom, and a start had been made on a program to protect other areas of hot water pipe and radiators, this has not been additionally commented on under Standard 42 where it could have been alternatively located. All other aspects of health and safety assessed, risk assessments, medication sheets, fire records, and adequate staffing were deemed to be satisfactory. The organisation had also arranged for their auditor to furnish the C. S. C. I. with a letter stating that the management of the home continued to promote their financial viability, thus safeguarding the accommodation of the existing and future residents. 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x 4 4 4 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 4 3 x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 2 2 2 x x x 3 Standard No 11 12 13 14 15 16 17 x x 3 3 x x 3 Standard No 31 32 33 34 35 36 Score x x 3 x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 21 Longton Road Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score x x x 3 x 3 x E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 Page 21 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 24.1 Regulation 13.4 [c] Requirement The proprietors have been required to either provide radiator guards, radiators with low surface temperatures, or a risk assessment of the system to demonstrate that when the central heating is running at maximum capacity, the surfaces do not exceed 43 degrees centigrade. They have also been required to ensure that there are appropriate light shades in all resident’s bedrooms unless a risk assessment determined that this would be counter productive to their condition. The proprietors have also been required to provide shelves for the resident who had asked for them at the last inspection, and to ensure that his bedroom furniture is of merchantable quality. Timescale for action By 20th July 2005 2. 26.2 [1] 23.2 [p] By 23rd May 2005 3. 26.1 16.2 [c] By 20th June 2005. 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 Page 22 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 24.1 Good Practice Recommendations The proprietors have been recommended to carry out an assessment of their cellar [which was not in use or accessible on the day of this inspection] to ensure that it does not present any fire hazards. 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 Page 23 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 21 Longton Road E51-E09 S4975 21 Longton Road v234140 200505 Stage 4.doc Version 1.30 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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