Inspection on 14/07/05 for 290 Newton Road

This inspection was carried out on 14th July 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

290 Newton Road 05/03/09

290 Newton Road 10/10/06

290 Newton Road 31/01/06

290 Newton Road 09/03/05

290 Newton Road 24/11/04

290 Newton Road 20/02/03

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 18-65 290 Newton Road 290 Newton Road Great Barr Birmingham B43 6QU Lead Inspector Patrick Wright Unannounced 14th July 2005 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. 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 290 Newton Road Address 290 Newton Road Great Barr Birmingham B43 6QU 0121 357 7517 0121 357 8417 N/A Lonsdale (Midlands) Limited 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 Diane Falconer CRH 7 Category(ies) of Learning Disability - 7 registration, with number of places 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 9th March 2005 Brief Description of the Service: 290 Newton Road is a large detached dwelling adapted to be a care home in 2003. The home caters for up to seven people with a Learning Disability, and additional emotional and psychological needs within the autistic spectrum disorder range. The home offers personal care and support to a group of individuals with a range of complex needs and strives to promote ordinary living principles and social inclusion. Staffing levels reflect the level of support required for the individuals accommodated. The home is situated on a busy main road near to local shops, post office, and pubs etc. The home is accessible by public transport and offers limited off road parking, which is shared with the adjacent supported living project. The premises offer a small garden and recreational space at the rear of the property. The accommodation is spread over three levels. Service users bedrooms are located on the ground and first floor. There is a passenger lift available. Office space and staff rooms are on the second floor. The unit has seven single bedrooms, all of which offer ensuite toilet and hand-basin, with one ground floor room also providing an ensuite shower. Communal space includes a lounge and dining area and a `quiet` lounge. Kitchen facilities are domestic in size and there is a separate laundry, which offers commercial equipment. Social and recreational pursuits are provided for the occupants and the home also has its own people carrier vehicle, which is used to transport residents to appointments and for outings etc. 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was conducted over 4.5 hours, and was a statutory unannounced inspection. The purpose of the inspection was to assess progress and compliance in meeting the National Minimum Standards and towards addressing items identified at previous inspection visits. A range of inspection methods was used to make judgements and obtain evidence. The inspection included time spent examining documentation and records, looking at how some of the care packages had been arranged and were being delivered, and having discussions with the Registered Manager and Deputy Manager. Service users were involved in various community activities during the inspection. One of the service users was present for part of the inspection, but a formal interview was not appropriate. The inspection was conducted with the full co-operation of the Manager and staff. The discussions and atmosphere throughout the inspection was constructive and those involved interacted positively as part of the process. As a specialist service for people with Learning Disabilities and Autistic Spectrum Disorders, 290 Newton Road can partly demonstrate it offers care based on current good practice and reflects relevant and professional guidance. It is acknowledged that the service continues to make steady progress. The inspector would like to thank staff and service users for their co-operation and hospitality during this visit. What the service does well: The Manager has always responded promptly in respect of issues/concerns raised at previous inspections. The Registered Provider has demonstrated a commitment to liaising with the Commission for Social Care Inspection and attending meetings which have been arranged to discuss various service improvements. The premises are warm, clean and tidy throughout. comfortable and homely. 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Newton Road is Version 1.40 Page 6 Staff cover a wide range of duties in addition to caring, such as cooking, cleaning and laundry. They are flexible and willing to cover shortages in the duty rota. There is a commitment to maintaining professional relationships with specialists such as psychiatrists, psychology, general practitioners and social workers. The client group are positively encouraged and assisted to undertake a variety of activities in addition to their main and regular routines. Staff support service users to become part of the community as much as possible. There were various records and documents to evidence this, in addition to photographs of the service users enjoying trips out and a number of their recent annual holiday. What has improved since the last inspection? The manager acted promptly to the immediate requirements issued at the last inspection with regard to issues of risk management and fire safety. Through a process of review the needs of the service users have been reassessed, involving the individuals, their representatives and the relevant community team workers have been invited to attend review meetings. The staff team are in the process of developing `Life story` books with the service users, as part of the homes aim to provide a person centred planning system of care. The Manager and staff are implementing structured activity/plans for the group, and continue to demonstrate that other opportunities for day care and education are being explored. Further opportunities are being put into place for service users to take part in valued and fulfilling activities at the home with records of consultation and outcomes available. Evidence was available that the system for ensuring service users healthcare needs are being met, and procedures for routine screening, are in place, such as `well person clinics`. Consent to medication has also been explored, involving relevant professionals and relatives/representatives of service users. Some of the required staff training is being secured and planning of regular supervision sessions within the team. 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 7 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. 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 8 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 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 9 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) 1, 2 and 5 The homes Statement of Purpose and Service User Guide offers service users and prospective service users details of the services the home provides, enabling them to make an informed decision about admission. The admission process includes a proper assessment prior to moving in to the home, to ensure the individuals care needs can be met. EVIDENCE: The home has a Statement of Purpose and Service User Guide, referenced to Standard 1 of the National Minimum Standards for Younger Adults and Regulation 4/5 of the Care Homes Regulations 2001. The Service User Guide has been issued to the residents, and includes pictures or symbols. A copy is found on each of the individual’s files. 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 10 The home has admitted one service user since the last inspection, and the records show that all of the necessary information was obtained prior to the Manager advising the individual and his representative that the home was suitable to meet his needs. Through discussion with the Manager of the home it was evident that she is aware that prospective service users should be admitted only on the basis of a full assessment with supporting care management documentation. The home uses the `Activities of Daily Living` as a baseline tool. This was examined on some of the service users files and is supported by the care Management records from the placing authority. There was also assessment information from other agencies such as Psychology, some of which was brought with the service user. The home will need to consider an appropriate assessment tool to fully review service users needs in the future. Personal files examined identified that through a process of review the needs of the service users have been reassessed. This involved the individuals, their representatives and the relevant community team workers have been invited to attend review meetings. Personal files of service users demonstrated that terms and conditions of occupancy had been provided and all but two had been signed by the service user or their representative. 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 11 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 9 Through the developing care planning and risk management system at the home, service users rights to make decisions is being respected and strategies are being established in order to assist in decision making. Service users are supported to make choices and exercise control over their lives with assistance. EVIDENCE: At this inspection a random selection of care plans were reviewed, in respect of three service users. A variety of plans are being implemented and offered a fair insight into the systems in place to support the individuals concerned. Through case tracking it was identified that for one of the service users, care plans were not always available for the areas of identified need. The Manager was told that care plans must reflect all identified need, and give detail and clarity to staff expected to deliver the service. This must be developed in a way which includes service users and their representatives and covers all aspects, for example, social inclusion, healthcare, specific condition related needs and methods of communication. The staff team are in the process of developing `Life story` books with the service users, as part of the homes aim to provide a person centred planning system of care. Some of the books were available to read through during this visit. 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 12 The management of the home continues to build on existing evidence to support how individual choices are being made by service users, and instances when decisions are made by others. Evidence of this was located in personal files and daily notes. The manager was told this should continue to be evidenced and for staff to be made aware of their role in demonstrating how individual choices have been made. Certain restrictions are in place, and the manager needs to ensure the documentation is in place to safeguard this and to be able to show when decisions are made by staff on behalf of the service users and why. One of the service users has an advocate appointed by his family and the manager is also aware of how to contact local advocacy services. The manager is not an agent or appointee for the management of any of the service users finances, but the home does hold in safekeeping individual’s personal allowances. One of the service users takes some responsibility for his own money. The home uses a risk assessment system, which identifies potential risks and puts risk management strategies in place. Individual risk assessments have been produced and are in each of the service users files. All service users are being risk assessed in a variety of activities and topics according to their individual requirements and abilities. The home uses a risk assessment system with interventions and guidelines for staff clearly described. The files show the system is routinely evaluated. 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 13 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) 12, 13, 16 and 17 Service users rights are respected. Links with the community and local facilities are very good which supports and enriches service users social and educational opportunities. The meals in this home are good, and service users are offered choices and a balanced diet. EVIDENCE: The manager and staff team have been proactive in trying to ensure that day care offered is stimulating and meaningful and further progress has been made since the last inspection. Information available confirmed that staff have identified suitable educational facilities, which cater for some of the service users at the home, and have explored the suitability of the placements, given the dependency levels of the service users. Applications for the relevant colleges were being made to ensure a range of varied and valued activities are offered. The manager and staff have also produced activity boards, which although flexible, provide a structure to each person’s day, in terms of activities. Through discussion with the Manager and Deputy Manager it is possible to confirm that opportunities for service users to take part in a range of fulfilling 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 14 activities at the home, are being provided. Staff must however, produce records of evaluation and outcomes. 290 Newton Road continues to make positive attempts to integrate and build relationships with the local community, and accesses amenities on a daily basis. Daily reports suggest staff enable and support service users to use the facilities and social inclusion is an important and essential part of the service users daily lives. The client group are positively encouraged and assisted to undertake a variety of activities in addition to their main and regular routines. Trips to the local shops, pubs etc are arranged and activities take place with the service users in the locality as much as possible. The home also has its own vehicle. Staff encourage and assist service users to become part of the community as much as possible. There were various records and documents to support this, in addition to photographs of the service users enjoying trips and a number of their recent annual holiday, which was deemed to be a success. From discussion with the Manager and her Deputy, and examination of records, daily life at the home appears to be fairly flexible in terms of leisure and social activities, food and meal times and general routines of daily living. However staff need to consider when completing records and reports, how it can be demonstrated even further that the service being offered is as flexible as possible in terms of general routines of daily living. Service users likes and dislikes have mostly been identified, evidence of which is documented. There are restrictions to certain areas of the home in the interests of staff and service users safety, and these include the use of coded lock systems on doors. The service users contract/terms and conditions detail the house rules on smoking, use of alcohol and keeping a pet, amongst other issues. Service users are offered a choice of meals and are consulted regularly on their preferences regarding meals. A record of food taken by each service user is kept at the home. Service users are encouraged to participate in the preparation of their meals and meal planning. It was evident from menus that a varied and balanced diet is maintained as much as possible within the home. Service users choices are respected and from reviewing dietary intake sheets it is obvious that if requested, different meals are prepared if service users do not wish to take the same menu. The home has implemented a system of risk assessing each service users nutritional needs, although this does not yet include the whole of the resident group. 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 15 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 The health and emotional needs of service users are being partly met. EVIDENCE: There was evidence available to indicate that generally, service users healthcare needs are being met. Service users are registered with two local GP practices and good links are maintained with the service users community teams and clinical professionals. Some documentation relating to other services such as ophthalmic, dental and chiropody services was available, as was other healthcare services/specialists. Service users health is monitored within the home as well as undertaking individual weight checks. Support is provided to access a range of healthcare facilities, and attend outpatient and other appointments such as `well person` clinics. The information with regards to healthcare is recorded on a healthcare assessment, which had not been completed for all of the service users. Information is also summarised on a checklist, which provides a reference tool for tracking the appointments for service users. Further work is needed to ensure supporting information is available and healthcare assessments are all completed. 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) nil No standards from this section were assessed as part of this inspection EVIDENCE: Not applicable 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 17 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 The standard of décor within the home is good providing service users with an attractive and homely place to live EVIDENCE: 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 18 290 Newton Road is a fairly spacious residence and was found to be comfortable, clean, airy and free from odours. The home offers access to local shops, towns, and public transport and is in keeping with the local community. The home provides limited external, recreational space and privacy, but this has recently been enhanced by the removal of a storage shed, which has offered some increase in the amount of rear garden available. External wooden garden furniture is to be ordered for use in this area. Internally the standard of décor and furnishings in bedrooms and communal areas is good. The premises endure a great deal of use with staffing levels and the dependency levels of the service users. However at the time of this visit, the premises continue to offer a homely environment whilst ensuring safety and meeting National Minimum Standards. It was noted the kitchen area has had new worktops installed and has been redecorated. The food preparation area is soon to be tiled. Replacement bedroom furniture has also been provided in some rooms. The organisation has produced a maintenance and redecoration schedule for all of its properties and this also allows for additional work to be requested and such requests are then prioritised. The programme of routine maintenance is in addition to replacing furniture and fittings, and has mechanisms for coping with more urgent maintenance issues. The home has necessary security systems in place such as door-coded locks focusing on external and internal areas. A full tour of the premises was not conducted at this inspection. 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 19 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) 34, 35 and 36 Staff are benefiting from relevant training and from the managements understanding of where the service needs to improve. There is little turnover of staff and the home has an enthusiastic workforce, who are well supported and can meet the needs of the service users EVIDENCE: Three personal files of staff recruited to the service since the last inspection, were examined against the required documents listed in the Care Homes Regulations 2001. All of the information was available with the exception of relevant induction training. The services `in house` induction had been provided and there was documentation indicating that induction relating to the Learning Disability Award Framework (LDAF) was to be available shortly. The Lonsdale Midlands organisation has recently registered as a satellite centre for LDAF training. The Manager of the service has also received training for her to be a trained facilitator for the provision of Person Centred Planning systems. The Manager told the inspector she had not completed the training needs assessments and training and development plan for the staff team as a whole, but hoped to complete this piece of work shortly. A copy of the plan needs to be submitted to the inspector. It was noted from the training records that staff were still in need of vulnerable adults/abuse awareness training and awareness training with regards to Autism and the range of Autistic Spectrum Disorders. 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 20 In addition the level of training given to staff with regard to the safe handling of medications needs updating, as this must be `accredited` training, if staff are to be deemed competent in this area of work. A matrix of planned staff supervisions is displayed in the office and management have begun the process of delivering regular meetings to staff, some of which are documented in staff files. The Manager must aim to ensure each member of staff receives a one to one meeting at least six times a year and an annual appraisal. 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 21 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) 39, 41 and 42 The home reviews aspects of its own performance through self-review and consultation, which includes seeking the views of service users and their representatives and staff. Service users rights and best interests are being safeguarded. The manager is seen to ensure as far as reasonably practicable, the health, safety and welfare of service users and staff. EVIDENCE: 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 22 In addition to staff meetings, supervision sessions and routine observations the Manager of the service is implementing systems to ascertain the feelings and opinions of service users and their families. Service user meetings are being planned with relative involvement. Relatives have been invited to oversee the process and take control of the record keeping of the meetings. The Manager told the inspector that a very good response had been received from interested parties. The Manager also needs to produce an annual development plan, which is based on a systematic cycle of planning-action-review and reflects the aims and outcome for service users. Monthly visits by the organisations service manager, under Regulation 26 of the Care Homes Regulations 2001 are being conducted, and records of these visits are being submitted to the Commission for Social Care Inspection for analysis. A random sample of maintenance and service records were examined, and were all found to be available current and maintained as required by legislation. The standards were good. Personal inventories of service users belongings and items of value, must be held and maintained appropriately. Service users files must contain a record dates of receipt and disposal, if relevant. 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 23 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 3 3 x x 3 Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 2 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 2 3 x x 2 3 Standard No 31 32 33 34 35 36 Score x x x 3 2 2 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 290 Newton Road Score x 2 x x Standard No 37 38 39 40 41 42 43 Score x x 2 x 2 3 x D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 24 Yes 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 6 Regulation 5 Requirement Timescale for action 31/12/05 2. 7 12 3. 12 12,16 1) Ensure that service user plans cover all areas of assessed need and include emotional needs, healthcare, social needs, financial assistance, personal care etc. 2)To demonstrate attempts have been made to produce care plans in a format suitable for service users. 3) Ensure that the care plans are compiled with the service user and/or their representative, and are dated/signed. 4) The home should implement a system of Person Centred Planning or similar, such as Essential Lifestyle Planning and Life Story books. (Previous timescales of 30/6/05 and 31/7/05 partly met) The home needs to expand on its 31/12/05 evidence to support how individual choices are being made by service users, and to be able to show when decisions are made by staff on behalf of the service users and why. (Previous timescale of 31/7/05 partly met) The manager must ensure that 31/12/05 Version 1.40 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Page 25 4. 12 16 5. 17 13 6. 19 12 7. 20 13 8. 35,23,20 13,18 structured activity/plans continue to demonstrate that opportunities for day care and education have been explored and are available,with records of evaluation. (Previous timescale of 31/7/05 partly met) The home must demonstrate that the service being offered is as flexible as possible in terms of general routines of daily living. (Previous timescale of 31/7/05 partly met) The home must ensure it implements a system of risk assessing each service users nutritional needs, for all of the resident group. Healthcare assessments must be completed and supporting information/evidence must be available in each residents file for tracking information from the healthcare matrix of appointments All staff assisting with the administration and recording of service users medication must be provided with `accredited` training in the safe handling of medicines 1) To ensure all staff are provided with a) awareness training with regards to Autism and the range of Autistic Spectrum Disorders and b) Vulnerable adults/abuse awareness training. 2)The manager should update/produce a training needs assessment for the staff team as a whole and produce a training and development plan for the home. 3) To ensure that relevant staff are registered and commence on a `Learning Disability Award 31/12/05 30/11/05 30/11/05 31/10/05 1) 31/12/05 2) 30/11/05 3) & 4) 31/12/05 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 26 9. 36 18 10. 39 24 11. 41 17 Framework` accredited training course. 4) To ensure that induction (within 6 weeks of commencement) and foundation training (within 6 months of commencement) is delivered, and is in accordance with guidance issued by the `Skills for Care`organisation (Previous timescales of 31/7/05 partly met) To ensure the system of staff supervision provides a minimum of 6 formal/recorded sessions per year, in addition to day to day contact, and an annual appraisal (Previous timescales of 31/7/05 partly met) 1) To produce an annual development plan, which is based on a systematic cycle of planning-action-review and reflects the aims and outcome for service users. 2) To explore ways in which the service users, staff and stakeholders can be included in the homes chosen quality assurance system. (Previous timescale of 31/7/05 partly met) Personal inventories of service users belongings and items of value, must be held and maintained appropriately. 31/12/05 1) 30/11/05 2) 31/12/05 30/11/05 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 32 Good Practice Recommendations That the home continues to work toward meeting Sector D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 27 290 Newton Road 2. 37 skills workforce targets of 50 of care staff having achieved an NVQ level 2 or above by 2005. That the Manager continues to work toward an NVQ IV in management 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 28 Commission for Social Care Inspection Mucklow Office Park West Point Mucklow Hill, Halesowen West Midlands B68 8DA 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 290 Newton Road D55 S43211 290 Newton Road V237224 11-7-05 Unannounced PW Stage 4.doc Version 1.40 Page 29 - 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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