Inspection on 22/12/05 for 3 Gerard Road

This inspection was carried out on 22nd December 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

3 Gerard Road 29/05/07

3 Gerard Road 03/06/05

3 Gerard Road 02/09/04

3 Gerard Road 06/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 3 Gerard Road Weston Super Mare North Somerset BS23 2RE Lead Inspector Paul Grey Announced Inspection 22nd December 2005 09:30 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 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 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 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. 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 3 Gerard Road Address Weston Super Mare North Somerset BS23 2RE 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) 01934 641038 0117 9699000 The Brandon Trust Mr Terry Cook Care Home 5 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (5) of places 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. May accommodate up to 5 persons aged 18 years and over with learning disabilities 3rd June 2005 Date of last inspection Brief Description of the Service: Gerard Road is a small pleasant home situated close to the centre of Westonsuper-Mare. Most residents have day care but the home arranges regular activities for those who do not want to attend day centres. Each bedroom is single and one is on the ground floor. There is a choice of lounge and dining facilities. The back garden has a patio area with outdoor seating and a raised, sloping lawn area that is accessed by a short flight of steps. 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspector found a well cared for, settled group of service users, a happy staff team, and well run service. The home was in good decorative order and documentation was well maintained and up-to-date. Gerard Road continues to offer a good standard of care to service users. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 Page 6 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 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 Page 7 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, 2, 3, Prospective service users are supplied with the information they need to make an informed choice about the home. The home can demonstrate its ability to assess the needs and aspirations of prospective service users. Prospective service users know that the home can meet their needs and aspirations. EVIDENCE: The homes statement of purpose continues to meet national minimum standards. The manager in for the Inspector but there is no change in service provision since the statement of purpose was updated. The Inspector noted evidence in 3 service user files regarding the standard of service user as assessment. The home clearly demonstrated its ability to assess service users needs, and then implement these into the person’s plan of care. In the 3 files audited the Inspector was able to see how a service users needs were assessed, met, and then reviewed by the staff team. The home clearly demonstrated its ability to meet the assessed needs of the service users within it. This was demonstrated in the homes documentation, in staff statement about care at the home, and in statements made by relatives 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 Page 8 concerning the standard of care at the home. During inspection, the Inspector noted staff communicate clearly and effectively with service users and were able to recognise any religious, social or cultural issues that may arise. The home continues to meet National Minimum Standards. 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 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): 6, 7, 9 The home reflects service users changing needs and personal goals in their individual plan of care. The home assists service users to make decisions about their lives when needed. The home support service users to take reasonable risks is part of an everyday lifestyle. EVIDENCE: The Inspector audited 3 files. The Inspector noted that the staff team develop and agree with service users and individual plan. These were well written, comprehensive and appeared to reflect the assessment process. The Inspector noted no and you restrictions on service users choice in any care plans. Talking with staff, relatives and checking through documentation the Inspector noted evidence that staff support service users to make their own decisions about life. Reading through records, talking with staff, and a relative the Inspector was able to find examples of ways in which service users had made their own individual choice. This was good practice. 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 Page 10 The Inspector tracked through from assessments, the care planning, to the management of service user risk. The Inspector found documentary evidence that the home had assessed risks on behalf on the service user. The Inspector could clearly identify risk and could track the risk control measure used by the service to protect the service user. The Inspector found evidence that the home took action to minimise risks where possible. 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 Page 11 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): 12,15,17 The home support service users to take part in age peer and culturally appropriate activities. The home support service users to have appropriate personal and family relationships. The home offers service users a healthy a varied diet. EVIDENCE: Staff at the home support service users to become involved in activities inside and outside of the home. Activities can be as simple as supported outings, shopping etc all attending the local college for a range of courses. The Inspector noted evidence that the staff team support service users to maintain family and friendship links. The Inspector spoke with one family of the time of inspection. The family informed of the Inspector that they felt involved in their relatives care; they felt the service encouraged their relationship with the service user and that they were always made welcome to visit. 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 Page 12 During inspection the Inspector audited the homes menu. The Inspector noted the home had a revolving and varied menu. The menu was chosen by service users with staff support. This was done via a range of photographs of the various meals. The Inspector also noted the home had a take-away night which the service users particularly enjoyed. 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 Page 13 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): X These standards were not assessed on this occasion. EVIDENCE: These standards were not assessed on this occasion. 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 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): 23 The home protects service users from abuse, neglect or self harm. EVIDENCE: The home has robust training to enable staff to detect potential abuse. The Inspector noted in place, procedures for responding to any potential abuse. The home had presented the, Somerset no secrets document. Any allegations or incidents of abuse would be recorded by the home. The trust provides staff with training to manage and understand physical or verbal aggression by the service users, teaching them how to deal with this appropriately. This is not an issue out of the home. 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 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, 26, 28, 30 The home provides a comfortable and safe environment. Service users bedrooms promote the service users independence. The homes shared spaces complement and supplement the service users own rooms. At the time of inspection, the home was clean and hygienic throughout. EVIDENCE: At the time of inspection, the Inspector toured the premises thoroughly. The Inspector noted the premises to be clean, well maintained and appropriate to meet the needs of the service user group. The Inspector noted that the furnishings and fittings within the property will pleasant and of domestic design. The premises meet the requirements of the fire service and the environmental health department. The home has a planned maintenance and renewal programme. All service users were provided with a bedroom, which included a pleasant bed collar wardrobe and washing facilities and space the service users possessions. 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 Page 16 The bedrooms were personalised and pleasant. All were well ventilated with appropriate light heating and ventilation. The home had a number of pleasant communal areas. There was a very pleasant, and large rear garden offering a range of environments for the service users are assisted. The home had a pleasant dining area, and sitting room. All were well decorated and homely. The home was clean throughout, the Inspector noted appropriate laundry facilities, and washing facilities and appropriate policies and procedures for the control of infection. The home smelt clean and fresh throughout. 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 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): 31, 33, 36 Staff at the home have clear roles and responsibilities. Service users at the home are supported by an effective staff team. The homes service users benefit from well supported and supervised staff. EVIDENCE: During inspection, the Inspector audited the homes job descriptions. These are standard Brandon trust documents and clearly meet national minimum standards. At the time of inspection, the Inspector noted staff were in sufficient numbers to meet the needs of the service users. The Inspector noted the manager was on duty in addition to 2 members of staff. The Inspector noted that the duty rosters indicated this was relatively normal Monday to Friday staffing. The home meets National Minimum Standards. The Inspector discussed staff supervision with the manager and staff members. Both parties felt that sufficient supervision was available from staff. Supervision frequency could be increased should a staff member need it. Documentation showed that staff are receiving regular supervision in 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 Page 18 accordance with both Brandon trust guidelines and the national minimum standards. 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 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 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, 40, 41, The home is run for the benefit of the service users. The home protects service users best interests with its policies and procedures. The home protects service users best interests with its record-keeping and policies and procedures. EVIDENCE: The Inspector observed in the home that there was indeed a positive and inclusive atmosphere for the service users. Service users were involved in all aspects of day-to-day life at the home. They were introduced to the Inspector, had been informed of my visit and were informed if I was to inspect the premises all their bedrooms. The home statement of purpose, and staff statement indicate the home has a clear sense of direction and leadership. The Inspector sampled to policies at random. Both were present, appropriate to the home and up-to-date. 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 Page 20 The homes general records were well maintained, appeared accurate and were up-to-date. Service user records were secure and stored in accordance with the data protection act. 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 Page 21 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 3 X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X 3 X 3 X 3 LIFESTYLES Standard No Score 11 X 12 3 13 X 14 X 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 3 X 3 X X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 3 Gerard Road Score X X X X Standard No 37 38 39 40 41 42 43 Score X 3 X 3 3 X X DS0000008084.V266240.R01.S.doc Version 5.0 Page 22 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 3 Gerard Road DS0000008084.V266240.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Somerset Records Management Unit Ground Floor Riverside Chambers Castle Street Taunton TA1 4AL 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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