Inspection on 03/06/05 for 3 Gerard Road

This inspection was carried out on 3rd June 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 22/12/05

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 Unannounced 3rd June 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. 3 Gerard Road D53-D02 S8084 Gerard Road V226772 030605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service 3 Gerard Road Address Weston-Super-Mare, North Somerset, BS23 2RE 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) 01934 641038 0117 9699000 The Brandon Trust Mr Terry Cook PC Care Home only 5 Category(ies) of Learning Disability (5) registration, with number Learning Disability - over 65 (5) of places 3 Gerard Road D53-D02 S8084 Gerard Road V226772 030605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: May accommodate up to 5 persons aged 18 years and over with learning disabilities. Date of last inspection 2nd September 2004 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 D53-D02 S8084 Gerard Road V226772 030605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was conducted in the absence of the manager over a four hour period. The inspector found the home to be clean and well run generally, with an open and friendly team. The home has a clear and wellorganised system of management and administration. The service users appeared happy and the general environment of the home was pleasant and relaxing. The inspector gained the impression that this was a nice environment to live and work in. What the service does well: What has improved since the last inspection? What they could do better: Policies, assorted documents and general procedures are often hand written. Whilst this is entirely permissible under the care standards act it may often be an inefficient use of staff time to be rewriting documents. Whilst the inspector 3 Gerard Road D53-D02 S8084 Gerard Road V226772 030605 Stage 4.doc Version 1.30 Page 6 would not fault the standard of care at the home, the inspector observes that the presentation of the documentation would be greatly enhanced if the home were to be provided with a word processor. 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 D53-D02 S8084 Gerard Road V226772 030605 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 3 Gerard Road D53-D02 S8084 Gerard Road V226772 030605 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) 1, The inspector noted evidence to indicate that service users would be able to make an informed choice about the home from its statement of purpose and service user guide. The inspector noted that service users are thoroughly assessed prior to admission and great efforts are made by the team to continue to assess the service users needs. Service users or their representatives are provided with an individual written contract and statement of terms and conditions regarding their stay at the home. EVIDENCE: The inspector audited the statement of purpose and service user guide. Both documents meet requirements as laid out in the national minimum standards. The inspector reviewed the homes assessment of service user’s needs from four care files. Assessments were comprehensive and appropriate to the needs of the service users and had been regularly updated. The inspector also noted service users records are in the process of being converted to Brandon’s new person centred planning. 3 Gerard Road D53-D02 S8084 Gerard Road V226772 030605 Stage 4.doc Version 1.30 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 standard(s) 6, and 9 The inspector noted service users needs were comprehensively assessed and supported. Service users are supported to manage risk in their lives. EVIDENCE: The inspector audited 4 care files and their assessment documentation. All assessments were comprehensive and up-to-date. Extensive risk assessments were in place and regularly reviewed for all for care files. 3 Gerard Road D53-D02 S8084 Gerard Road V226772 030605 Stage 4.doc Version 1.30 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 standard(s) 11,14 and 16 The home facilitates service users opportunities for personal development in the community. Service users are supported to engage in appropriate leisure activities. The inspector noted evidence that service users rights are respected. Service have access to a range of leisure activities locally, this may include going out for a drink at a local café or attending events at local facilities such as the Playhouse. EVIDENCE: The inspector audited four care files. The inspector noted evidence of social and leisure activities outside of the home in the community. This was supported by staff. Service users are supported to learn practical life skills such as cooking and cleaning their own rooms with staff support when necessary. Staff do not open service users mail without permission. Staff use the service users preferred form of address. 3 Gerard Road D53-D02 S8084 Gerard Road V226772 030605 Stage 4.doc Version 1.30 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 standard(s) 18 Staff at the home provide service users with sensitive and flexible personal support. EVIDENCE: The inspector audited four care records and spoke with staff. Records contained information outlining how service users are encouraged to choose their own clothes, hairstyle and appearance. If required personal support is carried out discreetly and in staffing allows by somebody of an appropriate gender. 3 Gerard Road D53-D02 S8084 Gerard Road V226772 030605 Stage 4.doc Version 1.30 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 standard(s) 22 and 23 There is a clear and effective complaints procedure within the home. The home has sufficient training, policies and procedures in place to ensure service users are protected from various forms of abuse. EVIDENCE: Staff statement evidence and training records demonstrate that the staff team are aware of the service users right to complain and are able to advise service users on the appropriate format for this. The homes complaints book shows that complaints when they are made, are acted on within 28 days by the staff team and manager. 3 Gerard Road D53-D02 S8084 Gerard Road V226772 030605 Stage 4.doc Version 1.30 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 standard(s) 24, 25 The inspector noted the premises were suitable for their intended purpose, accessible, and well maintained. Service users each have a bedroom that has appropriate furnishings and fittings. Service users bedrooms meet National minimum standards. EVIDENCE: The inspector noted the home was clean, bright, and cheerful. The home was free space from offensive odours and clean throughout. The home is in keeping with of forties along the road, furnishings and fittings are reasonable quality and appropriate to the needs of the service users. Service users bedrooms are of sufficient size and layout to meet National minimum standards. The home has no double bedrooms. 3 Gerard Road D53-D02 S8084 Gerard Road V226772 030605 Stage 4.doc Version 1.30 Page 14 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) 31 and 35 The Registered manager of the home ensures that staff have clearly defined job descriptions and understand their own role. Staff within the home are competent and able to meet the service users needs. The home has appropriate staff training and development to enable staff to meet service users assessed needs. EVIDENCE: During staff interview the inspector noted that staff are aware of and support the aims of the home. The inspector noted clear and comprehensive job descriptions. Staff have access to a comprehensive training program run by Brandon trust. The inspector noted documentary evidence to substantiate that staff maintain up-to-date regular training. New staff undergo a comprehensive induction. The inspector noted documentary evidence signed by all staff members. LDAF training is available within the trust. 3 Gerard Road D53-D02 S8084 Gerard Road V226772 030605 Stage 4.doc Version 1.30 Page 15 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 and 41 Policies and procedures within the home conformed to National minimum standards. The home has a positive, and inclusive atmosphere. EVIDENCE: The inspector audited 4 policies at random. All were present and updated complying with the standards. Policies and procedures were appropriately read and signed by staff. Documents sampled were securely stored, appeared accurate and were up to date. Records were stored in accordance with Data protection legislation. 3 Gerard Road D53-D02 S8084 Gerard Road V226772 030605 Stage 4.doc Version 1.30 Page 16 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 x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x x x Standard No 11 12 13 14 15 16 17 3 x x 3 x 3 x Standard No 31 32 33 34 35 36 Score 3 x x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 3 Gerard Road Score 3 x x x Standard No 37 38 39 40 41 42 43 Score x x x 3 3 x x D53-D02 S8084 Gerard Road V226772 030605 Stage 4.doc Version 1.30 Page 17 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 Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations 3 Gerard Road D53-D02 S8084 Gerard Road V226772 030605 Stage 4.doc Version 1.30 Page 18 Commission for Social Care Inspection Riverside Chambers Castle Street Tangier 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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