Inspection on 16/03/06 for 30 Brook Street

This inspection was carried out on 16th March 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

30 Brook Street 30/05/07

30 Brook Street 06/10/05

30 Brook Street 22/02/05

30 Brook Street 14/09/04

30 Brook Street 02/03/04

Similar services:

The Lodge Nursing Home

Bracken House

Sunnycroft

Field Farm House

Edgeview Nursing Home

Church Terrace Nursing & Residential Home

The Forbury

The Maples

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

CARE HOME ADULTS 18-65 30 Brook Street Wordsley Stourbridge West Midlands DY8 3XF Lead Inspector Christine Lancashire Unannounced Inspection 16th March 2006 10:15 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 30 Brook Street Address Wordsley Stourbridge West Midlands DY8 3XF 01384 480770 01384 860507 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) Wordsley Housing Society Ms Karen Lesley Barr Care Home 22 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (22) of places 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th October 2005 Brief Description of the Service: Wordsley Housing Society is a voluntary organisation providing housing, support and practical help to adults with long-term mental health problems. There are three units within this registration. The main house, at 30 Brook Street, is a purpose built two-storey property, which was opened 17 years ago. It provides accommodation for 18 people. Residents’ accommodation is on the ground and first floors. There are 8 bedrooms on the first floor with 4 kitchenettes and 4 bathrooms/toilets. These are accessed by stairs. Residents who are more independent are accommodated on this floor but they can access any of the Home’s facilities including the main dining room, kitchen and laundry on the ground floor. There are communal lounges on both floors. The ground floor has a range of toilets and bathrooms including one walk in shower, plus a small conservatory that is used by residents for growing flowers and plants. The main office is also on the ground floor. Attached to the Home is an activities room with kitchenette and Manager’s office. The Home also provides 1 respite bed, funded by the Local Authority. This is in the main house on the ground floor. There are patio areas for seating to the front and the rear and an ornamental fishpond at the front. Car parking is at the front of the property. There are also two smaller houses located in the adjoining street (6 & 9 Sutton Street). These are 2 bed-roomed properties with lounge/dining room and kitchen with a garden to the rear. These are used for people who wish to be more independent but also still require some level of support. Residents from these 2 houses are able to access facilities in the main complex and participate in-group activities arranged by staff, should they wish to do so. All properties are leased to the society by C.H.A.D.D. (Church Housing Association Dudley District). 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a short, unannounced visit which lasted for two hours. The main purpose of this visit was to examine service users’ files and other records which had not been inspected at the last visit, in order to ensure that all key standards have been assessed in the past year. The inspector also read recent service user surveys and was pleased to see that all provided positive responses when rating the home. What the service does well: What has improved since the last inspection? What they could do better: The manager has identified the need to provide service users with opportunities to explore issues of spirituality and plans to explore methods of doing this. Various formats for assessment are being explored with a view to adopting an improved plan which will fully reflect the needs of the service users in this home. 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2,4, Prospective service users’ individual needs and aspirations are assessed. Prospective service users have a chance to ‘test drive’ the home. EVIDENCE: Prospective service users are considered on the basis of their referral information, which contains an assessment of their needs. They are invited to make introductory visits to the home and to meet other residents and staff. Once admitted, staff continue to assess their needs on the basis of observations and to draw up the home’s assessment, from which the key workers formulate the home’s care plan. Staff work closely with placing social workers and relevant health professionals to facilitate this process. Service users are involved and consulted at each stage in the process. Sampled files showed a variety of formats used for the home’s assessments. The home has been trying out various formats in an attempt to find one which is more suitable to the needs and capabilities of the service users at the home. The merits of various forms were discussed at the visit. This is an example of the commitment of the managers to continuously review and update systems and forms to reflect the needs of the individual service users in order to provide more individual and appropriate care. 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Service users know their assessed needs and personal goals are reflected in the care plan. They make decisions about their life, with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home and are supported to take risks as part of an independent lifestyle. EVIDENCE: Care plans are developed from assessments. The key workers work with the service users to ensure that these fully reflect their needs and preferences. Great efforts are made to consult each service user. The home has recently used surveys to consult each user about a various aspects of their lives. This survey included questions about aspirations. There are regular service user meetings and the minutes of these detailed discussions about a range of activities, practices and arrangements in the home. Service users’ signatures are on all relevant documents, including care plans, to indicate that they agree with the contents. Those service users who choose not to attend meetings are updated and consulted on an individual basis by staff. 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 10 There are relevant assessments of risk on each file. Each service user is encouraged to take controlled risks, by participating in activities and taking responsibility for their own medication and other aspects of their lives, where appropriate. Measures have been taken to minimise the risks of the environment and staff practices. Files provided examples of service users at different stages of independence, some needing more support from staff than others. 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 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): These standards were not assessed at this visit. All were met at the last inspection. EVIDENCE: 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 12 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): 18,19 Service users receive personal support in the way they prefer and require. Their physical and emotional health needs are met. EVIDENCE: Service users agree on the level of support which they require and this is discussed with their key workers and co-workers and written into the care plan. Service users are able to change their key workers after discussion, should they wish to do so. There are records of service users preferences and their daily routines are known by staff. Various health professionals are involved in initial assessments, care plans and reviews. Each service user is registered with a GP and the manager reports good relationships with each surgery. Records are maintained of each appointment attended. Support is provided to those who require this in order to attend appointments, but other service users prefer to manage these on their own. 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 13 The manager and staff have recognised the important role which nutrition plays in general health and well-being and are working to improve the nutritional intake of the service users. The recent questionnaire explored the service users’ attitudes towards healthy eating and exercise and attempts are being made to raise the profile of these elements of each service user’s life. The home has bought a juicing machine and this has helped people to increase their intake of fruit and vegetables. Service users are encouraged and enabled to participate in regular exercise. The manager has also identified a need to address the spirituality of residents as an area for development. 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 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): These standards were not assessed at this visit. Both were met at the last inspection. EVIDENCE: 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 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): These standards were not assessed at this visit. The key standards were met at the last inspection. EVIDENCE: 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 16 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): These standards were not assessed at this visit. The key standards were met at the last inspection. EVIDENCE: 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 Service users’ views underpin all self-monitoring, review and development in the home. EVIDENCE: The home has good systems for self-monitoring and representatives of the organisation make monthly visits to assess the conduct of the home. Reports of these visits are sent to the inspector. Service users are provided with opportunities to supply their views on the running of the home and to provide feedback on activities. Staff ask their opinion on a range of issues. Policies and procedures are reviewed in the light of changes in legislation and good practice. There are regular audits of paperwork to ensure that files and other records are maintained in good order. The inspector was shown the results of a recent questionnaire which has been sent to all service users and these will form the basis of a 5-year strategic plan for the home. Audits of the premises have been undertaken in preparation for next year’s financial planning. 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 x ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 4 X X X X 4 X X X X 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 19 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 YA24 Regulation 13(4) Requirement The manager must ensure that all risk assessments are reviewed and updated on a regular basis. Requirement met. The manager must ensure that all risk assessments are reviewed and updated on a regular basis. Requirement met. Timescale for action 01/12/05 2. YA42 13(4) 01/12/05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 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 30 Brook Street DS0000025044.V285326.R01.S.doc Version 5.1 Page 21 - 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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