Inspection on 02/11/06 for 32 Bentinck Road

This inspection was carried out on 2nd November 2006.

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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

32 Bentinck Road 08/02/06

32 Bentinck Road 05/08/05

32 Bentinck Road 21/02/05

32 Bentinck Road 09/09/04

32 Bentinck Road 02/03/04

Similar services:

Trevayler Residential Care Home

Thornham Grove

Hunter`s Lodge

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

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

CARE HOME ADULTS 18-65 32 Bentinck Road Hyson Green Nottingham NG7 4AF Lead Inspector Karmon Hawley Key Unannounced Inspection 2nd November 2006 10:00 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 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 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 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. 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 32 Bentinck Road Address Hyson Green Nottingham NG7 4AF 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) 0115 841 7730 0115 841 7731 Framework Housing Association Mr David Milburn Care Home 17 Category(ies) of Past or present alcohol dependence (17), Past or registration, with number present alcohol dependence over 65 years of of places age (17), Mental disorder, excluding learning disability or dementia (17), Mental Disorder, excluding learning disability or dementia - over 65 years of age (17) 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th February 2006 Brief Description of the Service: 32 Bentinck Road is an extended detached house within easy access to various community facilities, public transport and Nottingham City centre. The service is provided for people aged 49 years and above who have been homeless and may be mentally ill or have an alcohol problem. Alcohol is allowed in part of the premises. Single bedrooms are provided for service users on the ground and first floors. The first floor is accessible only by stairs and there are steps at the main entrance, but the ground floor is accessible at the rear of the building, where the ground is level. The assistant manager said that the current weekly fees are £438.60; there may be additional costs for hair dressing and other services. 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place five hours and was performed by one inspector. The main method of inspection was case tracking, this is a method of sampling the records of three randomly selected service users to ascertain if the needs of service users are appropriately assessed and identified needs are being catered for by the home to maintain optimum health and wellbeing of the service user. Two service users were spoken with during the inspection so as to give the inspector an insight into the conditions and standards within the home. Both were satisfied with the care received and the standards within the home. The assistant manager assisted in the inspection process and two members of staff were spoken with. Staff were able to discuss core values and principles of care and their job role in meeting service users needs. 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. The summary of this inspection report can be made available in other formats on request. 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 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 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users individual aspirations and needs are assessed. EVIDENCE: Prospective service users may be referred via many different sources; therefore they may be assessed in the community or at the home. The assessment used was seen within case files examined and covers the requirements of the standard. Prospective service users may visit the home and spend time there prior to making a decision to move in. One member of staff spoken with confirmed that this takes place. 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 Page 8 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users know their assessed and changing needs and personal goals are reflected in their individual plan. Service users make decision about their lives with assistance as needed. Service users are supported to take risks as part of an independent lifestyle. EVIDENCE: Three service users support plans were seen. Support plans were in place for all identified needs, were personalised and reflected service users likes and dislikes. Service users had signed these plans to reflect that these had been discussed and negotiated as required. There was evidence seen to show that service users are supported to lead an independent life as able with support from staff. Appropriate risk assessments were in place for all identified risks. Daily records maintained were in depth and reflected significant events and links to the plan of support. The assistant manager said that service users are supported in making their lifestyle choices with management and negotiation as needed. There was evidence seen within the support plans to confirm this takes place. Both service users spoken with said that they were able to make their own choices 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 Page 9 and staff supported and assisted them if needed. An advocacy service is available through the framework programme should it be required. Staff spoken with discussed how service users are facilitated to lead a life of their choosing with out prejudice. The assistant manager said that risks are discussed and negotiated with service users so they may lead a life as they wish with risks reduced as far as practicable. There was evidence of risk assessments in service users support plans, which had been signed by service users following discussions and plans in regards to the risk. 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,16 and 17. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. 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 meal times. EVIDENCE: A life skills worker is employed by the service who offers varied activities such as arts and crafts, movement to music, quizzes and bingo to service users. Activities and events are also accessed within the community. There is a large activities notice board in the dining room that shows all activities and events service users may participate in. One service user spoken with said that they enjoy the activities on offer and join in when they want, whereas another preferred to entertain themselves watching the television and films. 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 Page 11 Service users are supported and facilitated to access the local community as they wish. If required an escort or a taxi is provided. One service user attends as training course in the community; others visit the local shops and carry out their own shopping. Several service users were observed to leave the home and carry out their preferred activities during the morning. The assistant manager said that service users are supported in maintaining contact with relevant others and the only restriction on visiting was during meal times. Visitors may be received in private should they wish. One service user spoken with said that they have regular visitors and they are always made welcome and they have stayed for meals on occasion. If required volunteers and befrienders are also accessed. Service users receive their mail unopened, support is offered should it be required. All service users rooms have door locks to ensure privacy is maintained. The assistant manager said that staff are trained and instructed on ensuring they maintain service users privacy and dignity and knock on doors prior to entering, also individual needs and requirements are set out in the support plans. Service users have undergone assessments for the ability to carry out household tasks and agreements have been made following this, these were seen in the plan of care. A wholesome and appealing diet was seen to be on offer and choices available. Service users may have a full English breakfast and cereals for breakfast, they are given a lunch allowance so they may purchase their own lunch, however access to food is still available should they not wish to do this. A full cooked meal is available for dinner. Relevant records such as cleaning rotas and food temperatures were seen. The kitchen was clean and tidy. 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. 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 homes policies and procedures for dealing with medicines. EVIDENCE: Support plans are in place for those service users who require personal support, these were individualised and reflected service users preferences. In addition to this care watch also provide additional support to two service users to ensure their needs are met. Appropriate policies and procedures for medication were in place. Service users collect medication from the treatment room. Medication charts were checked against the prescription, these corresponded, however showed that handwritten entries had not been signed by two members of staff to show these had been checked as correct. All staff who administer medication have been trained in the safe administration of medicines. One staff member spoken with confirmed this. One service user spoken with said that staff look after their drugs and they may have them as needed. Appropriate risk assessments and facilities were in place for one service user who self-administers. 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 Page 13 Service users are facilitated in accessing the multidisciplinary team and other specialist services as required. One service user spoken with confirmed this. There was evidence to confirm this within service users case files. 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users feel their views are listened to and acted upon. Service users are protected from abuse, neglect and self-harm. EVIDENCE: Relevant policies and procedures were in place for dealing with complaints. One complaint had been received since the previous inspection and had been dealt with appropriately. Staff spoken with were able to discuss how they would deal with a complaint should it be received. Service users spoken with were happy with life within the home and expressed no complaints. They said that staff were approachable and listened to them as needed. All staff have undertaken training in the protection of vulnerable adults. Al staff have Criminal Record Bureau checks in place, with the exception of one member of staff that had been obtained by a different company. The assistant manager said that a new application would be sent for immediately. Staff spoken with were able to discuss relevant issues in respect of the protection of vulnerable adults and confirmed that training had taken place. Both service users spoken with said that they felt safe in the home. 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, comfortable and safe environment. The home is clean, pleasant and hygienic. EVIDENCE: Relevant maintenance is carried out on a routine basis and on request; evidence of this was seen within records held. A tour of the home was undertaken and showed that suitable furnishing was available. Whilst service users are responsible for the cleaning of their own rooms and outside agency cleans other areas of the home. The home was clean and tidy on the day of the inspection. A patio area is available for service users to sit out and the garden is in the process of being landscaped. The environmental health officer has recently visited the home, three issues were raised as needing attention such new chopping boards, these have been purchased and the remaining two are being addressed. The laundry room was clean and tidy and relevant instructions in place for the care of service users laundry. 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are supported by competent and qualified staff. Service users are supported and protected by the homes recruitment policies and practices. Service users individual and joint needs are met by appropriately trained staff. EVIDENCE: It was evident from talking with staff that they have a good understanding of service users needs and they were approachable and supportive. No judgements were expressed and staff expressed commitment to ensuring service users needs were fully met. Staff were able to discuss service users needs and showed understanding of conditions and behaviour they may experience. Ten members of staff have the National Vocational Qualification level two in care (a nationally recognised work and performance qualification) four of these members of staff also have level three. Three staff personal files were seen, all contained the required documentation with the exception of one where the criminal record bureau check had been 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 Page 17 obtained by a different agency than the service, the assistant manager said that a new application would be sent immediately. An in depth training programme is available for all staff and records were available to show that staff are trained in mandatory areas. Staff spoken with said that they were supported in their job role and their development. 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from a well run home. Service users are confident their views underpin all self-monitoring, review and development by the home. The health, safety and welfare of service users are promoted and protected. EVIDENCE: The registered manager has worked within the organisation for 20 years and has been the manager of the service for 9 years. He remains up to date with mandatory training and is looking at re-registering to complete the registered managers award. Staff spoken with said that the home was well run and the manager was approachable. Service users spoken with said that the home was well run. Various audits take place within the service and cover all aspects of the facilities, care, staffing, environment and management. The results of these 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 Page 19 audits are sent to head office and any areas addressed as required. Service users are supported to complete the annual questionnaires sent by the Commission for Social Care Inspection. The service is currently working towards achieving the Practice Development Unit Certificate that evidences that the service is monitoring and managing the service. Relevant maintenance and servicing certificates such as the gas and portable appliance testing were seen. The fire logbook showed that the fire systems are checked on a weekly basis and a contractor tests the emergency lights on a quarterly basis. The assistant manager said that emergency lights are now to be tested on a monthly basis by the staff in the home. The assistant manager said that some staff had attended a fire drill, however there were no records available to confirm this. Accident books seen showed that significant information was documented. 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 4 33 X 34 3 35 3 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 4 13 4 14 X 15 3 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? No 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 YA23 Regulation 13(4,c) Requirement To ensure all staff have satisfactory Criminal Record Bureau checks in place. Timescale for action 30/11/06 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. 2 Refer to Standard YA20 YA42 Good Practice Recommendations To ensure all handwritten entries on medication charts are signed by two members of staff to show they are correct. To ensure staff undertake regular fire drills and sign to confirm they have undertaken these. 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 32 Bentinck Road DS0000002229.V317659.R01.S.doc Version 5.2 Page 23 - 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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