Inspection on 08/02/06 for 32 Bentinck Road

This inspection was carried out on 8th February 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 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

32 Bentinck Road 02/11/06

32 Bentinck Road 05/08/05

32 Bentinck Road 21/02/05

32 Bentinck Road 09/09/04

32 Bentinck Road 02/03/04

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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 Fiona Stephenson Unannounced Inspection 8th February 2006 10:25 32 Bentinck Road DS0000002229.V279674.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 32 Bentinck Road DS0000002229.V279674.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. 32 Bentinck Road DS0000002229.V279674.R01.S.doc Version 5.1 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.V279674.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th August 2005 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. Residents have the use of two communal lounges, one a ‘dry’ lounge where alcohol is not permitted, and one a ‘wet’ lounge where alcohol is permitted. There is a communal dining room and activities room. Single bedrooms are provided for residents on the ground and first floor. 32 Bentinck Road DS0000002229.V279674.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second statutory inspection of the home for the regulation year 2005-2006, and was unannounced. The inspector was at the home for one hour. The inspection would normally have lasted longer, however staff were involved in team meetings and recruitment interviews, and therefore the inspector decided to focus the inspection on talking to residents, and in looking at the premises. Four residents, and one member of staff, were spoken with during the inspection. 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. 32 Bentinck Road DS0000002229.V279674.R01.S.doc Version 5.1 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.V279674.R01.S.doc Version 5.1 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): Not checked on this occasion. EVIDENCE: 32 Bentinck Road DS0000002229.V279674.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 Residents changing needs and personal goals are reflected in their individual care plans. EVIDENCE: Due to meetings being held in the office, the inspector did not have easy access to the care records. The member of staff supporting the inspection process informed the inspector that all care plans were up-to-date and were reviewed on a monthly basis. The inspector was also informed that the organisation is in the process of reviewing the care planning format and is looking at introducing a different model of care plan that focuses on residents’ strengths as well as supporting areas, which need assistance. 32 Bentinck Road DS0000002229.V279674.R01.S.doc Version 5.1 Page 9 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): 11,12,13,14,16,17 Residents are provided with good support in their daily lives. EVIDENCE: The inspector noted the number and range of activities available to people living in the home. These included swimming, bicycle workshops, art classes, bingo, ‘book on a tape’ group, cooking, and allotment work. The inspector was told that activities depend on the interests expressed by residents. A ‘wet’ lounge is available to residents who wish to drink alcohol during the day at the home, and a ‘dry’ lounge is available for residents who wish not to drink, or to not be with people who are drinking. The inspector spoke with residents in the ‘wet’ lounge who informed her that they were pleased with the care and support they got at the home, and who also enjoyed the food. Residents have a good selection of food. Cereals are available at breakfast time, and a cooked breakfast can be prepared on request. Residents are encouraged to make their own sandwiches at lunchtimes, although the fillings are ready prepared (with a choice of four). The hot meal is given at teatime and there is a choice of two dinners each time. Residents have the option to contribute to the menu during discussions at the weekly residents meeting. 32 Bentinck Road DS0000002229.V279674.R01.S.doc Version 5.1 Page 10 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): 18,19,20 Residents receive support in the way they prefer and require. EVIDENCE: Staff work well in supporting residents emotional, physical and mental health needs. All residents have a key worker, and they meet regularly to talk about issues affecting their health. Staff work with residents in monitoring health issues, and in some cases ‘controlled drinking’ plans are in place to support these needs. One of the residents spoken with informed the inspector that he had stopped smoking after a particularly bad asthma attack, and the inspector observed good encouragement given to him regarding this issue. Medication is well controlled, and the pharmacist does regular audits of the medication sheets, and provides a question and answer training session to staff every four months. 32 Bentinck Road DS0000002229.V279674.R01.S.doc Version 5.1 Page 11 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): Not checked on this occasion. EVIDENCE: 32 Bentinck Road DS0000002229.V279674.R01.S.doc Version 5.1 Page 12 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): 24,25,26,27,28,29,30 Residents live in a safe, homely and clean environment. EVIDENCE: The inspector checked the communal areas of the home, including some bathrooms and toilets and found them to be in a satisfactorily clean condition. One bedroom was checked and found to be in a satisfactory condition in terms of cleanliness and décor, and suited the individuality of the person living in it. The inspector noted that in one of the bathrooms there was a frame to support a named resident in using the shower. 32 Bentinck Road DS0000002229.V279674.R01.S.doc Version 5.1 Page 13 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): Not checked on this occasion. EVIDENCE: 32 Bentinck Road DS0000002229.V279674.R01.S.doc Version 5.1 Page 14 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): Not checked on this occasion. EVIDENCE: 32 Bentinck Road DS0000002229.V279674.R01.S.doc Version 5.1 Page 15 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 X 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 3 25 3 26 3 27 3 28 3 29 3 30 3 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 X X X x LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x X X X X X X X 32 Bentinck Road DS0000002229.V279674.R01.S.doc Version 5.1 Page 16 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. 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 32 Bentinck Road DS0000002229.V279674.R01.S.doc Version 5.1 Page 17 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT 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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