Inspection on 13/02/07 for 347 Old Laira Road

This inspection was carried out on 13th February 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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

347 Old Laira Road 29/09/08

347 Old Laira Road 02/10/07

347 Old Laira Road 05/01/06

347 Old Laira Road 23/09/05

347 Old Laira Road 11/11/04

347 Old Laira Road 21/07/04

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 18-65 347 Old Laira Road 347 Old Laira Road Laira Plymouth Devon PL3 6DH Lead Inspector Jane Gurnell Unannounced Inspection 13th February 2007 13:30 347 Old Laira Road DS0000050032.V321159.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 347 Old Laira Road DS0000050032.V321159.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. 347 Old Laira Road DS0000050032.V321159.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 347 Old Laira Road Address 347 Old Laira Road Laira Plymouth Devon PL3 6DH 01752 310531 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) Michael Batt Foundation (Valued Life Projects) Mrs Beverley Anne Nichols Care Home 2 Category(ies) of Learning disability (2) registration, with number of places 347 Old Laira Road DS0000050032.V321159.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 5th January 2006 Brief Description of the Service: At the time of this inspection there were no service users living at the home. Old Laira Road is a mid-terraced, two storey property located in the residential area of Laira in Plymouth. It is registered with the Commission as a care home providing personal care and accommodation for two people, aged 18 - 65, with learning disabilities. It is owned by the Michael Batt Foundation (Valued Life Projects) which is a not for profit organisation providing services for people with a range of needs who require support and care to live in the community. It is close to local services and facilities. All the homes bedrooms are single and are on the 1st floor. None of these have wash hand basins or en suite facilities. There is a bathroom on the 1st floor and a separate toilet on the ground floor. There are separate lounge and dining rooms on the ground floor as well as a kitchen and conservatory/laundry. There are small gardens at the front and back of the property. The front of the property is accessed via a flight of steps, as is the back garden. Unlimited on street parking is available in the vicinity. The weekly fees for this service are calculated on an individual basis depending upon the service user’s support needs. Information relating to the services provided by the Michael Batt Foundation can be obtained from their Head Office at Third Floor, Poseidon House, Neptune Business Park, Cattedown, Plymouth, PL4 OSJ, telephone number 01752 310531. 347 Old Laira Road DS0000050032.V321159.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. At the time of this inspection there were no service users living at Old Laira Road. Mrs Nichols, who remains registered with the Commission as the manager, was available for consultation and has given assurances that the home is well maintained and remains in a suitable condition for the admission of service users. A visit had been made to Michael Batt Foundation’s head office on 12th February 2007 to examine the confidential documents relating to the admission of newly referred service users and also staff recruitment. This indicated that the Foundation’s procedures are thorough thereby ensuring the needs of prospective service users are well known prior to admission. It is the policy of the Commission for Social Care Inspection to assess homes that currently have no service users as adequate and prospective service users and their representatives are advised to contact the Foundation to discuss their individual needs. A further inspection will be undertaken should a service user be admitted to the home. 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. 347 Old Laira Road DS0000050032.V321159.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 347 Old Laira Road DS0000050032.V321159.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): 1, 2, 3, 4,5 and 6. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the Foundation’s head office. The Foundation’s pre-admission processes ensure that prospective service users are provided with information about the home as well as having the opportunity to experience life in the home prior to admission, so enabling them to make a properly informed decision. EVIDENCE: At the time of this inspection there were no service users currently living at the home. However, from examination of records relating to newly admitted service users in two other Michael Batt Foundation homes, it was evident that the preadmission process thoroughly explores the prospective service user’s support needs and that each person is enabled to visit the home on several occasions to meet with the other service users and staff. The Foundation provides a Service User Guide in different formats, such as pictorial and on audiotape, depending upon each prospective service user’s needs and abilities, thereby enabling them, with the support of visits and explanations to make an informed choice about the suitability of the home. 347 Old Laira Road DS0000050032.V321159.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, 8, 9 and 10. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this Foundation’s head office. The service users would be enabled to participate in, and make decisions about, all aspects of their lives. Confidentiality would be respected. EVIDENCE: The Foundation’s policies relating to the support of service users promotes independence. The Registered Manager confirmed that prospective service users and their representatives are fully included in the development of the service. 347 Old Laira Road DS0000050032.V321159.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the Foundation’s head office. Service users would be supported to learn life skills, attend educational/day placements, participate in any community and leisure activities, and to choose their own daily routines. EVIDENCE: The Foundation’s policies relating to the support of service users promotes personal development and independence. The Registered Manager confirmed that prospective service users and their representatives are fully included in decisions relating to education, training and leisure activities. 347 Old Laira Road DS0000050032.V321159.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the Foundation’s head office. Service users would receive support in the way, and at the time, that they want and need. Health care needs would be addressed as soon as they are identified. EVIDENCE: The Foundation’s policies relating to health care issues promote the use of community health care facilities including specialist advise as necessary, for example, from a Community Learning Disability Nurse. The Registered Manager confirmed that service users would be supported to be as independent as possible with their medication. 347 Old Laira Road DS0000050032.V321159.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the Foundation’s head office. Service users would be protected from abuse, neglect and self-harm. Prospective service users can be confident that the Registered Provider always deals with complaints seriously and any concerns from service users are listened to and acted upon immediately. EVIDENCE: The Foundation has a robust complaints procedure. Training in the protection of vulnerable adults was provided for care staff to ensure they are aware of their responsibilities should they suspect a service user is at risk of abuse. 347 Old Laira Road DS0000050032.V321159.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence. The standard of the environment is satisfactory, providing prospective service users with a comfortable and homely place to live. EVIDENCE: A visit was not made to the service however the Registered Manager confirmed that the home is maintained in good order and remains suitable for the admission of service users. Prospective service users would be invited to visit the home to make a decision about whether they would like to live there. It is unlikely that this home would be suitable for a service user with impaired mobility due to the flight of steps leading to the main entrance. 347 Old Laira Road DS0000050032.V321159.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35 and 36. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the Foundation’s head office. Recruitment processes are robust. Prospective service users can be confident that staff would be well trained and knowledgeable about their support needs. EVIDENCE: The Foundation has a department that ensures recruitment practices are safe. A sample of staff files were examined and showed a robust recruitment procedure. All the required information was available, including Criminal Record Bureau checks and 2 written references, ensuring as far as possible only suitable staff are employed. The Foundation has a designated staff member to coordinate and arrange training to maintain an overview of what the organisation requires, as well as ensuring that individual staff members receive the training they need. Topics include social role valorisation, person centred planning, human development, adult protection, conflict management and emergency first aid, ensuring they have the skills and confidence to support the service users on a day-to-day basis and also at times of crisis. 347 Old Laira Road DS0000050032.V321159.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42 and 43. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the Foundation’s head office. The Foundation promotes management approach that is open, inclusive and positive, providing clear leadership and guidance. Empowerment and enablement of service users is the focus of the organisation. Prospective service users can be confident that their rights, health, safety and welfare are protected and promoted. EVIDENCE: The Registered Manager who also manages another of the Foundation’s small homes is competent and experienced to run the home. She confirmed that she has a National Vocational Qualification at level 4 in Care and is nearing completion of the Registered Manager’s Award: both courses are nationally recognised qualifications. She also confirmed that she will be enrolling on the 347 Old Laira Road DS0000050032.V321159.R01.S.doc Version 5.2 Page 15 “Humanistic Approach to Support” Course, a LDAF course that follows a person-centred philosophy of care and support. Mrs Nichols was fully aware of her responsibilities to maintain the health, safety and welfare of service users. The Foundation had a Quality Assurance Auditor who was responsible for assessing whether the services provided met the service users’ needs to their satisfaction as well as ensuring their safety and that of the support staff. These assessments were detailed and include all aspects of a service user’s personal, health, emotional and social support needs. The results of these assessments were shared with the service user and their family or representative to plan future service support and personal goals. This service review would be provided for any newly admitted service users to Old Laira Road. 347 Old Laira Road DS0000050032.V321159.R01.S.doc Version 5.2 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 “ ” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 2 3 2 4 2 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 2 ENVIRONMENT Standard No Score 24 2 25 2 26 2 27 2 28 2 29 2 30 2 STAFFING Standard No Score 31 2 32 2 33 2 34 2 35 2 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 2 2 2 2 LIFESTYLES Standard No Score 11 2 12 2 13 2 14 2 15 2 16 2 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 2 2 2 2 2 2 2 2 2 2 2 347 Old Laira Road DS0000050032.V321159.R01.S.doc Version 5.2 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. 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 347 Old Laira Road DS0000050032.V321159.R01.S.doc Version 5.2 Page 18 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 347 Old Laira Road DS0000050032.V321159.R01.S.doc Version 5.2 Page 19 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!