Inspection on 02/10/07 for 347 Old Laira Road

This inspection was carried out on 2nd October 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 13/02/07

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 Laira Plymouth Devon PL3 6DH Lead Inspector Brendan Hannon Unannounced Inspection 2nd October 2007 11:30 347 Old Laira Road DS0000050032.V347894.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.V347894.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.V347894.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 347 Old Laira Road Address 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) info@michaelbattfoundation.org 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.V347894.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. Ms Nichols is to complete NVQ4 / RMA by December 2006 Date of last inspection 13th February 2007 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. Internet site info@michaelbattfoundation.org 347 Old Laira Road DS0000050032.V347894.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, attended the inspection. A visit had been made to Michael Batt Foundation’s head office on 11th October 2007 to examine staff personnel files from across all the organisations homes and for discussion with the Chief Executive Officer and the General Manager of the organisation. This part of the inspection indicated that the Foundation’s procedures are thorough thereby ensuring the needs of people that are considering using any of the Foundations services are well known before admission. It is the policy of the Commission for Social Care Inspection to assess homes that are currently not being used as adequate and people that are considering using this service and their representatives are advised to contact the Foundation to discuss their individual 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. 347 Old Laira Road DS0000050032.V347894.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.V347894.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 Quality in this outcome area is – no judgement made. This judgement has been made using available evidence including a visit to this service. No judgement can be reached on this section as the service is not operating at this time. EVIDENCE: At the time of this inspection there were no service users living at the home and the service was not operational. During the two week period from 02/10/07 till 18/10/07 two other Michael Batt Foundation (Valued Life Projects) homes in Plymouth were inspected. It is reasonable to view the outcomes from these inspections when considering the admission processes that would be followed at 347 Old Laira Rd. From the records of people that have chosen to use other Foundation services it was evident that the pre-admission process thoroughly explores the support needs of each person that might potentially use this service. A person would be supported to visit this service on several occasions, and to meet with the other people that live there and the staff before deciding to use the service. The organisation provides a Service User Guide (SUG) for the service in different formats to meet, as far as possible, each person’s communication needs. The SUG is available using pictures/symbols and on audiotape. People can make an informed choice on whether to use the service from information in the SUG, from trial visits/stays at the home, and from information given by the organisations staff. 347 Old Laira Road DS0000050032.V347894.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): Quality in this outcome area is – no judgement made. This judgement has been made using available evidence including a visit to this service. No judgement can be reached on this section as the service is not operating at this time. EVIDENCE: At the time of this inspection there were no service users living at the home and the service is not operational. 347 Old Laira Road DS0000050032.V347894.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): Quality in this outcome area is – no judgement made. This judgement has been made using available evidence including a visit to this service. No judgement can be reached on this section as the service is not operating at this time. EVIDENCE: At the time of this inspection there were no service users living at the home and the service is not operational. 347 Old Laira Road DS0000050032.V347894.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): Quality in this outcome area is – no judgement made. This judgement has been made using available evidence including a visit to this service. No judgement can be reached on this section as the service is not operating at this time. EVIDENCE: At the time of this inspection there were no service users living at the home and the service is not operational. 347 Old Laira Road DS0000050032.V347894.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): Quality in this outcome area is – no judgement made. This judgement has been made using available evidence including a visit to this service. No judgement can be reached on this section as the service is not operating at this time. EVIDENCE: At the time of this inspection there were no service users living at the home and the service is not operational. Neither the home nor the Commission for Social Care Inspection has received any complaints during the past 12 months regarding this service. The home has a complaints procedure. The organisation has produced the complaints procedure on audiotape and in a pictorial/symbolic format. The service has access to the new ‘Alerters Guide’ from the Plymouth Adult Protection Committee. All the organisation’s staff are expected to attend adult protection training to ensure that they are aware of their responsibilities should they suspect a person is at risk of abuse. 347 Old Laira Road DS0000050032.V347894.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, 27, 28, 30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The standard of the environment is generally satisfactory, providing prospective the people that use the service with a comfortable and homely place to live. EVIDENCE: People that might want to use the service 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 person with impaired mobility due to the steep flight of steps leading to the main entrance and the stairs leading to the bedroom and bathroom accommodation. We made a visit to the home accompanied by the Registered Manager. The building was thoroughly inspected. The building and furnishings were clean and comfortable in appearance. The bedrooms were large. There was a communal bathroom with toilet on the first floor and a separate communal toilet on the 347 Old Laira Road DS0000050032.V347894.R01.S.doc Version 5.2 Page 13 ground floor. Considering there would never be more than two people living at the home these facilities would adequately meet their needs. The rear bedroom, kitchen, dining room and conservatory were in good condition. The front bedroom on the first floor and the communal lounge on the ground floor were not in good condition. They both have windows on the front bay of the building. The wooden window frames in this bay have rotted away to the extent that the interior of both rooms is being affected. Foundation representatives said thorough repairs of these windows would be made in the near future before any potential use of the building. Prior to the publication of this report the CSCI was notified that all the external windows in the home will have been replaced by 21/12/07. 347 Old Laira Road DS0000050032.V347894.R01.S.doc Version 5.2 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 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Recruitment processes are robust. Prospective service users can be confident that staff would be both well trained and knowledgeable about their support needs. EVIDENCE: During the two week period from 02/10/07 till 18/10/07 two other Michael Batt Foundation (Valued Life Projects) homes in Plymouth were inspected and a large survey of personnel information was carried out from the Foundations services. It is reasonable to view these outcomes in regard to staffing at 347 Old Laira Rd. The organisation has a department based at its head office in Plymouth that ensures that all recruitment practices are thorough and safe. The sample of staff files examined showed a robust recruitment procedure. All the required information was available, including Criminal Record Bureau checks and two written references, helping to ensure that only appropriate staff are employed. Regular staff meetings and individual supervision sessions take place. These addressed the principles and values of the organisation, staff performance and training and development needs, as well as day-to-day support issues. 347 Old Laira Road DS0000050032.V347894.R01.S.doc Version 5.2 Page 15 The organisation has a coordinator to arrange training, to maintain an overview of the organisations training needs, and to ensure that individual staff members receive the training they need. Managers and staff members confirmed that staff were expected to attend relevant training on topics such as 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 people on a day-to-day basis and also at times of crisis. The majority of staff have either completed Learning Disability Award Framework (LDAF) levels 1 2 or have completed or are enrolled on its replacement the Learning Disability Qualification (LDQ). These nationally recognised qualifications are designed to teach support workers the skills they need to support people with a learning disability. Staffing levels at the other homes inspected were good and thoroughly met the needs of the people that used those services. The organisation operates an ‘on call’ system whereby members of the management team are available both in and out of office hours. 347 Old Laira Road DS0000050032.V347894.R01.S.doc Version 5.2 Page 16 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 Quality in this outcome area is – no judgement made. This judgement has been made using available evidence including a visit to this service. No judgement can be reached on this section as the service is not operating at this time. EVIDENCE: At the time of this inspection there were no service users living at the home and the service is not operational. The Registered Manager for this service is also Registered Manager for 57 Lisson Grove, another service provided by the Michael Batt Foundation. She is competent and experienced to run this service and confirmed that she has a National Vocational Qualification (NVQ) at level 4 in Care and is awaiting adjudication of her Registered Manager’s Award qualification. Both are nationally recognised qualifications. She also confirmed that she will be enrolling on a course for the Learning Disability Award Framework (LDAF) at level 4 in the near future. 347 Old Laira Road DS0000050032.V347894.R01.S.doc Version 5.2 Page 17 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 3 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 2 25 3 26 X 27 2 28 2 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X 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 X X X X 3 X X X X X X 347 Old Laira Road DS0000050032.V347894.R01.S.doc Version 5.2 Page 18 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. 1 Refer to Standard YA24 Good Practice Recommendations The windows in the front bay of the building should be repaired. (Prior to the publication of this report the CSCI was notified that all the external windows in the home will have been replaced by 21/12/07.) 347 Old Laira Road DS0000050032.V347894.R01.S.doc Version 5.2 Page 19 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.V347894.R01.S.doc Version 5.2 Page 20 - 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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