Inspection on 23/09/05 for 347 Old Laira Road

This inspection was carried out on 23rd September 2005.

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

347 Old Laira Road 29/09/08

347 Old Laira Road 02/10/07

347 Old Laira Road 13/02/07

347 Old Laira Road 05/01/06

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 PL3 6DH Lead Inspector Antonia Reynolds Unannounced 23 September 2005 rd 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 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 Stationary 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 D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 347 Old Laira Road Address 347 Old Laira Road, Laira, Plymouth, Devon, PL3 6DH Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01752 310531 Michael Batt Foundation (Valued Life Projects) Beverley Nichols Care Home 2 Category(ies) of Learning disability (2) registration, with number of places 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Ms Nichols is to complete NVQ4 / Registered Managers Award by December 2006 Date of last inspection 11th November 2004 Brief Description of the Service: Old Laira Road is 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. The home was purchased by the present owners in October 2003 and is a midterraced, two storey property located in the residential area of Laira in Plymouth. 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. 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place between 9.45am and 10.50am. The senior staff member, Sheila Ainsworth, was present. A tour of the premises took place and records relating to care were inspected. The only service user living in the home at the time of inspection, as well as the staff member on duty, were spoken with and observed during the visit. The Registered Manager had completed a pre-inspection questionnaire and the service user had also provided written comments. What the service does well: What has improved since the last inspection? What they could do better: Previous inspections have identified that service users’ bedrooms do not contain at least two double electrical sockets and the organisation needs to address this before another service user moves in, to reduce/remove the risk caused by trailing extension cables. 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3 and 4 The home’s pre-admission processes ensure that prospective service users are provided with information about the home and have opportunities to visit the home to meet other service users and staff, and decide whether they would like to live there. EVIDENCE: No new service users have been admitted to the home since the last inspection. However the organisation’s processes ensure that any prospective service users are assessed prior to admission and a detailed assessment tool has been devised. Introductory visits are arranged for prospective and existing service users to meet each other and become familiar with the home prior to admission. General information is provided in the booklet “Information for people” provided by the Michael Batt Foundation. Individual records are kept for each of the service users and these contained assessments, care plans and risk assessments, all of which had been recently reviewed. Ongoing evaluation is recorded daily. 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8 and 9 The service users are enabled to participate in, and make decisions about, all aspects of their lives. EVIDENCE: Each service user has a care plan and risk assessments that are regularly reviewed. The staff are fully aware of the needs of each service user. All the routines and activities are centred around service users’ needs and choices. Service users participate in the day to day running of the home, including domestic activities and tasks, and staff assist where necessary. Staff support service users to make decisions about their lifestyle, activities and movements both inside and outside the home. Observation of the interaction between a service user and the staff member showed that any restrictions on choice or movement are fully discussed and agreed with the service users. Discussion with a service user confirmed that individuals are encouraged to administer their own finances, with staff support if necessary. 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16 and 17 Service users can learn life skills, attend work placements, participate in any community and leisure activities, choose their own daily routines and enjoy a healthy diet of their choice. EVIDENCE: Discussions with a service user and staff member, showed that service users are enabled to live as full a life as they wish to and have opportunities for personal development, risk taking and decision making. The ethos of the home is based on promoting opportunities to broaden experiences, support service users to develop socially and emotionally and to understand responsible risk taking. Observation showed that service users feel able to discuss personal issues with staff. Service users are encouraged to participate in all the domestic activities in the home and to take part in leisure activities of their choice. Service users are supported to obtain and keep paid or voluntary employment, and participate in educational opportunities, in the local community. The home does not provide transport as service users are encouraged to use public transport wherever possible. 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 Page 11 It was evident, through observation during the inspection, that service users feel very ‘at home’ and are empowered to make decisions. The service user confirmed that they do the shopping, plan menus and make their own meals, drinks and snacks. Service users choose what they want to eat each day and are not confined to a structured menu. Records are kept of meals provided. Discussion with a service user and the staff confirmed that contact with relatives and friends is encouraged and there are no limitations in place regarding visitors to the home, although overnight stays are subject to risk assessment. Privacy is respected, bathroom and bedroom doors have locks and service users have keys to their own bedrooms and the front door. 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18, 19 and 20 Service users receive support in the way, and at the time, that they want and need. Health care needs are addressed as soon as they are identified. EVIDENCE: Service user plans provide information about personal, emotional and health care needs. Information contained within service users’ files, as well as discussion with the service user and staff confirmed that external professional advice and guidance is sought when necessary from local health care professionals or social services. Through observation it was clear that timings were flexible and the choice of the service user. Service users are encouraged to self-administer medication, subject to risk assessment. Where medication is administered by staff, it is locked away safely and administration records are kept. Observation showed that service users are encouraged to make their own healthcare arrangements with support as needed and are independent in personal care. 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 Page 13 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 standard(s) 22 and 23 Service users are protected from abuse, neglect and self-harm. 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: Neither the home nor the Commission for Social Care Inspection have received any complaints regarding the service since the last inspection. The home has a complaints procedure and the service user explained how they would make a complaint and who they would talk to. Regular house meetings are held where any issues can be raised and dealt with immediately, although it was also clear from discussion that service users can raise any issue at any time. The staff member on duty was aware of adult protection issues. 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 Page 14 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 standard(s) 24, 25, 26, 27, 28 and 30 The standard of the environment and décor within this home is good, providing service users with an attractive and homely place to live. EVIDENCE: The home is spacious, comfortable, safe, clean and well maintained, providing a warm and welcoming environment that is homely and comfortable for the service users. Each service user has a single bedroom on the 1st floor, none of which have en suite facilities or wash hand basins. A service user confirmed that wash hand basins are not necessary in their bedrooms. Bedrooms are individually and attractively furnished and contain many personal possessions. A service user confirmed that they choose the décor and furnishings for their bedrooms. Bedroom doors are fitted with appropriate locks and service users are provided with keys, subject to risk assessment. The previous inspection identified that service users’ bedrooms do not contain at least two double electrical sockets and this had been identified as a risk due to trailing extension cables. However the service user concerned has moved out, therefore removing the risk, and a discussion took place about installing additional sockets before another service user moves in. 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 Page 15 Bathroom and toilet facilities are adequate for two service users. The home has a bathroom on the 1st floor consisting of a bath with an over bath shower, a toilet and wash hand basin. Hot water was not regulated but the service user living in the home is able to modify the shower water temperature if required. There is also a separate toilet on the ground floor off the conservatory. The bathroom and toilet doors are fitted with locks that afford sufficient privacy but staff can gain access in an emergency. There are shared rooms on the ground floor consisting of a kitchen, dining room, lounge room and conservatory/laundry. All the communal rooms are attractive and homely, well furnished and clean. There is an office on the 1st floor that is also used as a sleeping in room for staff. The home has a ‘no smoking’ policy. Infection control practices are satisfactory and items of personal protective equipment, such as disposable gloves, are available. Laundry facilities, consisting of a washing machine and tumble dryer, are located in the conservatory at the back of the house and service users do their own laundry. Although laundry is carried through the kitchen en route to the washing machine, it is contained in laundry baskets with lids. There were no concerns at this inspection about the risk of any cross infection, based on the needs of the service user living in the home. The home does not have any aids and adaptations as none are required for the service users. There are small terraced gardens at the front and back of the house. There is a place to sit at the back of the house, as well as a garage. The home does not have any service users who smoke. 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 35 and 36 Staff have a good understanding of the service users’ support needs and service users benefit from the positive relationships that have been formed with staff members. EVIDENCE: Discussion with the staff member on duty, as well as the interaction observed between the staff member and a service user, confirmed that staff understand the aims and values of the home, feel well supported by the management team, and that there is a good relationship with the service user. It was evident that the staff member had a non-judgemental attitude to individual lifestyles and is aware of when it is appropriate to consult with someone else with more specific expertise. The staff member confirmed that staff meetings and individual supervision sessions are held regularly with the Registered Manager. The organisation operates on ‘on call’ system, where members of the management team are available both in and out of office hours, and the staff member confirmed that this works very effectively. The organisation 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. The 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 Page 17 staff member confirmed that staff were expected to attend relevant training on topics such as social role valorisation, human development, emergency first aid, health and safety (including manual handling) and food hygiene. The organisation does not tend to enrol staff on National Vocational Qualifications but have devised their own training, in consultation with the local College of Further Education, as this reflects the needs of the service users they support. Staffing rotas are available in the home showing that there is usually one member of staff on duty with one staff member sleeping in at night. It has been agreed, with the Commission for Social Care Inspection and Social Services, that the service user presently living in the home does not require staff to be present in the home at all times as part of moving towards more independent accommodation in the future. There is a small staff team providing support and the person on duty clearly had the skills, experience and knowledge to support the service user. Service uses and staff are supported by a team leader/clinician allocated to the home who visits regularly and is on call if required. The service user was complimentary about the people who provide support. Sleeping accommodation for staff is in the office on the 1st floor. Recruitment procedures and staff files were not inspected on this occasion. However, the Michael Batt Foundation operates a robust recruitment process. 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 41 and 42 The management approach is open, inclusive and positive, providing clear leadership and guidance. Empowerment and enablement of service users is the focus of the organisation. Service users’ rights, health, safety and welfare are protected and promoted. EVIDENCE: The Registered Manager was not available for this inspection. The staff member spoken with confirmed that staff are consulted and included in any decisions regarding the running of the home, that the management approach is very positive and inclusive, and staff are well supported by the Registered Manager and the management team. Documentation inspected relating to service users was up to date and any incidents were recorded. The service user confirmed that they have access to their records and are aware of all the information that is recorded by staff. The relationship between the staff member on duty and the service user was friendly, open and candid. The inspection was conducted with the service user 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 Page 19 present throughout and open discussion and banter was held between the service user and staff member. The staff member on duty confirmed that all staff complete training in emergency first aid, health and safety that includes manual handling and food hygiene. The use of hot water has been risk assessed and the organisation does not consider that thermostatically controlled valves, to regulate the temperature, need to be installed. No health and safety issues were identified at this inspection. The organisation has devised a quality assurance system, which will be implemented in due course. Reports from the monthly visits of the employer’s representative are sent to the Commission for Social Care Inspection and the content of these has improved greatly in the last year. 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 N/A 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 x 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 347 Old Laira Road Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x 3 3 x D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 Page 21 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 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 Good Practice Recommendations 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI 347 Old Laira Road D52-D04 S50032 347 Old Laira Road V241750 230905 Stage 4.doc Version 1.40 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. 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!