Inspection on 21/02/06 for 38 Attwood Street

This inspection was carried out on 21st February 2006.

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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

38 Attwood Street 17/08/07

38 Attwood Street 19/09/06

38 Attwood Street 04/07/05

38 Attwood Street 10/01/05

38 Attwood Street 13/05/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 38 Attwood Street Halesowen Dudley West Midlands B63 3UE Lead Inspector Keith Salmon Unannounced Inspection 21st February 2006 1:15 38 Attwood Street DS0000024950.V283304.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 38 Attwood Street DS0000024950.V283304.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. 38 Attwood Street DS0000024950.V283304.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 38 Attwood Street Address Halesowen Dudley West Midlands B63 3UE 0121 585 0491 NONE 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) Langstone Society Vic Andrew Jeavons Care Home 5 Category(ies) of Learning disability (5), Physical disability (1), registration, with number Sensory impairment (2) of places 38 Attwood Street DS0000024950.V283304.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Service users to include up to 5 LD, 1 PD and up to 2 SI. Date of last inspection 4th July 2005 Brief Description of the Service: 38 Attwood Street is a purpose built bungalow operated as a Home by the Langstone Society, who lease the premises from the Churches’ Housing Association of Dudley District (CHADD). Set in a quiet residential area of Halesowen, close to local facilities and public transport bus routes, it provides care and accommodation for up to five adults with a learning disability, one of whom may also have a physical disability and two whom may also have a sensory disability. The property offers five single bedrooms, a lounge, dining room and adequate WC’s, bath and shower facilities. With level access and a small car parking area at the front leading to a secluded, easily accesible garden at the rear. 38 Attwood Street DS0000024950.V283304.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Unannounced Inspection commenced at 13.15, lasted 3 hours, and was undertaken by one Inspector. Being the second Inspection visit of 2005/06 this Report concentrates on progress made in response to ‘Requirements’ cited at the previous Inspection held in July 2005 and ‘key’ standards not assessed at that time. The content of the Report is the product of a review of care related documentation, including staff recruitment/deployment records, plus a range of documents/records reflecting the general operation of the Home, together with observations made during a tour of the Home, and discussions with the Senior Carer in charge at the time of the visit (Mrs. Sheila Jones). Due to the capabilities of the one Resident present there was no direct input by Residents. Despite this it was clear care is provided in a very friendly, homely, well decorated and well furnished environment with overall management appearing to be of a high standard. 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. 38 Attwood Street DS0000024950.V283304.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 38 Attwood Street DS0000024950.V283304.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): 2, 5. Processes to ensure appropriate, and thorough, assessment of care needs and aspirations are diligently and effectively applied both prior to admission and on an on-going basis. Residents’ rights are protected by a written Contract setting out Terms and Conditions of Residency. The ‘Requirement’, cited at the two previous Inspections, is now fully met. EVIDENCE: A review of each Resident’s personal file and care plan showed that all prospective Residents prior to admission by an appropriately experienced member of Home staff. Also residents are provided with an individually appropriate Statement of Terms and Conditions detailing the accommodation to be provided. 38 Attwood Street DS0000024950.V283304.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): 7, 9. Residents are thoroughly involved in determining all aspects of their life at 38 Attwood Street and are enabled, and supported, in conducting their lives at risk levels consistent with individual capability. EVIDENCE: Records examined demonstrated the Home has developed a comprehensive set of individual, and appropriate, generic risk assessments, which are reviewed on a regular basis involving the Resident and other significant persons (Relatives/Advocate, Clinical Professionals, Care Staff). 38 Attwood Street DS0000024950.V283304.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): 12, 13, 14. Residents are now enabled to participate in a range of social/recreational pursuits and are actively supported in maintaining/developing links with relatives and the wider community. EVIDENCE: As at the previous Inspection discussion with Staff, examination of records, and observation confirmed a range of activities is provided at the Home to stimulate Residents. These include ‘one to one’ intensive interaction, as well as attendance at specialist day centres, college courses, hydrotherapy, a church club, shopping trips, visiting hairdressers, Public Houses, theatre and birthday celebrations with other Residents. Concern was expressed at the previous Inspection that a shortage of Staff, at that time, had led to a reduction in escorted trips away from the Home. This has now been remedied by the recruitment of new Staff, and the Home is now up-to full staff establishment. 38 Attwood Street DS0000024950.V283304.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): 19, 20, 21. Residents now benefit from a comprehensive range of health checks. The storage, administration and disposal of medicines are in accordance with accepted good practice. Action taken at the time of a Resident’s death will be in accordance with the Resident’s/ Family’s wishes. EVIDENCE: A review of care plans and discussion with Staff suggested Residents receive appropriate support in ways they prefer. However, due to the difficulty in gaining Resident’s views, on the day of the Inspection, this Standard could not be fully assessed. A ‘Requirement’ of the previous Inspection was, that despite healthcare checks for Residents being quite extensive, some health threats e.g. breast and testicular cancer, were not being screened. Also, Residents were not receiving access to dental services. The Home has now instituted a wider monitoring programme to include such screening and visits to a local dentist have commenced. Examination of the Home’s Systems for the receipt, storage and disposal of medicines, plus related records, showed them to be satisfactory. A ‘Requirement’ cited at the previous Inspection was the Home is to establish a written policy regarding ageing, terminal care and death. Evidence seen in resident’s personal files showed this Requirement has been met in that the wish of the Resident and/or Family/Advocate has been sought and documented. 38 Attwood Street DS0000024950.V283304.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): 23 Financial procedures and arrangements are not robust and therefore could place Service Users at risk of possible abuse. EVIDENCE: Concern was expressed at the previous Inspection regarding the Policies/Procedures relating to Residents paying what were viewed as ‘additional’ costs when they were on trips and visits. The Inspector was informed this practice has now ceased, and that the Langstone Society is in the process of reviewing/re-issuing related Policies/Procedures. 38 Attwood Street DS0000024950.V283304.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, 30. Residents live in a homely comfortable environment, which is appropriate to their care needs. Bedrooms are decorated and furnished to the Residents’ wishes and personal choice. Specialist equipment is available to facilitate provision of care consistent with the needs of the Service Users, and with the demands of tasks carried out by Care Staff. The premises were exceptionally clean and tidy and infection control policies/procedures are satisfactory. EVIDENCE: A tour of the Home demonstrated the lounge/sitting and dining areas offer a good variety of size and outlook, with furnishings being of good order, and presenting a ‘domestic’ ambience. A comment made at the previous Inspection was the Home does not have a written maintenance and renewal programme for the fabric and decoration of the premises and a related ‘requirement’ was issued. The Inspector was informed quotes had been received to undertake redecoration/refurbishment work with said work to commence in approximately 3 months time. However, there remains the ‘Requirement’ for the Responsible Individual to establish an on-going programme for redecoration/refurbishment. The garden provides a safe environment, is easily accessible to Service Users at all times of year, and provides opportunity for Residents to be involved in its maintenance. 38 Attwood Street DS0000024950.V283304.R01.S.doc Version 5.1 Page 13 Residents are clearly encouraged to personalise bedrooms with their own possessions. 38 Attwood Street DS0000024950.V283304.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 34, 35. Staff numbers and skill-mix on duty were sufficient to meet the assessed care needs of current Residents. Recruitment and employment practices are now consistent with the safeguarding of Residents. The commitment of the Home to providing training for Care Staff, and to continuing supervision and support, is good. EVIDENCE: The current staffing rota, and those from the immediately preceding weeks, were examined. Staffing numbers and skill-mix enable a service provision, which meets the care needs of Service Users and the rota showed the Manager now has sufficient shifts allocated to ‘supernumerary’ hours (‘Requirement’). The previous Inspection also cited a ‘Requirement’ that Staff Personal Files demonstrate evidence the Home is in accordance with the Standard and Schedule 2 of the Regulations – this ‘Requirement’ has now been met. Staff are subject to a thorough and relevant orientation/induction programme, which is followed by comprehensive ‘foundation’ training, e.g. ‘manual handling and lifting’, ‘fire safety’, ‘simple infection control’. 38 Attwood Street DS0000024950.V283304.R01.S.doc Version 5.1 Page 15 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): 37, 39, 41, 42. The Home has excellent leadership from a well-qualified Manager. Operationally the Home is well organised, with the central purpose being ‘the best interests of Residents’. Quality assurance systems require further development. All Staff are subject to effective support, with regular supervision, and appeared involved and happy in their work. Health and Safety Policies/Procedures/Practices were satisfactory. EVIDENCE: The Registered Manager has successfully completed the NVQ Level 4 (Management) Qualification. The Inspector observed Residents and Staff were able to approach the Manager with a range of issues, which were received in an interested and involved manner. In turn the Registered Manager is well supported by the Company’s Area Manager. As ‘Required’ at the previous Inspection the Home must further develop a quality assurance system, which incorporates valid and reliable feedback from ‘stakeholders’. In the context of health, safety and welfare of Residents, Visitors and Staff the Home’s practices were seen to be in accordance with the Regulations. 38 Attwood Street DS0000024950.V283304.R01.S.doc Version 5.1 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 “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 3 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 X 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 3 3 3 X 2 X 3 3 X 38 Attwood Street DS0000024950.V283304.R01.S.doc Version 5.1 Page 17 YES 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 YA23 Regulation 13 - (6) Requirement The Responsible Individual must complete the review/re-issue of Policies/ Procedures relating to to the management of Residents’ personal monies which must include:arrangements for an independent audit; a written procedure for Staff making financial decisions on behalf of Service Users; the exact nature of the services covered by the basic contract fee. The Responsible Individual must ensure the establishment of an on-going programme for redecoration/refurbishment. The Home’s Management must develop a quality assurance system, which incorporates valid and reliable feedback from ‘stakeholders’. Timescale for action 30/06/06 2. YA24 23 (2)(b) 30/06/06 3. YA39 24.(1)(3) 30/06/06 38 Attwood Street DS0000024950.V283304.R01.S.doc Version 5.1 Page 18 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 38 Attwood Street DS0000024950.V283304.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection Halesowen Record Management Unit Mucklow Office Park, West Point, Ground Floor Mucklow Hill Halesowen West Midlands B62 8DA 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 38 Attwood Street DS0000024950.V283304.R01.S.doc Version 5.1 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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