Inspection on 04/10/05 for 384 Lower Broughton Rd

This inspection was carried out on 4th October 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

384 Lower Broughton Rd 16/04/07

384 Lower Broughton Rd 09/01/06

384 Lower Broughton Rd 14/03/05

384 Lower Broughton Rd 19/11/04

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 384 Lower Broughton Rd Salford Gtr Manchester M7 2HH Lead Inspector Joe Kenny Unannounced Inspection 4th October 2005 10:00 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 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 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 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. 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 384 Lower Broughton Rd Address Salford Gtr Manchester M7 2HH 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) 0161 737 7339 Pendleton Care Ltd Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. All service users are aged between 18 - 65 on admission and have a learning disability. The maximum number of service users accommodated shall be 4 until 31 December 2005. After this date the number of service users accommodated will reduce to 3. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. The staffing arrangements in the home must be maintained in line with the minimum levels set out in the guidelines for published by the Residential Forum `Care Staffing in Care Homes for Younger Adults`. 14th March 2005 3. 4. Date of last inspection Brief Description of the Service: 384 Lower Broughton Road is a registered care home providing care and support to three service users requiring care by reason of autism and related learning disability. The home is registered in the name of Pendleton Care Ltd. The responsible individual is Mr Hugh Davis. The home is managed by Mr John Russell. The property is a large semi-detached building which blends positively into the residential area of Lower Broughton. Accommodation is offered in single bedroom provision. The home is with in easy reach of shopping areas, such as Salford precinct and other community facilities, public houses and local shops. 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection of the home was conducted on the 5 October 2005. The inspection included a tour of the premises, records and resident files. There had been no new admission to the home since the last inspection. Programmes of support are developed for each individual and based on their abilities and needs. A record of the support offered to residents is clearly written in their individual file. The home aims to promotion of independence, choice and respect and enabled service users to live a fulfilling life style. All residents are supported in the management and administration of their medication. Appropriate procedures were in place to ensure residents or their relatives were aware of the procedure for having concerns or complaints dealt with and Procedures relating to protection were in line with local authority guidelines to protect residents. The manager confirmed that all staff had received training in this subject. The rotas confirmed that staffing levels were being maintained to meet the assessed levels of support required by service users. Training and supervision programmes are structured and records confirmed that development issues were being sustained by the home. The home was run in the best interest of residents. The inspection only looked at a limited number of standards, so this report should be read together with the earlier report to get a full picture of how the home is meeting the needs of the residents living there. What the service does well: Staff demonstrated a continuing commitment to support residents to access community resources and to support resident to live as independently as possible. There was a strong emphasis on community integration and meaningful life experiences. The home had reviewed staffing and access arrangement between the home and the adjoining property, also managed by Pendleton Care Ltd. The arrangement did appear to work effectively, to enable staff and resident to move safely to and from each house. The review of the arrangements had been conducted in consultation with residents. The manager and staff were observed to consult with residents through out the inspection and residents were relaxed and interacted positively with staff. 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 Page 6 The care plans maintained by staff were informative and the content of each file was specific to the named individual. Information in the files was held confidential. Care plans seen gave detailed information about promoting choice, independence and well–being. 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. 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 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 the following standard(s): 2 Prospective residents’ and their representative are provided with relevant information to assist them in matters relating to the service provided at the home. EVIDENCE: The home continues to support residents to live an independent life style which reflects their chosen preferences and goals. The home had received an application to accommodate a further resident on an interim basis and appropriate steps had been taken by the home to address the needs of the individual referred to the home. The process of admission included an assessment of the individuals’ needs and an evaluation of how those needs would be met as detailed in the individuals’ care plans. Residents confirmed that they are involved in the planning of their care and records viewed confirmed residents involvement. Staff were observed to support, residents to maintain and develop social and independent living skills. The procedures for admission to the home were followed in relation to the new resident moving into the home. 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 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 the following standard(s): 6, 7 and 9 Residents’ individual care plans identified assessed and changing needs and respected the choices and preferences of residents. EVIDENCE: Residents are supported by qualified and experienced staff who demonstrated, from observations and record information that they were skilled in responding to the needs of residents with limited communication skills. Service users are free to plan their own daily living arrangements, as on previous inspection, there were no evident set routines within the home. The files relating to residents were informative and included the assessment of needs, strategies to support residents and outcomes of the support offered. The plan of support continues to be reviewed on a monthly basis by staff. The information from reviews continues to be shared with relatives and the placing authority. The review identifies any changes in care and intervention and sets out strategies to address these changes. 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 Page 10 The aims and objectives of support and intervention are to enable residents to maintain a close and involved link with their local community with out risk to them. 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 Page 11 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): 13, 14, 16 and 17. All residents are encouraged and supported in all aspects of daily living in the home and their local community. EVIDENCE: Programmes of activity are developed on a weekly basis and arrangements for staff support are also planned, in order to ensure agreed levels of support are available to residents. This was evident on individual residents weekly activity plan and from staff rotas. Life style plans are aimed at supporting residents to develop skills and interact with their local community. The home continues to have access to vehicles to support residents on trips out. The arrangements for managing use of the vehicle and fuel costs continue to be monitored by staff and relatives are kept informed of these arrangements. 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 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 the following standard(s): 18, 19 and 20 The arrangements relating to personal and health care needs of residents are detailed in their care plan and regularly reviewed by staff. Medication procedures ensure resident’s medication is administered safely. EVIDENCE: Staff supported and assisted residents in a respectful and professional manner. From observations on the day and from records examined it was evident that the promotion of residents’ independence was a strong feature of the way the home was managed. The health care needs of residents are detailed in their personal file and staff support residents when attending appointments. Records are maintained of all health professionals and General Practitioners involved in the care of residents. The home’s internal review procedures ensure placing authorities and relatives are informed of the outcomes of such reviews. Development programmes are aimed at supporting staff when responding to personal health care needs. Training had been provide to staff in relation to Autism awareness, challenging behaviour and understanding learning 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 Page 13 disability. The residents were being supported by the staff team to complete a health action plan. Medication procedures and records were examined and found to be in order. The home adopts a clear procedure to record and account for all medications administered to residents. This includes recording on the Medication Administration Records and a countersigned internal recording system. The only comment relating to medication is the need to ensure staff hold the key to the medication system on their person. This comment related to the fact that on the day of the inspection the key was located in an accessible area on the office desk. The home must ensure that the member of staff with responsibility for medication holds the key on their person when on duty. 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 Page 14 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): 22 & 23 The homes complaints procedure is available to residents and relatives to raise concerns about the service. Procedures relating to protection of vulnerable adults protected residents from risk of abuse. EVIDENCE: Information relating to raising complaints about the service, is available to residents and relatives in the homes statement of purpose and in the residents own service user guide. No complaints had been received by the home or the Commission for Social Care Inspection. From talking with the staff team on duty they were aware of the issues of adult protection and the safeguards necessary to ensure the residents safety was not compromised. The manager confirmed that all staff had accessed and read Salford Local Authority guidelines in relation to Adult Protection Procedures. The home had taken appropriate steps to refer incidents to the adult protection team. 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 Page 15 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 The residents lived in a homely, comfortable and safe environment EVIDENCE: The home was comfortable and had a pleasant relaxed atmosphere. The manager indicated that discussions would be held in relation to programmes of redecorating. In general all areas were well maintained and any proposals to redecorate would further enhance the general appearance of the home. A brief tour of the building was undertaken, rooms were personalised and reflected interests of each resident. Communal areas were bright clean and suitably furnished. Records relating to management of fire systems, water temperatures and any repairs required on the premises were examined and indicated that health and safety issues in the home were being appropriately managed. 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 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 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): 32, 34, 35 and 36 The staff team were highly motivated, skilled and competent in supporting the residents. Staffing levels ensures adequate support was available to residents. EVIDENCE: The staff team have been in post some time now and were particularly well skilled in supporting residents. This included support in personal, social and in helping residents with expressing and communicating effectively. The staff team were found to be highly motivated and staff confirmed that moral in the team was good. The arrangements for supporting residents in the home and in the adjoining home had been reviewed and staff confirmed that the interchange in staffing arrangements and movement of residents between both houses had been very effective for residents and for the staff team. Nearly 50 of staff held an NVQ award in care with other members working towards achieving the award. The rotas for the period covering the inspection, 3 to 9 September indicated that 265 day care hours were provided. A minimum of three staff are on duty each day and this level will increase depending on activities undertaken. 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 Page 17 The manager indicated that a review of the staff structure for the house had been undertaken. The home proposes to recruit a co-ordinator and a senior to support the manager on supervision, development and training issues. Staff confirmed they received regular supervision from their line manager and that the management style at the home was positive and open. The manager confirmed that structured supervision sessions are maintained in the home and he holds the relevant experience and qualifications to meet the requirements of his position. There were appropriate procedures in place in relation to support and supervision of the registered manager. 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 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 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 and 42 The management and administration procedures in the home ensure the health, safety and welfare of residents is promoted and protected. EVIDENCE: Procedures relating to management and maintenance of health and safety procedures are established and monitored through internal audits and completion of Regulation 26 visits by the responsible individual on a monthly basis to the home. Programmes of development and supervision of staff are well established and sustained by the home. The home has responsibility for the management of its own designated budget. Care planning and reviews of residents needs are regularly conducted by the home to ensure it meets its intended objectives for each resident. 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 Page 19 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 X 3 X X X Standard No 22 23 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 3 14 3 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 384 Lower Broughton Rd Score 3 3 2 X Standard No 37 38 39 40 41 42 43 Score 3 X X X X 3 X DS0000062670.V255009.R01.S.doc Version 5.0 Page 20 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 YA20 Regulation 13 Requirement The home must ensure that the member of staff with responsibility for medication holds the key on their person when on duty. Timescale for action 31/12/05 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 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 384 Lower Broughton Rd DS0000062670.V255009.R01.S.doc Version 5.0 Page 22 - 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. 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