Inspection on 09/01/06 for 384 Lower Broughton Rd

This inspection was carried out on 9th January 2006.

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 2 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 04/10/05

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 Richard Dankwa Unannounced Inspection 9th January 2006 12:00 384 Lower Broughton Rd DS0000062670.V277051.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 384 Lower Broughton Rd DS0000062670.V277051.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. 384 Lower Broughton Rd DS0000062670.V277051.R01.S.doc Version 5.1 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.V277051.R01.S.doc Version 5.1 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`. 4th October 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. Mr John Russell manages the home. 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 within easy reach of shopping areas, such as Salford precinct and other community facilities, public houses and local shops. 384 Lower Broughton Rd DS0000062670.V277051.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and it took place on 9 January 2006. The manager of the home was present during the inspection. Most of the residents were present during the inspection and the opportunity was taken to speak to them. The paperwork kept at the home was looked at and the general condition of the home was inspected. The improvement needed during the previous inspection had been carried out. Other areas needing improvement were identified during this inspection. The Commission for Social Care Inspection looked at the standards that were not examined during the last inspection so this inspection should be read together with the previous one to gain a good picture of the service being provided by the home. What the service does well: What has improved since the last inspection? What they could do better: The home must provide comfortable seating in each resident’s bedroom. All required information regarding persons working at the home must be available for inspection. 384 Lower Broughton Rd DS0000062670.V277051.R01.S.doc Version 5.1 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. 384 Lower Broughton Rd DS0000062670.V277051.R01.S.doc Version 5.1 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.V277051.R01.S.doc Version 5.1 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): 1. Prospective residents were given all the necessary information to help them make a decision whether to use the service of the home. EVIDENCE: Prospective residents were issued with a Service User Guide and a Statement of Purpose. Some of the residents could not read so the Service User Guide and the Statement of Purpose were written using pictures to explain the contents of the documents. Generally, they were user friendly. The home continued to update the Service User Guide and the Statement of Purpose. 384 Lower Broughton Rd DS0000062670.V277051.R01.S.doc Version 5.1 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): 8, 10. The home sought the views of the residents and respected the choices they made regarding the home. Information about the residents was kept in confidence. EVIDENCE: Most of the residents communicated well and the staff used picture board to assist others to air their views. The home regularly held residents meetings to consult with them and encourage them to participate in all aspect of life in the home. The views of the residents were documented. The residents indicated that they made decisions regarding what they wanted to do on a daily basis and the staff supported them to do so. The home had a policy regarding maintaining confidential information about the residents. All staff were aware of this policy. Confidential information about the residents was kept secure in the office. The residents were able to access their records whenever they wanted. 384 Lower Broughton Rd DS0000062670.V277051.R01.S.doc Version 5.1 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 the following standard(s): 11, 12 and 15. The residents had opportunities for personal development and they participated in age and culturally appropriate activities. The home continues to encourage and support the residents to maintain contact with their families and friends. EVIDENCE: All the residents had Individual Learning and Development Plan in place. Some of the residents attended a development centre that was run by the company (Pendleton Care Ltd). There was a planned programme of activities in place that ensured that the residents participated in age appropriate activities. The residents participated in household chores. The home actively encouraged and supported the residents to maintain contact with their families and friends. Most of the residents had regular contacts with their relatives. Some visited their relatives for overnight stays. 384 Lower Broughton Rd DS0000062670.V277051.R01.S.doc Version 5.1 Page 11 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): 21 There was a policy in place for supporting residents who were dying or had died. EVIDENCE: The home’s policy emphasises on the importance of the staff to manage the death of residents sensitively and in a dignifying way. Each resident had a plan in place that included details of those to contact in the event of their death. Individual plans did not include the Funeral Directors that should be contacted in the event of a resident’s death. A recommendation was made for the home to add this information to the individual plans. 384 Lower Broughton Rd DS0000062670.V277051.R01.S.doc Version 5.1 Page 12 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): These outcomes were not looked at as they were fully met in the previous inspection. EVIDENCE: 384 Lower Broughton Rd DS0000062670.V277051.R01.S.doc Version 5.1 Page 13 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): 25, 26 and 27. Residents’ bedrooms promoted their independence and lifestyles. The toilets and bathrooms provided sufficient privacy and met the residents’ needs. EVIDENCE: The residents had single bedrooms with adequate floor space. The bedrooms were well decorated and personalised. The residents had several personal belongings in their rooms. All the rooms had adequate furniture but some residents required comfortable chairs. The home must ensure that each resident has comfortable chairs in their rooms. There were sufficient toilets and bathrooms available for the residents to use. These rooms were lockable to maintain privacy of the residents. 384 Lower Broughton Rd DS0000062670.V277051.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 and 34. The home had an effective and sufficient staff team to support residents’ assessed needs at all times. The home’s recruitment policy and practices would protect the residents if they were followed. EVIDENCE: The duty roster was examined and it indicated that the home always had sufficient staff on duty to meet the needs of the residents. The home held regular staff meetings that allowed all staff to air their views. The home ensured that there was always staff on duty that could communicate and understand the residents, as some of them were unable to communicate verbally. The sample of the staff files that were examined did not contain all the required information. The home must ensure that all the information required for persons working at the home is in place. 384 Lower Broughton Rd DS0000062670.V277051.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): 39 The home monitors the quality of care being delivered by seeking the views of the residents and measuring it with the aims, objectives and the statement of purpose of the home. EVIDENCE: The home likes to find out whether it is providing a good service by seeking the views of the residents and their relatives by sending them questionnaires to complete. This survey was carried out on a 3 monthly basis. Residents’ meetings were also held to discuss the quality of care being provided. 384 Lower Broughton Rd DS0000062670.V277051.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 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 X 25 3 26 2 27 3 28 3 29 3 30 X STAFFING Standard No Score 31 X 32 X 33 3 34 2 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X 3 X 3 LIFESTYLES Standard No Score 11 3 12 4 13 X 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X 3 X X 3 X X X X 384 Lower Broughton Rd DS0000062670.V277051.R01.S.doc Version 5.1 Page 17 Are there any outstanding requirements from the last inspection? No 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 YA26 Regulation 16 (2)(c) Requirement The registered person must ensure that adequate furniture is provided for residents’ rooms. Comfortable chairs must be provided. The registered person must keep at the care home the information and documentation listed in Schedule 2 for all persons working at the care home. Timescale for action 28/02/06 2. YA34 19 (1) 28/02/06 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 YA21 Good Practice Recommendations Individual care plans should include the Funeral Directors that may be contacted in the event of a resident’s death. 384 Lower Broughton Rd DS0000062670.V277051.R01.S.doc Version 5.1 Page 18 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.V277051.R01.S.doc Version 5.1 Page 19 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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