Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 22/12/05 for 4 West Street

Also see our care home review for 4 West Street for more information

This inspection was carried out on 22nd December 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The service provides ordinary living for service users in a residential area of the village. The service demonstrated a good standard of assessment, care planning, and risk assessment with evidence of regular reviews. Service users were familiar with their care plans and gave accounts of decisions they had made. A range of social, occupational and recreational opportunities were provided. Arrangements were in place for meeting the health and personal care needs of individuals and details were recorded in care records. Medication management was satisfactory. The environment was maintained to a good standard with evidence that service users were happy with the home. Staffing levels were adequate, a lone working policy had been implemented and the standard of staff training and supervision was good.

What has improved since the last inspection?

The home has been partially decorated. All requirements from the previous inspection had been addressed.

What the care home could do better:

Confirm with the outcome of blood tests as discussed.

CARE HOME ADULTS 18-65 4 West Street, Biddulph Staffordshire ST8 6HL Lead Inspector Ms Wendy Jones Unannounced Inspection 22 December 2005 15:30 4 West Street, DS0000029679.V274739.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 4 West Street, DS0000029679.V274739.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. 4 West Street, DS0000029679.V274739.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 4 West Street, Address Biddulph Staffordshire ST8 6HL 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) 01782 514141 Choices Housing Association Limited Mrs Diane Deakin Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 4 West Street, DS0000029679.V274739.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th May 2005 Brief Description of the Service: 4 West Street was registered in March 2002 to accommodate four younger adults with learning disabilities. It is a large detached bungalow which has been extended to provide suitable accommodation, including 4 single bedrooms, a spacious bathroom and a walk-in shower room. Communal space includes a large lounge and a kitchen/dining room. The service also provides a laundry and large store room, housing the food freezer and other household items. Externally there are good sized gardens and a patio area, all of which are accessible to service users. A large garage is used for storage purposes and the driveway provides ample parking space. The home is located in the village of Biddulph, a short walk from the main shopping area, local pubs, church and other facilities. 4 West Street, DS0000029679.V274739.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection carried out on 22/12/05. Information for the inspection was provided from discussion with staff and service users; from inspection of care records, staff rotas and other records relevant to the inspection process; and from inspection of the environment. All service users were in the home at some point during the inspection. What the service does well: What has improved since the last inspection? What they could do better: Confirm with the outcome of blood tests as discussed. 4 West Street, DS0000029679.V274739.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. 4 West Street, DS0000029679.V274739.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 4 West Street, DS0000029679.V274739.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): x EVIDENCE: These standards were not inspected during this visit. 4 West Street, DS0000029679.V274739.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): 6,7,9. The standard of care planning was good, and reflective of the assessed needs of service users, providing staff with clear guidance and information to meet individual needs. Service users were supported to make day-to-day decisions and were consulted about events and matters important to them. EVIDENCE: Risk assessments were in place and were reviewed on a regular basis. Proactive strategies had been developed to support service users when anxiety caused behavioural difficulties. Distress assessment tools gave staff guidance to recognise the early signs of anxiety. Person-centred planning meetings and review had taken place and 24-hour plans of care gave explicit information about the individuals’ preferred routines and usual care needs. Service users’ meetings were recorded approximately bi-monthly. The minutes showed that service users were involved in the decision making in the home. 4 West Street, DS0000029679.V274739.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): 12, 14, 16 17 Service users were supported to access a range of social, occupational and recreational activities that are located in the community and are socially valued. Dietary needs of service users were known and understood and efforts were being made to provide a balanced and varied selection of food to ensure a good nutritional intake. EVIDENCE: Participation options provide staff with a guide to each service user’s routines and preferred activities. Records showed that service users were engaged in a range of social, recreational, educational and occupational activities in and out of the home. Examples include: literacy classes, health and well-being, horticulture, aromatherapy, art and fitness. A number of colleges were accessed. Since the last inspection there had been an increase in the amount of activity and 4 West Street, DS0000029679.V274739.R01.S.doc Version 5.1 Page 11 participation out of the home. On the evening of the inspection the service users and staff were going out for a pre-Christmas meal. Holidays had been agreed during the summer months. Menus were chosen by service users on a weekly basis and they were encouraged and supported to be involved in meal planning and preparation. Alternatives to the main meal were available on request at all meal times. Fridge and freezer temperatures were checked daily and recorded. A hot food probing protocol had been signed by staff. 4 West Street, DS0000029679.V274739.R01.S.doc Version 5.1 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): 19,20. Staff had a very good understanding of the service users’ personal, emotional and physical support needs. This was evident from the positive relationships, which have been formed between the staff and service users and from the health records provided. The medication at this home was well managed promoting good health. Clear and comprehensive arrangements were in place to ensure service users’ medication needs are met. EVIDENCE: The records showed that service users had received regular health checks, including preventative and well woman/man checks. Health and nutritional assessments had been completed. Records showed that one service user had had a blood test, but there was no record of the result. Staff agreed to contact the G.P. surgery. Medication records were appropriately maintained, with evidence of staff signatures for every occasion medication was administered. There was evidence of good stock control arrangements and protocols in place for the 4 West Street, DS0000029679.V274739.R01.S.doc Version 5.1 Page 13 administration of as-required medication. The medication storage facility was satisfactory. 4 West Street, DS0000029679.V274739.R01.S.doc Version 5.1 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): EVIDENCE: These standards were not inspected on this occasion. 4 West Street, DS0000029679.V274739.R01.S.doc Version 5.1 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 home was suitable to meet the needs of service users, with adequate communal space, sufficient bathing and shower facilities and single occupancy bedrooms. EVIDENCE: The service is provided in a large detached bungalow set in its own landscaped gardens. The main entrance is accessed via a ramped pathway; the rear entrance is accessed via a paved patio area. The home was clean and tidy, well maintained and had been decorated since the last inspection. A sample of two bedrooms were seen with the service users, and presented a very pleasant environment with clear evidence that service users had been encouraged to personalise and own their rooms. All service users had their own bedroom door keys and lockable facilities. 4 West Street, DS0000029679.V274739.R01.S.doc Version 5.1 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): 35, 36. Staffing levels were adequately maintained to ensure that service user needs were appropriately addressed. The standard of staff training was good, with evidence that mandatory training had taken place. EVIDENCE: Staffing during the day of the inspection included: Deputy manager 7.30am-2pm Support worker 1x 7.30am-6pm Support worker 1x 2pm-10pm Support worker 1x 12-11pm sleep over. Weekly hours were calculated at 300 hours. From discussion with staff it was established that they had received all mandatory training. It was also confirmed that one member of staff was undertaking her induction programme, which included additional units to reflect the learning disability framework. Staff confirmed that 1:1 supervisions took place regularly, and staff meetings took place approximately every three months. 4 West Street, DS0000029679.V274739.R01.S.doc Version 5.1 Page 17 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, 42 The health and safety of services users was promoted and protected through satisfactory fire safety checks, risk assessment, policy and procedure. EVIDENCE: Audits of the quality of the service were undertaken monthly, and regulation 26 visits carried out by a representative of the organisation, with copies of the reports forwarded to Commission for Social Care Inspection. Fire safety records were appropriately maintained, and regular fire drills had taken place. Risk assessments had been carried out and had been reviewed regularly. Records of service users’ finances were appropriately maintained, with evidence of appropriate expenditure and staff signatures. 4 West Street, DS0000029679.V274739.R01.S.doc Version 5.1 Page 18 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 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 4 25 X 26 X 27 X 28 X 29 X 30 4 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 4 36 4 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 3 15 X 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x 3 3 X x X 3 X X 3 X 4 West Street, DS0000029679.V274739.R01.S.doc Version 5.1 Page 19 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. 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. Refer to Standard Good Practice Recommendations 4 West Street, DS0000029679.V274739.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Stafford Office Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 4 West Street, DS0000029679.V274739.R01.S.doc Version 5.1 Page 21 - 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!