Inspection on 14/07/05 for 40a Manor Road

This inspection was carried out on 14th July 2005.

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 but made no statutory requirements on the home.

Other inspections for this house

40a Manor Road 17/10/08

40a Manor Road 02/11/06

40a Manor Road 12/01/06

40a Manor Road 20/12/04

40a Manor Road 13/05/04

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

CARE HOME ADULTS 18-65 40A Manor Road Upperby Carlisle Cumbria CA2 4LJ Lead Inspector Liz Kelley Unannounced 14 July 2005 15:30 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. 40A Manor Road F58 F10 s22569 40a manor road v234428 140705 ui stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 40A Manor Road Address Upperby Carlisle Cumbria CA2 4LJ 01228 548118 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) The Glenmore Trust vacant Care Home 5 Category(ies) of PD - Physical Disability registration, with number LD - Learning Disability of places PD(E) - Physical Disability, over 65 LD(E) - Learning Disability, over 65 40A Manor Road F58 F10 s22569 40a manor road v234428 140705 ui stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 5 service users to include: up to 5 service users in the category of LD (Learning disability under 65 years of age) up to 5 service users in the category of LD(E) (Learning disability over 65 years of age) up to 3 service users in the category of PD (Physical disability under 65 years of age) up to 3 service users in the category of PD(E) (Physical disability over 65 years of age) 2. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Date of last inspection 20 December 2004 Brief Description of the Service: 40a Manor Road is registered to provide residential care for 5 people with learning disabilities, two of whom also have a physical disability. The home is operated by the Glenmore Trust, a charitable organisation providing services for people with learning disabilities throughout North Cumbria. The house is leased from Impact Housing Association who were responsible for repairs and maintenance. 40a Manor Road is a large detached bungalow, situated in the Harraby area, on the outskirts of Carlisle. There are local shops within easy walking distance and a regular bus service runs into the city centre. Service users share the purchase and running costs of an adapted vehicle, which accommodates wheelchairs. There are five people resident in the home, all have a single room with washbasin. There is a large lounge, dining room and kitchen with a separate utility. There is also an office/sleep-in room used by staff. Lifting hoists, high/low beds, plus a walk-in shower are provided to promote independence and provide a safe environment. 40A Manor Road F58 F10 s22569 40a manor road v234428 140705 ui stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over the tea-time and early evening period when all five service users were at home. Two members of staff were on duty and the manager was also in the home to carry out paperwork. Time was spent with service users in the lounge and in the privacy of their own bedrooms. The home had very recently had a change in manager, and a number of new staff. Mr Ian Waugh is the new manager. 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. 40A Manor Road F58 F10 s22569 40a manor road v234428 140705 ui stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 40A Manor Road F58 F10 s22569 40a manor road v234428 140705 ui stage 4.doc Version 1.40 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 standard(s) 2 Service users are carefully assessed and introduced to the home to ensure that their needs can be met and that they want to live at the Home. EVIDENCE: A new service user had been introduced to the Home and evidence was seen of thorough planning. Assessments had been received from a number of different professionals which ensured that the Home had as much information as possible prior to this person moving in. This had led to a smooth and successful transition for this person, and the opportunity to determine if they were compatible with other people living at the Home. On speaking to this person they were obviously already well settled and staff were in tune with his needs. 40A Manor Road F58 F10 s22569 40a manor road v234428 140705 ui stage 4.doc Version 1.40 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 standard(s) 7,9 The staff group are skilled at providing service users with the support they need to exercise choice and make informed decisions in their lives. EVIDENCE: The new staff group have been reviewing the amount of choice and control that individuals have in their everyday lives. Consequently some recent changes were evident, such as supporting one service users to make decisions independent of another service users who liked to be in control. And assisting another to look at day services options that were more compatible with their age. Some of these changes have, in the short-term, created difficulties as the status quo has been challenged but the longer term aim is to provide greater choice. The staff team were aware of these difficulties and had a good vision and purpose which they were all committed to. 40A Manor Road F58 F10 s22569 40a manor road v234428 140705 ui stage 4.doc Version 1.40 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 standard(s) 12,15,16 Service users are given good opportunities to experience a range of activities that enhance their lifestyle. EVIDENCE: Both staff and service users spoke of activities that they engaged in, and there was evidence of hobbies and interests followed on an individual level. Numerous holidays and day trips are organised, and some of these had taken considerable time and effort to organise. For example one service users had a dream of going to America, and despite high levels of care needs this was made possible by the dedicated staff team. A series of risk assessments had been put in place for this trip to ensure safety and comfort of the service users and staff. 40A Manor Road F58 F10 s22569 40a manor road v234428 140705 ui stage 4.doc Version 1.40 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 standard(s) 18,19,20 A review of health care monitoring has led to an improvement in individuals health needs and in accessing primary health services. Good awareness of each persons health and personal care needs and strategies are achieved by staff seeking external professional advice. EVIDENCE: Staff were currently reviewing healthcare and were ensuring that each person had an annual healthcare check up and that medications were part of this review. This had been very successfully carried out for a new service user, who had benefited from this approach and had as a result received new glasses, hearing aid and had a radical change in medication which had hugely benefited his health and quality of life. This had aided a very successful transfer of this person from one home to another. The new manager and staff team were also reviewing medications and had changed systems of dispensing, with printed sheets from the pharmacist, and had ordered a larger medicine cabinet to aid in being more organised. 40A Manor Road F58 F10 s22569 40a manor road v234428 140705 ui stage 4.doc Version 1.40 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 standard(s) Not assessed on this occasion. EVIDENCE: 40A Manor Road F58 F10 s22569 40a manor road v234428 140705 ui stage 4.doc Version 1.40 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 standard(s) 24,30 A spacious purpose built bungalow provides service users with a comfortable, homely and safe environment that is pleasant to relax and spend time in. EVIDENCE: 40a Manor Road is a purpose built bungalow with ramped access and suitable adaptations for people with limited mobility. The home’s location offers easy access to local amenities, and is also on a bus route. The home is well maintained and of an attractive design which blends in with other houses in the residential area. The furnishings and decoration were of a good standard and homely in style. Bedrooms were of a good size, which affords service users the option of spending time in their own rooms, as well as making use of the communal sitting room. 40A Manor Road F58 F10 s22569 40a manor road v234428 140705 ui stage 4.doc Version 1.40 Page 13 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) 32,35 Service users needs are well met, and they benefit from an organisation that has skills and expertise of working with people with learning disabilities. EVIDENCE: The Glenmore Trust has a pool of expertise and knowledge which is used to identify and resolve problems and issues. This has recently result in a restructuring of staff at some of the care homes which has brought in a fresh perspective and new ideas. Staff reported that although some of this restructure had been unsettling, they felt that service users had benefited from this reshuffle and that the skills of staff were now being better utilised. The organisation had brought in a good amount of support to the staff team by way of secondments from senior practitioners and a staff development counsellor was booked to offer team building and individual support. 40A Manor Road F58 F10 s22569 40a manor road v234428 140705 ui stage 4.doc Version 1.40 Page 14 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) 37,41 The recent restructuring of the staff within the home, including the manager has already brought about greater efficiencies and a drive to a more person centred approach. EVIDENCE: Improvements were evident in a number of different areas and the new manager and senior were carrying out time management exercises to identify were further improvements could be made. The new manager, Ian Waugh, had experience of managing a number of different services for people with learning difficulties and was keen to bring in person centred planning to ensure that each persons care was individually tailored. He was enrolled on NVQ4 with a view to completing the Registered Managers Award. Due to the home having a very recent restructure a number of administrative areas will be examined in more detail at the next inspection. All of the basics checks and measures to ensure a safe environment were taking place and were satisfactory. 40A Manor Road F58 F10 s22569 40a manor road v234428 140705 ui stage 4.doc Version 1.40 Page 15 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 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score x 3 x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 x x 3 3 x Standard No 31 32 33 34 35 36 Score x 3 x x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 40A Manor Road Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 2 x x x 2 x x F58 F10 s22569 40a manor road v234428 140705 ui stage 4.doc Version 1.40 Page 16 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 41 Regulation 17 Requirement Records must be kept up-to-date and reviewed Timescale for action 30.11.05 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard Good Practice Recommendations 40A Manor Road F58 F10 s22569 40a manor road v234428 140705 ui stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Eamont House Penrith 40 Business Park Gillan Way Penrith, Cumbria CA11 9BP 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 40A Manor Road F58 F10 s22569 40a manor road v234428 140705 ui stage 4.doc Version 1.40 Page 18 - 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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