Inspection on 25/01/06 for 44 Blyford Road

This inspection was carried out on 25th 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

44 Blyford Road 10/09/07

44 Blyford Road 20/09/06

44 Blyford Road 24/08/05

44 Blyford Road 21/02/05

44 Blyford Road 04/08/04

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Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

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Paradise Lodge

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Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 44 Blyford Road 44 Blyford Road Lowestoft Suffolk NR32 4ST Lead Inspector John Goodship Unannounced Inspection 25th January 2006 02:00 44 Blyford Road DS0000024338.V279654.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 44 Blyford Road DS0000024338.V279654.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. 44 Blyford Road DS0000024338.V279654.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 44 Blyford Road Address 44 Blyford Road Lowestoft Suffolk NR32 4ST 01502 531007 01502 531007 h2031@mencap.org.uk www.mencap.org.uk Royal Mencap Society 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) Mrs Karen Smith Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (2), Physical disability (2) of places 44 Blyford Road DS0000024338.V279654.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th August 2005 Brief Description of the Service: The bungalow is situated in north Lowestoft in a pleasant residential area. There are some shops close by. It was purpose built for 6 people with learning disabilities. The home was extended and refurbished in 2003 to offer more spacious accommodation for two individuals with physical disabilities, widening all the doors in the existing building, and lowering all light switches and plug sockets to wheelchair height. A third person with physical disabilities was admitted in March 2004. The building is owned by Orbit Housing Association. The service is provided by Mencap. 44 Blyford Road DS0000024338.V279654.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of the inspection year. An announced inspection took place in August 2005. This one was unannounced. The manager and deputy manager were present for most of the visit. One resident was in the home when the inspector arrived and others came in from their day services later. All national minimum standards have been inspected within a twelve month period. All have now been met. What the service does well: What has improved since the last inspection? The wishes of residents and families on arrangements when the resident dies have been checked and agreed with them. The files of new staff now contain all the required documents for the protection of residents. Training in moving and handling is now given by a qualified trainer, and is repeated annually. Information on the funding of residents’ holidays has been clarified in the statement of purpose. A plan has been produced which will move the home towards achieving a 50 level of NVQ qualification. 44 Blyford Road DS0000024338.V279654.R01.S.doc Version 5.1 Page 6 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. 44 Blyford Road DS0000024338.V279654.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 44 Blyford Road DS0000024338.V279654.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): 3,4,5. Prospective residents can expect that the home will assess their needs and the suitability of the home for them, and that they will have an introductory period to test that they will like living there. EVIDENCE: One of the residents had died in October 2005. The search for a prospective replacement had been undertaken by the funding authority, and an allocation meeting had been arranged by the funding authority for the week after the inspection. The manager confirmed that any new referral will be given the opportunity to visit and try out the home as per their policy. The contract was with the funding authority, but each service user had a set of Mencap terms and conditions. 44 Blyford Road DS0000024338.V279654.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): 6,7,8. Residents can expect the home to be run according to their needs and wishes, with the development of independence as a primary goal. EVIDENCE: Care plans were up-to-date and were regularly reviewed, with the resident and their relatives contributing. Residents were encouraged to be involved in the running of the home as much as they wished to be, for instance helping with shopping and housework. Nationally, it is understood that Mencap involves service users as much as possible with the development of policies, procedures and services. Residents’ meetings took place on a regular basis. 44 Blyford Road DS0000024338.V279654.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): 12,14,15,17. Residents are given many opportunities to choose how to spend their time, as a group, and individually. Residents are encouraged to play an active part in the running of the home according to their wishes and abilities. They will be supported to maintain contact with their relatives as they wish. EVIDENCE: Residents took part in a variety of leisure activities - inside the home, such as listening to their own tapes, watching television as a group or in their own room, helping with cooking and gardening; outside the home, such as swimming, going to shows, going to football matches (one resident is a keen supporter of Norwich City), shopping and bowling. Some also participate in activities organised by SCOPE, Club 85 and the local Gateway Club. One resident was described as needing encouragement to go out, but then enjoyed doing so. One resident was able to walk to the shop at the end of the road on their own, and was assisted to attend car boot sales. One older resident was worried because their day centre was due to close at the end of March. No decision had yet been taken by Social care Services on 44 Blyford Road DS0000024338.V279654.R01.S.doc Version 5.1 Page 11 whether they could be offered an alternative. This resident told the inspector that they would be sad to leave the centre and not be able to see their friends. One resident was being supported by staff while their father was ill. They had been in hospital and was now at home. The resident was being taken to see him on the evening of the inspection by a relative. The policy on the funding of residents’ holidays has been clarified and included in the home’s statement of purpose. As residents normally attend day services during the week, taking a packed lunch, their main meal is in the evening. On the day of the inspection, the main course was meat pie with potatoes and fresh vegetables. One of the residents told the inspector that it was their favourite. Another said that they liked to help in the kitchen making cups of tea. 44 Blyford Road DS0000024338.V279654.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): 18,19,20,21. Residents can expect their needs to be identified, monitored and appropriate action taken. Their wishes around death will be respected and residents will be supported to cope with the death of a resident. EVIDENCE: Staff were knowledgeable about the needs of residents and their preferences for care and daily living. Residents appeared to react to staff in a friendly way, and staff were able to communicate with them easily. Residents also got on well with each other. One person was waiting for the others in wheelchairs to return from their day centre in the bus, so that they could assist them into the home. A sample of drug recording charts were examined. All were fully completed with signatures for each administration. The drug packs showed that all drugs had been dispensed up to that point. The previous report noted that, although the home followed good practices in the promotion of continence, this was not documented in a policy . The manager reported that she had raised it within Mencap and no other home had a continence policy. This would be considered by Mencap. 44 Blyford Road DS0000024338.V279654.R01.S.doc Version 5.1 Page 13 The manager described the effect of the recent death of a resident on the others. They still talked about the person, and they had visited the cemetery. They had also visited the deceased’s relative, who had joined the residents at their Christmas lunch. The home has checked that it knows the wishes of residents and families on arrangements when the resident dies. 44 Blyford Road DS0000024338.V279654.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): 22,23. Residents are helped to understand how they are protected, and how to raise issues of concern. EVIDENCE: These standards were examined at the last inspection and were met. There had been no changes or complaints since then. 44 Blyford Road DS0000024338.V279654.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): 24,25,26,27,28,29,30. Residents continue to live in a purpose-built home with the appropriate facilities and specialist equipment and furniture for their needs. The home is well maintained and hygienic. EVIDENCE: During the inspection, contractors from the landlord were doing a regular check of the water system to prevent Legionella. The system was clear. Otherwise a tour of the building showed that there had been no change to environmental standards since the last inspection when all these standards were examined and were met. 44 Blyford Road DS0000024338.V279654.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): 31,32,34,35,36. Residents are protected by the home’s recruitment and training practices, which produce staff who are competent to meet the needs of all residents, although the required percentage of NVQ qualified staff has not yet been achieved. EVIDENCE: Staff were confident in their roles and supportive of each other. A sudden staffing shortage had arisen just before the inspection, but was overcome with the co-operation of those on shift or about to come on. The home had been unable to meet the deadline of December 2005 when 50 of care staff should have reached NVQ Level 2 or above. The manager had produced a plan which showed the four staff were scheduled to start their NVQ 2 programme when they had completed their probation period satisfactorily. When these staff successfully complete their programmes, the home will have ten out of fifteen staff qualified to NVQ 2 or above. The file of a recently appointed staff member was examined. It contained all the records, ID documents and safety checks required. A schedule of supervision sessions had been set up, although none had yet taken place. 44 Blyford Road DS0000024338.V279654.R01.S.doc Version 5.1 Page 17 Moving and handling training refresher courses were now to be held on an annual cycle by a Mencap trainer qualified in this subject. 44 Blyford Road DS0000024338.V279654.R01.S.doc Version 5.1 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): 37,40,41. Residents can expect the home to be well run according to the national policies and procedures of Mencap. EVIDENCE: The manager was registered with the Commission and was experienced in the care of this client group. She had completed her NVQ Level 4 and had got the Registered Managers Award. The home follows the comprehensive Mencap quality assurance system, samples of which showed the complimentary comments of residents, families and external professionals. Monthly visit reports were up-to-date. The home follows the Mencap policies and procedures 44 Blyford Road DS0000024338.V279654.R01.S.doc Version 5.1 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 Standard No Score 1 X 2 X 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 2 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 X X LIFESTYLES Standard No Score 11 X 12 3 13 X 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 X X 3 3 X X 44 Blyford Road DS0000024338.V279654.R01.S.doc Version 5.1 Page 20 NONE 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. 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. 1 Refer to Standard YA32 Good Practice Recommendations The registered person should ensure that the strategy for achieving the target, set by this national minimum standard, of 50 of care staff trained to NVQ Level 2 is maintained. 44 Blyford Road DS0000024338.V279654.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 44 Blyford Road DS0000024338.V279654.R01.S.doc Version 5.1 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. 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