Inspection on 29/07/05 for 46 Lincoln Road

This inspection was carried out on 29th 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 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

46 Lincoln Road 10/05/07

46 Lincoln Road 03/01/06

46 Lincoln Road 14/10/04

46 Lincoln Road 11/05/04

46 Lincoln Road 19/03/04

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 46 Lincoln Road 46 Lincoln Road Blackpool Lancashire FY1 4HB Lead Inspector Janet Spink Unannounced 29th July 2005 9:00 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. 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 46 Lincoln Road Address 46 Lincoln Road Blackpool FY1 4HB 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) 01253 292081 Northern Life Care Ltd 9 Haywra Street Harrogate HG1 5BJ Mr Carl Mullen CRH 4 Category(ies) of LD Learning Disability 4 registration, with number of places 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. The service should employ a suitably qualified and experienced manager who is registerd Commission for Social Care Inspection. 2. The home is registered for a maximum of 4 service users in the category of LD (Learning Disability). Date of last inspection 14 October 2004` Brief Description of the Service: This home is one of four small homes that is owned by UBU (formerly Northern Life Care) in Blackpool area. It is registered with the CSCI (Commission for Social Care Inspection) to accommodate four adults who have a learning disability. Lincoln Rd is a large detached property situated on a corner plot in a residential area of Blackpool. It is situated over two floors with one bedroom located on the ground floor with en-suite, and three bedrooms on the first floor. There is a large lounge, separate dining room and a large kitchen. Residents have the use of a bathroom on the first floor. 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was conducted over a period of two hours. It consisted of following a residents care, discussions with staff, observation of staff interaction with residents, discussions with the deputy manager and viewing some documentation. What the service does well: What has improved since the last inspection? What they could do better: A number of staff have completed a nationally recognised training qualification in care known as National Vocational Qualifications (NVQ) to a level II grade, but this could be improved to ensure that 50 of the team achieve this. The deputy manager was reminded that some incidents must be reported to the CSCI, and these are detailed in the regulations. This is to ensure the commission are made aware of any event that may affect residents health and welfare. 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 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. 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 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 standard(s) These standards were not assessed on this occasion as there have been no new admissions for a number of years. EVIDENCE: 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 8 and 9 All individuals have comprehensive plans of care ensuring staff have clear guidance regarding their needs and aspirations. EVIDENCE: The inspector viewed the care plan for one resident, which confirmed that staff have clear guidance about their specific needs in relation to mobility, communication, social inclusion, personal care, diet and emotional and psychological wellbeing. The home has a system in place where the plans are reviewed approximately five times a year. Two of these will involve social workers and family as well as the staff from the home. All appointments to other health care professionals such as the GP or incontinence advisor are recorded in daily notes. The resident who was being case tracked has little verbal communication, however staff were able to demonstrate that they have good understanding of non-verbal communication. The resident was able to make their needs known when they wanted a drink by taking staff to the kettle or cupboard. Staff responded to this appropriately and assisted them to make a drink. 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 Page 10 Risk assessments were in place in relation to bathing, going out unassisted and use of kitchen equipment. 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 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 standard(s) 11, 12, 13, 14 and 15 Opportunities for development and community participation are addressed in care plans ensuring independence is maintained and promoted. EVIDENCE: The inspector spoke to two staff members who were very clear that their role is to encourage independence and promote personal development. An example of this is where one resident used to use a wheelchair at all times, and now regularly walks to the local shops. All residents were seen to be relaxed about helping themselves to snacks. Staff are aware that their role is to enable the residents rather than “do for” them. Residents were seen to be encouraged to take responsibility for some housework as much as they are able, and are actively involved in shopping, cooking and preparing meals. Care plans address social activities ensuring that residents’ hobbies and interests are maintained. One resident has been successful in obtaining a job and intends to undertake NVQ in cleaning. 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 Page 12 Another resident enjoys rambling and is a member of the local rambling club. They are also a member of a leisure and sports centre where they go swimming and have a sauna. 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 Page 13 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 and 19 Each resident has “support specifications” giving clear and detailed guidance to ensure staff are aware of the best way to meet personal and healthcare needs. EVIDENCE: The inspector viewed the support specification in relation to communicating with a resident. This was clearly written and provided staff with detailed guidance on the best way of assisting and supporting. Other support specifications include promoting continence and assisting with diet. The social worker has been involved through review and it was agreed that the resident may benefit from some psychological input. The documentation and discussions with staff confirmed that the home ensures physical, emotional and health needs are met. Medication practices were observed during the inspection and where found to be managed in a professional and safe manner. Staff have received training in safe practice and handling of medication. 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 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 standard(s) These standards were not assessed on this occasion. EVIDENCE: 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 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 standard(s) 24, 25, 26, 27, 28 and 30 The home provides a comfortable environment where residents are safe and comfortable. It is clean and airy, and bedrooms are personal to each individual ensuring their preferences and choices are reflected. EVIDENCE: The four residents are accommodated in single bedroom, one of which is on the ground floor and has an en-suite facility. Two bedrooms were viewed and were seen to be personalised with photographs, books and CDs. The lounge, dining room and kitchen have been decorated within the last twelve months. The bathroom has been refurbished, which was a recommendation following the last inspection. The bathroom now offers a choice of shower or bath, which is the result of consultation with the residents. The home was found to be clean at the time of the inspection. 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34 and 35 Staffing levels are sufficient to meet the needs of the residents. Recruitment is carried out in a professional manner ensuring the safety of the residents. Training continues to be a high priority providing staff with the knowledge and skills required to carry out their roles. EVIDENCE: The staff rota was viewed and staff were spoken to and this confirmed that staffing meets the needs of the people accommodated. This inspection was unannounced and there were four members of staff on duty with four residents. The most recently appointed member of staff was not on duty at the time of the inspection, however documentation was available to show that all police checks and references had been obtained prior to employment. Induction records were seen and confirmed that new members of staff undertake LDAF (learning Disability Award Framework) induction and foundation within the first six weeks. 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 Page 17 Other training provided by the company includes First Aid, continence promotion, Health and Safety, Fire and abuse procedures. Staff have received training on epilepsy, which was recommended at the last inspection, and some staff have received training in autism. There are two members of staff who have completed NVQ level II in care, and three are waiting to have their work verified. The deputy has undertaken Team Leaders award and has started NVQ level III in care. 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 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 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, 38, 39 and41 The registered manager is competent and experienced ensuring that staff have clear direction and leadership when assisting the residents accommodated. EVIDENCE: The manager has worked in the home for approximately 12 months. He has 9 years experience of working in residential services for adults who have a learning disability. He has NVQ level III and IV in care and is currently undertaking the Registered Manager’s Award. He has achieved the D32 and D33 NVQ assessors award, which enables him to train other staff. The manager was on holiday at the time of the inspection, but it was evident from discussions and observation that the management style is open and supportive with regular house and staff meetings being held. 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 Page 19 It was noted that some incidents that had occurred in the home, and the deputy manager was reminded of “Notifiable Incidents” that must be reported to Commission for Social Care inspection as stipulated in regulation 37. 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 Page 20 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 x x x x Standard No 22 23 ENVIRONMENT Score x x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 x x Standard No 31 32 33 34 35 36 Score 3 2 3 3 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 46 Lincoln Road Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score 2 3 3 x 1 x x F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 Page 21 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 41 Regulation 37 Requirement The registered person must give notice to the Commission of the of incidents detailed in regulation 37. Timescale for action 31/08/05 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. 2. Refer to Standard 32 37 Good Practice Recommendations 50 of care staff should achieve NVQ level II in care. The registered manager should complete the registered Managers Award. 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 46 Lincoln Road F57 F09 S9883 Lincoln Road V211079 060705 Stage 4.doc Version 1.40 Page 23 - 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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