Inspection on 03/01/06 for 46 Lincoln Road

This inspection was carried out on 3rd 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

46 Lincoln Road 10/05/07

46 Lincoln Road 29/07/05

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 Ms Janet Spink Unannounced Inspection 3 January 2006 11:00 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 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 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 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. 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 46 Lincoln Road Address 46 Lincoln Road Blackpool Lancashire FY1 4HB 01253 292081 01253 292081 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) Northern Life Care Limited T/A U.B.U. Mr Carl Thomas Mullen Care Home 4 Category(ies) of Learning disability (4) registration, with number of places 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection The home is registered for a maximum of 4 service users in the category of LD (Learning Disability) 29th July 2005 Date of last inspection Brief Description of the Service: This home is one of four small homes that is owned by UBU (formerly Northern Life Care) in the 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 DS0000009883.V250649.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over two hours. It consisted of discussions with staff, observation of staff interaction with residents and viewing documentation. What the service does well: What has improved since the last inspection? The manager is now sending incident reports to the Commission for Social Care Inspection (CSCI). This was a requirement following the last inspection. The manager has now completed a relevant management qualification. 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 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. 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 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 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 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): These standards were not assessed on this occasion. EVIDENCE: 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 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 and 9 EVIDENCE: There has been no change to care planning arrangements since the last inspection. Person Centred Plans ensure that staff have clear guidance about specific needs in relation to mobility, communication, social needs, personal care, diet etc. 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. There was evidence in place to confirm that other reviews are held with professionals when needed as in the case of the person being case tracked. Risk assessments are in place, however it was recommended that these be developed to include specific risks identified for a service user who has displayed uncharacteristic behaviour. 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 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): These standards were not assessed. EVIDENCE: 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 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): 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 assisting a service user to promote continence. This was clearly written and provided staff with detailed guidance on how much assistance and support they need. All appointments with other health care professionals are recorded in a manner that ensures all staff are clear of the outcome of the appointment and any action to be taken. There was evidence to show that the psychologist, learning disability nurse and psychiatrist have been involved to support staff with specific needs of a service user. 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 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): The home ensures that service users are aware of their rights and has a complaints procedure. Systems are in place to reduce the risk of abuse. EVIDENCE: The manager has made sure that all service users and/or their relatives have had a copy of the complaints procedure, which is in the Statement of Purpose. This is in pictorial format. The four people accommodated would probably not make a formal complaint, but staff are aware of behaviour changes and gestures that may indicate a person is not happy with something. There are opportunities on a daily basis for service users to make their wishes and opinions known, as well as the more formal service user meetings and reviews. Staff are given some guidance around “Awareness of abuse” through National Vocational Qualification (NVQ) in care and through Learning Disability Award Framework (LDAF). This will go some way to ensure residents are protected from abuse. 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 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): 30 The home was clean, but service users would benefit from having a staff team who have had recent infection control training. EVIDENCE: The home was clean and suitable infection control systems are in place to ensure service users and staff are safe when assisting with personal care. Protective equipment is provided, however the staff team would benefit from having some training on infection control to ensure they are up to date with good practice. 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 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): 32, 35 and 36. Staffing levels are being reviewed to ensure they meet the changing needs of service users. Training continues to be provided to ensure staff have the skills and knowledge to carry out their roles. EVIDENCE: The inspection was unannounced and there were three members of staff supporting four service users. The rota showed that a fourth member of staff had been due to work, but had gone home sick. At present one service user requires 2-1 staffing and the home is in negotiations with social services to ensure that this is provided. Training is provided in inclusive communication, moving and handling and food hygiene. Some staff have completed National Vocational Qualification (NVQ) level II in care, but the home has not yet achieved the target of 50 having this award. All staff have completed the Learning Disability Award Framework (LDAF). Staff confirmed that they receive monthly formal supervisions and minutes are kept of these. In addition the manager is available on a daily basis on a more informal basis. 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 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): 37 and 42. The home is well managed and run in the best interests of the service users. There is good leadership, guidance and direction to ensure that they receive consistent care. The home is well maintained to ensure the safety of service users and staff. EVIDENCE: Mr Mullen has worked in the home as manager for approximately 12 months as manager. 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 has recently completed the Registered Manager’s Award. He has achieved the D32 and D33 NVQ assessors award. Staff commented that they feel he is approachable and supportive to them. It was noted that incidents that have occurred in the home are now being reported to Commission for Social Care inspection as required during the last inspection. 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 Page 16 The Inspector was provided with documentation in relation to maintaining a safe environment. This included a current electrical installation safety certificate, water temperature checks and fire alarm tests. 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 Page 17 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 Score 3 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 x 2 x Standard No 24 25 26 27 28 29 30 STAFFING Score x x x x x x 2 LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 Standard No 31 32 33 34 35 36 Score x 2 x x 3 3 CONDUCT AND MANAGEMENT OF THE HOME x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 46 Lincoln Road Score 3 3 2 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x DS0000009883.V250649.R01.S.doc Version 5.0 Page 18 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. 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 2. 3. Refer to Standard YA9 YA32 YA30 Good Practice Recommendations It is recommended that risk assessments are reviewed to ensure identified risks to service users are minimised. 50 of care staff should achieve NVQ level II in care. It is recommended that all staff receive training in infection control practices. 46 Lincoln Road DS0000009883.V250649.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, 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 DS0000009883.V250649.R01.S.doc Version 5.0 Page 20 - 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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