Inspection on 09/02/06 for 47 Averill Street

This inspection was carried out on 9th February 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 found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

47 Averill Street 11/05/07

47 Averill Street 06/09/05

47 Averill Street 22/11/04

47 Averill Street 29/06/04

47 Averill Street 01/03/04

47 Averill Street 28/10/03

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 47 Averill Street 47 Averill Street Newton Heath Manchester M40 1PH Lead Inspector Steve O`Connor Unannounced Inspection 9th February 2006 10:00 47 Averill Street DS0000021700.V279071.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 47 Averill Street DS0000021700.V279071.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. 47 Averill Street DS0000021700.V279071.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 47 Averill Street Address 47 Averill Street Newton Heath Manchester M40 1PH 0161 682 2062 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) North West Community Services (GM) Limited Sharon Louise Dixon Care Home 3 Category(ies) of Learning disability (1), Learning disability over registration, with number 65 years of age (2) of places 47 Averill Street DS0000021700.V279071.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of 3 service users with learning disabilities (excluding mental disorder and dementia) can be accommodated. This currently comprises three named service users whose primary need for care is learning disability and who are over 65 years of age (LD(E)) Should any of these service users leave, the registration category of learning disability (18 - 65 years of age) shall apply to any new admission to the care home. The service should, at all times, employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection 6th September 2005 2. 3. Date of last inspection Brief Description of the Service: 47 Averill Street is a residential care home providing 24-hour care and accommodation for 3 people with learning disabilities who may also have additional disabilities. The building is leased from the Manchester Methodist Housing Association with the North West Community Services Ltd contracted by Manchester City Council to provide support. The home is situated in the Newton Heath area of Manchester and is close to local amenities and transport routes. The home is a purpose built bungalow sited on a residential street. All bedrooms are single occupancy. Communal and kitchen areas are large and can meet the needs of people with high mobility needs. At the rear of the house is a well-maintained garden. 47 Averill Street DS0000021700.V279071.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place on the 9th February 2006. During the inspection, time was spent talking with the manager and staff on duty and examining people’s files. The two people who live at the home have little verbal communication and so although they were not able to express their views directly, time was spent observing how staff talk to and support people. The Commission for Social Care Inspection (CSCI) had not received any complaints about the home since the last inspection. The home had met the requirement and recommendation identified at the last inspection. As this inspection only looked at a limited number of standards this report should be read together with the previous and any future reports to gain a full picture of how the service is meeting the needs of the people living there. What the service does well: Of the standards assessed during this inspection the home has shown that it has a good Induction and Training programme for its staff so that they have the necessary skills to support people. The training also focuses on the specific needs of the people they support. If a person requires support in an area such as nutrition and feeding, then the home will provide that training. It is also positive to see that all the staff are encouraged to gain a level of vocational training award that is above that required by the National Minimum Standards. Providing people with a nutritious diet is essential in maintaining people’s health. The home has spent time making sure they understand what people like and dislike and provide a choice of fresh cooked meals. Some people need extra help to keep healthy and the home has worked with specialist health services, like speech and language therapists, to make sure that people get the right support and meals they need. Making sure that the house people live in is safe is an important responsibility. The home has made sure that it regularly undertakes health and safety checks and all the equipment and services are serviced on a regular basis. 47 Averill Street DS0000021700.V279071.R01.S.doc Version 5.1 Page 6 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. 47 Averill Street DS0000021700.V279071.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 47 Averill Street DS0000021700.V279071.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): EVIDENCE: The key standards were assessed during the previous inspection. 47 Averill Street DS0000021700.V279071.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): EVIDENCE: The key standards were assessed during the previous inspection. 47 Averill Street DS0000021700.V279071.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): 15 and 17 The home supports people to maintain appropriate relationships. People are offered a healthy choice of diet. EVIDENCE: Where people have family the home encourages and supports them to maintain contact and stay involved in people’s lives. Visitors are welcome at any reasonable time and can spend time with people in either the communal or private areas. The home also supports people to maintain a presence in their own communities through helping people to access local social activities. The home has undertaken appropriate nutritional assessments to identify people’s dietary needs and support. They have worked with specialist health providers to develop clear support guidelines. 47 Averill Street DS0000021700.V279071.R01.S.doc Version 5.1 Page 11 The home maintains a good store of fresh and frozen foods and offers a choice of meals based on people’s likes and dislikes. The remaining key standards were assessed during the previous inspection. 47 Averill Street DS0000021700.V279071.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): EVIDENCE: The key standards were assessed during the previous inspection. 47 Averill Street DS0000021700.V279071.R01.S.doc Version 5.1 Page 13 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 and 23 The home had the systems, policies and procedures in place to protect people. EVIDENCE: The Complaint Policy and procedure contained clear guidance including the stages and timescales of the process. The policy covered all of the North West Community Services service. The home provides a complaints leaflet explaining the complaints procedure to make it clear that people and their representatives can contact the CSCI at any time about their worries and concerns. At the time of inspection the service had not received any formal complaints. The home had adopted the Manchester Multi-Agency Adult Protection Procedures and its Adult Protection Policy was clear and related directly to the ‘No secrets’ guidance. In-house adult protection training had been provided for its staff on a regular ongoing basis. Evidence was seen that staff had undertaken this training. The ‘Whistleblowing’ Policy was seen and evidence showed that this policy was made available to the staff during their induction training. The policy relating to managing people’s personal finance was seen to be comprehensive and provided a clear procedure and audit process. The Physical intervention Policy was found to have a clear procedure and guidance. 47 Averill Street DS0000021700.V279071.R01.S.doc Version 5.1 Page 14 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): EVIDENCE: The previous requirement relating to infection control measures had been actioned fully and met the national Minimum Standards. The remaining key standards were assessed during the previous inspection. 47 Averill Street DS0000021700.V279071.R01.S.doc Version 5.1 Page 15 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, 34 and 35 The staff team were provided with the training required to support people’s needs and had the necessary recruitment systems in place EVIDENCE: The Staff team had access to the NVQ awards after the six month probation period. Of the seven staff members, four had completed the NVQ level 3, one was currently on the programme and another was still in the probation period. The home confirmed that the identification documents required under Schedule 2 of the Care Home Regulations 2001had been sought and gained for all the staff team. It was also confirmed that CRB disclosure certificates were gained for all of the staff. The organisation (NWCS) had a CRB panel that would discuss any issues of known convictions arising from the CRB check and whether this had an impact on employing a prospective staff member. The General Social Care Council Code of Conduct had been issued to all the staff team. 47 Averill Street DS0000021700.V279071.R01.S.doc Version 5.1 Page 16 The organisation provided an initial induction orientation programme and then a range of mandatory training for all staff that included First Aid, Moving and Handling, Health and Safety, Food Hygiene, Adult protect and Epilepsy awareness that would be completed within the first six months of employment. The induction training programme was based on the Learning Disability Awards Framework. The organisation’s training programme for 2005/2006 was seen. Evidence was seen of individual staff training and development plans that had been developed through the job consultation process and were co-ordinated by the Training Manager. Through this process additional training needs were identified and relevant courses arranged and provided either in-house or through a training provider. The home’s training plan was seen and found to be based on the individual support needs of service users. In September 2006 Skills for Care are introducing a new compulsory induction programme for all social care workers. The inspector was informed that the training manager was aware of the changes and would be introducing a new induction. The home must develop an induction programme based on the Skills for Care modules and it is recommended that the home implements a system for evidencing the achievement of staff competence in those modules. 47 Averill Street DS0000021700.V279071.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): 42 The home has the systems and practices in place to protect people’s health and safety. EVIDENCE: The home has a fire risk assessment that is reviewed annually. The fire log showed that the necessary checks were being made. Safe working and environmental risk assessments had been completed. All electrical and gas equipment/services had been serviced on a regular basis. Hot water and fridge/freezer temperatures had been recorded daily and were within the recommended range. The remaining standards had been assessed during the previous inspection. 47 Averill Street DS0000021700.V279071.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 3 23 3 ENVIRONMENT Standard No Score 24 X 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X X X X X X X 3 X 47 Averill Street DS0000021700.V279071.R01.S.doc Version 5.1 Page 19 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 YA35 Regulation 18 Requirement The home must develop an induction programme based on the Skills for Care modules. Timescale for action 01/09/06 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 YA35 Good Practice Recommendations It is recommended that the home implements a system for evidencing the achievement of staff competence in the induction modules. 47 Averill Street DS0000021700.V279071.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 47 Averill Street DS0000021700.V279071.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. 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