Inspection on 25/08/05 for 49 Victor Street

This inspection was carried out on 25th August 2005.

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

49 Victor Street 31/08/06

49 Victor Street 03/02/06

49 Victor Street 22/02/05

49 Victor Street 29/06/04

49 Victor Street 19/01/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

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Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

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10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 49 Victor Street Stone Staffordshire ST15 8HL Lead Inspector Berwyn Babb Unannounced 25 August 2005 12:noon 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. 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 49 Victor Street Address Stone Staffordshire ST15 8HL 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) 01785 615500 RMP Care Miss Lorraine Paula Lawton Care Home 3 3 Category(ies) of LD registration, with number of places 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 22 February 2005 Brief Description of the Service: 49 Victor Street is a mid terraced house in a quiet residential street in the northern quadrant of the township of Stone. At the front it opens directly on to the pavement, and to the rear, there is a yard leading to a lawn area. Beyond the secure boundary of the property is the London to Manchester railway line. The home provides accommodation in three single rooms, one of which is on the ground floor, for Younger Adults who have a Learning Disability. There is a shower room [and toilet] downstairs, and a bathroom upstairs. Here the adjacent laundry room has had a separate toilet installed in its own total privacy cubicle. There is a kitchen/dinette on the ground floor, together with a lounge/television room. The home operates a no smoking policy. At the time of this announced inspection the decoration of the lounge had recently been renewed, as had the stair carpet and that in the bedroom of one of the residents. 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The date of this inspection had been agreed with the registered care manager and was conducted and will be reported on using the new guidelines for 2005/06. At times all of the residents were present to talk to the inspector, as was Mrs. Hulme, one of the proprietors, who called in to answer any questions. The inspector wishes to thank all the residents, management, and staff for making this such a positive experience and for their hospitality and assistance. Particular thanks to Miss Lawton, the care manager. The experience of visiting this home is one of true partnership in practice with residents having a very substantial input into the management of “Their” home. 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. 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 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 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 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) 2,5 Protocols and procedures used in the past by RMP Care and reviewed and updated when necessary, have ensured that service users are only admitted after a full assessment of their needs has taken place and they and their advocates are in possession of the necessary information to ensure them that the home is able to meet their assessed needs. EVIDENCE: There have been no new admissions to 49 Victor Street for many years now. Discussion with residents and a relative and reference to existing care plans demonstrated that a robust procedure of assessing and exchanging information took place when the last resident was admitted and discussion with the care manager and her proprietor, revolved around adjusting these policies and procedures in line with current best practice as identified by statutory agencies and the British Institute for Learning Disability. The inspector was able to examine the contract on the file for one of the residents and this covered all those aspects detailed in the standard. Arrangements were outlined as to the amount of fee being charged, to whom it was going to be paid and by whom it was going to be paid and when and the service that the resident would be able to expect as a result of this payment. A copy of the Service User’s Plan was attached. This detailed the help and support to be given to the resident, in order to enable him to expand his range of choices and lifestyle satisfaction. 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 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) 6,7,8,9,10 There were appropriate care plans to enable service users to have their assessed needs met in the way they chose, to take responsibility for the decisions affecting their life unless they were clearly recorded and justified reasons to amend these, to participate in the running of the home both directly and indirectly, to take risks after proper assessment followed by advice, training and assistance if necessary and these records were accessed and partly completed by the residents, who were a party to the maintenance of confidentiality. EVIDENCE: The care plan of one of the three gentlemen who live at this address was studied in depth. It had been adapted to reinforce written information in a recognised pictorial format and gave equal precedence to the ability of the resident as well as recording his assessed needs. There was a clear picture of his preferred day and several highly commendable advice sheets in an appropriate form designed to educate the individual on how to keep safe in different situations. The daily record was completed by the resident and was endorsed by his key worker. 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 Stage 4.doc Version 1.40 Page 9 Records showed that when the resident had an opportunity to expand his activities and his social life, that appropriate risk assessments had been undertaken to enable this to happen rather than to restrict his access and choices. There were regular entries detailing this gentleman’s part in managing his own finances and his appropriate use of funds to meet recreational and social choices. When he returned to the house and participated in the inspection, this gentleman was able to reflect on the things that he did within the home and the way that he was able to have his feelings about various matters recorded and acted upon. The inspector reviewed the last batch of resident’s satisfaction questionnaires and was able to see where suggestions made by them had been acted upon. Another gentleman who was present throughout the whole of the inspection was able to describe the purpose of the records kept on or about him and from his conversation was aware that under the rules of confidentiality, only certain people had the right to access these records and that he had at all times to be kept informed about this. He was quite robust in his ownership of information contained in his files, both the ongoing recordings and the specific advice and information that had been obtained about specific risks and hazards and how a balance had to be reached about which things were advisable and which things required further training and safeguard before they could be undertaken. 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 Stage 4.doc Version 1.40 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 standard(s) 11,12,13,14,15,17 Service users find that the opportunities for them to develop their chosen manner of living, including leisure activities and community involvement, are facilitated and encouraged in this home. Limited only by medical dietary advice, they plan, shop for and assist in the preparation of the meals they wish to eat. EVIDENCE: The inspector was able to talk to all the gentleman at different times during the inspection and they were able to expand on the basic information contained in their care plans about the steps they took to meet their personal goals. These were of differing levels commensurate with ability and included being able to access the fields of employment, both competitive and sheltered. Discussion with staff identified the differing levels of support that were needed for each gentleman and care plans showed where risks had been assessed and education and training provided to enable a new opportunity to be taken up. 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 Stage 4.doc Version 1.40 Page 11 Discussion and reference to care plans indicated that those who chose an active social life were enabled to follow a substantial programme of leisure activities outside the home and that where the preference was for more domestic pursuits, staff provided support to enable this choice to be fulfilled. There was a good range of information available within the home about local facilities including such things as library opening times, what was on at the leisure centres and when and special events at local pubs such as karaoke nights, quiz nights and curry nights. The form to confirm the rights of the residents of 49 Victor Street to vote in elections had arrived from the borough council on the morning of this inspection. Discussion took place about forthcoming holiday arrangements and one gentleman was able to show the inspector how he had been saving regularly to fund his spending money on this outing. Other less extensive outings recently undertaken had included a trip to a garden centre near Newport, going out for Chinese meals, joining resident’s from other houses at the local Wetherspoons and visits to the newly refurbished Trentham Gardens and Lakes. At the commencement of this inspection, one gentleman was in the company of his mother at a local hostelry and reference to care plans showed that staff of the home worked to ensure the highest level of contact possible between residents and their families and friends. During the course of the early evening, the gentleman made arrangements for three totally different cooked meals reflecting their differing needs on that day and also their personal tastes. Care plans and discussions with both staff and residents indicated a long established programme to encourage healthy eating and the residents were enthusiastic and positive about their liking for fruit and vegetables. There was evidence of significant input by them into the purchasing of the house’s food stocks and the level of control that the men have over their own lives in this area was reflected by a note entered into the communications book by one of the gentleman telling staff that he had reduced the order with the milkman to one pint a day, as they were having to throw too much away and this was wasteful. 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 Stage 4.doc Version 1.40 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 standard(s) 18,19,20,21 This home continues to ensure healthcare needs of residents are identified and met in a manner agreeable to themselves. EVIDENCE: The level of personal support required by the current residents of 49 Victor Street at this time, comes mainly under the heading of prompting rather than assistance. One gentleman has chosen to have an adjustable bed and professional medical advice was taken over this, the opinion given being that this would be extremely beneficial to his current needs. Examination of care plans reflected continuous review of the health needs of residents and input and advice from relevant specialist professional healthcare workers to enable staff to be aware of issues or to meet any arising needs. Appointments for tertiary healthcare such as dental and visual were recorded, as were any outpatient or other hospital appointments and any assistance needed to facilitate these. Consent forms were seen in care plans for the administration of medication and where any items are self administered, protocols had been agreed with the residents for monitoring these. 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 Stage 4.doc Version 1.40 Page 13 In the care plans scrutinised in depth, there was an excellent leaflet entitled “What I Would Like to Happen if I Die” and this has been completed by the resident, indicating his personal choice. The format of this leaflet included pictorial symbols which reinforced the written words of the information being provided. 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 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) 22,23 The residents at this home were protected by determination to combat abuse and a complaints procedure specifically designed to enable them to express their views. EVIDENCE: RMP Care have designed and produced a leaflet specifically for use in their homes and in a format that makes it available to a wide range of abilities, informing residents of how they can make a complaint. The residents of this home were aware of this leaflet and able to speak about it and had no hesitation in informing the inspector of what they would do if they had anything to complain about. A deeper, formal interview with a member of staff, highlighted her concern to protect the residents from abuse and her knowledge of various events both active and passive that would constitute an abuse. She knew the correct procedure to follow should she become suspicious and was also aware that the residents of 49 Victor Street were vulnerable to abuse from anybody either inside or outside the house. She stated that this was an issue that was often discussed between staff colleagues and felt confident that her fellow carers were equally determined to ensure the protection of this group of vulnerable adults. 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 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) 24,25,29,30 Improvements continue to be made to the décor, improving the comfort and safety of this mature building for the benefit of residents. EVIDENCE: 49 Victor Street is a mid terraced house in a quiet residential district in Stone. It was not purpose built, but was purposely chosen to provide a level of care founded on the best domestic style of service provision possible. It is not stigmatised as a care institution and is indistinguishable from other houses around it. A communal entry gives access to the rear garden, the front door opening directly onto the street pavement. The proprietors are engaged in a continuous process of upgrading the facility, the refurbishment of the lounge being mentioned in the last report and since then new carpets have been purchased and laid on the stairs and in the room of one of the residents. The home is located close to a range of local amenities and all the current residents are able to access the centre of Stone town where all but the most specialised facilities are available. The furnishings and fitting continue to improve in their standard of comfort and quality and reflect the domestic nature of the style of service being offered. 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 Stage 4.doc Version 1.40 Page 16 The inspector examined the bedroom of one resident on this occasion and found this to be of generous size and comfortably furnished to the requirements of the resident who accompanied him during this visit. He had a privacy key to his room and stated that the whole was to his satisfaction and met his needs and choices. The only adaptations and equipment being used in this home, at the current time, were hand rails to the steps leading from the back door down to the garden and the adjustable bed already referred to under the health needs of one of the residents. Both of these items had been subject to the proper professional assessments and recommendations and added the comfort and safety of the residents. The gentleman assist in the cleaning of the home and were quite fastidious in repeating the programmes that had been worked out to maintain the level of hygiene, order and cleanliness. 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 Stage 4.doc Version 1.40 Page 17 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) 33,35 The procedures for the recruitment and training of staff was seen to be robust and offered protection to people living in the home. EVIDENCE: At the time of the inspection there was a pool of six staff providing support to residents in the home and this included two males. Reference to care plans showed that residents had signed to say that they have no objection to receiving care from members of either gender. From previous experience and from inspecting other homes belonging to RMP Care, the inspector was aware that the close proximity of this half dozen or so homes to each other, enables an interchange of staff should any emergency need arise and this use of this “internal bank” of available staff, has the benefit for the residents, that only in the most exceptional of circumstances, do they have to accept people into their home who they do not already know. An example of the continuity and retention of staff was demonstrated in the plans for a renewal of first aid certificates shortly after this inspection, when all 11 members of RMP Care attending, were present at the same refresher course three years ago. The inspector spoke in some detail with a member of the care staff about the training that she had received whilst employed in the home. She was able to assure him that in addition to the induction and renewal training of all mandatory subjects, courses and events to educate she and her colleagues 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 Stage 4.doc Version 1.40 Page 18 about specific aspects of learning disability were arranged by the proprietors. The most recent provision to which she referred was the input of a health professional from the local learning disability centre at New Burton House, Stafford and he had been providing detailed information and input on the subject of Autism. The proprietors are confirmed supporters of the LADAF principles of training and promote National Vocational Qualification training for their staff. The care manager of this home acts as a training co-ordinator for the whole of the organisation and is proactive in cascading and sharing knowledge with all members of the care team. 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 Stage 4.doc Version 1.40 Page 19 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) 39,42 The home is being managed properly with leadership, guidance and direction staff to ensure that the residents receive consistent, quality care. EVIDENCE: Quality monitoring takes place through the review process and a formal written procedure has been discussed for at least the last year with the care manager that a copy of a written Quality Assurance document with attendant questionnaires is sent to CSCI. as soon as possible and certainly before any further inspections take place. The inspector looked at fire safety documents, care plans, risk assessments, medication records and daily logs of activities and spoke to residents and staff, as well as making a visual observation of the premises and found nothing to concern him in relation to practices that did not set out to maximise the health, welfare and safety of residents. Where risks had been identified, relevant training and support had been provided to enable residents to expand their lifestyle experiences, rather than restrictions placed upon them that reduced the scope of their personal choices and achievements. 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 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 3 x x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 x x x N/A 4 Standard No 11 12 13 14 15 16 17 3 3 3 3 4 x 4 Standard No 31 32 33 34 35 36 Score x x 3 x 3 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 49 Victor Street Score 4 3 3 3 Standard No 37 38 39 40 41 42 43 Score x x 3 x x 3 x E51-E09 s5110 49 Victor Street 250805 v238592 Stage 4.doc Version 1.40 Page 21 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 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 39 Good Practice Recommendations It is a recommendation that the written Quality Assurance tool that has been in the pipeline for some time now, is completed and sent to C. S. C. I. before the next inspection. 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 Stage 4.doc Version 1.40 Page 22 Commission for Social Care Inspection Stafford - Dyson Court Staffordshire Technology Park Beaconside Stafford ST18 0ES 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 49 Victor Street E51-E09 s5110 49 Victor Street 250805 v238592 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!