Inspection on 03/02/06 for 49 Victor Street

This inspection was carried out on 3rd 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 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 25/08/05

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

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

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 Mr Berwyn Babb Unannounced Inspection 3rd February 2006 12:30 49 Victor Street, DS0000005110.V282272.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 49 Victor Street, DS0000005110.V282272.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. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service 49 Victor Street, Address Stone Staffordshire ST15 8HL 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) 01785 615500 RMP Care Miss Lorraine Paula Lawton Care Home 3 Category(ies) of Learning disability (3) registration, with number of places 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th August 2005 Brief Description of the Service: 49 Victor Street is a mid terraced house in a quiet residential street in the northern part 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, for three younger Adults [currently all male], who have a Learning Disability. It is the stated intention of the providers, that this shall be in the nearest style to a family domestic setting, as can be achieved for the residents. There is one bedroom, and a shower room [and toilet] downstairs, together with a kitchen/dinette and a lounge/television room. Upstairs there are two further bedrooms and a bathroom, with an adjacent laundry room/staff sleep in room that has a separate toilet, in its own total privacy cubicle. The home operates a no smoking policy, and seeks to maximise the potential for independence of each resident. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out to complete the schedule for the inspection year 2005/06, and concentrated on those key standards not reported on after the previous inspection of 25/08/05. All of the residents were present to talk to the inspector, as was Miss Lawton, the Registered Care Manager. The inspector wishes to thank all the residents, management, and staff for making this inspection such a positive experience, and for their hospitality and assistance. The impression gained from visiting this home is one of true partnership in practice, with residents having a very substantial input into the management of “Their” home. One resident was assisting a carer in the preparation of the evening meal, whilst another had just returned from his weekly work out session at the Gymnasium. The third resident was taking his turn in answering the door and the phone, which involved him in seeing that their milk bill was paid, and that arrangements were in hand for an evening out for the youngest resident, and some of his friends from other RMP homes. Arrangements were made with one resident, to conclude this inspection by popping in to see him at the two locations where he has gained a day per week employment, with transparent enhancement to his self esteem. What the service does well: What has improved since the last inspection? All the residents have now obtained mobile phones, and received,[and continue to receive], advice and encouragement in how to use them to maximise their personal benefit. Further improvements to the environment of the kitchen have included a new cooker and work surfaces, and curtains. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. 49 Victor Street, DS0000005110.V282272.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 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Standards 2 and 5 were reported upon favourably after the announced inspection of 25th August, and from this inspection it was determined that prospective residents could be assured that the home would be able to meet their needs, and their choices. EVIDENCE: From a combination of discussions with both members of staff and with the residents, it was evident that in addition to meeting known assessed needs and choices, the home was engaging in training and planning, to meet the changing needs of residents, as indicated through individual incidents and occurrences, or through the natural passage of time. Confirmation of this flexibility was seen in the application of the registered care manager to distance and attended learning sessions, that were dictated by the known and developing needs of the individual resident, and was corroborated in the care plans by the initiation of new risk assessments and planning, and the discussion and exploration that took place at regular reviews. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 All standards in this section were reported upon favourably after the previous inspection of 25th August, but from this inspection it was determined that resident’s care plans were individually focused, and reflected their assessed and changing needs and personal goals. EVIDENCE: The inspector was able to observe two of the residents using their care plan to record their daily activities, and to discuss this with one of them in greater depth. He was impressed with the way picture symbols had been produced, to assist one resident to express himself, and to make a clear recording of his views and personal wants. They similarly gave him far more independence in being able to record for himself, the activities that he had engaged in so far that day, and was looking forward to engaging in during the remainder of the evening. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 Page 10 Details of such things as visits to and from by primary and tertiary healthcare professionals were noted in appropriate sections, as was the advice and input received from an by professionals specialising in the behaviours and conditions associated with learning disability. Rather than display the clinical sterility of a textbook, these were living documents that pulsated with the energy of the men to whom they referred. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 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 the following standard(s): 13,14,16 Residents were seen to be preparing for, and engaging, in appropriate leisure activities, through which their rights and responsibilities were being respected. EVIDENCE: One resident gave the inspector a very full account of his activities and leisure pursuits over the whole of a seven day span, and it was interesting (even if exhausting for staff) to chart how little of what he did, was done by either of the other two men. Each had an independence of lifestyle that only crossed like ships in the night, when they were spending time together at home. The evening of the inspection will serve as a classic illustration in that the youngest member of the household was pushing on with his chores so that he could be ready to join friends to go to a nightclub for the evening, assisted by little touches here and there from the oldest member of the household doing what he could to smooth the arrangements. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 Page 12 In doing this, he was of course helping to ensure that he would have a peaceful evening at home, in company with the third resident, who stated that he was looking forward to relaxing after his exhaustive workout at the gym. When not otherwise engaged both of the older men were enjoying a television show called Countdown, with which they were engaging both skilfully and with obvious pleasure. All men had keys to their personal rooms, and to the front door, and as stated in the introduction were all furnished with mobile phones that maximised their freedom, but promotes their security, by giving them easy access to assistance should it be required. They gave their ready agreement to discussion about their assessed needs and choices, and to a sample view of their private accommodation. Evidence was seen during this inspection of the men having been able to decline participation in an activity or pursuit, and alternative or extra staffing arrangements having been made to facilitate their personal choice. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 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 the following standard(s): 20 The home continues to ensure that the residents are able to administer and control their medication unless a risk assessment has shown this to be inappropriate. EVIDENCE: The inspector was able to observe the distribution of medication, and to discuss this with one of the residents in the home. He was satisfied that where this is appropriate, the men are monitored to control their own medication, and that training had been given to staff to equip them to adequately facilitate this. A care plan demonstrated that medication regimes were reviewed at pertinent intervals, and adjustments made by the prescribing GP in line with the result of test undertaken. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Both standards in this section were satisfactorily reported upon after the previous inspection of 25th August, and from this inspection it is deemed that residents at this home were protected by the determination of staff to combat abuse, and a complaints procedure specifically designed to enable residents to express their views. EVIDENCE: In a discussion that was open with both residents and staff taking part, protocols were established for the monitoring of residents to ensure that they were protected from abuse, and staff on duty during the inspection were aware of an strongly supportive of these, and residents were able to identify what they would do should they have the cause to complain. No complaints have been received in the inspection year 2005/2006 in respect of this service, and a relative of one of the residents of the home has stated to the inspector during a subsequent interview, that she had been made aware of the complaints procedure, and her experience of the home was that any problems or minor concerns had always been responded to positively by the providers. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 26,27 Core standards 24 and 30 were reported upon favourably following the previous inspection of 25th August 2005, and from this inspection it was deemed that service users bedrooms were of a size that was substantial enough to allow the residents to follow any chosen activity, and that bathing and lavatory provision was in line with the requirements of the standard. EVIDENCE: One of the residents invited the inspector to view his bedroom, and this was of sufficient space for him to have all the things that he wanted for his entertainment in respect of television, stereo system, videos, and personal items and memorabilia. There was plenty of space to get around the bed, and the furnishing and linens were of good quality. The resident had a key to his room so that he was able to ensure the privacy of his personal space when he was away from the home, and he stated that this was to his satisfaction and that there was nothing that he required to be added to the facilities that he already had. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 Page 16 As recorded in the detail, there is a toilet and the laundry room/staff sleep in room upstairs for the gentleman sleeping there to use during the night, and another one in the bathroom downstairs, and the bathroom is equipped with a walk in shower. These facilities are well appointed with good quality sanitary ware and residents said that they met their needs. The only adaptations and equipment being used in the home at the current time were handrails to the steps leading from the back door down to the garden and the adjustable bed for one resident that previous examination of care plan had shown to be as a result of appropriate and proper health professional assessment. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 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 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): 33 Key standard 35 was reported upon satisfactorily following the previous inspection of 25th August 2005, and from this inspection it was deemed that service users were being supported by an effective staff team. EVIDENCE: During the course of this unannounced inspection, extra overlap time of staff had been arranged, so that appropriate arrangements could be made for one of the residents to attend a local night spot with some friends from another home. From discussion with one of the other residents, it was learnt that one evening during the week extra staff are also provided to allow those residents who so wish to go swimming, and the inspector learnt of one resident who had been able to enjoy a holiday of his choice, as a result of extra staffing as being made available so that somebody he knew and trusted would be able to accompany him. Residents in this and other RMP Care homes benefit from the mutual support made possible by a pool of a staff who are known to the residents, and who can deputise for each other at short notice, rather than having to bring in agency staff who would be unknown to the residents. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 Page 18 From previous experience and from inspecting other R. M. P. Care homes, the inspector was aware that this close proximity of homes enables an interchange of staff should any emergency arise. It also allowed for use of “internal” bank of available staff with the benefit for residents, that only in the most exceptional circumstances, would they have to accept people into the home that they did not already know. An example of the continuity and retention of staff demonstrated in the previous report of 25th August 2005, was that at that time plans were being made for 11 members of RMP Care staff to attend a First Aid Refresher course, and all 11 had been in their employment at the time of the previous course three years before that. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 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 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): 39,43 Key standard 42 was favourably reviewed in the report of the previous inspection on 25th August 2005, and from this inspection it was determined that residents views underpinned all self monitoring and reviews and development in the home, and that the competency and accountability of the management ensures the viability of the service. EVIDENCE: The inspector had a long talk with one of the residents who assured him that any alterations within the running of the home or the environment of the home, were undertaken only after exhaustive discussion with himself and his fellow residents in the home. Examples that he quoted of this was of the redecoration, and purchase of new furniture for the communal areas, on shopping for food and various dietary preferences, and on their relationships with members of other RMP homes in the area. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 Page 20 He also went onto say that they were involved with the recruitment of any staff that were needed, always meeting them before they came to work in the home and confirmed that they had been party to the decision to increase the staffing level in the home some time ago, in response to the assessed needs of one of the residents. The Commission for Social Care Inspection has received from the accountants for RMP Care, a letter confirming that their strategies for running the home continued to ensure that the future accommodation for the residents is safeguarded. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 X 2 X 3 3 4 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 4 27 3 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 4 34 X 35 X 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 4 X X X X LIFESTYLES Standard No Score 11 X 12 X 13 3 14 4 15 X 16 4 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X 3 X X X 3 X X X 3 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 Page 22 Are there any outstanding requirements from the last inspection? No STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard YA39 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 CSCI before the next inspection. 49 Victor Street, DS0000005110.V282272.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Stafford Office 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, DS0000005110.V282272.R01.S.doc Version 5.1 Page 24 - 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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